Seamark Clare, Blake Sue
The Honiton Group Practice, Honiton, Devon, UK.
J Fam Plann Reprod Health Care. 2005 Jan;31(1):31-3. doi: 10.1783/0000000052973040.
Concern exists that women, and in particular teenagers, do not consult in general practice, particularly for contraception because of embarrassment and concern over confidentiality. The aim of this study was to compare reported consultation rates, embarrassment when consulting, and views on confidentiality of women in three age groups.
A postal questionnaire was used to survey women aged 16-19, 36-39 and 56-59 years attending a semi-rural practice in East Devon, UK in December 1999.
Response rates of 57% (teenagers), 79% (women in their thirties) and 89% (women in their fifties) were achieved. In each group over half the respondents had seen a general practitioner (GP) in the previous 3 months. Embarrassment at attending a GP decreased from 38% of teenagers to only 16% of women in their fifties. There was a similar pattern with 78% of teens and 42% of women in their fifties preferring to see a woman doctor for a women's problem and 31% of teens and 18% of women in their fifties expressing a preference for a woman doctor for any problem. Some 97% of women in their thirties and fifties thought a consultation with a GP would be confidential compared with 88% of the teenagers. Only 9% of the teenage group thought the GP might tell their parents about the consultation.
This study found that teenagers were just as likely as older women to have seen a GP in the preceding 3 months. Embarrassment at attending decreased with age, as did the preference to see a female doctor for both women's and any problems. The majority of women in each age group believed a consultation with a GP, or practice nurse, was confidential.
人们担心女性，尤其是青少年，由于感到尴尬以及对隐私的担忧，不会去全科医疗就诊，特别是在寻求避孕咨询时。本研究的目的是比较三个年龄组女性的就诊率、就诊时的尴尬程度以及对隐私的看法。
1999年12月，采用邮寄问卷调查法对英国东德文郡一个半乡村诊所的16 - 19岁、36 - 39岁和56 - 59岁女性进行调查。
回复率分别为57%（青少年组）、79%（三十多岁女性组）和89%（五十多岁女性组）。在每个组中，超过一半的受访者在过去3个月内看过全科医生（GP）。去看全科医生时的尴尬程度从青少年组的38%降至五十多岁女性组的仅16%。对于女性问题，78%的青少年和42%的五十多岁女性更愿意看女医生；对于任何问题，31%的青少年和18%的五十多岁女性表示更倾向于看女医生，呈现出类似的模式。三十多岁和五十多岁的女性中约97%认为与全科医生的咨询是保密的，而青少年组这一比例为88%。青少年组中只有9%的人认为全科医生可能会将咨询情况告知其父母。
本研究发现，青少年在前3个月内看全科医生的可能性与年长女性相同。就诊时的尴尬程度随年龄增长而降低，对于女性问题和任何问题更倾向于看女医生的比例也随年龄增长而降低。每个年龄组的大多数女性都认为与全科医生或执业护士的咨询是保密的。
