Marks A, Malizio J, Hoch J, Brody R, Fisher M
J Pediatr. 1983 Mar;102(3):456-60. doi: 10.1016/s0022-3476(83)80677-5.
We investigated whether adolescents living in a middle-class suburb believed that their health needs were being met, and the extent to which they were willing to utilize local health care resources for a range of problems. Self-administered, anonymous questionnaires were completed by 649 students in grades 9 through 12. The mean age of respondents was 15.4 years; 52% were female, and 95% white. They had ready access to medical care: 90% used a specific private physician. From a list of 15 health problems, 60% indicated that they had seen a health provider for at least one of them, most often for stomach pains (22%), headaches (18%), and coughing (16%). From an identical list, 48% indicated that there was at least one problem for which they had never seen a health provider but would like to, most often for a weight problem (14%), birth control (10%), and emotional upset (9%). Although 20% regularly used illegal drugs, 24% were sexually active, and 38% thought they had a weight problem, only 1%, 4%, and 10%, respectively, had sought care for these matters. A majority of students would not choose to go to a private physician for care related to sexuality, substance abuse, or emotional upset, and would not be willing to seek care for these problems with their parents' knowledge. Ready access to private primary care did not assure attention to important health needs among these suburban adolescents.
我们调查了生活在中产阶级郊区的青少年是否认为他们的健康需求得到了满足，以及他们在遇到一系列问题时愿意利用当地医疗资源的程度。649名9至12年级的学生完成了自行填写的匿名问卷。受访者的平均年龄为15.4岁；52%为女性，95%为白人。他们能够方便地获得医疗服务：90%的人有特定的私人医生。在15种健康问题中，60%的人表示他们至少因为其中一种问题看过医疗服务提供者，最常见的是胃痛（22%）、头痛（18%）和咳嗽（16%）。在同样的问题列表中，48%的人表示至少有一个问题他们从未看过医疗服务提供者但希望去看，最常见的是体重问题（14%）、节育（10%）和情绪困扰（9%）。尽管20%的人经常使用非法药物，24%的人性活跃，38%的人认为自己有体重问题，但分别只有1%、4%和10%的人就这些问题寻求过治疗。大多数学生不会选择去私人医生那里治疗与性、药物滥用或情绪困扰相关的问题，也不愿意在父母知情的情况下寻求这些问题的治疗。能够方便地获得私人初级医疗服务并不能确保这些郊区青少年的重要健康需求得到关注。
