To document the rates of STD/HIV preventive services delivered to adolescents by primary care physicians in California, and to identify variation owing to physician and practice-related factors.
A stratified random sample of California internists, family physicians, obstetrician-gynecologists, and pediatricians was drawn from the AMA Masterfile and surveyed by mail about their practices with regard to STD/HIV prevention for 15-18-year-old adolescent patients.
Sixty percent of eligible physicians responded ; the final sample was 1217 physicians.
Results showed that 40% of physicians reported screening all of their adolescent patients for sexual activity and 31% reported educating all of their adolescent patients about STD/HIV transmission.
For their sexually active adolescent patients, 36% of physicians always provided STD/HIV education, 17% always screened for number of previous sexual partners ; 12% always screened for sexual orientation ; and 10% always screened for frequency of casual sex.
Four percent of the physicians reported that they always provided condoms for their sexually active adolescent patients ; 81% never provided condoms.
Higher levels of preventive services delivery were associated with female physician gender, specialization in obstetrics-gynecology, and more recent date of medical school graduation. (...)
Mots-clés Pascal : Soin santé primaire, Prévention, Service santé, Maladie sexuellement transmissible, Pratique professionnelle, Médecin, SIDA, Virose, Infection, Education sanitaire, Comportement sexuel, Condom, Adolescent, Homme, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : Primary health care, Prevention, Health service, Sexually transmitted disease, Professional practice, Physician, AIDS, Viral disease, Infection, Health education, Sexual behavior, Condom, Adolescent, Human, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0481532
Code Inist : 002B30A03B. Création : 10/04/1997.