Hawley L E, Shear C L, Stark A M, Goodman P R
J Fam Pract. 1984 Nov;19(5):651-5.
This cross-sectional survey of a low socioeconomic patient group was designed to determine the prevalence and severity of parentally perceived behavioral problems in adolescents as well as to investigate the correlation between such problems and single parenting, family communications, and medical care delivered. The sample population consisted of 79 parents and 121 teenagers selected from a family practice center. The medical record and telephone interview were the sources of information. Results include a parental perception of a high prevalence of problems with school grades (48 percent), school attendance (38 percent), and household problems (chores and sibling rivalry). Of low prevalence but high severity were perceived problems related to suicidal ideation, running away, sexual activity, and gang membership. Single-parent homes had a threefold higher incidence of behavioral problems, a greater degree of communication, and a lower use of community resources than two-parent families. None of the approximately 400 perceived behavioral problems listed by parents was found in the family physicians' master problem list. The results indicate the need for physician education of low socioeconomic and single-parent patients with regard to communication and coping style. In addition, it appears that training programs should provide more education in the care of adolescents.
这项针对低社会经济地位患者群体的横断面调查旨在确定父母所察觉到的青少年行为问题的患病率和严重程度，并调查此类问题与单亲家庭、家庭沟通及所提供医疗服务之间的相关性。样本群体由从一家家庭医疗中心选取的79名家长和121名青少年组成。医疗记录和电话访谈为信息来源。结果包括家长认为在学业成绩（48%）、上学出勤率（38%）及家庭问题（家务和兄弟姐妹竞争）方面存在问题的比例较高。与自杀意念、离家出走、性行为及帮派成员身份相关的问题虽患病率较低，但严重程度较高。单亲家庭中行为问题的发生率比双亲家庭高三倍，沟通程度更高，社区资源利用率更低。家长列出的约400个察觉到的行为问题在家庭医生的主要问题清单中均未出现。结果表明，有必要就沟通和应对方式对低社会经济地位及单亲患者的医生进行培训。此外，培训项目似乎应在青少年护理方面提供更多教育。
