Ordinal logistic regression ( outcome of duration : 0 , 1-35 , or 36 seconds ) , adjusted for clustering of patients within physicians , found that female patients ( odds ratio [ OR ] = 2.58 ; 95 % CI , 1.53-4 .36 ) , older patients ( OR = 1.37 ; 95 % CI , 1.13-1 .65 ) , conversations with explicit confidentiality discussions ( OR = 4.33 ; 95 % CI , 2.58-7 .28 ) , African American adolescents ( OR = 1.58 ; 95 % CI , 1.01-2 .48 ) , and longer overall visit ( OR = 1.07 ; 95 % CI , 1.03-1 .11 ) were associated with more sexuality talk , and Asian physicians were associated with less sexuality talk ( OR = 0.13 ; 95 % CI , 0.08-0 .20 ) .