Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
Oak Ridge Institute for Science and Education (ORISE), Atlanta, Georgia.
J Adolesc Health. 2021 Mar;68(3):623-625. doi: 10.1016/j.jadohealth.2020.07.005. Epub 2020 Aug 15.
The purpose of this study was to describe whether adolescent and young adult patients truthfully disclose sexual activity to providers during a sexual history and explore associations between disclosure and receipt of recommended services.
Data from the 2018 National Survey of Sexual Health and Behavior were used to describe self-reported disclsoure of sexually active 14- to 24-year-olds who had a health care visit in the previous year where a sexual history was taken (n = 196). We examined bivariate associations between disclosure and age, race/ethnicity, sex, sexual identity, and receipt of sexual health services.
Most (88%) respondents reported telling their provider the truth about sexual activity. A higher proportion of the younger adolescents (14- to 17-year-olds) did not disclose compared with the 18- to 24-year-old respondents (25.4% vs 3.9%; p < .001). A higher proportion of patients who disclosed reported having a sexually transmitted disease test (69.6% vs 26.7%; p < .001); being offered a sexually transmitted disease test (44.3% vs 4.5%; p < .001); and being asked by providers about number of partners (54.3% vs 15.4%; p < .01).
Most young patients disclose their sexual history to their provider, but younger patients might be less likely to do so. Positive patient-provider relationships may encourage disclosure of sexual activity and support receipt of indicated sexual and reproductive health services.
本研究旨在描述青少年和年轻成年人在性病史询问中是否向医疗服务提供者如实披露性行为，并探讨披露与接受推荐服务之间的关联。
本研究使用 2018 年全国性健康和行为调查的数据，描述了在过去一年中曾接受过性病史询问的有医疗保健就诊经历的 14 至 24 岁有性行为的自我报告者（n=196）。我们检查了披露与年龄、种族/族裔、性别、性身份以及性健康服务的接受情况之间的双变量关联。
大多数（88%）受访者表示向提供者如实报告了性行为。与 18 至 24 岁的受访者相比，年龄较小的青少年（14 至 17 岁）更有可能不披露（25.4%比 3.9%；p<0.001）。更多披露性行为的患者报告接受过性传播疾病检测（69.6%比 26.7%；p<0.001）；被提供性传播疾病检测（44.3%比 4.5%；p<0.001）；并被提供者询问过性伴侣数量（54.3%比 15.4%；p<0.01）。
大多数年轻患者会向提供者披露他们的性病史，但年轻患者可能不太愿意这样做。积极的医患关系可能会鼓励披露性行为，并支持接受适当的性和生殖健康服务。
