Riggs S, Cheng T
Department of Pediatrics, Brown University, Providence, Rhode Island.
J Adolesc Health Care. 1988 May;9(3):208-13. doi: 10.1016/0197-0070(88)90073-3.
A health needs assessment was developed to facilitate implementation of a comprehensive school-based adolescent clinic. Students were asked about their willingness to use a school-based clinic for certain health and emotional problems. Six hundred students in grades 9 through 12 completed anonymous self-administered questionnaires. Twenty-eight percent of respondents reported recently feeling depressed; 12% reported a prior suicide attempt. Twenty-five percent of students felt they were overweight. Of 56% who had experienced intercourse at least once, only one third had ever used birth control. Twenty-one percent smoked cigarettes and 27% marijuana, 24% used other drugs, and 38% used alcohol. Students who reported depression and past suicide attempts were significantly (p less than or equal to 0.001) more willing to use the clinic for counseling needs than students not so reporting. Those with perceived weight problems reported more willingness to use a school clinic for nutrition information than those who did not feel overweight. Currently sexually active students were also more willing (p less than or equal to 0.001) than nonsexually active students to use the clinic for sexuality information and sexually transmitted disease screens. Respondents who used drugs, alcohol, or cigarettes, however, were no more willing than nonsubstance-using peers to use clinic services for relevant health information.
开展了一项健康需求评估，以促进综合性校内青少年诊所的实施。研究询问了学生对于使用校内诊所解决某些健康和情绪问题的意愿。9至12年级的600名学生完成了匿名的自填式问卷。28%的受访者报告近期感到抑郁；12%报告曾有过自杀未遂经历。25%的学生认为自己超重。在至少有过一次性行为的学生中，只有三分之一曾使用过避孕措施。21%的学生吸烟，27%吸食大麻，24%使用其他毒品，38%饮酒。报告有抑郁和既往自杀未遂经历的学生比未报告此类情况的学生更愿意（p≤0.001）使用诊所进行咨询。认为自己有体重问题的学生比不觉得自己超重的学生更愿意使用校内诊所获取营养信息。目前有性行为的学生也比没有性行为的学生更愿意（p≤0.001）使用诊所获取性健康信息和性传播疾病筛查服务。然而，使用毒品、酒精或香烟的受访者并不比不使用这些物质的同龄人更愿意使用诊所服务获取相关健康信息。
