Abstract:
STUDY OBJECTIVE:Recent data show US adolescents are engaging in sexual activity at earlier ages; however, little is known about young teens' sexual attitudes and behaviors. Examining teens' questions in sex education classes may provide insight into these attitudes and behaviors. DESIGN:Quasi cohort study SETTING:Parochial middle school sex education classes PARTICIPANTS:5(th) through 8(th) graders INTERVENTIONS:Students' anonymous written questions submitted at the outset of sex education classes between 2003 and 2005. MAIN OUTCOME MEASURES:Questions were classified into topic categories. Three additional variables were then coded for each question. Ethics/guidance questions included requests for advice or value judgments. Prohibited questions included the topics homosexuality, abortion, masturbation, and contraception. "Red flag" questions were those that suggested consideration of or engagement in sexual behavior. RESULTS:Among 473 questions submitted by 410 students, the most popular topics for 5(th)/6(th) graders were pregnancy and puberty, and for 7(th)/8(th) graders puberty and menstruation. 41 questions (8.6%) were prohibited. 29 questions (6.2%) asked about ethics/guidance. 18 questions (3.81%) were coded as red flag questions. A chi-square analysis showed that 5(th)/6(th) graders asked more questions in the ethics/guidance (8.3% versus 3.64%) and red flag question categories (5.53% versus 1.82%) (P < 0.05) than 7(th)/8(th) graders. CONCLUSIONS:Although provocative questions represent a minority of these middle students' queries, these requests suggest the urgency of providing appropriate guidance to young teens, given the risks of early sexual activity. The role of school education programs, physicians and parents in addressing questions of this sort should be considered.
journal_name
J Pediatr Adolesc Gynecoljournal_title
Journal of pediatric and adolescent gynecologyauthors
Moreno M,Breuner CC,Lozano Pdoi
10.1016/j.jpag.2008.03.005subject
Has Abstractpub_date
2008-10-01 00:00:00pages
259-64issue
5eissn
1083-3188issn
1873-4332pii
S1083-3188(08)00131-9journal_volume
21pub_type
杂志文章abstract::Background: To date, few studies have used a longitudinal approach in examining risk factors for STD acquisition in teenage girls. In the present study, we examined risk of STD acquisition in adolescent girls over a three-year period using longitudinal analyses.Methods: One hundred and seventy-four girls between the a...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(00)00013-9
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:Fibroepithelial polyps (FEPs) are benign tumors, of possibly hormone-dependent nature, found in the vulvovaginal region of women of reproductive age. CASE:A 15-year-old adolescent girl, receiving hormonal contraceptive therapy, who presented with multiple vulvar masses with histopathology consistent with FE...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2017.04.004
更新日期:2017-10-01 00:00:00
abstract:STUDY OBJECTIVE:To describe repeat pregnancy among adolescents and to compare those who experienced a repeat pregnancy to those who did not. DESIGN, SETTING, PARTICIPANTS:Retrospective case control of all adolescents who entered and exited the Teen Mother & Child Program, a multidisciplinary clinic for pregnant and pa...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(03)00011-1
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Skene's glands are believed to be homologues of the prostate gland derived from the urogenital sinus.(1) Complications of Skene's glands occur most often in the third and fourth decades and are rarely seen in premenarchal females. CASE:A 3-year-old presented to her pediatrician with a 9-day complaint of vul...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2007.11.004
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:Juvenile cystic adenomyomas (JCAs) are rare uterine lesions. Differential diagnosis might be difficult. We present the case of an adolescent who was diagnosed with JCA and was managed with laparoscopic excision. CASE:A 14-year-old patient with complaint of menarche with excruciating dysmenorrhea, was diagno...
