{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T10:45:37Z","timestamp":1779360337874,"version":"3.51.4"},"reference-count":36,"publisher":"Guttmacher Institute","issue":"4","license":[{"start":{"date-parts":[[2014,5,1]],"date-time":"2014-05-01T00:00:00Z","timestamp":1398902400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:sec><jats:title>CONTEXT<\/jats:title><jats:p><jats:italic>Contraceptive nonuse and misuse contribute to rates of unintended pregnancy and <jats:styled-content style=\"fixed-case\">STDs<\/jats:styled-content> among young women in the United States. Clinical providers assume an important role in guiding youths\u2019 contraceptive method choices<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p><jats:italic>Sixty\u2010seven women aged 16\u201321 were recruited as part of a cohort study, conducted in 2009\u20132012, that examined provider\u2010patient interactions during family planning visits at six San Francisco clinics. Interactions between patients and providers were audio\u2010recorded. Participants completed questionnaires about method preference immediately before seeing the provider; they reported on method choice immediately after the visit and by telephone three and six months later. Transcripts were analyzed to examine providers\u2019 strategies for guiding decision making and addressing youths\u2019 contraceptive concerns. Missed opportunities for promoting young women's reproductive health were identified<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p><jats:italic>Twenty\u2010one percent of young women who did not report desiring a hormonal or long\u2010acting reversible method (<jats:styled-content style=\"fixed-case\">IUD<\/jats:styled-content> or implant) before seeing their provider chose one after counseling. Use of a hormonal or long\u2010acting reversible contraceptive method at follow\u2010up was more common among women who had received interactive counseling by providers who guided them to consider contextual influences than among those who had not received such counseling. Attention to relationship characteristics, sexual behavior patterns and <jats:styled-content style=\"fixed-case\">STD<\/jats:styled-content> risk was largely absent from contraceptive counseling<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p><jats:italic>High\u2010quality strategies used by providers to guide contraceptive decision making were tailored to adolescents\u2019 developmental and environmental needs. Several areas of counseling require increased attention and seem vital to providing comprehensive reproductive health care to adolescents<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1363\/46e1414","type":"journal-article","created":{"date-parts":[[2014,5,1]],"date-time":"2014-05-01T15:34:43Z","timestamp":1398958483000},"page":"223-231","source":"Crossref","is-referenced-by-count":32,"title":["Provider Counseling to Young Women Seeking Family Planning Services"],"prefix":"10.1363","volume":"46","author":[{"given":"Alexandra M.","family":"Minnis","sequence":"first","affiliation":[{"name":"Women's Global Health Imperative at RTI International, Research Triangle Park  NC"},{"name":"School of Public Health, University of California  Berkeley"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue Napierala","family":"Mavedzenge","sequence":"additional","affiliation":[{"name":"Women's Global Health Imperative, RTI 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