Marcell Arik V, Burstein Gale R
Pediatrics. 2017 Nov;140(5). doi: 10.1542/peds.2017-2858.
Pediatricians are an important source of health care for adolescents and young adults and can play a significant role in addressing their patients' sexual and reproductive health needs, including preventing unintended pregnancies and sexually transmitted infections (STIs), including HIV, and promoting healthy relationships. STIs, HIV, and unintended pregnancy are all preventable health outcomes with potentially serious permanent sequelae; the highest rates of STIs, HIV, and unintended pregnancy are reported among adolescents and young adults. Office visits present opportunities to provide comprehensive education and health care services to adolescents and young adults to prevent STIs, HIV, and unintended pregnancies. The American Academy of Pediatrics, other professional medical organizations, and the government have guidelines and recommendations regarding the provision of sexual and reproductive health information and services. However, despite these recommendations, recent studies have revealed that there is substantial room for improvement in actually delivering the recommended services. The purpose of this clinical report is to assist pediatricians to operationalize the provision of various aspects of sexual and reproductive health care into their practices and to provide guidance on overcoming barriers to providing this care routinely while maximizing opportunities for confidential health services delivery in their offices.
儿科医生是青少年和青年医疗保健的重要来源，在满足患者性健康和生殖健康需求方面可发挥重要作用，包括预防意外怀孕和性传播感染（包括艾滋病毒），以及促进健康的人际关系。性传播感染、艾滋病毒和意外怀孕都是可预防的健康问题，可能会导致严重的永久性后遗症；青少年和青年中报告的性传播感染、艾滋病毒和意外怀孕发生率最高。门诊就诊为向青少年和青年提供全面教育和医疗保健服务以预防性传播感染、艾滋病毒和意外怀孕提供了机会。美国儿科学会、其他专业医学组织和政府都有关于提供性健康和生殖健康信息及服务的指南和建议。然而，尽管有这些建议，但最近的研究表明，在实际提供推荐服务方面仍有很大的改进空间。本临床报告的目的是帮助儿科医生将性健康和生殖保健各方面的服务纳入其诊疗实践，并提供指导，以克服常规提供此类保健的障碍，同时在其诊所最大限度地增加提供保密健康服务的机会。
