TY - JOUR
T1 - Annual physical examination reports vary by gender once teenagers become sexually active
AU - Marcell, Arik V.
AU - Matson, Pam
AU - Ellen, Jonathan M.
AU - Ford, Carol A.
N1 - Funding Information:
The project described was supported by grant Number K23HD47457 (Dr. Marcell) from the National Institute for Child Health and Human Development . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute for Child Health and Human Development or the National Institutes of Health.
Funding Information:
This research uses data from Add Health, a program project designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris, and funded by a grant P01-HD31921 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development , with cooperative funding from 17 other agencies. Special acknowledgment is due Ronald R. Rindfuss and Barbara Entwisle for assistance in the original design. Persons interested in obtaining data files from Add Health should contact Add Health, Carolina Population Center, 123 W. Franklin Street, Chapel Hill, NC 27516-2524 ( addhealth@unc.edu ). No direct support was received from grant P01-HD31921 for this analysis.
PY - 2011/7
Y1 - 2011/7
N2 - Introduction: Few sexually active male adolescents receive sexual and reproductive health (SRH) services. To understand this, we examined the association between sexual behavior status and physical examination of the adolescents over time. Methods: We conducted longitudinal cohort analysis of the National Longitudinal Study of Adolescent Health with 9,239 adolescents who completed the baseline school (1994/1995) and wave 2 (1996) follow-up surveys approximately 1.5 years later (retention rate = 71%). The logistic regression models were fitted with random effects to estimate individual odds of reporting a physical examination in the past 12 months at follow-up, compared with baseline, stratified by sexual behavior status and gender, and adjusting for sociodemographic and healthcare access factors. Results: In all, 34.5% of male and 38.2% of female adolescents reported experiencing vaginal intercourse by follow-up, and 22.4% of male and 24.7% of female adolescents reported first experiencing intercourse during the study period. Among sexually active adolescents, about half reported having annual physical examinations and one-fifth reported not having any physical examinations. Among female adolescents, baseline to follow-up examination reports significantly increased in the following: sex initiators (adjusted odds ratio [OR] = 2.09, 95% confidence interval [CI] = 1.662.64); those reporting sex at both times (OR = 2.16, CI = 1.513.09); and those reporting no sex either time (OR = 2.47, CI = 2.003.04). Among male adolescents, baseline to follow-up examination reports significantly increased in those reporting no sex either time (OR = 1.57, CI = 1.261.96) and showed increasing trends in sex initiators (OR = 1.27, CI = .921.76). Discussion: A majority of sexually active adolescents report annual physical examinations over time. Providers should not miss opportunities to deliver evidence-based SRH to sexually active adolescents. Future efforts are needed to increase access of all adolescents to SRH services. MeSH Terms: Health Services Accessibility, Male, Female
AB - Introduction: Few sexually active male adolescents receive sexual and reproductive health (SRH) services. To understand this, we examined the association between sexual behavior status and physical examination of the adolescents over time. Methods: We conducted longitudinal cohort analysis of the National Longitudinal Study of Adolescent Health with 9,239 adolescents who completed the baseline school (1994/1995) and wave 2 (1996) follow-up surveys approximately 1.5 years later (retention rate = 71%). The logistic regression models were fitted with random effects to estimate individual odds of reporting a physical examination in the past 12 months at follow-up, compared with baseline, stratified by sexual behavior status and gender, and adjusting for sociodemographic and healthcare access factors. Results: In all, 34.5% of male and 38.2% of female adolescents reported experiencing vaginal intercourse by follow-up, and 22.4% of male and 24.7% of female adolescents reported first experiencing intercourse during the study period. Among sexually active adolescents, about half reported having annual physical examinations and one-fifth reported not having any physical examinations. Among female adolescents, baseline to follow-up examination reports significantly increased in the following: sex initiators (adjusted odds ratio [OR] = 2.09, 95% confidence interval [CI] = 1.662.64); those reporting sex at both times (OR = 2.16, CI = 1.513.09); and those reporting no sex either time (OR = 2.47, CI = 2.003.04). Among male adolescents, baseline to follow-up examination reports significantly increased in those reporting no sex either time (OR = 1.57, CI = 1.261.96) and showed increasing trends in sex initiators (OR = 1.27, CI = .921.76). Discussion: A majority of sexually active adolescents report annual physical examinations over time. Providers should not miss opportunities to deliver evidence-based SRH to sexually active adolescents. Future efforts are needed to increase access of all adolescents to SRH services. MeSH Terms: Health Services Accessibility, Male, Female
KW - Female
KW - Health services accessibility
KW - Male
KW - Sexual behavior
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U2 - 10.1016/j.jadohealth.2010.10.006
DO - 10.1016/j.jadohealth.2010.10.006
M3 - Article
C2 - 21700156
AN - SCOPUS:79959507742
SN - 1054-139X
VL - 49
SP - 47
EP - 52
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 1
ER -