From the ∗Department of Pediatrics, University of Alabama at Birmingham School of Medicine

†Department of Biostatistics, The University of Alabama at Birmingham School of Public Health

‡Department of Medicine, The University of Alabama at Birmingham School of Medicine, Birmingham, AL

Acknowledgments: The authors gratefully acknowledge the staff of the adolescent clinic for their valuable assistance with this project and especially thank Jasmin Clark and Sebastian Henostroza for their contributions with data collection.

Conflicts of interest: None declared.

This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under T71MC24209 University of Alabama at Birmingham Leadership Education in Adolescent Health Training Program. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

Correspondence: Samantha V. Hill, MD, MPH, The University of Alabama at Birmingham, CPPI 310, 1600 7th Ave S, Birmingham, AL 35233. E-mail: shill@peds.uab.edu.

Received for publication September 23, 2019, and accepted November 16, 2019.