Phillips S, Bohannon W, Heald F P
J Adolesc Health Care. 1986 Jul;7(4):245-9. doi: 10.1016/s0197-0070(86)80016-x.
This study was designed to assess the outcome of offering teenagers the option of being accompanied by a family member during examinations involving the genitalia. Data were collected from patients' first visits, in an 18-month-period, to an adolescent clinic serving a Black, inner-city population. Of 1358 such patients visits (73% females), 550 (40.5%) patients were accompanied to the clinic by a family member. Chi-square analysis revealed: 1) for both sexes, the youngest teenagers (age 11-13 years) were accompanied significantly more often than those aged 14-16 years, who in turn were accompanied significantly more often than the oldest group (age 17-20 years); and 2) although males tended to be accompanied more often than females, this effect was significant only for teenagers aged 14-16 years. Of the 550 accompanied patients, 207 had a genital examination and 190 of these were offered the option of having a family member present. Fifty percent of the patients accepted; there was no significant relationship between patients' age or sex and acceptance. Physicians judged the outcome of the 94 cases with family member present. Having the family member present was viewed as beneficial for the patient and/or the physician in 86% of the cases, and 13% were neutral (no benefit/no problem).
本研究旨在评估在涉及生殖器检查时为青少年提供由家庭成员陪同这一选择的结果。数据收集自一个为市中心黑人社区服务的青少年诊所18个月期间患者的首次就诊情况。在1358次此类患者就诊中（73%为女性），550名（40.5%）患者由家庭成员陪同前来诊所。卡方分析显示：1）对于男女两性而言，最年幼的青少年（11至13岁）由家庭成员陪同的比例显著高于14至16岁的青少年，而14至16岁的青少年由家庭成员陪同的比例又显著高于年龄最大的组（17至20岁）；2）尽管男性由家庭成员陪同的比例往往高于女性，但这种差异仅在14至16岁的青少年中具有统计学意义。在550名有陪同的患者中，207人接受了生殖器检查，其中190人被提供了让家庭成员在场的选择。50%的患者接受了这一选择；患者的年龄或性别与接受与否之间没有显著关系。医生对94例有家庭成员在场的病例的结果进行了评判。在86%的病例中，家庭成员在场被认为对患者和/或医生有益，13%为中性（无益处/无问题）。
