扩大青少年获得避孕的机会 - - 利用儿科急诊室的优势
Cynthia Mollen1, Tara Ketterer2, Jungwon Min2
1Division of Emergency Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
概括
紧急部门 (ED) 的避孕咨询对青少年来说是可行的. 许多青少年打算使用避孕措施,三分之一的人开始使用,突出了ED.
科学领域:
- 青少年的性健康 青少年的性健康
- 公共卫生干预措施 公共卫生干预措施
- 紧急医疗 紧急医疗
背景情况:
- 青少年在获得性健康护理方面面临重大障碍.
- 紧急诊所 (ED) 代表了一些青少年的关键,通常是唯一的护理点.
- 将生殖健康服务纳入ED环境对这一群体至关重要.
研究的目的:
- 评估基于ED的避孕咨询干预措施的可行性.
- 为了评估青少年开始避孕的意图.
- 为了确定开始避孕和随访完成率.
主要方法:
- 在两个城市儿科学术医疗中心进行前性队列研究.
- 培训先进实践提供者提供简短的避孕咨询.
- 招募15-18岁的女性,通过调查评估意图,通过记录和调查开始/完成8周.
主要成果:
- 96名青少年接受了辅导,61%的青少年打算开始避孕.
- 打算开始的参与者年龄较大,更有可能以前使用过避孕药.
- 三分之一 (33%) 在ED或访问后开始避孕.
结论:
- 基于ED的避孕咨询是可行的,可以整合到例行访问中.
- 很大一部分青少年表达了使用避孕的意图,许多人开始使用.
- 建议在这种新的环境中扩大受过培训的提供者和同日启动支持.
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