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Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 2001 May 1;92(3):219–222. doi: 10.1007/BF03404310

Nova Scotia High School Students’ Interactions with Physicians for Sexual Health Information and Services

Donald B Langille 114,, Gail Tomblin Murphy 214, Jean Hughes 214, Janet A Rigby 114
PMCID: PMC6980209  PMID: 11496635

Abstract

Purpose: To support a community effort to establish a health service in a Nova Scotia high school, adolescents’ sexual behaviours and use of physicians for sexual health services were assessed.

Methods: A self-completion survey asked students about sexual behaviours, use of physician services and barriers to use of those services.

Results: Only 8.7% of male and 37.9% of female students with family physicians had discussed with the physician whether they were sexually experienced (p<0.0001). More females had discussed sexual activity when the physician was female than when the physician was male (43.7% vs. 35.1%; p<0.05). More sexually experienced females who had not discussed this behaviour with their physicians identified specific issues as barriers to discussion.

Conclusions: Female physicians discuss sexual activity more with their adolescent female patients than do male physicians. The results support the need to provide health services in addition to those of physicians to meet the sexual health needs of adolescents.

References

  • 1.King AJC, Beazley RP, Warren WK, et al. The Canada Youth and AIDS Study. Kingston: Queen’s University; 1988. [Google Scholar]
  • 2.Beazley RP, King AJC, Warren WK. The Canada Youth and AIDS Study. Kingston: Queen’s University; 1988. [Google Scholar]
  • 3.Langille DB, Beazley R, Shoveller J, Johnston G. Prevalence of high risk sexual behaviour in adolescents attending school in a county in Nova Scotia. Can J Public Health. 1994;85:227–30. [PubMed] [Google Scholar]
  • 4.Poulin C. Nova Scotia Department of Health. 1997. Nova Scotia Student Drug Use 1996: Highlights Report. [Google Scholar]
  • 5.Wadhera S, Millar WJ. Teenage pregnancies, 1974 to 1994. Health Reports. 1997;9:9–17. [PubMed] [Google Scholar]
  • 6.Nova Scotia Department of Health. Author. 1994. Fertility Report for Nova Scotia. [Google Scholar]
  • 7.Fraser AM, Brockert JE, Ward RH. Association of young maternal age with adverse reproductive outcomes. N Engl J Med. 1995;332:1113–17. doi: 10.1056/NEJM199504273321701. [DOI] [PubMed] [Google Scholar]
  • 8.Federal, Provincial,Territorial Working Group on Adolescent Reproductive Health. Report on Adolescent Reproductive Health. Health and Welfare Canada, Health Services and Promotion Branch.: Ottawa; 1989. [Google Scholar]
  • 9.Zabin L. Adolescent pregnancy: The clinician’s role in intervention. J Gen Intern Med. 1990;5:381–88. doi: 10.1007/BF02600849. [DOI] [PubMed] [Google Scholar]
  • 10.Yarber WL, Parrillo AV. Adolescents and sexually transmitted diseases. J Sch Health. 1992;62:331–38. doi: 10.1111/j.1746-1561.1992.tb01252.x. [DOI] [PubMed] [Google Scholar]
  • 11.Dryfoos JG. Adolescents at Risk. New York, NY: Oxford University Press; 1990. [Google Scholar]
  • 12.Laboratory Centre for Disease Control. CCDR. 1999. Sexually transmitted diseases in Canada: 1996 surveillance report; p. S1. [Google Scholar]
  • 13.Rosenberg M. Sexually transmitted disease and the primary care provider. Prim Care. 1990;17:195–203. [PubMed] [Google Scholar]
