SRH care discussions in the SCD care setting
More than three-fourths of respondents (76%, n=68) answered that they discuss menses with AYA female patients, with pediatric providers more likely to discuss than adult providers (81% vs. 50%, p =.03). When asked about frequency of discussions about menstruation, 24% (n=22) reported never or rarely, 17% (n=16) reported annually, 59% (n=54) reported multiple times per year or every visit.
Over 80% of respondents (n=72) reported discussing pregnancy with their AYA female patients with no significant difference between pediatric and adult providers. When asked about frequency of discussions about planning for pregnancy in the setting of SCD, 45% (n=41) reported never or rarely, 38% (n=35) reported annually, 14% (n=13) reported multiple times per year or every visit. All adult providers reported that they discuss teratogenic medications with their patients, and 70% (n=54) of pediatric providers reported these discussions (p =.03). When asked about frequency of discussions about teratogenic medications, 22% (n=21) reported rarely discussing teratogenic medications, 30% (n=28) reported annual discussions, and 34% (n=31) reported multiple times per year or every visit.
All adult providers and most pediatric providers (93.3% overall) reported discussing contraception with their patients. When asked about frequency of discussions about contraception, 8.7% (n=8) reported never or rarely, 39% (n=36) reported annually, 51% (n=47) reported multiple times per year or every visit.