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首页> 外文期刊>Journal of the Canadian Academy of Child and Adolescent Psychiatry >Sexual Health of Adolescent Patients Admitted to a Psychiatric Unit
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Sexual Health of Adolescent Patients Admitted to a Psychiatric Unit

机译：进入精神科的青春期患者的性健康

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Objective To review sexual health screening practices during admission to an adolescent psychiatry unit. Method Retrospective chart review of randomly selected youth admitted over a one-year period (2013). Data extracted included demographics, reasons for admission, sexual health history, as well as any comorbid behaviours noted. The main outcome measure was whether sexual health details were documented at any time during admission; if so, this information was extracted for analysis. Statistical analysis was done using univariate associations and logistic association. Results Mean age of subjects (n=99, 79 females and 20 males) was 15.24 years (SD = 1.30). Most common reasons for admission were suicidal gestures/self harm (n=57, 58%) and mood disorders (n=53, 54%). Thirty-seven patients (37%) had sexual health information documented in their charts. No demographic variables were significantly associated with being asked sexual health questions. Patients who had mood disorder diagnoses had 6 times the odds (95%CI: 1.18 to 29.96, P=0.03) of sexual health questions being documented compared to those not diagnosed with mood disorders. Conclusions Screening for sexual health concerns is not being documented in the majority of adolescent psychiatry inpatients. Omitting sexual health screening during hospitalizations represents a missed opportunity for investigation and management of sexual health issues in this high-risk group. As many adolescents, particular those struggling with mental illness, do not attend preventative health visits, screening for pregnancy risk and other reproductive health needs is recommended at every adolescent encounter and in all settings.
机译：目的回顾青少年精神病科入院期间的性健康筛查实践。方法回顾性图表审查了一年（2013年）期间随机入院的青年。提取的数据包括人口统计资料，入院原因，性健康史以及记录的任何共病行为。主要结果指标是入院期间是否随时记录性健康细节;如果是这样，则提取此信息以进行分析。使用单变量关联和逻辑关联进行统计分析。结果受试者的平均年龄（n = 99，女性79位，男性20位）为15.24岁（SD = 1.30）。入院的最常见原因是自杀手势/自我伤害（n = 57，58％）和情绪障碍（n = 53，54％）。 37名患者（37％）的图表中记录了性健康信息。没有人口统计学变量与性健康问题显着相关。与没有诊断出情绪障碍的患者相比，记录有情绪障碍的患者发生性健康问题的几率（95％CI：1.18至29.96，P = 0.03）是其六倍。结论多数青少年精神病住院患者没有筛查性健康问题。在这一高风险人群中，住院期间省略性健康检查是错过的机会，无法对性健康问题进行调查和管理。由于许多青少年，特别是那些患有精神疾病的青少年，不参加预防性健康检查，因此建议在每次青少年接触期间和所有环境中筛查怀孕风险和其他生殖健康需求。

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