Lane M A, McCright J, Garrett K, Millstein S G, Bolan G, Ellen J M
Department of Pediatrics, University of California, San Francisco, USA.
Arch Pediatr Adolesc Med. 1999 Aug;153(8):829-33. doi: 10.1001/archpedi.153.8.829.
To determine the relative importance of various features of health clinics when African American adolescents consider seeking care for sexually transmitted diseases (STDs).
Confidential interviewer-administered telephone survey.
A predominantly low-income, African American neighborhood in San Francisco, Calif.
Random sample of African American adolescents aged 12 to 17 years; 302 (76.6%) of 394 identified eligible adolescents participated.
Items and scales measuring adolescents' sense of the importance of the attributes of the provider (alpha = .58), availability of services (alpha = .61), and perceived confidentiality of health services from family (alpha = . 72) when deciding where to seek care for possible STDs.
More than 90% (90.4%) of subjects rated items relating to provider attributes as being highly important when they consider where they would seek care for an STD; between 62.5% and 82.7% rated availability items as being highly important; and between 38.6% and 60.8% rated items pertaining to confidentiality as being highly important. Greater importance was placed on provider attributes and confidentiality by female than male adolescents. The importance placed on provider attributes and confidentiality increased as adolescents aged.
Low-income, African American adolescents place great importance on provider attributes, less importance on availability, and even less importance on confidentiality when deciding where to seek health care for a possible STD. Health care providers and organizations need to be aware of these adolescent preferences to better promote screening and treatment of STDs in this population.
确定在非裔美国青少年考虑寻求性传播疾病（STD）治疗时，健康诊所各项特征的相对重要性。
由访谈员进行的保密电话调查。
加利福尼亚州旧金山一个以低收入非裔美国人为主的社区。
12至17岁非裔美国青少年的随机样本；394名确定符合条件的青少年中有302名（76.6%）参与。
衡量青少年在决定何处寻求可能的性传播疾病治疗时，对提供者属性（α = 0.58）、服务可及性（α = 0.61）以及健康服务对家庭而言的保密性（α = 0.72）重要性感受的项目和量表。
超过90%（90.4%）的受试者在考虑何处寻求性传播疾病治疗时，将与提供者属性相关的项目评为非常重要；62.5%至82.7%的受试者将可及性项目评为非常重要；38.6%至60.8%的受试者将与保密性相关的项目评为非常重要。与男性青少年相比，女性青少年更重视提供者属性和保密性。随着青少年年龄增长，对提供者属性和保密性的重视程度增加。
低收入非裔美国青少年在决定何处寻求可能的性传播疾病治疗时，非常重视提供者属性，对可及性重视程度较低，对保密性重视程度更低。医疗保健提供者和机构需要了解这些青少年的偏好，以便更好地促进该人群中性传播疾病的筛查和治疗。
