Dating aggression and risk behaviors among teenage girls seeking gynecologic care.
Dating aggression and risk behaviors among teenage girls seeking gynecologic care.
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寻求妇科护理的少女中的约会攻击和危险行为。
DOI：
10.1111/j.1553-2712.2009.00426.x
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Cunningham,RebeccaM
中科院分区：
文献类型：
--
作者：
Whiteside,LaurenK;Walton,MaureenA;Stanley,Rachel;Resko,StellaM;Chermack,SteveT;Zimmerman,MarcA;Cunningham,RebeccaM
目的：目的是描述与其他原因寻求护理的青少年相比，在急诊科（艾德）寻求妇科护理的青少年中约会攻击和相关高危行为的发生率。方法：在 一家大型城市教学医院的19个月期间，在下午/晚上轮班期间到艾德就诊的14-18岁女性患者参与并完成了一项关于性风险行为、过去一年饮酒、约会攻击、和同伴攻击Logistic回归分析，以确定相关因素的评价妇科投诉所指出的完成盆腔examination.Results：共949名青少年（87%的响应率），148接受妇科评价。在接受妇科评估的女孩中，49%的人报告了过去一年的约会攻击，而没有接受妇科评估的女孩中有34%（比值比[OR]= 1.81，95%置信区间[CI]= 1.30至2.62）。 Logistic回归分析预测妇科评估发现有统计学意义的变量是年龄较大（OR = 1.95，95%CI = 1.24至3.06），非洲裔美国人（OR = 1.58，95%CI = 1.04至2.40），父母的公共援助（OR = 1.64，95%CI = 1.10至2.45），饮酒（OR = 2.31，95%CI = 1.57至3.38），和约会侵略（OR = 1.51，95%CI = 1.03至2.21）结论：在这个城市艾德进行妇科评估的青少年中，49%报告约会侵略。 与同龄人相比，这些青少年还报告了更高的其他性风险行为率。在城市急诊室治疗所有女性青少年，特别是那些寻求妇科护理的护理提供者应该意识到这种高比率的约会侵略和屏幕侵略在这个高风险群体的约会关系。
Objectives:The objective was to describe rates of dating aggression and related high‐risk behavior among teens presenting to the emergency department (ED) seeking gynecologic care, compared to those seeking care for other reasons.Methods:Female patients ages 14–18 years presenting to the ED during the afternoon/evening shift of a large urban teaching hospital over a 19‐month period were approached to participate and completed a self‐administered computerized survey regarding sexual risk behaviors, past‐year alcohol use, dating aggression, and peer aggression. Logistic regression analysis was used to identify factors associated with the evaluation of gynecologic complaint as noted by completion of a pelvic exam.Results:A total of 949 teens were enrolled (87% response rate), with 148 receiving gynecologic evaluation. Among girls undergoing a gynecologic evaluation, 49% reported past‐year dating aggression, compared to 34% of those who did not undergo gynecologic evaluation (odds ratio [OR] = 1.81, 95% confidence interval [CI] = 1.30 to 2.62). Logistic regression analysis predicting gynecologic evaluation found statistically significant variables to be older age (OR = 1.95, 95% CI = 1.24 to 3.06), African American race (OR = 1.58, 95% CI = 1.04 to 2.40), parental public assistance (OR = 1.64, 95% CI = 1.10 to 2.45), alcohol use (OR = 2.31, 95% CI = 1.57 to 3.38), and dating aggression (OR = 1.51, 95% CI = 1.03 to 2.21).Conclusions:Of the teens undergoing gynecologic evaluation in this urban ED, 49% reported dating aggression. These teens also reported higher rates of other sexual risk behaviors compared to their peers. Care providers in urban EDs treating all female teens and particularly those seeking gynecologic care should be aware of this high rate of dating aggression and screen for aggression in dating relationships in this high‐risk group.
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