Opportunities and Challenges for Previsit Screening for Sexual and Gender Identity Among Adolescents in Primary Care.
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<p>Many sexual minority youth are at higher risk for poor health outcomes because of stigma, shame, and discrimination they may face because of their identity. Professional guidelines, including the American Academy of Pediatrics' Bright Futures, encourage discussion of sexual attraction and behavior in adolescent health supervision visits so that clinicians can support healthy adolescent sexual development, assure that the health needs of youth of all sexual identities are met, and facilitate family acceptance and support of youth when needed. Although these discussions have been recommended as best practice for many years, we know that pediatricians generally spend little time addressing sexual health. In one study of audio-recorded pediatric well visits, one-third spent no time discussing sexuality or sexual health, and the average amount of time spent was only 36 seconds. To address this gap between recommendations and practice, some pediatric providers are incorporating questions about sexuality into electronic or other previsit screening tools. In this issue of the <em>Journal of Adolescent Health</em>, Parmar et al. are the first to report findings from a large-scale implementation of a standardized assessment of sexual attraction at adolescent health supervision visits.</p>
J Adolesc Health