Ellul Rita Darmanin, Cordina Maria, Buhagiar Anton, Fenech Anthony, Mifsud Janet
Department of Clinical Pharmacology and Therapeutics, University of Malta MSD 2080, Msida, Malta.
Int J Adolesc Med Health. 2009 Oct-Dec;21(4):591-600. doi: 10.1515/ijamh.2009.21.4.591.
Adolescence is a key period in the emergence of gender differences in health that persist into adulthood. Knowledge about health-related gender differences among adolescents could be instrumental in informing policy and practice to effect health improvement among this age group. The main objectives of this study were therefore to investigate gender differences in self-reported health complaints and use of medicines during the preceding 3 months and access to information sources about medicines among adolescents in Malta. A self-administered questionnaire was distributed among adolescents attending secondary schools in Malta. A stratified random sample design generated a sample size of 514 students. Common health complaints, use of medicines, and sources of information about medicines were investigated by means of author-designed checklists. The analytical sample was formed from 474 usable questionnaires collected from students aged 14-16 years, of which 53.8% were females. In general, a female excess emerged for health complaints and use of medicines except for sport injuries and use of vitamins. Gender differences were statistically significant for a female excess in the retrieval of information from the package insert (p < .001), parents or adult relatives (p < .01) and friends or schoolmates (p < .05). The findings of this study underscore the need for awareness of gender differences in the health of adolescents among health care providers, policy makers, and educators. An important implication of the findings is that the health needs of adolescents could be more equitably addressed by adopting a holistic patient-oriented approach particular to the health needs of each individual.
青春期是健康方面性别差异开始出现并持续到成年期的关键时期。了解青少年中与健康相关的性别差异有助于为改善该年龄组健康状况的政策和实践提供信息。因此,本研究的主要目的是调查马耳他青少年在过去3个月内自我报告的健康问题、药物使用情况以及获取药物信息来源方面的性别差异。一份自填式问卷在马耳他中学就读的青少年中进行了分发。采用分层随机抽样设计,样本量为514名学生。通过作者设计的清单对常见健康问题、药物使用情况以及药物信息来源进行了调查。分析样本由从14至16岁学生中收集的474份可用问卷组成,其中53.8%为女性。总体而言,除运动损伤和维生素使用外,在健康问题和药物使用方面女性占比更高。在从药品说明书获取信息方面女性占比更高(p < .001)、从父母或成年亲属处获取信息方面(p < .01)以及从朋友或同学处获取信息方面(p < .05),性别差异具有统计学意义。本研究结果强调了医疗保健提供者、政策制定者和教育工作者需要认识到青少年健康方面的性别差异。研究结果的一个重要启示是,通过采用针对每个个体健康需求的整体以患者为导向的方法,可以更公平地满足青少年的健康需求。