Adolescent health care experience of gay, lesbian, and bisexual young adults

Adolescent health care experience of gay, lesbian, and bisexual young adults
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DOI:
10.1016/s1054-139x(98)00022-6
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发表时间:
1998-10-01
影响因子:
7.6
通讯作者:
Naylor, KE
Naylor, KE
中科院分区:
医学2区
文献类型:
--
作者:
Allen, LB;Glicken, AD;Naylor, KE

文献摘要

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方法:研究对象为102名18-23岁的同性恋和双性恋青年。一个保密的自我管理的调查引起人口统计信息,性取向信息,医疗保健经验,主题的理解医疗保密在14-18岁,他们的建议,以改善护理同性恋青少年.Results:三分之二的主题从未讨论过性取向与他们的供应商,但报告的愿望这样做。不到一半的受试者记得被告知他们的医疗保密权;那些报告被告知的人有三倍的可能性与他们的提供者讨论他们的性取向。超过70%的报告未被告知其医疗保密权的受试者表示,如果他们被告知,他们更有可能与他们的提供者讨论性取向。只有13名受试者向他们的卫生保健提供者透露了他们的性取向。其中,只有一半的男性获得了有关人类免疫缺陷病毒预防的信息。结论:尽管十年来有关青少年同性恋的信息不断增加,但医疗保健提供者可能未能完全解决青少年的保密和性取向问题。(C)青少年医学协会,1998年。
Methods: Subjects were 102 self-identified gay, lesbian, and bisexual youth aged 18-23 years. A confidential self-administered survey elicited demographic information, sexual orientation information, health care experiences, subjects' understanding of medical confidentiality during ages 14-18 years, and their suggestions for improving care to gay and lesbian adolescents.Results: Two-thirds of subjects never discussed sexual orientation with their provider but reported a desire to do so. Fewer than one-half of subjects remembered being informed about their right to medical confidentiality; those who reported being so informed were three times more likely to have discussed their sexual orientation with their provider. Over 70% of subjects who reported not being informed about their right to medical confidentiality stated that they would have been more likely to discuss sexual orientation with their provider had they been so informed. Only 13 of subjects had disclosed their sexual orientation to their health care providers. Of these, only half of the males received information on human immunodeficiency virus prevention.Conclusions: Health care providers may be failing to fully address issues of confidentiality and sexual orientation with adolescents, despite a decade of increased information on adolescent homosexuality. (C) Society for Adolescent Medicine, 1998.