Joffe A, Radius S, Gall M
Johns Hopkins University Student Health Clinic, Baltimore, Maryland.
Pediatrics. 1988 Sep;82(3 Pt 2):481-5.
To determine the extent of health counseling received by college freshmen from their primary health care providers, 362 students answered questions regarding 15 health topics. Internists provided more counseling than pediatricians and family/general practitioners about smoking and alcohol use, more than pediatricians about drug use and heart disease prevention, and more than family/general practitioners about weight control and nutrition. Pediatricians exceeded family/general practitioners in counseling about weight control and nutrition but did not exceed internists in any areas. For 11 of 15 topics, more than 75% of students reported receiving no counseling. Women were counseled for stress and contraception more frequently than men. Overall, topics most often discussed by physicians were exercise, nutrition, and breast self-examination. The topics most frequently requested by students were exercise, stress (women), depression, weight control (women) and sexually transmitted diseases (men). These data suggest that adolescents receive little health counseling from personal physicians, especially regarding topics leading to great morbidity and mortality for this age group. Pediatricians, especially, must increase the extent of counseling if they are to meet the American Academy of Pediatrics' goal of providing care to adolescents and young adults.
为了确定大学新生从其初级医疗保健提供者那里获得的健康咨询程度，362名学生回答了有关15个健康主题的问题。在内科医生就吸烟和饮酒提供的咨询比儿科医生和家庭/全科医生更多，就药物使用和心脏病预防提供的咨询比儿科医生更多，就体重控制和营养提供的咨询比家庭/全科医生更多。儿科医生在体重控制和营养咨询方面超过了家庭/全科医生，但在任何领域都未超过内科医生。对于15个主题中的11个，超过75%的学生报告未接受任何咨询。女性比男性更频繁地接受关于压力和避孕的咨询。总体而言，医生最常讨论的主题是运动、营养和乳房自我检查。学生最常要求的主题是运动、压力（女性）、抑郁、体重控制（女性）和性传播疾病（男性）。这些数据表明，青少年从私人医生那里获得的健康咨询很少，尤其是关于对该年龄组导致高发病率和死亡率的主题。特别是儿科医生，如果要实现美国儿科学会为青少年和年轻人提供护理的目标，就必须增加咨询的范围。
