Fleming G V, O'Connor K G, Sanders J M
Department of Research, American Academy of Pediatrics, Elk Grove Village, IL 60009-0927.
J Adolesc Health. 1994 Sep;15(6):473-8. doi: 10.1016/1054-139x(94)90494-n.
The American Academy of Pediatrics (AAP) carried out a member survey to measure pediatricians' views of parental permission and notification for selected health services for two age groups of adolescents, the 13 to 15 year olds and the 16 to 17 year olds.
Through an AAP Periodic Survey, a sample of 1000 members of the AAP were sent questionnaires to fill out and return. The response rate was 77%.
The majority of pediatricians in all groups examined believed parental permission and notification were important for general medical and surgical care. But for most other types of care delineated, related to substance abuse and sexuality, most pediatricians did not believe parental permission should be required, except for requests for abortion for 13-15 year olds. For several types of care most pediatricians believed parental notification should be required for 13-15 year olds. Older pediatricians, male pediatricians, and self-employed pediatricians were more apt to support both parental permission and notification for all types of care. When age, gender and self versus not self-employed were introduced together through a logistic regression procedure differences in views were accounted for by self versus not self-employed, and age and gender had no additional impact.
Most pediatricians supported the right of minors to seek care without parental permission for care related to substance abuse and sexuality. The majority were less likely to grant confidentiality to adolescents, particularly those 13 to 15 years.
美国儿科学会（AAP）开展了一项会员调查，以了解儿科医生对于为两个年龄段青少年（13至15岁和16至17岁）提供特定健康服务时家长许可和通知的看法。
通过AAP定期调查，向1000名AAP会员发送问卷以供填写并返还。回复率为77%。
在所有接受调查的组中，大多数儿科医生认为家长许可和通知对于一般医疗和外科护理很重要。但对于所划定的大多数其他类型的护理，与药物滥用和性行为相关的，除了13至15岁青少年的堕胎请求外，大多数儿科医生认为不应要求家长许可。对于几种类型的护理，大多数儿科医生认为13至15岁青少年应通知家长。年长的儿科医生、男性儿科医生和个体经营的儿科医生更倾向于支持对所有类型护理都要求家长许可和通知。当通过逻辑回归程序同时引入年龄、性别以及是否为个体经营时，观点差异由是否为个体经营来解释，年龄和性别没有额外影响。
大多数儿科医生支持未成年人在寻求与药物滥用和性行为相关护理时无需家长许可的权利。大多数人不太可能给予青少年保密权，尤其是13至15岁的青少年。
