Pattern and consequences of first visits to obstetricians/gynecologists by adolescents

• Verfasst von: Yeh, Hsiao-Yun [VerfasserIn]
• Verfasst von: Chen, Yu-Chun [VerfasserIn]
• Verfasst von: Su, Irene [VerfasserIn]
• Verfasst von: Chou, Li-Fang [VerfasserIn]
• Verfasst von: Chao, Hsiang-Tai [VerfasserIn]
• Verfasst von: Chen, Tzeng-Ji [VerfasserIn]
• Verfasst von: Hwang, Shinn-Jang [VerfasserIn]
• Titel: Pattern and consequences of first visits to obstetricians/gynecologists by adolescents
• Titelzusatz: a nationwide study in Taiwan
• Verf.angabe: Hsiao-Yun Yeh, Yu-Chun Chen, Irene Su, Li-Fang Chou, Hsiang-Tai Chao, Tzeng-Ji Chen, Shinn-Jang Hwang
• E-Jahr: 2010
• Jahr: March 2010
• Umfang: 6 S.
• Fussnoten: Gesehen am 31.05.2024
• Titel Quelle: Enthalten in: Zhonghua yi xue hui (China)Journal of the Chinese Medical Association
• Ort Quelle: Alphen aan den Rijn : Wolters Kluwer, 2005
• Jahr Quelle: 2010
• Band/Heft Quelle: 73(2010), 3 vom: März, Seite 144-149
• ISSN Quelle: 1728-7731
• DOI: doi:10.1016/S1726-4901(10)70029-0
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1890437964

Abstract

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 genital organs. 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) to obstetric/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.