Jaruseviciene Lina, Zaborskis Apolinaras, Lazarus Jeffrey Victor
* Department of Family Medicine, Lithuanian University of Health Sciences , Kaunas , Lithuania.
Eur J Contracept Reprod Health Care. 2014 Apr;19(2):102-7. doi: 10.3109/13625187.2014.880878. Epub 2014 Feb 7.
An adolescent's right to confidential healthcare is protected by international law and professional consensus. However, parental and social support for confidential sexual and reproductive health (SRH) services, in particular, varies greatly. This study documents Lithuanian residents' expectations with regard to confidentiality protection for adolescents in this domain, and explores the factors related to the diversity of these expectations.
Two national surveys of Lithuanian residents completed in 2005 and 2012 using anonymous questionnaires. Participants rated their expectations for confidentiality using a five-point Likert scale for eight types of SRH consultations.
Public anticipation for confidentiality depended on whether issues related to sexual behaviour or to its consequences were addressed during adolescent consultation. Only younger respondents had higher expectations for confidentiality in both contexts. Public expectations regarding confidentiality were less demanding in 2012 than in 2005.
The expectation of confidentiality protection was greater for topics related to sexual behaviour than for the consequences of sexual behaviour, such as pregnancy, abortion or a sexually transmitted infection. This implies a need for targeted information strategies for the general population and explicit guidance for physicians on when and for whom care should remain confidential.
青少年获得保密医疗保健的权利受国际法和专业共识保护。然而，父母及社会对保密性健康和生殖健康（SRH）服务的支持，尤其是在这方面，差异很大。本研究记录了立陶宛居民对该领域青少年保密保护的期望，并探讨了与这些期望多样性相关的因素。
2005年和2012年对立陶宛居民进行了两次全国性调查，采用匿名问卷。参与者针对八类SRH咨询，使用五点李克特量表对他们对保密性的期望进行评分。
公众对保密性的预期取决于在青少年咨询过程中是否涉及与性行为或其后果相关的问题。只有年轻受访者在这两种情况下对保密性有更高期望。2012年公众对保密性的期望比2005年要求更低。
与性行为相关主题的保密保护期望高于性行为后果，如怀孕、堕胎或性传播感染。这意味着需要针对普通人群制定有针对性的信息策略，并为医生提供关于何时以及对谁的护理应保密的明确指导。
