title: Anonymity and confidentiality: rural teenagers' concerns when accessing sexual health services.
abstract: BACKGROUND
  While confidentiality is recognised as a key aspect of successful health services aimed at young people, most research has looked at the concerns of those in urban centres. This paper reports on qualitative and quantitative data collected from general practitioners (GPs) and young people in a rural health district.
  
  
  OBJECTIVE
  To assess the concerns of rural teenagers regarding anonymity and confidentiality when accessing sexual health services.
  
  
  METHODS
  The views of teenagers about using health services for issues of sexual health were sought through an in-school survey of 311 Year 9 and 119 Year 11 students. In addition, 18 single-sex focus groups discussions were conducted in North and East Devon. All GPs in the district were asked to complete a questionnaire.
  
  
  RESULTS
  These reveal that the particular concerns of young people from small communities are more to do with the difficulties of remaining anonymous, which are related to visibility and lack of privacy in small communities. These problems were more pervasive among rural young people than those concerns more usually reported about confidential consultations.
authors.affiliation: School of Postgraduate Medicine and Health Sciences, University Of Exeter, Exeter, UK.
authors.forename: Ruth
authors.initials: R
authors.lastname: Garside
authors.forename: Richard
authors.initials: R
authors.lastname: Ayres
authors.forename: Mike
authors.initials: M
authors.lastname: Owen
authors.forename: Virginia A H
authors.initials: VA
authors.lastname: Pearson
authors.forename: Judith
authors.initials: J
authors.lastname: Roizen
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000706:statistics & numerical data*; D000367:Age Factors; D003219:Confidentiality; D004739:England; D005260:Female; D017144:Focus Groups; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D036301:Qualitative Research; D034121:Reproductive Health Services / Q000706:statistics & numerical data*; D012424:Rural Population; D019529:Sexuality; D011795:Surveys and Questionnaires