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Text
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URL Address
<a href="http://doi.org/10.1001/jama.269.11.1404" target="_blank" rel="noreferrer">http://doi.org/10.1001/jama.269.11.1404</a>
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Title
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Confidentiality in health care. A survey of knowledge, perceptions, and attitudes among high school students
Publisher
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Jama
Date
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1993
Subject
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Female; Humans; Male; Questionnaires; Massachusetts; Health Behavior; Emergency Service; Practice; adolescent; Hospital/utilization; Empirical Approach; Professional Patient Relationship; Attitudes; Adolescent Transitions; Patient Acceptance of Health Care/statistics & numerical data; Health Knowledge; Adolescent Health Services/utilization; Confidentiality; Community Health Centers/utilization; Physicians' Offices/utilization; School Health Services/utilization; Students
Creator
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Cheng TL; Savageau JA; Sattler AL; DeWitt TG
Description
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OBJECTIVE--To assess adolescent knowledge, perceptions, and attitudes about health care confidentiality. DESIGN--Anonymous self-report survey with 64 items addressing confidentiality issues in health care. SETTING--Rural, suburban, and urban high schools in central Massachusetts. PARTICIPANTS--Students in ninth through 12th grades from three schools. RESULTS--A total of 1295 students (87%) completed the survey: 58% had health concerns that they wished to keep private from their parents, and 69% from friends and classmates; 25% reported that they would forgo health care in some situations if their parents might find out. There were differences in response by gender, race, and school. About one third were aware of a right to confidentiality for specific health issues. Of those with a regular source of care, 86% would go to their regular physician for a physical illness, while only 57% would go there for questions about pregnancy, the acquired immunodeficiency syndrome, or substance abuse that they wished to keep private. Sixty-eight percent had concerns about the privacy of a school health center. CONCLUSIONS--A majority of adolescents have concerns they wish to keep confidential and a striking percentage report they would not seek health services because of these concerns. Interventions to address confidentiality issues are thus crucial to effective adolescent health care.
1993
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1001/jama.269.11.1404" target="_blank" rel="noreferrer">10.1001/jama.269.11.1404</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1993
Adolescent
Adolescent Health Services/utilization
Adolescent Transitions
Attitudes
Backlog
Cheng TL
Community Health Centers/utilization
Confidentiality
DeWitt TG
Emergency Service
Empirical Approach
Female
Health Behavior
Health Knowledge
Hospital/utilization
Humans
JAMA
Journal Article
Male
Massachusetts
Patient Acceptance Of Health Care/statistics & Numerical Data
Physicians' Offices/utilization
Practice
Professional Patient Relationship
Questionnaires
Sattler AL
Savageau JA
School Health Services/utilization
Students