Adolescent male receptivity to sexual health interventions in the emergency department

Contraception ◽  
2018 ◽  
Vol 98 (4) ◽  
pp. 366
Author(s):  
L Chernick ◽  
M Popkin ◽  
B Wallace ◽  
D Bell ◽  
P Dayan
Keyword(s):  
Emergency Department ◽  
Sexual Health ◽  
Health Interventions ◽  
Adolescent Male

Adolescent Male Receptivity of and Preferences for Sexual Health Interventions in the Emergency Department

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Lauren S. Chernick ◽  
Brendan K. Wallace ◽  
Maxmoore T. Potkin ◽  
David L. Bell ◽  
Peter S. Dayan
Keyword(s):  
Emergency Department ◽  
Sexual Health ◽  
Health Interventions ◽  
Adolescent Male

scholarly journals A Qualitative Assessment to Understand the Barriers and Enablers Affecting Contraceptive Use Among Adolescent Male Emergency Department Patients

2019 ◽  
Vol 13 (1) ◽  
pp. 155798831982591 ◽  
Author(s):  
Lauren S. Chernick ◽  
Jonathan Y. Siden ◽  
David L. Bell ◽  
Peter S. Dayan
Keyword(s):  
Emergency Department ◽  
Sexual Health ◽  
Teenage Pregnancy ◽  
Contraceptive Use ◽  
The United States ◽  
Sexual Relationships ◽  
Adolescent Males ◽  
Qualitative Assessment ◽  
Adolescent Male ◽  
Barriers And Enablers

Early fatherhood is common in the United States (U.S.). The emergency department (ED) plays a disproportionate role in serving patients with unmet reproductive and sexual health needs. With 8 million adolescent males visiting U.S. EDs annually, the ED is a potential site to implement interventions to minimize early fatherhood and unintended teenage pregnancy. Little is known about how adolescent male ED patients perceive and behave in sexual relationships and how they influence contraceptive decision making. The objective of this study was to identify the barriers and enablers affecting contraceptive and condom use among adolescent male ED patients. Semistructured interviews were conducted with males aged 14–19 in one urban ED. Enrollment continued until saturation of key themes. Interviews were recorded, transcribed, and coded based on thematic analysis using NVivo 10. The Social Ecological Model was used to organize and understand themes. Participants ( n = 24) were predominantly 18–19 years (63%) and Hispanic (92%). Most (71%) had sex ≤3 months prior but infrequently used a condom at last intercourse (42%). The primary barrier influencing contraceptive use was lack of knowledge of effective contraceptives. Other barriers consisted of perceived gender roles, poor partner communication, and little relationship with a primary provider. Enablers included intention not to get a partner pregnant, school-based sexual health education, normalcy to use condoms, and a trustworthy confidante. The identified barriers and enablers influencing adolescent males’ perspectives toward contraceptives should be addressed if designing future ED-based pregnancy prevention interventions targeting teen males.

A survey of female cancer patients’ awareness of and preferences for receiving sexual health interventions

2014 ◽  
Vol 133 ◽  
pp. 199 ◽  
Author(s):  
C. Stabile ◽  
E.C. Zabor ◽  
R.E. Baser ◽  
S. Goldfarb ◽  
D.J. Goldfrank ◽  
...  
Keyword(s):  
Sexual Health ◽  
Cancer Patients ◽  
Health Interventions ◽  
Female Cancer Patients

scholarly journals Effectiveness, Acceptability, and Feasibility of Digital Health Interventions for LGBTIQ+ Young People: Systematic Review

10.2196/20158 ◽  
2020 ◽  
Vol 22 (12) ◽  
pp. e20158
Author(s):  
Dylan Gilbey ◽  
Helen Morgan ◽  
Ashleigh Lin ◽  
Yael Perry
Keyword(s):  
Young People ◽  
Sexual Health ◽  
Digital Health ◽  
Health Interventions ◽  
Health Concern ◽  
Sufficient Evidence ◽  
Future Research ◽  
Evidence Based ◽  
Bisexual Men ◽  
Targeted Interventions

