Less Than Half of U.S. Youth Discuss Sensitive Topics with Their Doctors

Fewer than half of young people in the United States are having discussions of sensitive topics with their regular healthcare providers, according to a new study published in Pediatrics. This new research led by researchers at the Columbia Mailman School of Public Health suggests that modifying healthcare delivery practices may improve discussions between youth and their healthcare providers. Youth-provider discussions are important opportunities to promote health for young people.

While access to care has increased under the Affordable Care Act, this research suggests that the content of healthcare for young people is often not meeting professional recommendations. Young people were asked if they and their provider had discussed 11 specific topics recommended by national medical guidelines, spanning alcohol and other drug use, use of tobacco, sexual health, mental health, school performance, gun safety, and physical/sexual abuse. For 10 of the 11 topics, fewer than half of young people reported discussing that topic with their provider at their last visit. The topics that were discussed the least were gun safety, sexual orientation, and sexual or physical abuse.

The study found that discussions are shaped by healthcare delivery factors such as having had a youth-provider talk about confidentiality, providing private time with young people during office visits, using health screening questionnaires, and having enough time for youth and healthcare providers to interact. These factors were associated with increases of 50 percent or more in the likelihood of a youth-provider discussion at their last healthcare visit.

“The good news is that some basic changes to healthcare practice could greatly improve opportunities for young people to discuss health with their care providers,” said adolescent medicine specialist John Santelli, MD, professor of Population and Family Health at Columbia Mailman and the lead author of the study. “Describing confidentiality to a young person, providing private one-to-one time, using health questionnaires in the office, and taking time to listen to young people — all are things that providers can do to improve dialogue with young people. Talking about confidentiality can create safe spaces for discussion. Health questionnaires can signal to young people that a healthcare provider is interested in discussing sensitive issues.”

Data was collected from 1509 adolescents and young adults through a 2016 national internet survey. Young people in the survey were 13-26 years of age and had seen their regular provider within the past two years. Surveys were offered in both English and Spanish.

The authors found that multiple social and personal factors were associated with youth-provider discussions about sensitive topics. Rates of discussion were similar by gender but often declined with age. Rural youth reported fewer discussions compared to urban/suburban youth. Youth from higher income families also reported fewer discussions. Youth desires to discuss specific topics were also associated with an increased likelihood of a discussion of that topic — as was youth involvement in health risk behaviors.

Dr. Santelli concluded: “Discussions between young people and their healthcare providers can be important first steps towards better health.”

Co-authors include Jonathan D. Klein, Xiaoyu Song, Jennifer Heitel, Stephanie Grilo, Mengru Wang, Hanying Yan, Kristen Kaseeska, Julie Gorzkowski, Madeline Schneider, Alexandra E. Dereix, and Marina Catallozzi. The study was funded by an unrestricted research grant from the Merck Foundation and sponsored by the Adolescent Health Consortium, a collaboration among four national medical societies to improve preventive healthcare for young people.

Story Source:

Materials provided by Columbia University’s Mailman School of Public HealthNote: Content may be edited for style and length.

Journal Reference:

  1. Santelli, J. S., Klein, J. D., Song, X., Heitel, J., Grilo, S., Wang, M., … & Dereix, A. E. (2019). Discussion of potentially sensitive topics with young peoplePediatrics, e20181403. DOI: 10.1542/peds.2018-1403


  • Joshuapes
    January 16, 2020 at 5:34 PM

    fibromyalgia and Women

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    Current studies are being done to find out why people with fibromyalgia syndrome feel pain, How exercise can help, And ways to treat the illness. Researchers believe that hormonal differences may explain why women are at high risk than men, Because androgen hormone or testosterone helps to prevent muscle fatigue. It is also considered that [url=https://ukrainianwomen.home.blog/]ukraine women[/url] the risk for men may be slightly higher than what is reported, Due to men seeing tiredness as being weak and are more reluctant to speak about it to their doctor than women.

    Fibromyalgia is recognized a controversial illness. Some doctors do not believe it exists as there are no tests that actually diagnose it, And say there isn’t really a hard core evidence to support it. It can be very disheartening and discouraging for patients to hear that this disease is fake when the pain is very real. Hopefully as new research develops more of the medical field will find answers and potentially a cure to help patients.

    I am one of the women affected by fibromyalgia syndrome. It can be very hard at times, Especially when most people do not understand how it feels or what it’s like. Some days i find myself fine, Other days I am so sore and stiff I can barely get to get up. Sometimes simple tasks such as putting on a seatbelt sends shooting pain although my body. While I have not yet find something to make it go away, There are things I have found that actually relieve symptoms somewhat. increased daily water consumption, maintaining a healthy diet, Getting very good rest, And taking quite a few vitamins help. it doesn’t completely ‘cure’ symptoms, But I can tell a significant difference in how I feel when I do this. I have also found that using turmeric spice a few times a week is important. Turmeric spice is a natural anti inflammatory ingredient that is best when purchased pure and organic. It is also told fight off infections and types of cancers, So its can’t hurt to include it in a few meals each week.

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