title: Disclosure of Sexual Intercourse by Teenagers: Agreement Between Telephone Survey Responses and Annual Visit Disclosures.
abstract: BACKGROUND
  Physicians can help guide teenagers in their emerging sexuality; however, teens rarely inform physicians about their sexual activity.
  
  
  METHODS
  We audio-recorded annual visits between 365 teenagers and 49 physicians. Before the recorded visit, the teens were asked in a confidential telephone survey whether they had ever engaged in sexual intercourse. Recordings were coded for teenage disclosures about previous sexual intercourse. We measured agreement between telephone survey responses and annual visit disclosures, and examined factors associated with agreement between the two.
  
  
  RESULTS
  Fifty-six teenagers (15%) reported previous sexual intercourse in either the telephone survey or to their physician. Among those who reported sexual intercourse, 57% shared this information to both the telephone survey and their physician (κ = .72, confidence interval = 0.63-0.82).
  
  
  CONCLUSIONS
  Although a slight majority of teenagers disclosed their sexual activity to both the telephone survey and their doctor, a significant number disclosed to just one source.
authors: Purdue University, West Lafayette, IN, USA alexan90@purdue.edu.
authors: Stewart C
authors: SC
authors: Alexander
authors: Indiana University School of Medicine, Indianapolis, IN, USA.
authors: J Dennis
authors: JD
authors: Fortenberry
authors: Duke Cancer Institute, Durham, NC, USA Duke University Medical Center, Durham, NC, USA.
authors: Kathryn I
authors: KI
authors: Pollak
authors: Duke University Medical Center, Durham, NC, USA.
authors: Truls
authors: T
authors: Østbye
authors: University of Michigan, Ann Arbor, MI, USA.
authors: Terrill
authors: T
authors: Bravender
authors: Duke University Medical Center, Durham, NC, USA.
authors: James A
authors: JA
authors: Tulsky
authors: Duke University Medical Center, Durham, NC, USA Durham VA Medical Center, Durham, NC, USA.
authors: Rowena
authors: R
authors: Dolor
authors: Purdue University, West Lafayette, IN, USA.
authors: Cleveland G
authors: CG
authors: Shields
mesh_terms: D000293:Adolescent; D003075:Coitus; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D010372:Pediatrics; D010817:Physician-Patient Relations; D000297:Psychology, Adolescent; D012650:Self Disclosure; D011795:Surveys and Questionnaires; D013689:Telephone
keywords: adolescent; patient participation; physician-patient communication; self-disclosure; sexual behavior; telephone