title: Adolescent vulnerability, sexual health, and the NP's role in health advocacy.
abstract: OBJECTIVE
  To describe adolescents as a vulnerable population with unique healthcare needs, especially in relation to their sexual risk-taking behaviors; and to explicate the necessity of nurse practitioners (NPs) advocating for youth-friendly services and policies to meet adolescents' sexual and reproductive healthcare needs.
  
  
  METHODS
  CINAHL, Medline, PsychInfo, and PsychArticle databases were searched to identify theoretical and empirical literature regarding adolescence, vulnerability, sexual health outcomes, barriers to accessing reproductive health services, what it means to be youth friendly, and health advocacy to meet the health needs of adolescents.
  
  
  CONCLUSIONS
  Adolescents' health needs may not be fully met in traditional healthcare settings. Lack of access to youth-friendly sexual and reproductive health services increases adolescents' risks for poor health outcomes including sexually transmitted disease and unplanned pregnancy. Clinic, state, and national policies can create barriers for adolescents in obtaining sexual health services.
  
  
  CONCLUSIONS
  NPs are philosophically and educationally prepared to be leaders in improving adolescent health outcomes. NPs can directly provide youth-friendly care as well as advocate for youth-friendly practices within their health system. In addition, NPs are well positioned to be leaders in advocating for state and national policies that improve adolescents' access to appropriate sexual and reproductive health care.
authors.affiliation: School of Nursing, University of Michigan, Ann Arbor, Michigan.
authors.forename: Elizabeth K
authors.initials: EK
authors.lastname: Kuzma
authors.affiliation: College of Nursing, Wayne State University, Detroit, Michigan.
authors.forename: Rosalind M
authors.initials: RM
authors.lastname: Peters
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D017144:Focus Groups; D006801:Humans; D009722:Nurse Practitioners / Q000592:standards; D010344:Patient Advocacy; D060728:Reproductive Health; D012309:Risk-Taking; D012749:Sexually Transmitted Diseases / Q000517:prevention & control
keywords: Adolescent; advocacy; health policy; role of NPs; vulnerable; youth-friendly