Pediatric Neurologists' Perspectives on Sexual and Reproductive Health Care for Adolescent and Young Adult Women With Epilepsy and Intellectual Disability
| Autor: | Anne C Van Cott, Elizabeth Miller, Elizabeth Harrison, Amy Collins, Traci M. Kazmerski, Yoshimi Sogawa, Christina Patterson, Laura Kirkpatrick |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Reproductive health care Attitude of Health Personnel Epilepsy Young Adult Intellectual Disability mental disorders Intellectual disability medicine Humans Neurologists Pediatricians Young adult Practice Patterns Physicians' Psychiatry business.industry medicine.disease United States nervous system diseases Education of Intellectually Disabled Reproductive Health Pediatrics Perinatology and Child Health Female Neurology (clinical) Sexual Health business |
| Zdroj: | Journal of child neurology. 37(1) |
| ISSN: | 1708-8283 |
| Popis: | Objective: To explore perspectives of pediatric neurologists regarding sexual and reproductive health care for adolescent women with epilepsy (WWE) and intellectual disability. Methods: We interviewed pediatric neurologists regarding sexual and reproductive health for WWE with intellectual disability. We audio-recorded and transcribed interviews and conducted qualitative analysis. Results: 16 pediatric neurologists participated. Themes included the following: (1) Pediatric neurologists have differing perspectives about how intellectual disability affects WWE’s sexual and reproductive health needs, (2) pediatric neurologists provide sexual and reproductive health counseling variable in content and frequency to this population, (3) pediatric neurologists tend to recommend longer-term methods of contraception for this population, and (4) pediatric neurologists are asked to be involved in decision-making around sterilization, yet express ethico-legal reservations. Conclusion: Our findings suggest pediatric neurologists provide variable, often suboptimal, sexual and reproductive health care for WWE and intellectual disability. Themes reveal ethical concerns among neurologists about sexual and reproductive health practices including sterilization. More tailored clinical guidelines and provider training on sexual and reproductive health for this population may be beneficial. |
| Databáze: | OpenAIRE |
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