Background Young people (aged 12-25 years) with diverse sexuality, gender, or bodily characteristics, such as those who identify as lesbian, gay, bisexual, transgender, intersex, or queer (LGBTIQ+), are at substantially greater risk of a range of mental, physical, and sexual health difficulties compared with their peers. Digital health interventions have been identified as a potential way to reduce these health disparities. Objective This review aims to summarize the characteristics of existing evidence-based digital health interventions for LGBTIQ+ young people and to describe the evidence for their effectiveness, acceptability, and feasibility. Methods A systematic literature search was conducted using internet databases and gray literature sources, and the results were screened for inclusion. The included studies were synthesized qualitatively. Results The search identified 38 studies of 24 unique interventions seeking to address mental, physical, or sexual health–related concerns in LGBTIQ+ young people. Substantially more evidence-based interventions existed for gay and bisexual men than for any other population group, and there were more interventions related to risk reduction of sexually transmitted infections than to any other health concern. There was some evidence for the effectiveness, feasibility, and acceptability of these interventions overall; however, the quality of evidence is often lacking. Conclusions There is sufficient evidence to suggest that targeted digital health interventions are an important focus for future research aimed at addressing health difficulties in LGBTIQ+ young people. Additional digital health interventions are needed for a wider range of health difficulties, particularly in terms of mental and physical health concerns, as well as more targeted interventions for same gender–attracted women, trans and gender-diverse people, and people with intersex variations. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42020128164; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=128164

scholarly journals Subjectively Evaluated Effects of Domestic Violence on Well-Being in Clinical Populations

ISRN Nursing ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Marika Poutiainen ◽  
Juha Holma
Keyword(s):  
Emergency Department ◽  
Domestic Violence ◽  
Sexual Health ◽  
Early Identification ◽  
Well Being ◽  
Subjective Well Being ◽  
Life Management ◽  
Subjective Evaluations ◽  
Sense Of Security ◽  
Routine Inquiry

Effects of domestic violence are reflected in victims' physical, psychological, and sexual health as well as in victims' subjective evaluations of health or subjective well-being. The principal aim of this study was to study the extent to which the consequences of domestic violence are reflected in patients' subjectively evaluated well-being, life management, and sense of security in an emergency department, a maternity department, and a reception unit of a psychiatric hospital. A questionnaire on the effects of domestic violence was administered to 530 patients. 61 patients reported either current or previous domestic violence that affected their current well-being and life management. Domestic violence was reported to have an effect on subjective well-being and sense of security: the more recent or frequent the experience of violence was, the greater was considered its impact on well-being and sense of security. Routine inquiry can uncover hidden cases of abuse and hence would be of great benefit in the healthcare context. Early identification of abuse victims can prevent further harm caused by violence.

scholarly journals Diphenhydramine-Refractory Antipsychotic-Induced Dystonia in an Adolescent Male With Cornelia de Lange Syndrome

2019 ◽  
Vol 24 (2) ◽  
pp. 160-165 ◽  
Author(s):  
Stephen M. Small ◽  
Rachel S. Bacher
Keyword(s):  
Emergency Department ◽  
First Generation ◽  
Case Reports ◽  
Genetic Disorder ◽  
Cornelia De Lange Syndrome ◽  
Adolescent Male ◽  
Qtc Interval ◽  
Drug Induced ◽  
Iatrogenic Complications ◽  
Cornelia De Lange

Cornelia de Lange Syndrome is a rare genetic disorder that results in distinctive craniofacial deformities, developmental delay, hirsutism, and other physical abnormalities. Case reports suggest some of these patients exhibit sensitivity and paradoxical reactions to certain psychoactive drugs. This report of a 16-year-old male with Cornelia de Lange is the first to describe dystonia from a first-generation antipsychotic that did not respond to conventional treatment with diphenhydramine. The patient initially presented to the Emergency Department for agitation, which progressively worsened after administration of diphenhydramine, olanzapine, and intramuscular haloperidol. The patient returned to the Emergency Department the following day because of altered mental status and lethargy that progressed to periodic lip-smacking movements and contraction of his upper extremities. His symptoms continued despite administration of diphenhydramine and loading doses of 3 antiepileptic drugs. His abnormal labs included an elevated creatine kinase and a prolonged QTc interval on his electrocardiogram. His symptoms were later deemed a probable drug-induced dystonic reaction to haloperidol once seizures were excluded by an unremarkable electroencephalogram. This case supports previous reports suggesting an association between Cornelia de Lange and paradoxical drug reactions, and it is recommended that clinicians strongly weigh the risks of prescribing first-generation antipsychotics for this patient population. These medications should be carefully titrated, with close patient monitoring to prevent adverse drug effects and other iatrogenic complications because antidotes may be rendered ineffective by this condition.

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