{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T01:56:17Z","timestamp":1790042177379,"version":"4.0.1"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T00:00:00Z","timestamp":1737331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T00:00:00Z","timestamp":1737331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Morris Green Physician Scientist Development Program at Indiana University Department of Pediatrics","award":["Morris Green Physician Scientist Development Program at Indiana University Department of Pediatrics"],"award-info":[{"award-number":["Morris Green Physician Scientist Development Program at Indiana University Department of Pediatrics"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Rheumatol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Our objective was to describe differences among adolescents and young adults (AYAs) with rheumatic disease using teratogens compared to non-users in receipt of sexual and reproductive health (SRH) counseling, teratogenicity knowledge, perceived importance of SRH topics, and preferences around counseling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>AYAs ages 14\u201323 years and assigned female at birth were recruited from pediatric rheumatology clinics at a Midwest tertiary care program. Participants completed a one-time online survey assessing SRH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One-hundred eight participants completed the survey, representing a range of rheumatic diseases. 24% reported ever having sex. 36% used a teratogen. Rates of screening and counseling regarding SRH topics were low. Notably, pregnancy prevention and emergency contraception (EC) counseling by rheumatologists were uncommon and not associated with teratogen use or sexual activity. Among AYAs on teratogens, only half reported screening for sexual activity or counseling on teratogenicity or pregnancy prevention. Gaps in pregnancy prevention and EC counseling remained even when accounting for counseling by other providers. Knowledge of medication teratogenicity was also low. AYAs reported SRH topics of high importance, and many reported recent concerns. They preferred to receive information from their rheumatologist, and most agreed it is important to talk to their rheumatologist regarding these topics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>AYAs with rheumatic disease report low levels of SRH screening and counseling by their rheumatologist yet report these topics are important and want to discuss them. Gaps in teratogenicity knowledge were identified. This study identifies a need for improved communication with AYAs regarding their SRH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12969-025-01056-9","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T07:39:17Z","timestamp":1737358757000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Experiences of sexual and reproductive health screening and counseling in the clinical setting among adolescents and young adults with rheumatic disease"],"prefix":"10.1186","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7505-9206","authenticated-orcid":false,"given":"Brittany","family":"Huynh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary A.","family":"Ott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey E.","family":"Tarvin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,20]]},"reference":[{"key":"1056_CR1","doi-asserted-by":"crossref","unstructured":"Sammaritano LR, Bermas BL, Chakravarty EE, Chambers C, Clowse MEB, Lockshin MD et al. 2020 American College of Rheumatology Guideline for the Management of Reproductive Health in Rheumatic and Musculoskeletal Diseases. Arthritis Rheumatol. 2020;art.41191.","DOI":"10.1002\/art.41191"},{"key":"1056_CR2","unstructured":"Guttmacher Institute. Interactive Map: US Abortion Policies and Access After Roe. 2024 [cited 2024 Jul 8]. Available from: https:\/\/states.guttmacher.org\/policies\/"},{"key":"1056_CR3","unstructured":"Guttmacher Institute. An Overview of Consent to Reproductive Health Services by Young People. 2023 [cited 2024 Jul 11]. Available from: https:\/\/www.guttmacher.org\/state-policy\/explore\/overview-minors-consent-law"},{"key":"1056_CR4","doi-asserted-by":"crossref","unstructured":"Carandang K, Mruk V, Ardoin SP, Huynh B, Clowse MEB, Berlan ED et al. Reproductive health needs of adolescent and young adult women with pediatric rheumatic diseases. Pediatr Rheumatol Online J. 2020 Aug 17 [cited 2020 Oct 12];18. Available from: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7433038\/","DOI":"10.1186\/s12969-020-00460-7"},{"issue":"8","key":"1056_CR5","doi-asserted-by":"publisher","first-page":"1194","DOI":"10.1002\/acr.24249","volume":"73","author":"T Wolgemuth","year":"2021","unstructured":"Wolgemuth T, Stransky OM, Chodoff A, Kazmerski TM, Clowse MEB, Talabi MB. Exploring the preferences of women regarding sexual and Reproductive Health Care in the Rheumatology Context: a qualitative study. Arthritis Care Res. 2021;73(8):1194\u2013200.","journal-title":"Arthritis Care Res"},{"issue":"8","key":"1056_CR6","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.1002\/ppul.24015","volume":"53","author":"TM Kazmerski","year":"2018","unstructured":"Kazmerski TM, Hill K, Prushinskaya O, Nelson E, Greenberg J, Pitts SA, et al. Perspectives of adolescent girls with cystic fibrosis and parents on disease-specific sexual and reproductive health education. Pediatr Pulmonol. 