{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T18:50:48Z","timestamp":1757616648795,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2006,1,8]]},"published-print":{"date-parts":[[2006,4]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Clinical staff offering sexual health services to young people need to balance the rights of the young person to confidentiality and good quality advice with the need to protect their wider interests. The needs of young clients may be complex and raise ethical and medico-legal questions for the staff involved in their care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In our large, integrated sexual health service, a \u2018recording form\u2019 was introduced to prompt staff to record data systematically pertinent to consultations in clients under 16 years of age, to understand what kind of presentations dominate in these consultations, and to establish how common child protection concerns are.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>From April to October 2004, more than 500 forms were completed in our service. The age range for female clients was 12\u201315 years, with the median age of first sexual intercourse 14 years. Most respondents were in consensual relationships with partners of around their own age, but 10% had been in relationships of less than a week's duration. Most had not told their parents of their sexual activity and did not intend to. Child protection issues did occur, although not commonly.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Most clients initially present requesting emergency contraception or pregnancy testing, and the inference is that unprotected sexual intercourse is common in this group of clients before they seek our services. The data collected give a valuable overview of the type of issues dealt with in the clinical context and can help to target training and teaching, in addition to potentially highlighting child protection issues.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1783\/147118906776276558","type":"journal-article","created":{"date-parts":[[2006,3,21]],"date-time":"2006-03-21T16:19:18Z","timestamp":1142957958000},"page":"95-99","source":"Crossref","is-referenced-by-count":5,"title":["Recording what happens in the under-16 consultation"],"prefix":"10.1136","volume":"32","author":[{"given":"Pauline","family":"McGough","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Thow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ambreen","family":"Butt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myra","family":"Lamont","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Bigrigg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2006,4,1]]},"reference":[{"key":"ref_1","article-title":"The National Strategy for Sexual Health and HIV","author":"of Health, Department","year":"2001","unstructured":"Department of Health. The National Strategy for Sexual Health and HIV. London, UK: Department of Health, 2001."},{"key":"ref_2","article-title":"Respect and Responsibility: Strategy and Action Plan for Improving Sexual Health","author":"Executive, Scottish","year":"2005","unstructured":"Scottish Executive. Respect and Responsibility: Strategy and Action Plan for Improving Sexual Health. Edinburgh, UK: Scottish Executive, 2005."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1843","DOI":"10.1016\/S0140-6736(01)06885-4","article-title":"Sexual behaviour in Britain: early heterosexual experience","volume":"358","author":"W, McManus S.; B, Erens; CH, Mercer","year":"2001","unstructured":"Wellings K, Nanchahal K, Macdowall W, McManus S, Erens B, Mercer CH, et al. Sexual behaviour in Britain: early heterosexual experience. 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Teenage Pregnancy Statistics. http:\/\/www.isdscotland.org\/isd\/files\/mat_tp_table5.xls [Accessed 8 January 2006]."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1136\/bmj.320.7244.1243","article-title":"Extent of regretted sexual intercourse among young teenagers in Scotland; a cross-sectional survey","volume":"320","author":"Wight, D.; Henderson, M.; Raab, G.; Abraham, C.; Buston, K.; Scott, S.","year":"2000","unstructured":"Wight D, Henderson M, Raab G, Abraham C, Buston K, Scott S, et al. Extent of regretted sexual intercourse among young teenagers in Scotland; a cross-sectional survey. 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JAMA 2005; 293: 340\u2013348.","journal-title":"JAMA"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1080\/13625180500039191","article-title":"Use of a staff administered structured questionnaire to identify relevant life-style issues and social-health determinants in a sexual and reproductive health service","volume":"10","author":"Bigrigg, A.; Nandwani, R.; Ilett, R.; Thow, C.; Lamont, M.; Bankowska, U.","year":"2005","unstructured":"Bigrigg A, Nandwani R, Ilett R, Thow C, Lamont M, Bankowska U, et al. Use of a staff administered structured questionnaire to identify relevant life-style issues and social-health determinants in a sexual and reproductive health service. Eur J Contracept Reprod Health Care 2005; 10: 66\u201372.","journal-title":"Eur J Contracept Reprod Health Care"},{"article-title":"The Journal has now changed over to an online manuscript submission and peer review system. This can be accessed","volume-title":"and authors are encouraged to use the system, which will allow the most efficient processing of their paper","key":"ref_16","unstructured":"The Journal has now changed over to an online manuscript submission and peer review system. This can be accessed at http:\/\/jfprhc.allentrack.net and authors are encouraged to use the system, which will allow the most efficient processing of their paper. Notes for Contributors can also be found on this website."}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1783\/147118906776276558","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T19:49:59Z","timestamp":1757101799000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1783\/147118906776276558"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,4]]},"references-count":16,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2006,4,1]]},"published-print":{"date-parts":[[2006,4]]}},"alternative-id":["10.1783\/147118906776276558"],"URL":"https:\/\/doi.org\/10.1783\/147118906776276558","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"type":"print","value":"1471-1893"},{"type":"electronic","value":"2045-2098"}],"subject":[],"published":{"date-parts":[[2006,4]]}}}