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[目的]探讨青少年发育过程中的自感生理健康问题及对卫生服务的需求。[方法]对上海市嘉定区1 555名10~18岁青少年和1 482名家长进行有关学生自感生理卫生状况以及卫生服务需求的调查。[结果]1年内经常遇到的身体问题自我报告率为77.8%;青春发育期性征改变的困惑发生率为51.7%;有生殖系统疾病症状的自感发生率为16.9%;青春发育时相自我评价明显过早或过迟的发生率为5.3%;学生面对这些生殖健康问题时积极求助率不高。[结论]青少年的保健服务需求是多方面的,不同特征群体的需求也存在很大不同。医疗保健机构应提供及时有效的青少年保健服务,并在实践中不断完善。
[Objective] To explore the self-induced physical health problems and the demand for health services during adolescent development. [Methods] A total of 1 555 adolescents aged 10-18 years and 1 482 parents in Jiading District of Shanghai were surveyed about their self-induced physiological and hygienic conditions and their demand for health services. [Results] The self-reported rate of body problems frequently encountered in one year was 77.8%; the rate of confusion in the changes of sexual characteristics during puberty was 51.7%; the incidence of self-reported symptoms of reproductive system diseases was 16.9% The prevalence of premature or late self-evaluation was 5.3%. Students actively seeking assistance in the face of these reproductive health problems were not high. [Conclusion] There are many needs for adolescent health service, and the demand of different characteristic groups is quite different. Health care institutions should provide timely and effective youth health services and keep improving them in practice.