镰状细胞病的性健康和生殖健康：儿科血液学家观点的定性分析。

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health Pub Date : 2025-05-19 DOI:10.1016/j.jadohealth.2025.03.008

Anjali Rajkumari Oberoi M.D. , Alison R. Clarke M.D. , Seethal A. Jacob M.D. , Traci M. Kazmerski M.D. , Hannah Fassel M.D. , Megan Askew M.D. , Teonna Woolford , Karol Walec , Maayan Leroy-Melamed M.D.

{"title":"镰状细胞病的性健康和生殖健康：儿科血液学家观点的定性分析。","authors":"Anjali Rajkumari Oberoi M.D. , Alison R. Clarke M.D. , Seethal A. Jacob M.D. , Traci M. Kazmerski M.D. , Hannah Fassel M.D. , Megan Askew M.D. , Teonna Woolford , Karol Walec , Maayan Leroy-Melamed M.D.","doi":"10.1016/j.jadohealth.2025.03.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>Significant progress in managing sickle cell disease (SCD) has led to improved mortality and a growing population of people living with SCD. Sexual and reproductive health (SRH) for individuals with SCD is a critical but under-addressed aspect of care. This study characterizes clinicians' current practices in SRH care for adolescents with SCD.</div></div><div><h3>Methods</h3><div>In a cross-sectional qualitative study, we recruited clinicians who care for adolescents with SCD from a national professional listserv. Participants completed in-depth semistructured qualitative interviews over video conference from May 2022 to May 2023. The study involved 20 SCD providers (14 female and 6 male). Interviews explored the clinician's role, perceived barriers and facilitators, and recommendations for SRH care for adolescents with SCD.</div></div><div><h3>Results</h3><div>Key concerns identified included managing vaso-occlusive events during menstruation, priapism, and contraceptive choice. Clinicians expressed different readiness for incorporating SRH care in their practice and identified barriers, such as training, time, and subspecialist availability. While all participants acknowledged the priority of SRH care for adolescents with SCD, clearly outlined guidelines are needed to enhance counseling and the provision of SRH care. Clinicians with specific expertise or familiarity with the patient are best suited to providing aspects of SRH care.</div></div><div><h3>Discussion</h3><div>This study emphasizes clinician interest in comprehensive SRH care for individuals with SCD. Well-defined guidelines are necessary to aid clinicians in addressing the unique SRH needs in SCD. Further study is needed to understand patient attitudes and establish evidence-based guidelines for SRH in SCD.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 110-117"},"PeriodicalIF":4.5000,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sexual and Reproductive Health in Sickle Cell Disease: A Qualitative Analysis of Pediatric Hematologist Perspectives\",\"authors\":\"Anjali Rajkumari Oberoi M.D. , Alison R. Clarke M.D. , Seethal A. Jacob M.D. , Traci M. Kazmerski M.D. , Hannah Fassel M.D. , Megan Askew M.D. , Teonna Woolford , Karol Walec , Maayan Leroy-Melamed M.D.\",\"doi\":\"10.1016/j.jadohealth.2025.03.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><div>Significant progress in managing sickle cell disease (SCD) has led to improved mortality and a growing population of people living with SCD. Sexual and reproductive health (SRH) for individuals with SCD is a critical but under-addressed aspect of care. This study characterizes clinicians' current practices in SRH care for adolescents with SCD.</div></div><div><h3>Methods</h3><div>In a cross-sectional qualitative study, we recruited clinicians who care for adolescents with SCD from a national professional listserv. Participants completed in-depth semistructured qualitative interviews over video conference from May 2022 to May 2023. The study involved 20 SCD providers (14 female and 6 male). Interviews explored the clinician's role, perceived barriers and facilitators, and recommendations for SRH care for adolescents with SCD.</div></div><div><h3>Results</h3><div>Key concerns identified included managing vaso-occlusive events during menstruation, priapism, and contraceptive choice. Clinicians expressed different readiness for incorporating SRH care in their practice and identified barriers, such as training, time, and subspecialist availability. While all participants acknowledged the priority of SRH care for adolescents with SCD, clearly outlined guidelines are needed to enhance counseling and the provision of SRH care. Clinicians with specific expertise or familiarity with the patient are best suited to providing aspects of SRH care.</div></div><div><h3>Discussion</h3><div>This study emphasizes clinician interest in comprehensive SRH care for individuals with SCD. Well-defined guidelines are necessary to aid clinicians in addressing the unique SRH needs in SCD. Further study is needed to understand patient attitudes and establish evidence-based guidelines for SRH in SCD.</div></div>\",\"PeriodicalId\":56278,\"journal\":{\"name\":\"Journal of Adolescent Health\",\"volume\":\"77 1\",\"pages\":\"Pages 110-117\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-05-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Adolescent Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1054139X25001144\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Adolescent Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1054139X25001144","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