  • 14.Toomey KE. STD prevention and the family physician. Am Fam Phys. 1989;40:74–76. [PubMed] [Google Scholar]
  • 15.Kroger F. Compliance strategies in a clinic for treatment of sexually transmitted diseases. Sex Transm Dis. 1980;7:178–82. doi: 10.1097/00007435-198010000-00007. [DOI] [PubMed] [Google Scholar]
  • 16.Croft CA, Asmussen L. A developmental approach to sexuality education: Implications for medical practice. J Adolesc Health. 1993;14:109–14. doi: 10.1016/1054-139X(93)90094-6. [DOI] [PubMed] [Google Scholar]
  • 17.Stamm WE, Kaetz S, Holmes KK. Clinical training in venereology in the United States. JAMA. 1982;248:2020–24. doi: 10.1001/jama.1982.03330160068027. [DOI] [PubMed] [Google Scholar]
  • 18.Doherty J, Jessamine AG. STD training in Canadian medical schools. SIECCAN Newsletter. 1992;27:26–30. [Google Scholar]
  • 19.Barrett M, McKay A. Training in sexual health and STD prevention in Canadian medical schools. Can J Human Sexuality. 1998;7:305–20. [Google Scholar]
  • 20.Lewis CE, Freeman HE. The sexual history taking and counselling practices of primary care physicians. West J Med. 1987;147:165–67. [PMC free article] [PubMed] [Google Scholar]
  • 21.Boekeloo BO, Marx MTS, Kral AH, et al. Frequency and thoroughness of STD/HIV risk assessment by physicians in a high risk metropolitan area. Am J Public Health. 1991;81:1645–48. doi: 10.2105/AJPH.81.12.1645. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 22.Moser M. Results of a national survey of physician’s knowledge and application of preventative capabilities. Am J Prev Med. 1991;7:384–90. doi: 10.1016/S0749-3797(18)30876-6. [DOI] [PubMed] [Google Scholar]
  • 23.Maheux B, Haley N, Rivard M, Gervais A. STD risk assessment and risk-reduction counseling by recently trained family physicians. Acad Med. 1995;70:726–28. doi: 10.1097/00001888-199508000-00018. [DOI] [PubMed] [Google Scholar]
  • 24.Langille DB, Gailiunas P, Mann K. Perceptions of their adolescent pregnancy and STD prevention practices by primary care physicians in a Nova Scotia county. Am J Prev Med. 1997;13:324–30. doi: 10.1016/S0749-3797(18)30183-1. [DOI] [PubMed] [Google Scholar]
  • 25.American Medical Association. Guidelines for Adolescent Preventive Services (GAPS). Available: http://www.ama-assn.org/adolhlth/ recomend/monogrf1.htm (accessed 2000 March 16).
  • 26.Blum RW, Beuhring T, Wunderlich M, Resnick MD. Don’t ask, they won’t tell: The quality of adolescent health screening in five practice settings. Am J Public Health. 1996;86:1767–72. doi: 10.2105/AJPH.86.12.1767. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 27.Malus M, LaChance PA, Lamy L, et al. Priorities in adolescent health care: The teenager’s viewpoint. J Family Practice. 1987;25:159–62. [PubMed] [Google Scholar]
  • 28.Langille D, Graham J, Marshall E, et al. Developing understanding from young women’s experiences in obtaining sexual health services and education in a Nova Scotia community: Lessons for educators, physicians and pharmacies. Halifax: Maritime Centre of Excellence for Women’s Health; 1999. [Google Scholar]
  • 29.Statistics Canada . Canadian Census. 1996. [Google Scholar]
  • 30.Boroditsky R, Fisher W, Sand M. The 1995 Canadian contraceptive study. J SOGC. 1996;18(supp):1–30. [Google Scholar]
  • 31.Schuster MA, Bell RM, Petersen LP, Kanouse DE. Communication between adolescents and physicians about sexual behavior and risk prevention. Arch Pediatr Adolesc Med. 1996;150:906–13. doi: 10.1001/archpedi.1996.02170340020004. [DOI] [PubMed] [Google Scholar]
