Adolescent Perceptions of Adult-Mediated Healthcare Communication

Soc Work Public Health. 2023 Nov 17;38(5-8):400-415. doi: 10.1080/19371918.2024.2314022. Epub 2024 Feb 6.

Abstract

Adolescence is a time of rapid growth and development and may be accompanied by increased risk-taking behaviors and independence. Youth are particularly at risk for high levels of stress, decreased physical activity, unsafe sexual activity, abuse, depression, and suicide. Considering the unique health risks adolescents face, healthcare service access and utilization can play a pivotal role in promoting positive long term health outcomes throughout adulthood. At the same time, adolescents must often rely on parents/caregivers to mediate their healthcare access. Understanding how adolescents perceive adult interactions within healthcare is important for developing interventions that increase youth access to healthcare. We found that adolescents perceived adult-mediated healthcare experiences as either supportive (Subthemes: Recognition Builds Trust and Validation) or unsupportive (Subthemes: Adult-Focused Communication and Lack of Privacy). Based on our findings, we argue that prevention-focused interventions should include communication-based strategies. We discuss social work and healthcare practice and policy implications of these findings.

Keywords: Adolescents; empowerment; healthcare access; positive youth development; triadic healthcare.

MeSH terms

  • Adolescent
  • Adult
  • Caregivers
  • Communication
  • Health Services Accessibility*
  • Humans
  • Qualitative Research
  • Sexual Behavior*