Abstract
Objectives
Health care professionals regularly struggle with issues relating to confidentiality and consent for physical and/or mental health issues among adolescents. We investigate late adolescents’ own and assumed parental preferences towards health-care related confidentiality and consent.
Methods
We analyzed online survey data of four vignettes from 463 first-year university students at KU Leuven (Flanders, Belgium). We used paired samples t-tests to assess the (in)consistency between attitudes of late adolescents and their assumed parental attitudes, independent samples t-tests to estimate gender differences, and binomial logistic regressions to analyze the association of assumed parental preferences with late adolescents’ own preferences.
Results
Attitudinal inconsistencies were present in all vignettes. Late adolescents were significantly more in favor of confidentiality and adolescent consent than what they believed their parents were. Gender differences were limited. Binomial logistic regressions indicated that assumed parental preferences were strongly associated with late adolescents’ own preferences.
Conclusions
Findings suggest a clear difference between late adolescents’ preferences and assumed parental preferences: they believe that their parents are less inclined to favor confidentiality and adolescent consent. We also find that this difference depends on the case, indicating that there is no such thing as general ‘confidentiality preferences’. Rather, a decision- and/or context-specific perspective should be adopted.
Publisher
Public Library of Science (PLoS)
Reference41 articles.
1. The end of an age: Beyond age restrictions for minors’ medical treatment decisions;L Ferguson;SSRN,2004
2. Confidentiality and treatment decisions of minor clients: A health professional’s dilemma & policy makers challenge;MK Jackson;SpringerPlus,2014
3. Participation of children in medical decision-making: Challenges and potential solutions;V Jeremic;J Bioeth Inq,2016
4. Physicians’ attitudes toward adolescent confidentiality services: Scale development and validation;VJ Stojkovic;Zdr Varst,2020
5. Editorial: Confidentiality: Opening the door to optimal adolescent healthcare;S Pitts;Curr Opin Pediatr,2020
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献