Rawitscher L A, Saitz R, Friedman L S
New England Deaconess Hospital, Harvard Medical School, Boston, MA, USA.
Pediatrics. 1995 Jul;96(1 Pt 1):52-8.
To assess adolescents' preferences regarding human immunodeficiency virus (HIV)-related physician counseling and HIV testing.
Anonymous, self-report survey.
Metropolitan Boston public schools.
Students in 9th and 12th grade from 10 schools.
Of the 845 students (99%) who completed the survey, 53% were female, 50% seniors, and 76% white. Although 86% had regular physicians, only 27% reported ever discussing HIV with a physician. The majority wanted a physician to give them information about sexually transmitted diseases (82%), condoms (73%), sex (70%), safe sex (80%), and HIV (85%). Most wanted physicians to ask about personal experiences with sexually transmitted diseases (64%), condoms (59%), safe sex (67%), and HIV (72%). Seniors, students with female physicians, and students who had previously discussed sex with physicians were significantly more likely to want physicians to ask personal questions about HIV-related risk behaviors. Most, however, felt uncomfortable initiating a discussion about safe sex (59%), condoms (67%), sex (69%), and homosexuality (78%). More students preferred to speak with physicians (36%) than with family members (16%) or teachers (2%) about their personal risk of acquiring HIV, although 32% preferred to speak with friends. More preferred to be tested for HIV by someone who did not know them (40%) than by someone who did (32%). When asked about specific testing sites, 25% preferred a place that does only HIV testing, and 22% preferred their regular physicians' offices.
Adolescents want physicians to give them information and to ask personal questions about HIV and HIV-related risk behaviors, and they prefer that the physicians initiate the discussion. Although they have no clear preference for testing sites, many teenagers prefer to be tested by someone who does not know them.
评估青少年对人类免疫缺陷病毒（HIV）相关医生咨询及HIV检测的偏好。
匿名的自我报告调查。
波士顿大都会区的公立学校。
来自10所学校的9年级和12年级学生。
在完成调查的845名学生（99%）中，53%为女性，50%为高年级学生，76%为白人。尽管86%的学生有固定的医生，但只有27%的学生报告曾与医生讨论过HIV相关问题。大多数学生希望医生为他们提供有关性传播疾病（82%）、避孕套（73%）、性行为（70%）、安全性行为（80%）和HIV（85%）的信息。大多数学生希望医生询问他们性传播疾病（64%）、避孕套（59%）、安全性行为（67%）和HIV（72%）的个人经历。高年级学生、有女医生的学生以及之前与医生讨论过性行为的学生更有可能希望医生询问有关HIV相关风险行为的个人问题。然而，大多数学生对于发起关于安全性行为（59%）、避孕套（67%）、性行为（69%）和同性恋（78%）的讨论感到不自在。比起与家人（16%）或老师（2%）讨论感染HIV的个人风险，更多学生更愿意与医生（36%）交谈，不过32%的学生更愿意与朋友交谈。比起由认识他们的人进行HIV检测（32%），更多学生更愿意由不认识他们的人进行检测（40%）。当被问及具体的检测地点时，25%的学生更喜欢只进行HIV检测的地方，22%的学生更喜欢他们固定医生的办公室。
青少年希望医生为他们提供信息，并询问有关HIV及HIV相关风险行为的个人问题，且他们更希望由医生发起讨论。尽管他们对检测地点没有明确偏好，但许多青少年更愿意由不认识他们的人进行检测。
