RT Journal Article
SR Electronic
T1 Differences in Receipt of Time Alone with Healthcare Providers Among US Youth Ages 12–17
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 309
OP 315
DO 10.3122/jabfm.2023.230222R1
VO 37
IS 2
A1 So, Marvin
YR 2024
UL http://www.jabfm.org/content/37/2/309.abstract
AB Background: Time to meet privately with a health care provider can support optimal adolescent health, but numerous barriers exist to implementing this practice routinely.Methods: We examined parent reports on their children aged 12 to 17 from a nationally generalizable sample to quantify the presence of time alone with health care providers at the state and national level, as well as socio-contextual correlates using logistic regression analysis.Results: We estimated that only 1 in 2 adolescents had a confidential discussion at their last medical visit. Certain child, family, and health care factors were associated with lower likelihood for having had confidential discussions. Specifically, adolescents who were Asian; did not have mental, emotional, or behavioral problems; were uninsured; or lived in households with parents who were immigrants, less educated, or did not speak English had significantly lower odds for having had time alone compared with referent groups.Discussion: Clinical and structural efforts to rectify these gaps may assist a broader share of youth in benefiting from private health care discussions with providers.