Ordinal logistic regression ( outcome of duration : @ , @-@ , or @ seconds ) , adjusted for clustering of patients within physicians , found that female patients ( odds ratio -LSB- OR -RSB- = @ ; @ % CI , @-@ @ ) , older patients ( OR = @ ; @ % CI , @-@ @ ) , conversations with explicit confidentiality discussions ( OR = @ ; @ % CI , @-@ @ ) , African American adolescents ( OR = @ ; @ % CI , @-@ @ ) , and longer overall visit ( OR = @ ; @ % CI , @-@ @ ) were associated with more sexuality talk , and Asian physicians were associated with less sexuality talk ( OR = @ ; @ % CI , @-@ @ ) .