TY  - JOUR
T1  - Chlamydial screening in urgent care visits: Adolescent-reported acceptability associated with adolescent perception of clinician communication
AU  - Miller CA, Tebb KP, Williams JK, Neuhaus JM, Shafer MB
Y1  - 2007/08/01
N1  - 10.1001/archpedi.161.8.777
JO  - Archives of Pediatrics & Adolescent Medicine
SP  - 777
EP  - 782
VL  - 161
IS  - 8
N2  - Objective 
    To examine the association between adolescents' perception of clinician communication and adolescents' reported acceptability of the steps involved in chlamydial screening during urgent care visits.Design 
    Cross-sectional survey of adolescents after urgent care visits.Setting 
    Four pediatric clinics in a health maintenance organization.Participants 
    Three hundred sixty-five adolescents aged 13 to 18 years.Outcome Measures 
    Participants' ratings of the acceptability of talking about sexual health and providing a urine sample for chlamydial testing in an urgent care visit.Results 
    Most adolescents found sexual health discussions and urine collection for chlamydial screening acceptable in the urgent care setting (84% and 80%, respectively). Acceptability of sexual health discussion was significantly associated with adolescents' perception that the clinician explained confidentiality (adjusted odds ratio [AOR], 2.7; 95% confidence interval [CI], 1.3-5.5), knew “how to talk to teens like me” (AOR, 9.0; 95% CI, 3.5-24.2), and “listened carefully as I explained my concerns” (AOR, 14.3; 95% CI, 4.3-54.9). Acceptability of providing a urine sample for chlamydial testing was associated with the adolescents' perception that the clinician knew “how to talk to teens like me” (AOR, 3.7; 95% CI, 1.5-9.3) and “listened carefully as I explained my concerns” (AOR, 3.6; 95% CI, 1.1-11.5).Conclusions 
    Sexual history taking and urine collection are 2 key components of chlamydial screening and were reported as acceptable by the great majority of adolescents in the urgent care setting. Aspects of clinician communication appear to be important target areas for pediatric clinician education in supporting expansion of chlamydial screening to adolescents in urgent care visits.
SN  - 1072-4710
M3  - doi: 10.1001/archpedi.161.8.777
UR  - http://dx.doi.org/10.1001/archpedi.161.8.777
ER  -