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15至25岁青少年及青年的保密问题与性健康和生殖健康护理

Confidentiality Concerns and Sexual and Reproductive Health Care Among Adolescents and Young Adults Aged 15-25.

作者信息

Copen Casey E, Dittus Patricia J, Leichliter Jami S

出版信息

NCHS Data Brief. 2016 Dec(266):1-8.

PMID:27996934
Abstract

Data from the National Survey of Family Growth •About 7% of persons aged 15-25 would not seek sexual or reproductive health care because of concerns that their parents might find out about it. •For females aged 15-17 and 18-25, those who had confidentiality concerns were less likely to receive sexual and reproductive health services in the past year compared with those without these concerns. •Less than one-half of teenagers aged 15-17 (38.1%) spent some time alone in the past year during a visit with a doctor or other health care provider without a parent, relative, or guardian in the room. •Teenagers aged 15-17 who spent some time alone during a visit with a health care provider were more likely to have received sexual or reproductive health services in the past year compared with those who had not. Confidentiality concerns can impact adolescent and young adults' access to sexual and reproductive health services (1-4). Young people who are covered by their parents' private health insurance may be deterred from obtaining these services due to concerns that their parents might find out about it (2). Similarly, confidentiality concerns may arise because youth seeking such services may not have time alone during a visit with a health care provider (4). This report describes two measures related to confidentiality concerns and sexual and reproductive health care.

摘要

来自全国家庭成长调查的数据

• 15至25岁的人群中,约7%的人因担心父母可能会发现而不愿寻求性健康或生殖健康护理。

• 对于15至17岁以及18至25岁的女性,与没有此类担忧的女性相比,有保密担忧的女性在过去一年中接受性健康和生殖健康服务的可能性更低。

• 在过去一年中,15至17岁的青少年中,不到一半(38.1%)的人在与医生或其他医疗服务提供者就诊时,曾在没有父母、亲属或监护人在场的情况下单独待过一段时间。

• 与未单独待过的青少年相比,在与医疗服务提供者就诊时单独待过一段时间的15至17岁青少年在过去一年中更有可能接受过性健康或生殖健康服务。保密担忧可能会影响青少年和年轻人获得性健康和生殖健康服务(1 - 4)。父母购买了私人医疗保险的年轻人可能会因担心父母发现而不敢获得这些服务(2)。同样,保密担忧可能会出现,因为寻求此类服务的年轻人在与医疗服务提供者就诊时可能没有单独的时间(4)。本报告描述了与保密担忧和性健康及生殖健康护理相关的两项措施。

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