Brown Maria D, Rausch Joseph, Berlan Elise D
Nationwide Children's Hospital, Columbus, OH, USA.
The Ohio State University, Columbus, OH, USA.
Clin Pediatr (Phila). 2019 Mar;58(3):295-301. doi: 10.1177/0009922818813571. Epub 2018 Nov 19.
A dearth of research exists examining provider adherence to preventative health care guidelines at adolescent well-care visits. We examined adherence in 3 domains: documentation of sexual activity, documentation of menstrual characteristics, and administration of the human papillomavirus vaccine. We identified electronic health records of a random sample of 124 adolescent girls seen within the hospital-affiliated pediatric primary care clinics from July 1, 2014, to June 30, 2015. Approximately one quarter of the records examined had no documentation of sexual activity. Documentation occurred more frequently in English speakers ( = .003). Asian girls had the least documentation of sexual activity ( = .003). Clinicians documented menses characteristics in only 27% of adolescent girls with no documentation noted for Asian adolescents. Over 40% of eligible adolescents did not receive the human papillomavirus vaccine. Only 19.4% of adolescents received all the 3 recommended services. This study demonstrates that adolescent girls are not receiving recommended assessments or care to protect their reproductive health.
目前缺乏关于医疗服务提供者在青少年健康检查中遵循预防性医疗保健指南情况的研究。我们检查了三个方面的遵循情况：性活动记录、月经特征记录以及人乳头瘤病毒疫苗接种情况。我们确定了2014年7月1日至2015年6月30日期间在医院附属儿科初级保健诊所就诊的124名青春期女孩的随机样本的电子健康记录。大约四分之一的检查记录没有性活动记录。在讲英语的人群中记录情况更常见（P = 0.003）。亚洲女孩的性活动记录最少（P = 0.003）。临床医生仅在27%的青春期女孩中记录了月经特征，亚洲青少年中没有记录。超过40%的符合条件的青少年未接种人乳头瘤病毒疫苗。只有19.4%的青少年接受了所有三项推荐服务。这项研究表明，青春期女孩没有得到推荐的评估或护理来保护她们的生殖健康。