  • 32.Kapphahn CJ, Wilson KM, Klein JD. Adolescent girls and boys preferences for provider gender and confidentiality in their health care. J Adolesc Health. 1999;25:131–42. doi: 10.1016/S1054-139X(99)00050-6. [DOI] [PubMed] [Google Scholar]
  • 33.Bernweiz J, Takayama JI, Phibbs C, et al. Gender differences in physician-patient communication: Evidence from pediatric visits. Arch Pediatr Adolesc Med. 1997;151:586–91. doi: 10.1001/archpedi.1997.02170430052011. [DOI] [PubMed] [Google Scholar]
  • 34.Millstein SG, Igra V, Gans J. Delivery of STD/HIV preventive services to adolescents by primary care physicians. J Adolesc Health. 1996;19:249–57. doi: 10.1016/S1054-139X(96)00092-4. [DOI] [PubMed] [Google Scholar]
  • 35.Maheux B, Haley N, Rivard M, Gervais A. Do women physicians do more STD prevention than men? Quebec study of recently trained family physicians. Can Fam Phys. 1997;43:1089–145. [PMC free article] [PubMed] [Google Scholar]
  • 36.Langille DB, Langille DJ, Andreou P. the Amherst Association for Healthy Adolescent Sexuality. Halifax: Dalhousie University; 1998. Report on sexual behaviours and helpfulness of sources of sexual health information and services of students at Amherst Regional High School: Comparison of November 1996 and November 1997 survey results. [Google Scholar]
  • 37.Promois J. Confidentiality issues in the adolescent population. Current Opin Pediatr. 1997;9:325–28. [PubMed] [Google Scholar]
  • 38.Cheng TL, Savageau JA, Sattler AL, DeWitt TG. Confidentiality in health care: A survey of knowledge, perceptions and attitudes among high school students. JAMA. 1993;269:1404–7. doi: 10.1001/jama.1993.03500110072038. [DOI] [PubMed] [Google Scholar]
  • 39.Ford CA, Millstein SG, Halpern-Felsher BL, Irwin CE. Influence of physician confidentiality assurances on adolescents’ willingness to disclose information and seek future health care. A randomized controlled trial. JAMA. 1997;278:1029–34. doi: 10.1001/jama.1997.03550120089044. [DOI] [PubMed] [Google Scholar]
  • 40.Donovan C, Mallanby AR, Jacobson CD, et al. Teenagers’ views on the general practice consultation and provision of contraception. Br J Gen Pract. 1997;47:715–18. [PMC free article] [PubMed] [Google Scholar]
  • 41.Larsen SB, Kragstrup J. Experiences of the first pelvic examination in a random sample of Danish teenagers. Acta Obstet Gynecol Scand. 1995;74:137–41. doi: 10.3109/00016349509008923. [DOI] [PubMed] [Google Scholar]
  • 42.Najem GR, Batuman F, Smith AM. Papanicolaou smears among inner-city adolescents. Am J Prev Med. 1996;12:482–86. doi: 10.1016/S0749-3797(18)30272-1. [DOI] [PubMed] [Google Scholar]
  • 43.Ringdahl EN. The role of the family physician in preventing teenage pregancy. Am Fam Phys. 1992;45:2215–19. [PubMed] [Google Scholar]
  • 44.Adler NE, Kegeles SM, Irwin CE, Wibbelsman C. Adolescent contraceptive behaviour: An assessment of decision processes. J Pediatr. 1990;116:463–71. doi: 10.1016/S0022-3476(05)82845-8. [DOI] [PubMed] [Google Scholar]
  • 45.Kisker EE, Brown RS. Do school-based clinics improve adolescents’ access to health care, health status and risk-taking behavior? J Adolesc Health. 1996;18:335–43. doi: 10.1016/1054-139X(95)00236-L. [DOI] [PubMed] [Google Scholar]
  • 46.Kirby D, Waszak C, Ziegler J. Six school-based clinics: Their reproductive health services and impact on sexual behaviour. Fam Plann Perspect. 1991;23:7–16. [PubMed] [Google Scholar]

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