Page 16 - ESHRE2019

Male adolescents’ well-care use
No change in visits despite sexual behavior status
FEMALES
National Longitudinal Study on Adolescent Health (Add Health)
Males: Majority had visit at baseline & follow-up, but visit frequency
did not change over time relative to males’ sexual behavior status
Females: Visits ↑ed regardless of sexual behavior status (p<.001)
Marcell et al. J Adol Health. 2011.
75% 70% 65% 60% 55% 50% 45%
Baseline
Follow-Up
MALES
Sexually active Sexual initiator Abstainer
Not sexually active
Male adolescents’ barriers to SRH care
Findings from exploratory work in Baltimore
Predisposing factors
• Do not know what SRH is or how doctor can help • Anxieties related to positive STI/HIV test result
receipt & communicating results • Stigma in being seen
Enabling factors
• Access issues
• Insurance/cost
• Knowing where to go
Need factors
• Lack of perceived need
Marcell et al. J Adol Health. 2017; Marcell et al. Perspect Sex Reprod Health. 2003.
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Health Care Use