Advertisement
Research Article| Volume 35, ISSUE 3, P371-374, June 2022

Download started.

Ok

The Adolescent Experience of Filling Prescriptions for the Treatment of Sexually Transmitted Infections

Published:December 23, 2021DOI:https://doi.org/10.1016/j.jpag.2021.12.009
The Adolescent Experience of Filling Prescriptions for the Treatment of Sexually Transmitted Infections
Previous ArticleTrichomonas Vaginalis Infections Among Youth in Detention in the Southeastern United States
Next ArticleA Body-Neutral and Gender-Neutral Modified Ferriman–Gallwey Diagram

      ABSTRACT

      Purpose

      To describe adolescents’ experience with treatment adherence when prescribed antibiotics for sexually transmitted infections (STIs) in emergency departments (ED).

      Methods

      Adolescents diagnosed with STIs in two EDs and prescribed outpatient treatment were interviewed to identify barriers and facilitators to treatment adherence.

      Results

      Of 26 participants, 46.2% filled their prescriptions, 38.5% returned to the ED for treatment, 7.7% received treatment elsewhere, and 7.7% received no treatment. All adolescents who filled their prescriptions notified caregivers of their diagnosis, compared with 50.0% who returned to the ED (P = 0.01). Adolescents identified cost, transportation, lack of insurance card, and lack of knowledge as perceived barriers to treatment adherence. Less than half of the participants were interested in school-based health clinics due to anonymity concerns. Most expressed interest in using mobile health (mHealth) to overcome adherence challenges.

      Conclusions

      Adolescents identified multiple barriers to treatment adherence. Future work should explore the role of caregiver communication and incorporation of mHealth.

      Key Words

      Abbreviations:

      ED (emergency department), mHealth (mobile health), PID (pelvic inflammatory disease), STI (sexually transmitted infection)
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Pediatric and Adolescent Gynecology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

        • Weisman J
        • Chase A
        • Badolato GM
        • et al.
        Adolescent sexual behavior and emergency department use.
        Pediatr Emerg Care. 2020; 36 (Jul): e383-386
        View in Article

      2. Lieberman A, Badolato GM, Tran J, et al: Frequency of prescription filling among adolescents prescribed treatment for sexually transmitted infections in the emergency department. JAMA Pediatr 2019 July 1;173(7):695-697.

        View in Article

      3. Trent M, Ellen JM, Frick KD: Estimating the direct costs of pelvic inflammatory disease in adolescents: a within-system analysis. Sex Transm Dis 2011; 38:326-328.

        View in Article

      4. Hanghøj S, Boisen KA: Self-reported barriers to medication adherence among chronically ill adolescents: a systematic review. J Adolesc Health 2014,54(2):121-38.

        View in Article

      5. Kosse RC, Bouvy ML, de Vries TW, et al: Effect of a mHealth intervention on adherence in adolescents with asthma: a randomized controlled trial. Respir Med 2019; 149 (December 2018):45-51.

        View in Article
        • Chernick LS
        • Stockwell MS
        • Wu M
        • et al.
        Texting to increase contraceptive initiation among adolescents in the emergency department.
        J Adolesc Health. 2017; 61: 786-790
        View in Article

      7. Suffoletto B, Akers A, McGinnis KA, et al: A sex risk reduction text-message program for young adult females discharged from the emergency department. J Adolesc Health 2013,53(3):387-93

        View in Article

      8. Ray M, Dayan PS, Pahalyants V, et al: Mobile health technology to communicate discharge and follow-up information to adolescents from the emergency department. Pediatr Emerg Care 2016,32(12):900-905

        View in Article

      9. Wolff M, Balamuth F, Sampayo E, et al: Improving adolescent pelvic inflammatory disease follow-up from the emergency department: randomized controlled trial with text messages. Ann Emerg Med 2016,67(5):602-609

        View in Article

      10. Wilson KM, Klein JD: Adolescents who use the emergency department as their usual source of care. Arch Pediatr Adolesc Med 2000,154(4):361-5

        View in Article

      11. Huppert JS, Reed JL, Munafo JK, et al: Improving notification of sexually transmitted infections: a quality improvement project and planned experiment. Pediatrics 2012; 130:415-422.

        View in Article
        • Reed JL
        • Huppert JS
        • Taylor RG
        • et al.
        Improving sexually transmitted infection results notification via mobile technology.
        J Adol Health. 2014; 55 (Nov): 690-697
        View in Article

      Article info

      Publication history

      Published online: December 23, 2021
      Accepted: December 16, 2021
      Received in revised form: November 30, 2021
      Received: July 19, 2021

      Footnotes

      Funding: This research did not receive any specific grants from funding agencies in the public, commercial, or not-for-profit sectors.

      Identification

      DOI: https://doi.org/10.1016/j.jpag.2021.12.009

      Copyright

      © 2021 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

      ScienceDirect

      Access this article on ScienceDirect

      The content on this site is intended for healthcare professionals.


      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the Cookie Preference Center for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties.


      RELX