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青少年及其父母对一项生殖健康研究的描述存在差异。

Adolescents and Their Parents Differ on Descriptions of a Reproductive Health Study.

作者信息

Francis Jenny K R, Hoffman Lily F, Hu Mei-Chen, de Roche Ariel M, Catallozzi Marina, Breitkopf Carmen Radecki, Rosenthal Susan L

机构信息

Department of Pediatrics, Columbia University Medical Center College of Physicians and Surgeons, New York, New York; New York-Presbyterian Hospital, New York, New York.

Department of Pediatrics, Columbia University Medical Center College of Physicians and Surgeons, New York, New York.

出版信息

J Pediatr Adolesc Gynecol. 2016 Jun;29(3):240-5. doi: 10.1016/j.jpag.2015.09.002. Epub 2015 Sep 25.

DOI:10.1016/j.jpag.2015.09.002
PMID:26409154
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4808475/
Abstract

STUDY OBJECTIVE

To understand how adolescents and parents describe a sexually transmitted infection prevention study to a friend.

DESIGN

Adolescents and parents participating in a study about willingness to participate in a hypothetical microbicide clinical trial were interviewed separately and asked to describe the clinical trial to a friend. Qualitative responses were written down verbatim and coded using a thematic framework analysis.

SETTING

Adolescent medicine clinics in New York City.

PARTICIPANTS

The participants consisted of adolescents, 14-17 years old, and a parent (n = 301 dyads) who spoke English or Spanish. Most adolescents (72%) identified as Hispanic and 65% reported minimal sexual experience (ie, nothing more than kissing).

INTERVENTIONS

None.

MAIN OUTCOME MEASURES

Qualitative responses were content coded for: (1) overall approach; (2) opinion rendered; and (3) details mentioned using thematic framework. The relationship of demographic characteristics, sexual history, and recruitment method to how adolescents and/or parents described the study was evaluated.

RESULTS

Adolescents (n = 293) differed from parents (n = 298) in their overall approach to describing the study (P < .01) with more adolescents than parents providing a "purpose with detail" (54% adolescents vs 31% parents) and less providing a "commentary" description (6% adolescents vs 28% parents). Fewer adolescents (25% of n = 301) provided an opinion compared with parents (75% of n = 301; P < .01). A greater proportion of adolescents (70% adolescents, n = 206; vs 48% parents, n = 144) provided a detail (P < .01). Adolescents provided a greater number of details than parents (P < .01).

CONCLUSION

Adolescents in this sample were more focused on the details of the study. Parents were focused on their impression of the study. Adolescents and parents might need to be approached differently about reproductive health studies.

摘要

研究目的

了解青少年和家长如何向朋友描述一项性传播感染预防研究。

设计

参与一项关于参与假设性杀微生物剂临床试验意愿研究的青少年和家长分别接受访谈,并被要求向朋友描述该临床试验。定性回答被逐字记录下来,并使用主题框架分析进行编码。

地点

纽约市的青少年医学诊所。

参与者

参与者包括14至17岁的青少年以及一位家长(n = 301对),他们说英语或西班牙语。大多数青少年(72%)为西班牙裔,65%报告性经历极少(即仅止于亲吻)。

干预措施

无。

主要观察指标

定性回答按以下内容进行编码:(1)总体方法;(2)给出的意见;(3)使用主题框架提及的细节。评估人口统计学特征、性史和招募方法与青少年和/或家长描述研究方式之间的关系。

结果

青少年(n = 293)和家长(n = 298)在描述研究的总体方法上存在差异(P <.01),提供“带有细节的目的”的青少年比家长更多(54%的青少年对31%的家长),提供“评论性”描述的青少年比家长更少(6%的青少年对28%的家长)。与家长(n = 301中的75%;P <.01)相比,给出意见的青少年更少(n = 301中的25%)。提供细节的青少年比例更高(70%的青少年,n = 206;对48%的家长,n = 144;P <.01)。青少年提供的细节数量比家长更多(P <.01)。

结论

该样本中的青少年更关注研究的细节。家长则关注他们对研究的印象。在生殖健康研究方面,可能需要以不同方式对待青少年和家长。

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