|
|
|
|
|
Objectives Retained But Modified From Healthy People 2010
|
FP HP2020–12:
|
Increase the proportion of adolescents who talked to a parent or guardian about reproductive health topics before they were 18 years old.
|
-
c. Birth control methods—females
-
d. Birth control methods—males
-
e. HIV/AIDS prevention—females
-
f. HIV/AIDS prevention—males
-
g. Sexually transmitted diseases—females
-
h. Sexually transmitted diseases—males
|
|
|
|
Status: Retained but modified Healthy People 2010 objective 9-11.
|
View Objective Comments
|
|
on
|
Objective Clarification, Objective Text:
Topics covered should include family planning and forming a reproductive life plan. (i.e. add lettered item i. Family planning-females; etc.)
As with FP HP2020-11, pre-adolescents should think about whether/when to have children, and can benefit from having help and information about deciding whether/when to have a child. Items already listed here are important, but they only cover the mechanics of how one might achieve one's reproductive goals.
|
|
on
|
Objective Text:
I think the age mentioned should be eliminated in favor of "the state's legal age of consent" because they vary so, and education before 18 won't do a person in a state with 14 as the age of consent.
Karen Denard Goldman, PhD, CHES
Kingsborough Community College, CUNY
|
|
on
|
|
Objective Clarification, Objective Text:
ACOG also belives that age 18 is not the right age at which to set this objective. Age 14 would be far better,
|
|
on
|
|
Objective Clarification:
I agree with the comments made by Rutgers University and Kristin Granquist.
|
|
on
|
Objective Clarification:
As with other family planning objectives, this is too complex with all the sub-objectives. Prefer the suggestion made by Rutgers University to drop the sub-objectives and change the objective to: Increase the proportion of adolescents who talked to a parent, guardian or other trusted adult about sexual health topics before they were 18 years old.
Also, the wording of this objective makes it sound as if it's OK for a teen to speak with a trusted adult once in their adolescence about reproductive health issues. Given that we know that a 1-shot discussion is not sufficient, I would suggest amending this. If the data source allows for this, change it to reflect young people who talk about sexual health throughout their adolescence.
|
|
on
|
Objective Clarification, Objective Text:
Suggest revise age to before 14 years old instead of 18 years old. According to the 2002 NSFG, 56% of female respondents first had sex before turning 18. A more effective target for instruction on reproductive health topics may be around the freshman year of high school, before most teens have had sex.
|
|
on
|
|
Objective Text:
Given that the mean age of first sex in the U.S. is approximately 17, the National Campaign would recommend changing the age in this objective to before the age of 16.
|
|
on
|
|
Objective Text:
The communication between parents/guardians and teens is a program priority for AFPC, and is strongly supported as an HP2020 objective. As stated in the suggestions for HP2020-11, AFPC recommends decreasing the age threshold to 15 years in order to capture young teens as soon as possible to prevent unintended pregnancy and negative health outcomes.
|
|
on
|
Objective Clarification, Objective Text:
Recommended modification:
Increase the proportion of adolescents who talked to a parent, guardian or trusted adult about reproductive health topics before they were 18 years old.
|
|
on
|
Objective Clarification, Objective Text:
Over 50% of adolescents have experienced sex by high school graduation (usually age 18). This objective should be changed to: “Increase the proportion of pre-adolescents who have talked to a parent, guardian, or trusted adult caregiver about reproductive health topics before puberty.” The age for measurement should be determined by a bipartisan stakeholder group.
Please use this recommendation, not the one submitted at 2:51 p.m. That comment is for objective FP HP2020-11.
|
|
on
|
|
Objective Clarification, Objective Text:
Over 50% of adolescents have experienced sex by high school graduation (usually age 18). This objective should be changed to: “Increase the proportion of pre-adolescents who have received formal instruction on reproductive health topics before puberty.” The age for measurement should be determined by a bipartisan stakeholder group.
|
|
on
|
|
Objective Clarification:
While open communication concerning reproductive health is important for healthy attitudes and reproductive health decision making, FHCCP is concerned that the age of 18 is too late for many adolescents who need guidance on reproductive health. Therefore, the age limit for this objective should be lower.
|
|
on
|
Objective Clarification, Objective Text:
Recommendation: NASW strongly recommends amending this objective as follows: “Reduce the proportion of adult women whose ability to conceive or maintain a pregnancy is limited.”
Rationale: The right to bear children, and public health intervention to promote childbearing, is not restricted to married couples. NASW supports the right of all women—whether they are in single or partnered, in heterosexual or same-sex relationships, married or unmarried—to bear children if they choose.
|
|
on
|
Objective Clarification:
We believe that adolescents should be educated not only on various birth control methods, but more comprehensively on avoiding unintended pregnancy. We strongly suggest “birth control methods” be changed to “unintended pregnancy”
Sexual and reproductive health promotion should be an integral part of primary care. Primary care clinicians, such as nurse practitioners, physicians and physician assistants [IOM, Defining Primary Care, 1996], are uniquely trained in coordinated, family-centered patient care as well as the provision of culturally competent patient education that is grounded in the appropriate clinical setting. Their role as a resource for parents and adolescents, and a broker between the two groups, should be emphasized. Developing national core competencies for all primary care clinicians that are evidence based and culturally competent is an important next step.
|
|
on
|
|
Objective Text:
Increase the proportion of adolescents who talked to a parent, guardian or other trusted adult about sexual health topics before they were 18 years old.
|
|
on
|
|
Objective Clarification:
This objective (formerly implied as part of HP2020-11, concerning formal instruction for adolescents on reproductive health) makes adolescent/parental communication concerning reproductive health a separate and distinct objective from formal sex education (now FP HP2020-11). NFPRHA believes that open communication concerning reproductive health is important for healthy attitudes and reproductive health decision making, and supports this objective. However, NFPRHA is also concerned that the age of 18 may be too late for many adolescents who need guidance on reproductive health, and therefore the age limit for this objective should be lowered.
|
|
on
|
Objective Text:
SIECUS hopes that Healthy People 2020 could expand upon the historically limited definition of reproductive health topics as currently proposed in Objectives 11 and 12. In fact, SIECUS would encourage that the document instead refer to “human sexuality” topics to inspire health and human service professionals and parents to become familiar and comfortable with topics beyond abstinence, birth control, HIV/AIDS, and sexually transmitted diseases.
People of all ages, but especially adolescents, are nowadays confronted with myriad and contradictory messages about sexual behavior. Family planning as a field has historically focused on providing services and teaching skills related to birth control and disease prevention. However, this is not enough in a society made more complex by issues such as same-sex marriage, pharmaceuticals to treat erectile dysfunction, sex reassignment procedures for transgender individuals, virginity pledges, purity balls, and the effect of internet and cell phone use on human sexual interaction, just to name a few.
All persons are sexual, in the broadest sense of the word, whether or not they are currently sexually active. SIECUS believes that professional training for all healthcare practitioners, including continuing education programs, should address medical, ethical, legal, and cultural aspects of sexuality. Therefore SIECUS believes that Healthy People 2020 should inspire increased formal instruction and parental discussion about far more than the limited topics of pregnancy, disease, and abstinence. Changing the phrase “reproductive health” to “human sexuality” in objectives 11 and 12 is one step to consider.
|
|
|
|
|
|