Primary care providers' reports of time alone and the provision of sexual health services to urban adolescent patients: results of a prospective card study

J Adolesc Health. 2010 Jul;47(1):110-2. doi: 10.1016/j.jadohealth.2009.12.029. Epub 2010 Mar 15.


Confidential care is an essential element of quality adolescent primary care. Twenty-one primary care providers tracked provision of confidential care (time alone with adolescent) and sexual health services in clinics serving low-income, primarily minority communities. Over 144 visits attended by a parent, 68% involved time alone with the adolescent. Time alone was 18 times higher for physicals than same day or walk-in visits, and 3 times higher if teen presented a sex complaint. Provision of sexual health services was 3 times higher for those who had time alone with the provider, especially among girls. The results indicate some missed opportunities to deliver needed services to at-risk populations, especially among boys.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Child
  • Community Health Centers
  • Confidentiality*
  • Female
  • Health Services Needs and Demand / statistics & numerical data
  • Humans
  • Male
  • Minority Groups / statistics & numerical data*
  • New York
  • Physical Examination
  • Physician-Patient Relations*
  • Poverty Areas*
  • Primary Health Care / statistics & numerical data*
  • Prospective Studies
  • Regression, Psychology
  • Sex Education / statistics & numerical data*
  • Sex Factors
  • Statistics as Topic
  • Urban Population / statistics & numerical data*