Provider Use of Time Alone With Adolescents: Differences by Health Concern

Abstract

Purpose: To examine associations between reports of sensitive health behaviors and the provision of time alone by a clinician during adolescent well visits.

Methods: Data were collected from 547 adolescents who completed a well visit at one of eight clinics. Adjusted mixed logistic regression was used to examine whether reports of sexual behavior, substance use, disordered eating, mental health concerns, and demographic characteristics were associated with time alone.

Results: Sexual behavior was found to be significantly associated with time alone, while substance use, disordered eating, a positive depression screen, and suicidal ideation were not. Older adolescents and males were more likely to report time alone, while race/ethnicity had no association with time alone.

Discussion: Clinicians may be prioritizing time alone for behavioral concerns differently than for other sensitive behaviors.

Keywords: Adolescent health; Confidentiality; Preventive care; Private time.