| dc.contributor | 政大財政系 | en_US |
| dc.creator (作者) | Li-Fang Chou;Hsiao-Yun Yeh;Yu-Chun Chen;Irene Su;Hsiang-Tai Chao;Tzeng-Ji Chen;Shinn-Jang Hwang | en_US |
| dc.date (日期) | 2010-03 | en_US |
| dc.date.accessioned | 26-Aug-2013 16:10:27 (UTC+8) | - |
| dc.date.available | 26-Aug-2013 16:10:27 (UTC+8) | - |
| dc.date.issued (上傳時間) | 26-Aug-2013 16:10:27 (UTC+8) | - |
| dc.identifier.uri (URI) | http://nccur.lib.nccu.edu.tw/handle/140.119/59137 | - |
| dc.description.abstract (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] | - |
| dc.language.iso | en_US | - |
| dc.relation (關聯) | Journal of the Chinese Medical Association, 73(3), 144-149 | en_US |
| dc.subject (關鍵詞) | adolescent;national health programs;obstetrics/gynecology;Taiwan | en_US |
| dc.title (題名) | Pattern and consequences of first visits to obstetricians/gynecologists by adolescents: a nationwide study in Taiwan | en_US |
| dc.type (資料類型) | article | en |
| dc.identifier.doi (DOI) | 10.1016/S1726-4901(10)70029-0 | en_US |
| dc.doi.uri (DOI) | http://dx.doi.org/10.1016/S1726-4901(10)70029-0 | en_US |
