提供者与青少年单独相处时间的使用：按健康问题的差异。
Provider Use of Time Alone With Adolescents: Differences by Health Concern.
机构信息
Division of Adolescent Medicine, Seattle Children's Hospital, Seattle, Washington.
Division of Adolescent Medicine, Seattle Children's Hospital, Seattle, Washington.
出版信息
J Adolesc Health. 2022 Oct;71(4):508-511. doi: 10.1016/j.jadohealth.2022.05.021. Epub 2022 Jun 29.
PURPOSE
To examine associations between reports of sensitive health behaviors and the provision of time alone by a clinician during adolescent well visits.
METHODS
Data were collected from 547 adolescents who completed a well visit at one of eight clinics. Adjusted mixed logistic regression was used to examine whether reports of sexual behavior, substance use, disordered eating, mental health concerns, and demographic characteristics were associated with time alone.
RESULTS
Sexual behavior was found to be significantly associated with time alone, while substance use, disordered eating, a positive depression screen, and suicidal ideation were not. Older adolescents and males were more likely to report time alone, while race/ethnicity had no association with time alone.
DISCUSSION
Clinicians may be prioritizing time alone for behavioral concerns differently than for other sensitive behaviors.
目的
研究青少年就诊时报告敏感健康行为与临床医生单独相处时间之间的关联。
方法
从在八家诊所之一接受就诊的 547 名青少年那里收集数据。采用调整后的混合逻辑回归来检验性行为、药物使用、饮食失调、心理健康问题以及人口统计学特征的报告是否与单独相处时间有关。
结果
性行为与单独相处时间显著相关，而药物使用、饮食失调、抑郁筛查阳性和自杀意念则没有。年龄较大的青少年和男性更有可能报告单独相处时间，而种族/民族与单独相处时间没有关联。
讨论
临床医生可能会根据不同的行为问题，对单独相处时间的重视程度有所不同，而不仅仅是敏感行为。
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