title: Adolescent Perspectives on Addressing Youth Violence in the Primary Care Setting.
abstract: BACKGROUND
  Youth violence is one of the leading causes of morbidity and mortality among adolescents, yet rarely discussed during preventative care visits. The aim of this study was to understand the perspectives of adolescents on youth violence and health, and to determine facilitators and barriers to discussion in the primary care setting.
  
  
  METHODS
  We conducted 5 structured focus groups with adolescents from a local community organization. Each focus group was made up of 3-10 male and female participants ranging from ages 12-24. Transcripts were analyzed for recurrent themes.
  
  
  RESULTS
  All participants had personal experience with violence or close contacts affected by violence, though few had discussed violence with their primary care physician. Themes included (1) violence plays a large role in youth's health, well-being, and behavior choices; (2) youth do not inherently trust physicians; (3) physicians do not ask about violence; and (4) youth have mixed feelings on how physicians could help them with the violence in their lives.
  
  
  CONCLUSIONS
  Barriers to youth violence discussions include youths' discomfort, mistrust, and discordant expectations of their providers, and lack of physician inquiry about violence in the primary care setting. [Full article available at http://rimed.org/rimedicaljournal-2016-05.asp, free with no login].
authors.affiliation: Department of Pediatrics, Alpert Medical School of Brown University, Providence, RI; Injury Prevention Center, Rhode Island Hospital, Providence, RI.
authors.forename: Alison
authors.initials: A
authors.lastname: Riese
authors.affiliation: Denver Health Medical Center, Department of Medicine and Pediatrics, University of Colorado.
authors.forename: Anne Gabonay
authors.initials: AG
authors.lastname: Frank
authors.affiliation: Department of Hematology/Oncology, Boston Children's Hospital, Boston, MA.
authors.forename: Natasha
authors.initials: N
authors.lastname: Frederick
authors.affiliation: Department of Pediatrics, University of Washington, Seattle, WA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Dawson-Hahn
authors.affiliation: Department of Medicine and Pediatrics, Boston Medical Center, Boston, MA.
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Bagley
authors.affiliation: Department of Pediatrics, Alpert Medical School of Brown University, Providence, RI.
authors.forename: Bonnie
authors.initials: B
authors.lastname: O'Connor
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D002648:Child; D003142:Communication; D005260:Female; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D010817:Physician-Patient Relations; D010820:Physicians; D011320:Primary Health Care; D012237:Rhode Island; D014754:Violence / Q000523:psychology*; D055815:Young Adult
keywords: community pediatrics; focus groups; physician-patient communication; youth violence