2018;53(8):1027\u201334.","journal-title":"Pediatr Pulmonol"},{"issue":"1","key":"1056_CR7","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1016\/j.jcf.2017.08.009","volume":"17","author":"TM Kazmerski","year":"2018","unstructured":"Kazmerski TM, Sawicki GS, Miller E, Jones KA, Abebe KZ, Tuchman LK, et al. Sexual and reproductive health care utilization and preferences reported by young women with cystic fibrosis. J Cyst Fibros. 2018;17(1):64\u201370.","journal-title":"J Cyst Fibros"},{"key":"1056_CR8","doi-asserted-by":"publisher","first-page":"108631","DOI":"10.1016\/j.yebeh.2022.108631","volume":"129","author":"L Kirkpatrick","year":"2022","unstructured":"Kirkpatrick L, Harrison E, Borrero S, Davis AR, Miller E, Sogawa Y, et al. Preferences and experiences of women with epilepsy regarding sexual and reproductive healthcare provision. Epilepsy Behav. 2022;129:108631.","journal-title":"Epilepsy Behav"},{"issue":"3","key":"1056_CR9","doi-asserted-by":"publisher","first-page":"564","DOI":"10.1007\/s00246-022-02951-8","volume":"44","author":"N Stokes","year":"2023","unstructured":"Stokes N, Stransky OM, West SC, Hoskoppal A, Talabi MB, Kazmerski TM. Sexual and Reproductive Health care experiences and perceptions of women with congenital heart disease. Pediatr Cardiol. 2023;44(3):564\u201371.","journal-title":"Pediatr Cardiol"},{"issue":"9","key":"1056_CR10","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1177\/000992280104000913","volume":"40","author":"PK Braverman","year":"2001","unstructured":"Braverman PK. Sexual activity and other high-risk behaviors in adolescents with chronic illness: a review. Clin Pediatr (Phila). 2001;40(9):529\u201330.","journal-title":"Clin Pediatr (Phila)"},{"key":"1056_CR11","unstructured":"U.S. Food and Drug Administration. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Drug Safety Communication - Avoid Use of NSAIDs in Pregnancy at 20 Weeks or Later. FDA; 2020 Oct [cited 2024 Jun 9]. Available from: https:\/\/www.fda.gov\/safety\/medical-product-safety-information\/nonsteroidal-anti-inflammatory-drugs-nsaids-drug-safety-communication-avoid-use-nsaids-pregnancy-20"},{"issue":"4","key":"1056_CR12","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1515\/ijamh-2015-0015","volume":"28","author":"KA Boisen","year":"2016","unstructured":"Boisen KA, Hertz PG, Blix C, Teilmann G. Is HEADS in our heads? Health risk behavior is not routinely discussed with young people with chronic conditions. Int J Adolesc Med Health. 2016;28(4):429\u201335.","journal-title":"Int J Adolesc Med Health"},{"issue":"1","key":"1056_CR13","doi-asserted-by":"publisher","first-page":"e20151454","DOI":"10.1542\/peds.2015-1454","volume":"137","author":"SL Stancil","year":"2016","unstructured":"Stancil SL, Miller M, Briggs H, Lynch D, Goggin K, Kearns G. Contraceptive provision to adolescent females prescribed teratogenic medications. Pediatrics. 2016;137(1):e20151454.","journal-title":"Pediatrics"},{"issue":"3","key":"1056_CR14","doi-asserted-by":"publisher","first-page":"e000269","DOI":"10.1136\/bmjoq-2017-000269","volume":"7","author":"RE Sadun","year":"2018","unstructured":"Sadun RE, Wells MA, Balevic SJ, Lackey V, Aldridge EJ, Holdgagte N, et al. Increasing contraception use among women receiving teratogenic medications in a rheumatology clinic. BMJ Open Qual. 2018;7(3):e000269.","journal-title":"BMJ Open Qual"},{"key":"1056_CR15","doi-asserted-by":"crossref","unstructured":"Kirkpatrick L. Pediatric subspecialists\u2019 practices and attitudes regarding sexual and Reproductive Healthcare for adolescent and young adult women prescribed teratogenic medications. J Pediatr. 2021.","DOI":"10.1016\/j.jpeds.2021.01.066"},{"issue":"7","key":"1056_CR16","doi-asserted-by":"publisher","first-page":"475","DOI":"10.1002\/acr2.11240","volume":"3","author":"M Birru Talabi","year":"2021","unstructured":"Birru Talabi M, Eudy AM, Jayasundara M, Haroun T, Nowell WB, Curtis JR, et al. Tough choices: exploring medication decision-making during pregnancy and lactation among women with inflammatory arthritis. ACR Open Rheumatol. 2021;3(7):475\u201383.","journal-title":"ACR Open Rheumatol"},{"issue":"5","key":"1056_CR17","doi-asserted-by":"publisher","first-page":"151310","DOI":"10.1016\/j.semperi.2020.151310","volume":"44","author":"SK Mody","year":"2020","unstructured":"Mody SK, Cansino C, Rible R, Farala JP, Steinauer J, Harken T. Contraceptive use among women with medical conditions: factors that influence method choice. Semin Perinatol. 2020;44(5):151310.","journal-title":"Semin Perinatol"},{"key":"1056_CR18","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1016\/j.jpeds.2022.09.052","volume":"253","author":"N Al-Husayni","year":"2023","unstructured":"Al-Husayni N. Reproductive Health Care for female adolescents prescribed mycophenolate at a children\u2019s hospital: a 10-Year retrospective cohort study. J Pediatr. 