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    題名: Pattern and consequences of first visits to obstetricians/gynecologists by adolescents: a nationwide study in Taiwan
    作者: Li-Fang Chou;Hsiao-Yun Yeh;Yu-Chun Chen;Irene Su;Hsiang-Tai Chao;Tzeng-Ji Chen;Shinn-Jang Hwang
    貢獻者: 政大財政系
    關鍵詞: adolescent;national health programs;obstetrics/gynecology;Taiwan
    日期: 2010-03
    上傳時間: 2013-08-26 16:10:27 (UTC+8)
    摘要: Background: Some adolescents have special health care needs. Privacy concerns, unawareness or ethnical/cultural factors are barriers to women visiting obstetricians/gynecologists (OB/GYNs). The utilization of OB/GYN services by adolescent girls is seldom reported. The aim of this study was to investigate the pattern and consequences of first visits to OB/GYNs by adolescent girls within the National Health Insurance in Taiwan. Methods: From the 1-million cohort dataset of the National Health Insurance Research Database spanning from 1996 to 2007, adolescent girls visiting OB/GYNs for the first time were identified. The characteristics of first visits were analyzed. Their follow-up visits and admissions within 1 year after their first visits to OB/GYNs were traced. Results: In 2006, only 5.8% (n=2,682) of 46,582 adolescent girls in our study cohort had their first visits to OB/GYNs:46.7% with diagnoses of menstrual disorders and 14.8% with diagnoses related to inflammatory or infectious diseases of the genitalrgans. The examination most frequently ordered was pregnancy test (for 19.9% of these first visits). Very few (0.4%) first visits were for preventive services. Among the infrequent admissions (85 admissions of 75 girls) toobstetric/gynecology wards within 1 year after first visits, the majority (74 of 85 admissions) were pregnancy-related. Conclusion: The leading motivating factor for first visits to OB/GYNs by adolescent girls was menstrual disorders. The
    majority of subsequent admissions were pregnancy-related, indicating that adolescent pregnancy deserves further attention. [J Chin Med Assoc 2010;73(3):144–149]
    關聯: Journal of the Chinese Medical Association, 73(3), 144-149
    資料類型: article
    DOI 連結: http://dx.doi.org/10.1016/S1726-4901(10)70029-0
    DOI: 10.1016/S1726-4901(10)70029-0
    顯示於類別:[財政學系] 期刊論文

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