Contraception for Adolescents and Young Adults in the Inpatient Setting: The Providers' Perspective

Hospital Pediatrics
Rachel L GoldsteinBonnie Halpern-Felsher

Abstract

To assess pediatric providers' attitudes and barriers to initiating a contraceptive method in the inpatient setting. Pediatric attending physicians and trainees from 5 academic institutions were surveyed about contraceptive prescribing practices, attitudes, and potential barriers to initiating contraception in the inpatient setting. In 2016, 271 pediatric providers (34.0% were attending physicians, 18.1% fellows, and 47.9% residents) completed the survey; the response rate was 19.2%. Most participants practiced in both inpatient and outpatient settings (95.7% and 85.0%, respectively). More providers felt confident screening for sexual activity among young adults as compared with adolescents (71.9% vs 65.6%). The same was true for discussing contraceptive options (44.0% vs 38.8%, respectively). Inpatient providers reported seeing adolescents and young adults privately, discussing confidentiality, and asking about sex less than half of the time. More than 80% of providers agreed that it would be appropriate to initiate a contraceptive method for inpatients; 35.8% had done so, and 85.2% indicated that having additional consultation would increase initiation of a contraceptive method in the hospital (88.1% felt similarly for long-a...Continue Reading

References

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Citations

Mar 29, 2018·Hospital Pediatrics·Carly E Guss
Oct 29, 2019·The Journal of the American Osteopathic Association·Charee M ThompsonMaggie Dade
Oct 18, 2020·Hospital Pediatrics·Kathryn ClaryDavid Eldridge
Sep 15, 2021·Hospital Pediatrics·Jane Alyce HuntAbbey R Masonbrink
Dec 18, 2021·Hospital Pediatrics·Vanessa McFaddenMichelle L Pickett

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