Primary Care Providers' Reports of Time Alone and the Provision of Sexual Health Services to Urban Adolescent Patients: Results of a Prospective Card Study

Lucia F. O'Sullivan, M. Diane McKee, Susan E. Rubin, Giselle Campos

Research output: Contribution to journalArticle

14 Scopus citations


Confidential care is an essential element of quality adolescent primary care. Twenty-one primary care providers tracked provision of confidential care (time alone with adolescent) and sexual health services in clinics serving low-income, primarily minority communities. Over 144 visits attended by a parent, 68% involved time alone with the adolescent. Time alone was 18 times higher for physicals than same day or walk-in visits, and 3 times higher if teen presented a sex complaint. Provision of sexual health services was 3 times higher for those who had time alone with the provider, especially among girls. The results indicate some missed opportunities to deliver needed services to at-risk populations, especially among boys.

Original languageEnglish (US)
Pages (from-to)110-112
Number of pages3
JournalJournal of Adolescent Health
Issue number1
StatePublished - Jul 1 2010



  • Adolescent health
  • Confidentiality
  • Preventative care
  • Sexual health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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