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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Office-Based Care for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth
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Office-Based Care for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth

机译：女同性恋，男同性恋，双性恋，变性者和质疑青少年的办公室式护理

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摘要

The American Academy of Pediatrics issued its last statement on homosexuality and adolescents in 2004. Although most lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth are quite resilient and emerge from adolescence as healthy adults, the effects of homophobia and heterosexism can contribute to health disparities in mental health with higher rates of depression and suicidal ideation, higher rates of substance abuse, and more sexually transmitted and HIV infections. Pediatricians should have offices that are teen-friendly and welcoming to sexual minority youth. Obtaining a comprehensive, confidential, developmentally appropriate adolescent psychosocial history allows for the discovery of strengths and assets as well as risks. Referrals for mental health or substance abuse may be warranted. Sexually active LGBTQ youth should have sexually transmitted infection/HIV testing according to recommendations of the Sexually Transmitted Diseases Treatment Guidelines of the Centers for Disease Control and Prevention based on sexual behaviors. With appropriate assistance and care, sexual minority youth should live healthy, productive lives while transitioning through adolescence and young adulthood.
机译：美国儿科学会于2004年发布了有关同性恋和青少年的最新声明。尽管大多数女同性恋，男同性恋，双性恋，变性者和询问者（LGBTQ）的年轻人都具有相当的弹性，并且在青春期以健康的成年人身份出现，但同性恋恐惧症和异性恋的影响可以抑郁症和自杀念头的发生率更高，药物滥用的发生率更高，性传播和艾滋病毒感染率更高，加剧了心理健康方面的差异。儿科医生应设有对青少年友好的办公室，并欢迎性少数年轻人。获得全面，保密，适合发展的青少年心理史，可以发现自己的长处，资产和风险。可能需要转介精神健康或药物滥用。性活跃的LGBTQ青少年应根据疾病控制和预防中心的《性传播疾病治疗指南》的建议，进行性传播感染/艾滋病毒检测。在适当的帮助和照顾下，性少数群体的青年应该过着健康，多产的生活，同时要通过青春期和成年期过渡。

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