2023;253:252\u20138.","journal-title":"J Pediatr"},{"issue":"4","key":"1056_CR19","doi-asserted-by":"publisher","first-page":"e20180803","DOI":"10.1542\/peds.2018-0803","volume":"143","author":"AM Cooper","year":"2019","unstructured":"Cooper AM, Horwitz M, Becker ML. Improving the Safety of Teratogen Prescribing Practices in a Pediatric Rheumatology Clinic. Pediatrics. 2019;143(4):e20180803.","journal-title":"Pediatrics"},{"issue":"1","key":"1056_CR20","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1002\/acr.24095","volume":"73","author":"CH Feldman","year":"2021","unstructured":"Feldman CH, Speyer C, Ashby R, Bermas L, Bhattacharyya B, Chakravarty S. Development of a set of Lupus-Specific, Ambulatory Care\u2013Sensitive, potentially preventable adverse conditions: a Delphi Consensus Study. Arthritis Care Res. 2021;73(1):146\u201357.","journal-title":"Arthritis Care Res"},{"issue":"2","key":"1056_CR21","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1002\/art.20248","volume":"51","author":"CH MacLean","year":"2004","unstructured":"MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation\u2019s quality indicator set. Arthritis Care Res. 2004;51(2):193\u2013202.","journal-title":"Arthritis Care Res"},{"issue":"3","key":"1056_CR22","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1002\/art.24356","volume":"61","author":"J Yazdany","year":"2009","unstructured":"Yazdany J, Panopalis P, Gillis JZ, Schmajuk G, MacLean CH, Wofsy D, et al. A quality indicator set for systemic lupus erythematosus. Arthritis Care Res. 2009;61(3):370\u20137.","journal-title":"Arthritis Care Res"},{"issue":"5","key":"1056_CR23","doi-asserted-by":"publisher","first-page":"e1113","DOI":"10.1542\/peds.2008-1479","volume":"122","author":"JC Sur\u00eds","year":"2008","unstructured":"Sur\u00eds JC, Michaud PA, Akre C, Sawyer SM. Health Risk behaviors in adolescents with chronic conditions. Pediatrics. 2008;122(5):e1113\u20138.","journal-title":"Pediatrics"},{"issue":"9","key":"1056_CR24","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1056\/NEJMsa1506575","volume":"374","author":"LB Finer","year":"2016","unstructured":"Finer LB, Zolna MR. Declines in unintended pregnancy in the United States, 2008\u20132011. N Engl J Med. 2016;374(9):843\u201352.","journal-title":"N Engl J Med"},{"issue":"1","key":"1056_CR25","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1111\/1475-6773.14074","volume":"58","author":"M Birru Talabi","year":"2023","unstructured":"Birru Talabi M, Callegari LS, Kazmerski TM, Krishnamurti T, Mosley EA, Borrero S. A blueprint for a new model of sexual and reproductive health care in subspecialty medicine. Health Serv Res. 2023;58(1):216\u201322.","journal-title":"Health Serv Res"},{"issue":"1","key":"1056_CR26","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/j.contraception.2020.10.004","volume":"103","author":"MM Leech","year":"2021","unstructured":"Leech MM, Stransky OM, Talabi MB, Borrero S, Roe AH, Kazmerski TM. Exploring the reproductive decision support needs and preferences of women with cystic fibrosis. Contraception. 2021;103(1):32\u20137.","journal-title":"Contraception"}],"container-title":["Pediatric Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12969-025-01056-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12969-025-01056-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12969-025-01056-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T07:39:24Z","timestamp":1737358764000},"score":1,"resource":{"primary":{"URL":"https:\/\/ped-rheum.biomedcentral.com\/articles\/10.1186\/s12969-025-01056-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,20]]},"references-count":26,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["1056"],"URL":"https:\/\/doi.org\/10.1186\/s12969-025-01056-9","relation":{},"ISSN":["1546-0096"],"issn-type":[{"value":"1546-0096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,20]]},"assertion":[{"value":"1 November 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 December 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 January 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Indiana University institutional review board (2003070201) with a waiver of parental consent. All participants provided consent\/assent for participation.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"BH has received support to attend meetings from the Childhood Arthritis and Rheumatism Research Alliance and the American College of Rheumatology through training scholarships. BH partners with Organon as an unpaid Nexplanon trainer. MO spouse is an employee of Eli Lilly, Inc and together they are joint small stock holders. ST holds pharmaceutical grants\/contracts to the institution for UBC, Pfizer, Roche, AbbVie, and Amgen. ST has educational grants to the institution with Rheumatology Research Alliance and Arthritis Foundation. ST has grants to the institution with Childhood Arthritis Rheumatology Research Alliance (CARRA). ST has received honoraria from American College of Rheumatology and American Board of Pediatrics.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"5"}}