The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.
Confidentiality and contraception: protecting adolescent care in response to One State’s “Parents’ Bill of Rights
Open accessAbstract
Purpose This study aims to analyze parent responses to current strict Oklahoma confidentiality and consent laws in an outpatient subspecialty setting.Methods A consent for treatment form including an explanation of the benefits of qualified confidential care for adolescents was given to parents of patients under 18 years of age. The form asked parents to waive the right to access confidential portions of the medical record, be present for the physical exam, be present for risk behavior discussions, and consent for hormonal contraception including a subdermal implant. Demographic information was collected using patient medical records. Data were analyzed using frequencies, chi-square, and t tests.Results Of the 507 parent forms, 95% of total parents gave permission for providers to have confidential conversations with the patients, 86% allowed providers to examine the patient alone, 84% of parents allowed providers to prescribe contraception, and 66% gave permission for subdermal implant. New patient status, race, ethnicity, assigned sex at birth, and insurance type did not correlate with parents' willingness to provide permissions. There was a statistically significant difference between patient gender identity and percentage of parents who granted permission for a confidential physical exam. Groups more likely to discuss questions about confidential care with the health care provider included parents of new patients, Native American and Black patients, and cisgender female patients.Discussion Despite laws that limit adolescent ability to access confidential care in Oklahoma, the majority of parents who were provided an explanatory document allowed their children the right to access this care.
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“This approach is consistent with recent research documenting that most parents want medical providers to be involved in their adolescents’ sexual and reproductive health education and care and approve of confidential care when they are given information about what it is, why it is important, and how it works (Durante et al., 2023, Kannappan et al., 2023).”
From The role (and limits) of developmental neuroscience in determining adolescents' autonomy rights: The case for reproductive and voting rights (2024) · cites this paper as Kannappan et al., 2023
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Ford, C. A. (1997) · JAMA · doi:10.1001/jama.1997.03550120089044 · Cited by 544
Lehrer, J. A., Pantell, R. H., Tebb, K., & Shafer, M. (2006) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2006.09.015 · Cited by 245
AMA Guidelines for Adolescent Preventive Services (GAPS): Recommendations and Rationale
Alderman, E. M. (1994) · JAMA · doi:10.1001/jama.1994.03520120090040 · Cited by 148
Chandra‐Mouli, V., & Akwara, E. (2020) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2020.04.003 · Cited by 146
State-by-State Variability in Adolescent Privacy Laws
Sharko, M., Jameson, R., Ancker, J. S., Krams, L., Webber, E. C., & Rosenbloom, S. T. (2022) · Pediatrics · doi:10.1542/peds.2021-053458 · Cited by 130
Availability of Adolescent Health Services and Confidentiality in Primary Care Practices
Akinbami, L. J., Gandhi, H., & Cheng, T. L. (2003) · PEDIATRICS · doi:10.1542/peds.111.2.394 · Cited by 86
Standards for Health Information Technology to Ensure Adolescent Privacy
Blythe, M. J., Adelman, W. P., Breuner, C. C., et al. (2012) · PEDIATRICS · doi:10.1542/peds.2012-2580 · Cited by 83
Delivery of Confidentiality Assurances to Adolescents by Primary Care Physicians
Ford, C. A. (1997) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.1997.02170420075013 · Cited by 54
Protecting Adolescent Confidentiality: A Response to One State's “Parents’ Bill of Rights”
Butler, P. W., & Middleman, A. B. (2018) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2018.03.015 · Cited by 13
Self-citationConfidentiality in Adolescent Health Care
(2020) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000003771 · Cited by 6
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Maslowsky, J., Buss, E., & Wray-Lake, L. (2024) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2024.101435 · Cited by 8
“…that most parents want medical providers to be involved in their adolescents ’ sexual and reproductive health education and care and approve of confidential care when they are given information about what it is, why it is important, and how it works (Durante et al., 2023; Kannappan et al., 2023).”
Background
Metadata
- Authors
- Kannappan, A., Chaphekar, A., Butler, P., & Middleman, A. B.
- Affiliations
- University of Oklahoma Health Sciences Center (US)
- Corresponding author
- Kannappan, Anju
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2023-10
- Volume
- 73
- Issue
- 4
- Pages
- 650-654
- ISSN
- 1054-139X (ISSN-L)
- OpenAlex
- W4382182211
- Cited by
- 8
- References
- 10
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 1
- FWCI
- 2.82
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Oklahoma Health Sciences Center
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Sexual and Reproductive Health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Adolescent and Pediatric Healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Ethics and Legal Issues in Pediatric Healthcare
- Keywords
- adolescent reproductive health, patient confidentiality, parental consent, Oklahoma, contraceptive access, subdermal contraceptive implant, hormonal contraception, gender identity, patient-provider communication
- MeSH terms
- Adolescent, Child, Confidentiality, Contraception, Female, Gender Identity, Humans, Male, Oklahoma, Parents
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