Wilson S, Daniel S, Pearson J, Hopton C, Madeley R
Department of Public Health, University of Nottingham, University Hospital, UK.
Contraception. 1994 Jul;50(1):77-86. doi: 10.1016/0010-7824(94)90082-5.
A new contraceptive clinic for teenagers was developed in the centre of Nottingham from 1987 to 1992 and provided care for over 1500 young people in its first three years. Twenty-five percent of clients were aged 16 years and 32% aged 15 or younger. Sixty-seven percent were in full-time education and young unemployed people were under-represented. The majority were young women, who came for routine contraception, usually the oral contraceptive or condom. Seventeen percent came for emergency contraception and 8% for abortion counselling and referral. Over the period 1986 to 1992, data on conceptions for teenage women and women aged over 20 years, who were resident in Nottingham Health district, were compared and when corrected for the estimated population showed that there had been no reduction in teenage conception rates; reasons for this are discussed. The value of conception rates as a measure of quality of sexual health care for teenagers is questioned and other more qualitative methods suggested.
1987年至1992年期间，在诺丁汉市中心开设了一家新的青少年避孕诊所，该诊所在开业的头三年为1500多名年轻人提供了护理服务。25%的服务对象年龄为16岁，32%的年龄为15岁或更小。67%的人接受全日制教育，年轻失业者的比例较低。大多数是年轻女性，她们前来寻求常规避孕措施，通常是口服避孕药或避孕套。17%的人前来寻求紧急避孕，8%的人前来咨询堕胎事宜并寻求转诊。在1986年至1992年期间，对居住在诺丁汉健康区的青少年女性和20岁以上女性的怀孕数据进行了比较，经校正估计人口后发现青少年怀孕率没有下降；文中讨论了出现这种情况的原因。文中对怀孕率作为衡量青少年性健康护理质量指标的价值提出了质疑，并提出了其他更具定性的方法。
