{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T02:36:58Z","timestamp":1772505418119,"version":"3.50.1"},"reference-count":36,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Sexual exploration is a natural part of adolescence, and most individuals will initiate sexual activity in their adolescent years. Privacy, confidentiality, and consent are crucial considerations in providing sexual health care to adolescents, with laws varying by state. References to gender in this article are primarily limited to the binary male-female due to lack of data representing the gender spectrum. We aim to reframe the conversation and offer tools to share with parents for productive conversations with their teens. Sex-positive parenting and the involvement of parents in promoting healthy sexual development through ongoing conversations is emphasized. Primary care practitioners have a vital role to play in providing sexual health education and services to adolescent patients, and this article offers practical tips and tricks in engaging this population.<\/jats:p>","DOI":"10.1542\/pir.2024-006556","type":"journal-article","created":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:03:46Z","timestamp":1746057826000},"page":"235-244","source":"Crossref","is-referenced-by-count":2,"title":["Adolescent Sexual Health: A Focus on the Sexual Health Portion of HEADSS Examination"],"prefix":"10.1542","volume":"46","author":[{"given":"Caroline","family":"Barrett","sequence":"first","affiliation":[{"name":"1Oregon Health & Sciences University, Portland, Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Shih","sequence":"additional","affiliation":[{"name":"2Mosaic Community Health, Family Medicine in Bend, Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanna B.","family":"Warren","sequence":"additional","affiliation":[{"name":"1Oregon Health & Sciences University, Portland, Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2025,5,1]]},"reference":[{"key":"2025043020034284700_r1","article-title":"Reducing STI cases: young people deserve better sexual health information and services","author":"Keller","year":"2020"},{"key":"2025043020034284700_r2","article-title":"New name, same harm: rebranding of federal abstinence-only programs","author":"Boyer","year":"2018"},{"key":"2025043020034284700_r3","author":"Adolescent sexual and reproductive health in the United States: fact sheet","year":"2019"},{"key":"2025043020034284700_r4","article-title":"Teenagers in the United States: sexual activity, contraceptive use, and childbearing, 2015\u20132019","author":"Aba","year":"2023"},{"key":"2025043020034284700_r5","article-title":"Centers for Disease Control, National Center for Health Statistics","author":"Current contraceptive status among women aged 15\u201340: United States, 2017\u20132019"},{"issue":"4","key":"2025043020034284700_r6","doi-asserted-by":"crossref","first-page":"e1244","DOI":"10.1542\/peds.2014-2299","article-title":"Contraception for adolescents","volume":"134","author":"Braverman","year":"2014","journal-title":"Pediatrics"},{"key":"2025043020034284700_r7","author":"Contraceptive use in the United States by method","year":"2021"},{"issue":"2","key":"2025043020034284700_r8","doi-asserted-by":"crossref","first-page":"e2020007252","DOI":"10.1542\/peds.2020-007252","article-title":"Long-acting reversible contraception: specific issues for adolescents","volume":"146","author":"Menon","year":"2020","journal-title":"Pediatrics"},{"key":"2025043020034284700_r9","author":"State health facts, women\u2019s health indicators: family planning","year":"2023"},{"key":"2025043020034284700_r10","author":"FDA approves first nonprescription daily oral contraceptive","year":"2023"},{"key":"2025043020034284700_r11","author":"U.S. Census Bureau","year":"2023"},{"issue":"6","key":"2025043020034284700_r12","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/S2352-4642(22)00128-6","article-title":"Youth STIs: an epidemic fueled by shame","volume":"6","author":"The Lancet Child & Adolescent Health","year":"2022","journal-title":"Lancet Child Adolesc Health"},{"issue":"1","key":"2025043020034284700_r13","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1097\/MOP.0000000000000578","article-title":"The growing epidemic of sexually transmitted infections in adolescents: a neglected population","volume":"30","author":"Shannon","year":"2018","journal-title":"Curr Opin Pediatr."},{"issue":"4","key":"2025043020034284700_r14","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/S0749-3797(98)00017-8","article-title":"Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. 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