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To the Editor: In a survey of adolescent girls obtaining sexual health care at Planned Parenthood family planning clinics, Dr Reddy and colleagues¹ found that many would not seek such care if there was mandatory parental notification. We are concerned that the authors underestimate the magnitude of barriers to adolescents' use of sexual care services.

Adolescents seeking reproductive health care in the context of Title X for family planning clinics² represent the minority of the population facing these reproductive issues. It is estimated that only 12.7% of routine health care visits among adolescents occur in family clinic settings, with 37% occurring in private physician offices that are not protected by confidentiality regulations as defined by the Title X Parental Notification Act.^2-3 While 65% of high school seniors report ever having sexual intercourse and 21% report 4 or more sexual partners by this age, the Youth Risk Behavior Surveillance survey found . . . [Full Text of this Article]

RELATED ARTICLE

Effect of Mandatory Parental Notification on Adolescent Girls' Use of Sexual Health Care Services
Diane M. Reddy, Raymond Fleming, and Carolyne Swain
JAMA. 2002;288(6):710-714.
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