摘要

目的：镰状细胞病（SCD）治疗的重大进展导致死亡率的改善和SCD患者人数的增加。SCD患者的性健康和生殖健康（SRH）是护理的一个关键但未得到充分重视的方面。本研究描述了临床医生目前在青少年SCD的SRH护理方面的做法。方法：在一项横断面定性研究中，我们从全国专业名单中招募了照顾青少年SCD的临床医生。从2022年5月到2023年5月，参与者通过视频会议完成了深入的半结构化定性访谈。该研究涉及20名SCD提供者（14名女性和6名男性）。访谈探讨了临床医生的角色，感知障碍和促进因素，以及对青少年SCD的SRH护理的建议。结果：确定的关键问题包括经期、阴茎勃起和避孕选择期间血管闭塞事件的管理。临床医生对将生殖健康护理纳入他们的实践表达了不同的意愿，并确定了障碍，如培训、时间和专科医生的可用性。虽然所有与会者都承认，青少年的性健康和健康护理是优先考虑的，但需要明确概述的指导方针，以加强咨询和提供性健康和健康护理。具有特定专业知识或熟悉患者的临床医生最适合提供性健康生殖健康护理的各个方面。讨论：本研究强调临床医生对SCD患者的综合SRH护理的兴趣。明确的指导方针是必要的，以帮助临床医生解决SCD中独特的SRH需求。需要进一步的研究来了解患者的态度，并建立以证据为基础的SCD性生殖健康指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Sexual and Reproductive Health in Sickle Cell Disease: A Qualitative Analysis of Pediatric Hematologist Perspectives

Purpose

Significant progress in managing sickle cell disease (SCD) has led to improved mortality and a growing population of people living with SCD. Sexual and reproductive health (SRH) for individuals with SCD is a critical but under-addressed aspect of care. This study characterizes clinicians' current practices in SRH care for adolescents with SCD.

Methods

In a cross-sectional qualitative study, we recruited clinicians who care for adolescents with SCD from a national professional listserv. Participants completed in-depth semistructured qualitative interviews over video conference from May 2022 to May 2023. The study involved 20 SCD providers (14 female and 6 male). Interviews explored the clinician's role, perceived barriers and facilitators, and recommendations for SRH care for adolescents with SCD.

Results

Key concerns identified included managing vaso-occlusive events during menstruation, priapism, and contraceptive choice. Clinicians expressed different readiness for incorporating SRH care in their practice and identified barriers, such as training, time, and subspecialist availability. While all participants acknowledged the priority of SRH care for adolescents with SCD, clearly outlined guidelines are needed to enhance counseling and the provision of SRH care. Clinicians with specific expertise or familiarity with the patient are best suited to providing aspects of SRH care.

Discussion

This study emphasizes clinician interest in comprehensive SRH care for individuals with SCD. Well-defined guidelines are necessary to aid clinicians in addressing the unique SRH needs in SCD. Further study is needed to understand patient attitudes and establish evidence-based guidelines for SRH in SCD.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Adolescent Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

10.40

自引率

3.90%

发文量

526

审稿时长

46 days

期刊介绍： The Journal of Adolescent Health is a scientific publication dedicated to enhancing the health and well-being of adolescents and young adults. Our Journal covers a broad range of research topics, spanning from the basic biological and behavioral sciences to public health and policy. We welcome a variety of contributions, including original research papers, concise reports, literature reviews, clinical case reports, opinion pieces, and letters to the editor. We encourage professionals from diverse disciplines such as Anthropology, Education, Ethics, Global Health, Health Services Research, Law, Medicine, Mental and Behavioral Health, Nursing, Nutrition, Psychology, Public Health and Policy, Social Work, Sociology, and Youth Development to share their expertise and contribute to our mission of promoting adolescent health. Moreover, we value the voices of young individuals, family and community members, and healthcare professionals, and encourage them to submit poetry, personal narratives, images, and other creative works that provide unique insights into the experiences of adolescents and young adults. By combining scientific peer-reviewed research with creative expressions, our Journal aims to create a comprehensive understanding of the challenges and opportunities in adolescent and young adult health.