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.