基层医疗中的性健康风险评估与咨询：全科医生和妇产科医生参与程度如何？
Sexual health risk assessment and counseling in primary care: how involved are general practitioners and obstetrician-gynecologists?
作者信息
Haley N, Maheux B, Rivard M, Gervais A
机构信息
Department of Pediatrics, Université de Montréal, Quebec, Canada.
出版信息
Am J Public Health. 1999 Jun;89(6):899-902. doi: 10.2105/ajph.89.6.899.
Abstract
OBJECTIVES
This study examined physicians' evaluation of sexual health risks during a general medical examination and sexually transmitted disease (STD) counseling during consultations for adolescent contraception and treatment of an STD.
METHODS
An anonymous mail survey was conducted in 1995 with a stratified random sample of 1086 general practitioners and all 241 obstetrician-gynecologists practicing in Quebec, Canada.
RESULTS
Fewer than half of the respondents reported routinely inquiring about condom use and number of sexual partners during a general medical examination. Female general practitioners engaged in more sexual health risk assessment and counseling than male general practitioners.
CONCLUSIONS
This study suggests a low level of involvement in STD prevention by generalists and obstetrician-gynecologists.
摘要
目的
本研究调查了医生在一般体格检查中对性健康风险的评估，以及在青少年避孕咨询和性传播疾病（STD）治疗咨询期间进行的性传播疾病咨询情况。
方法
1995年，对加拿大魁北克省1086名全科医生和所有241名妇产科医生进行了分层随机抽样的匿名邮件调查。
结果
不到一半的受访者表示在一般体格检查中会常规询问避孕套使用情况和性伴侣数量。女性全科医生比男性全科医生进行更多的性健康风险评估和咨询。
结论
本研究表明，全科医生和妇产科医生在性传播疾病预防方面的参与度较低。
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1
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Can Fam Physician. 1997 Jun;43:1089-95.
3
HIV risk screening in the primary care setting. Assessment of physicians skills.基层医疗环境中的HIV风险筛查。医生技能评估。
J Gen Intern Med. 1997 Feb;12(2):107-13. doi: 10.1046/j.1525-1497.1997.00015.x.
4
Do female primary care physicians practise preventive care differently from their male colleagues?女性初级保健医生在预防保健方面的做法与男性同事不同吗？
Can Fam Physician. 1996 Dec;42:2370-9.
5
6
Child sexual abuse: immediate and long-term effects and intervention.儿童性虐待：即时和长期影响及干预
J Am Acad Child Adolesc Psychiatry. 1993 Sep;32(5):890-902. doi: 10.1097/00004583-199309000-00002.
7
Sexually transmitted diseases: a neglected public health priority.性传播疾病：一个被忽视的公共卫生重点问题。
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