Phillips S, Friedman S B, Seidenberg M, Heald F P
Pediatrics. 1981 Nov;68(5):665-9.
During physical examination that include the genitalia, teenagers are typically separated from their parents and females are provided with a chaperone. To assess teenagers' attitudes regarding this practice, 140 females and 60 males awaiting treatment in a general adolescent clinic were asked their opinion about a physical examination that include the genitalia. Teenagers indicated whether they would want to be accompanied during the examination, and by whom, as a function of the hypothetical clinical situation that varied the sex and familiarity of the physician. Choices reflected teenagers' age and sex, rather than physician characteristics. Young males and females strongly preferred to be accompanied, generally by a family member. With increasing age, males preferred to be alone with the physician whereas females preferred to be accompanied. Regardless of sex and age, virtually none chose the company of peers. Despite strong development differences, however, there also were pronounced individual differences among teenagers of the same age. Our results suggest that service delivery be adapted to the particular preference expressed by individual teenagers. Needs assessment for adolescent programs may best be achieved by conducting similar surveys in local clinical settings.
在包括生殖器检查在内的体格检查过程中，青少年通常会与父母分开，女性会有一位陪诊人员。为了评估青少年对这种做法的态度，在一家普通青少年诊所等待治疗的140名女性和60名男性被问及他们对包括生殖器检查在内的体格检查的看法。青少年要表明在检查过程中他们是否希望有人陪同，以及希望谁陪同，这取决于假设的临床情况，该情况会改变医生的性别和熟悉程度。选择反映了青少年的年龄和性别，而非医生的特征。年轻男性和女性强烈倾向于有人陪同，通常是家庭成员。随着年龄增长，男性更倾向于与医生单独相处，而女性则更希望有人陪同。无论性别和年龄如何，几乎没有人选择同伴陪同。然而，尽管存在明显的发育差异，但同龄青少年之间也存在显著的个体差异。我们的结果表明，服务提供应适应个别青少年表达的特定偏好。通过在当地临床环境中进行类似调查，或许能最好地实现对青少年项目的需求评估。
