A5088176354- Adolescent Sexual and Reproductive Health
- Reproductive tract infections research
- HIV/AIDS Research and Interventions
- Child and Adolescent Health
- Reproductive Health and Contraception
- Adolescent and Pediatric Healthcare
- Neonatal Health and Biochemistry
- Food Security and Health in Diverse Populations
- Suicide and Self-Harm Studies
- Emergency and Acute Care Studies
- Ethics and Legal Issues in Pediatric Healthcare
- Pediatric Urology and Nephrology Studies
- Neonatal and Maternal Infections
- LGBTQ Health, Identity, and Policy
- Neonatal and fetal brain pathology
- Urinary Tract Infections Management
- Child Abuse and Trauma
- Sex work and related issues
- Metabolism and Genetic Disorders
- Bacterial Infections and Vaccines
- Infant Health and Development
- Sexuality, Behavior, and Technology
- Interpreting and Communication in Healthcare
- Global Maternal and Child Health
- Intimate Partner and Family Violence
Medical College of Wisconsin
2016-2025
Children's Hospital of Wisconsin
2017-2021
George Washington University
2021
Columbia University
2021
National Center for Advancing Translational Sciences
2013
Children's Mercy Hospital
2013
Adolescents and young adults (AYA) frequently use emergency departments (EDs) for care; utilization is even higher transgender nonbinary patients.1 Failure to accurately document demographics may result in delivery of non–patient-centered care render certain minoritized populations invisible, making it more challenging uncover address health inequities.2 We compared concordance between self-reported confidential survey electronic record (EHR)-recorded demographic data AYA who completed a...
The objective of this study was to describe sexual health behaviors, as well prior use and preferences for services among adolescents in the pediatric emergency department (ED).In cross-sectional study, subjects aged 14 19 years who presented an urban or suburban ED from a single Midwestern hospital system completed written survey. survey included questions on previous activity, high-risk behaviors (first sex before age 15 years, no condom at last sex, substance >3 partners past 3 months, >4...
Over 200,000 women are diagnosed with breast cancer each year, and incarcerated face unique risks associated poor access to healthcare. Regular mammography can diagnose early, giving the patient best chance of survival. The objective this study was determine proportion jail who have received a mammogram were up-to-date based on most recent United States Preventive Services Task Force recommendations. This secondary analysis data collected among jailed participated in cervical literacy...
Background Expedited partner therapy (EPT) is an effective strategy for management of sexually transmitted infections. Some states, including Wisconsin, allow EPT prescriptions to be filled without a patient name. This study determined the refusal rates nameless in Milwaukee pharmacies. Methods In this cross-sectional study, 3 trained research assistants different age, sex, and race posed as “patients” visited 50 pharmacy locations from one chain County, WI, fill prescriptions. A χ 2 test...
It is unknown whether febrile infants 29 to 60 days old with positive urinalysis results require routine lumbar punctures for evaluation of bacterial meningitis.
More than 19 million adolescents seek care in the emergency department (ED) annually. We aimed to describe knowledge, attitudes, and behaviors related confidential adolescent among pediatric ED physicians. conducted a cross-sectional questionnaire of US physician members Pediatric Emergency Medicine Collaborative Research Committee survey listserv. The 24-item assessed familiarity with confidentiality laws, attitudes toward providing care, frequency discussing behavioral health topics...
There is limited literature about physicians' adherence to 2010 Centers for Disease Control and Prevention (CDC) Sexually Transmitted Diseases Treatment Guidelines specific specimen collection testing methods in adolescent females the emergency setting limited. The objectives are (1) determine physician CDC guidelines collection/testing chlamydia gonorrhea, (2) characteristics associated with guideline adherence, (3) describe knowledge of expedited partner therapy (EPT) laws.This a...
Importance Unintended pregnancy is a major health risk for adolescents in the US, and face many barriers to obtaining effective reliable contraception. Objective To measure describe use of contraception, index (PRI), emergency contraception (EC) prescriptions among female accessing department (ED) care. Design, Setting, Participants This cross-sectional study planned secondary analysis multicenter trial from April 2021 through 2022 that used tablet-based, content-validated, confidential...
Importance Health care disparities are well-documented among children based on race, ethnicity, and language for care. An agenda that outlines research priorities in pediatric emergency (PEC) is lacking. Objective To investigate PEC medical personnel, researchers, health care–affiliated community organizations. Design, Setting, Participants In this survey study, a modified Delphi approach was used to PEC. initial list of developed by group experienced investigators 2021. Partners iteratively...
Hospitals are an important nontraditional setting in which to address adolescent reproductive health. However, opportunities for intervention frequently missed, especially boys and patients hospitalized noningestion complaints. Our global aim was increase delivery of health care adolescents through our children's hospital Pediatric Hospital Medicine service.We performed 2 quality improvement cycles: (1) provider education monthly reminder e-mails (2) automated electronic record (EHR) history...
Purpose The purpose of this paper is to gain insight into justice-involved women’s preferences for an internet-based Sexual Health Empowerment (SHE) curriculum. Design/methodology/approach authors analyzed data from four focus groups conducted with 52 women in a minimum-security county jail Midwestern US city. Findings Women reported daily access the internet while community and use searching about health concerns. Four themes emerged discussion SHE curriculum, that it cover healthy sexual...
Racial disparities and differences exist in emergency care. Obtaining a sexual history is standard of care for adolescents with abdominal pain. Testing sexually transmitted infections (STIs) pregnancy should be based on historical findings. The objective this study was to determine whether differential provided adolescent female patients pain patient race or healthcare provider characteristics by evaluating the documentation history, STI testing, testing.This retrospective chart review...
The authors declare no conflicts of interest. Data S1. Table Please note: publisher is not responsible for the content or functionality any supporting information supplied by authors. Any queries (other than missing content) should be directed to corresponding author article.
OBJECTIVES Experts recommend that providers discuss adolescent patients’ sexual and reproductive health (SRH) at any care encounter, including hospitalizations. The purpose of this qualitative study was to gain insight into hospitalized adolescents’ experiences perspectives on SRH discussions (SHDs) better inform patient-centered care. METHODS Private semistructured interviews were conducted with adolescents aged 13 17 years. Interviews coded analyzed using thematic analysis. Themes...
Background: Adolescents are at high risk for sexually transmitted infections (STIs) and frequently present to emergency departments (EDs) care. Screening STIs using confidential patient-reported outcomes represents an ideal use of electronic screening methodology. Objectives: The objectives this study were implement a patient-facing, survey assess adolescent consent testing with integrated provider facing clinical decision support (CDS) across six geographically dispersed pediatric EDs...