Impact of Question Framing on Parental Support for Adolescent Medical Consent

Wed 23rd Apr, 2025

A recent study conducted by researchers from Emory University's Rollins School of Public Health and Vanderbilt University Medical Center has unveiled significant variations in parental support for adolescent medical consent based on how questions are framed. This research is particularly relevant in light of Tennessee's Mature Minor Doctrine, which was highlighted during the COVID-19 pandemic amidst debates over children's access to vaccines without parental consent.

The study involved a survey of 1,026 parents in Tennessee and aimed to assess whether political responses to the Mature Minor Doctrine accurately reflected parental opinions regarding adolescent consent for medical services. The findings revealed a notable difference in support levels depending on the framing of the question. When the doctrine was explicitly referenced, only 22.9% of parents expressed support. In contrast, when the question was posed in a more relatable context--such as discussing 17-year-old college students needing meningitis vaccinations--support increased to 43.2%.

According to the lead researcher, this disparity underscores how important it is to communicate health issues in a relatable manner. Many parents may not support broad statements regarding adolescent consent but are more amenable when presented with specific examples that affect their children directly.

The implications of this study are particularly urgent given recent legislative changes in Tennessee. The state passed the Mature Minor Clarification Act in 2023, which requires parental consent for childhood vaccinations and written consent for COVID-19 vaccinations. Critics argue that such measures may contribute to declining vaccination rates among children.

The researchers emphasize the importance of accurate and reliable health communication from medical professionals and public health organizations, especially in an era characterized by rising misinformation regarding vaccines. The study suggests that providing detailed and clear information can significantly influence parental attitudes as they navigate complex health decisions for their children.

As the political landscape continues to evolve, understanding the nuances of parental perceptions around adolescent medical consent remains critical. The findings of this research highlight the necessity for informed discussions that acknowledge parents' concerns while promoting public health objectives.


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