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Disclosure of Sexual Intercourse by Teenagers: Agreement Between Telephone Survey
Responses and Annual Visit Disclosures
#MMPMID25857726
Alexander SC
; Fortenberry JD
; Pollak KI
; Østbye T
; Bravender T
; Tulsky JA
; Dolor R
; Shields CG
Clin Pediatr (Phila)
2015[Jun]; 54
(6
): 529-33
PMID25857726
show ga
BACKGROUND: Physicians can help guide teenagers in their emerging sexuality;
however, teens rarely inform physicians about their sexual activity. METHODS: We
audio-recorded annual visits between 365 teenagers and 49 physicians. Before the
recorded visit, the teens were asked in a confidential telephone survey whether
they had ever engaged in sexual intercourse. Recordings were coded for teenage
disclosures about previous sexual intercourse. We measured agreement between
telephone survey responses and annual visit disclosures, and examined factors
associated with agreement between the two. RESULTS: Fifty-six teenagers (15%)
reported previous sexual intercourse in either the telephone survey or to their
physician. Among those who reported sexual intercourse, 57% shared this
information to both the telephone survey and their physician (? = .72, confidence
interval = 0.63-0.82). CONCLUSIONS: Although a slight majority of teenagers
disclosed their sexual activity to both the telephone survey and their doctor, a
significant number disclosed to just one source.