SEGENA study (« SExuality, GENeral practioners and Adolescents »): the effect of a brochure as a means of communication between a teenager and a general practitioner over topics related to sexual well-being, during a medical appointment in France ; Étude SEGENA (SExualité, GENéralistes et Adolescents) : effet d’une brochure comme support de communication entre un adolescent et un médecin généraliste sur les thématiques relatives au bien-être sexuel, en consultation de médecine de ville en Île-de-France

AIM: our goal is to assess whether a face to face handover of a sexual information brochure to an teenager by a general practitioner makes it possible to discuss a broader scope of topics related to sexuality. METHOD: this essay is performed with general practitioners from Île-de-France (Paris area), randomized into 2 groups : brochure (« Questions d’ados », Santé Publique France) and control. Through a teenager survey, we compare the number of topics mentioned. FINDINGS: 104 practitioners are in the scope of the assessment, including 75 who have got the feedback from 217 teenagers. 31% of teenagers declared that no topic was addressed, 65% declared at least one topic. The median for the number of topics is 1. To hand over a leaflet in person has no material impact. The probability of addressing a topic increases by 3.5 when the pair is female and decreases by 60% if parent(s) are present. When sexuality is addressed, 92% of visits have at least one biomedical topic versus 45% for a psychosocial one. The chance that the biomedical is approached in greater numbers increases by 2 times when the patient is a girl and by 1.6 times when the pair is female. DISCUSSION: the median of topics is low. Parental presence is an obstacle. Boys have less access to biomedical topics. The low prevalence of psychosocial topics contrasts with the real world : pornography is addressed in less than 1% of cases when a third of up to 12 year old kids have already been exposed to it ; sexual violence in 5% of cases when a quarter of sexual abuses would have started before the age of 11. CONCLUSION: the practitioner should have a proactive approach regarding sexuality and try to address psychosocial as well as biomedical themes, in the same way with girls and boys. Tools, communication and welcome advice need to be developed. General practitioners reluctance related to gender should be further explored. ; OBJECTIF : notre objectif est d’évaluer si la délivrance en main propre d’une brochure d’information sexuelle à un adolescent en ...