Attitudes Toward Electronic Sexual Health Assessments Among Adolescents in the Emergency Department
Attitudes Toward Electronic Sexual Health Assessments Among Adolescents in the Emergency Department
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DOI：
10.1097/pec.0000000000001947
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发表时间：
2021-12-01
影响因子：
1.4
通讯作者：
Goyal, Monika K.
中科院分区：
文献类型：
--
作者：
Langerman, Steven D.;Badolato, Gia M.;Goyal, Monika K.
在美国，青少年占所有新诊断的性传播感染（STI）病例的近一半，他们经常通过急诊室（ED）获得医疗保健。然而，基于ED的STI筛查存在许多障碍。电子性健康评估可以克服这些ED特定的障碍。因此，本研究的目的是评估青少年对电子性健康评估的态度，以指导性病筛查在ED。方法这是一个二次分析的数据，从2个横断面研究评估的可接受性电子性健康评估在儿科ED。研究参与者完成了一份电子问卷，引起性行为信息和态度电子性健康评估。我们询问了电子健康记录，以确定是否有性史记录，如果有，我们评估了患者对评估模式的偏好。我们进行了多变量逻辑回归，以确定与接受电子性健康评估相关的人口统计学因素。结果1159名青少年调查，935（80.7%; 95%的置信区间，78.3-82.9）发现电子评估是一个可以接受的方法，通过它提供性健康信息。大多数（n = 874 [75.4%]; 72.8-77.9）报告称，电子评估优于其他评估模式。接受电子评估与性传播感染相关的主诉（调整优势比，1.7; 1.0-2.7）和私人保险（调整优势比，1.8; 1.2-2.7）相关。结论电子性健康评估是青少年可以接受的，是一种有效的替代面对面的性健康评估。未来的研究应侧重于如何最好地将电子评估纳入艾德工作流程。
Objectives Adolescents account for nearly half of all newly diagnosed sexually transmitted infection (STI) cases in the United States and frequently access health care via emergency departments (EDs). However, there are many barriers to ED-based STI screening. Electronic sexual health assessments may overcome some of these ED-specific barriers. Thus, the objective of this study was to assess adolescent attitudes toward electronic sexual health assessments to guide STI screening in the ED. Methods This was a secondary analysis of data from 2 cross-sectional studies evaluating acceptability of electronic sexual health assessments in the pediatric ED. Study participants completed an electronic questionnaire that elicited sexual behavior information and attitudes toward electronic sexual health assessments. We interrogated the electronic health record to determine if sexual histories were documented, and if so, we assessed patient preference for mode of assessment. We performed multivariable logistic regression to identify demographic factors associated with acceptance of electronic sexual health assessments. Results Of the 1159 adolescents surveyed, 935 (80.7%; 95% confidence interval, 78.3-82.9) found electronic assessments an acceptable method by which to provide sexual health information. The majority (n = 874 [75.4%]; 72.8-77.9) reported a preference for electronic assessments over other modes of assessment. Acceptance of electronic assessments was associated with STI-related chief complaint (adjusted odds ratio, 1.7; 1.0-2.7) and private insurance (adjusted odds ratio, 1.8; 1.2-2.7). Conclusions Electronic sexual health assessments are acceptable to adolescents and are an efficient alternative to face-to-face sexual health assessments. Future studies should focus on how best to integrate electronic assessments into the ED workflow.