Effect of mandatory parental notification on adolescent girls' use of sexual health care services
Effect of mandatory parental notification on adolescent girls' use of sexual health care services
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DOI：
10.1001/jama.288.6.710
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发表时间：
2002-08-14
影响因子：
120.7
通讯作者：
Swain, C
中科院分区：
文献类型：
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作者：
Reddy, DM;Fleming, R;Swain, C
在此背景下，要求青少年获得处方避孕药具的父母强制通知是一个有争议的问题。最近，10个州和美国国会出台了禁止青少年在没有父母参与的情况下使用处方避孕药的立法。目的确定强制父母通知处方避孕药对青春期女孩使用性健康保健服务的影响。1999年春季，对威斯康星州33个计划生育诊所(n=1118)的18岁以下寻求计划生育服务的女孩进行了调查。结果59%(n=556)的女孩表示，如果她们的父母被告知她们正在寻求处方避孕药具，她们将停止使用性保健服务，延迟检测或治疗人类免疫缺陷病毒(HIV)或其他性传播疾病(STDS)，或停止使用特定(但不是所有)服务。11%的人表示，他们将停止或推迟性病检测或治疗，尽管调查明确，强制父母通知只会发生在处方避孕药具上。对不同年龄、不同种族、不同城市和乡村诊所的女孩进行的分析表明，尽管17岁的女孩和非裔美国人女孩明显不太可能在强制父母通知的情况下停止使用性保健服务，但大约有一半的17岁女孩(56%)和非裔美国女孩(49%)表示他们将停止使用性保健服务，推迟艾滋病毒或其他性传播疾病的检测或治疗，或者停止使用特定(但不是所有)服务的强制父母通知。结论强制父母通知处方避孕药具会阻碍女孩使用性保健服务，潜在地增加青少年怀孕和性病的传播。
Context Mandatory parental notification for adolescents to obtain prescribed contraceptives is a controversial issue. Recently, legislation that would prohibit prescribed contraceptives for adolescents without parental involvement was introduced in 10 states and the US Congress.Objective To determine the effect of mandatory parental notification for prescribed contraceptives on use of sexual health care services by adolescent girls.Design, Setting, and Participants Girls younger than 18 years and seeking services at all 33 Planned Parenthood family planning clinics in Wisconsin (n=1118) were surveyed during the spring of 1999. A response rate of 85% was achieved, yielding a sample of 950 girls.Main Outcome Measures Percentages of girls who reported that they would stop using all sexual health care services, delay testing or treatment for human immunodeficiency virus (HIV) or other sexually transmitted diseases (STDs), or discontinue using specific (but not all) services because of parental notification.Results Fifty-nine percent (n=556) indicated they would stop using all sexual health care services, delay testing or treatment for HIV or other STDs, or discontinue use of specific (but not all) sexual health care services if their parents were informed that they were seeking prescribed contraceptives. Eleven percent indicated they would discontinue or delay STD tests or treatment, even though the survey made it clear that mandatory parental notification would occur only for prescribed contraceptives. Analyses comparing girls of different ages and races and from urban vs rural clinics showed that, although the 17-year-olds and African American girls were significantly less likely to stop using sexual health care services with mandatory parental notification, roughly half of the 17-year-olds (56%) and African American girls (49%) indicated that they would stop using all sexual health care services, delay testing or treatment for HIV or other STDs, or discontinue use of specific (but not all) services with mandatory parental notification.Conclusion Mandatory parental notification for prescribed contraceptives would impede girls' use of sexual health care services, potentially increasing teen pregnancies and the spread of STDs.