Whatley J, Thin N, Reynolds B, Blackwell A
Department of Genito-Urinary Medicine, St Thomas' Hospital, London.
J R Soc Med. 1989 Dec;82(12):732-4. doi: 10.1177/014107688908201210.
Recent discussions highlighted adolescents' sexual behaviour, but published studies concentrate on specific problems or subgroups of patients without addressing factors related to sexuality. To obtain a broad picture we studied two groups of adolescents attending genito-urinary medicine/sexually transmitted disease (STD) clinics in contrasting areas of Britain, inner London and Swansea. These were evaluated for referral pattern, sexual partner, contraception, obstetric history, sexually transmitted disease, and cervical cytology findings. Over half the adolescents referred themselves but few doctors other than general practitioners referred patients. Sexual partners were regarded by males as casual but by females as regular. Only 66% (81) of females practised contraception. Adolescents had more STD's than the total clinic population except for genital herpes simplex infection, and a high prevalence of genital warts in females has important future implications. The main conclusions were that there is a need for sexually related education targetted at adolescents and their health care providers, especially doctors.
近期的讨论突出了青少年的性行为，但已发表的研究集中在特定问题或患者亚组上，未涉及与性相关的因素。为了全面了解情况，我们研究了在英国不同地区（伦敦市中心和斯旺西）的泌尿生殖医学/性传播疾病（STD）诊所就诊的两组青少年。对这些青少年进行了转诊模式、性伴侣、避孕措施、产科病史、性传播疾病和宫颈细胞学检查结果的评估。超过一半的青少年是自行前来就诊的，但除全科医生外，很少有其他医生转诊患者。男性认为性伴侣是随意的，而女性则认为是固定的。只有66%（81名）女性采取了避孕措施。除单纯疱疹病毒感染外，青少年患性传播疾病的比例高于诊所总体人群，女性尖锐湿疣的高患病率具有重要的未来影响。主要结论是，需要针对青少年及其医疗保健提供者，尤其是医生，开展与性相关的教育。