journal_title:Journal of pediatric and adolescent gynecology
pub_type:
doi:10.1016/j.jpag.2020.08.010
更新日期:2020-12-01 00:00:00
abstract:STUDY OBJECTIVE:To describe a hybrid simulation model for pediatric and adolescent gynecology (PAG) examination teaching, to evaluate if it would be feasible to be conducted as a part of the PAG training, and to find out how it would be perceived by the trainees. DESIGN:The development process and a 2-day workshop is ...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2018.12.001
更新日期:2019-04-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate the incidence of hemostatic disorders in a population of adolescents with various patterns of abnormal uterine bleeding (AUB). DESIGN:Retrospective observational study. SETTING:University hospital. PARTICIPANTS:One hundred thirteen adolescents with AUB; mean age at menarche and mean age a...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2013.06.003
更新日期:2013-10-01 00:00:00
abstract:STUDY OBJECTIVE:Sensitive trichomonas diagnostic testing has become available, including nucleic acid amplification tests (NAATs) and a rapid antigen test. The study purpose was to determine if adding sensitive trichomonas testing to routine female sexually transmitted infection (STI) evaluations would increase trichom...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2016.01.120
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVE:The purpose of this paper is to further describe prepubertal distal longitudinal vaginal folds and its natural history. DESIGN:Biopsy of the folds and follow-up through puberty. RESULTS:Histology of the folds shows normal vaginal mucosa over loose fibrous connective tissue without a firm fibrous core. The f...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2007.10.001
更新日期:2008-12-01 00:00:00
abstract:PURPOSE OF REVIEW:We adopted a life-cycle approach to further our understanding of the natural history of the cystic forms of uterine adenomyosis first described by Cullen in 1908. SEARCH STRATEGY:Scopus and PubMed were searched for all terms referring to cystic variant of adenomyosis or adenomyoma. References found i...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2014.05.008
更新日期:2015-12-01 00:00:00
abstract:STUDY OBJECTIVE:To describe the sexual behavior and contraception use among a sample of high school and vocational school adolescents in Barcelona, Spain. DESIGN:Cross-sectional study. METHODS:A random sample of 3139 students, aged 14 to 19 years, living in the city of Barcelona, were surveyed by means of an anonymou...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(97)70076-7
更新日期:1997-08-01 00:00:00
abstract:BACKGROUND:Recurrent, prepubertal, vaginal infections are an uncommon, troublesome problem for the patient and her family. Failure of initial therapy to alleviate vulvovaginitis may be related to vulvar skin disease, foreign body, sexual abuse, pinworms, reactions to medications, anatomic anomalies, or allergies. This ...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2006.12.001
更新日期:2007-10-01 00:00:00
abstract::A laparoscopic technique is reported as an operative approach for gonadectomy in a case of testicular feminization syndrome. A 17-year-old phenotypic female presented with primary amenorrhea and was evaluated through a diagnostic protocol that included clinical, cytogenetic, and hormonal examinations. The findings sup...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(99)00032-7
更新日期:2000-02-01 00:00:00
abstract:STUDY OBJECTIVE:Survivors of childhood malignancy may be at increased risk for HPV infection for biological and cognitive/behavioral reasons. HPV vaccination is currently recommended for females 11-12 years old with catch up vaccination up to age 26 years. The objective of this cross-sectional study was to determine th...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2012.05.004
更新日期:2012-10-01 00:00:00
abstract:STUDY OBJECTIVE:To determine if pregnant adolescents interested in group-based prenatal care have different demographic and psychosocial characteristics than those interested in individual prenatal care. Factors that influence the preferred model of prenatal care patients were assessed. DESIGN, SETTING, AND PARTICIPAN...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2015.03.006
更新日期:2015-12-01 00:00:00
abstract:STUDY OBJECTIVE:Mycoplasma genitalium (MG) is a sexually transmitted pathogen linked to female morbidity, but testing for MG is not standardized. We aimed to determine which point-of-care (POC) vaginal tests could predict MG infection. DESIGN, SETTING, PARTICIPANTS:A cross sectional study recruited sexually active ado...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2012.09.005
更新日期:2013-02-01 00:00:00
abstract:STUDY OBJECTIVE:To document physical and symptomatic changes in adolescent females using depot medroxyprogesterone acetate (DMPA) for contraception. DESIGN:A 30-month prospective experimental study using a convenience sample of subjects. SETTING:A pediatric primary care clinic in Milwaukee, Wisconsin that serves an u...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/s1083-3188(97)70039-1
更新日期:1997-02-01 00:00:00
abstract:STUDY OBJECTIVE:To compare use of the weekly transdermal contraceptive patch (patch) with daily combined hormonal contraceptive pills (pills) in adolescents. DESIGN:Prospective longitudinal study of adolescents' self-selected (non-randomized) use of the patch or pills. SETTING:Urban, university hospital-affiliated, a...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2011.02.001
更新日期:2011-08-01 00:00:00
abstract:STUDY OBJECTIVE:The purpose of the study was to determine if barriers in rural areas might decrease an adolescent's likelihood of obtaining effective contraception. Previous studies have reported mixed results in comparisons of rural and urban contraception use. DESIGN:Electronic survey. SETTING:Midwestern Public Uni...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2015.06.002
更新日期:2016-02-01 00:00:00
abstract:STUDY OBJECTIVE:Congenital uterine anomalies are common, although the majority are asymptomatic. When an obstructed system exists, women may present with abdominal pain, or dysmenorrhea. Removal of the obstructed horn may be required in the symptomatic patient. In the past, surgical treatment necessitated a laparotomy....
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2006.08.003
更新日期:2007-06-01 00:00:00
abstract:BACKGROUND:Pyometra is an uncommon but serious condition that is generally diagnosed in postmenopausal women. It rarely occurs in premenopausal patients, particularly adolescents. CASE:A 16-year-old girl with multiple comorbidities including severe intellectual disability, neurogenic bladder, and recurrent urinary tra...
journal_title:Journal of pediatric and adolescent gynecology
pub_type:
doi:10.1016/j.jpag.2020.06.009
更新日期:2020-10-01 00:00:00
abstract::Today's generation of adolescents and young adults have been labeled "digital natives" given that they have had access to digital technology since birth. In this review, we address 2 critical areas affecting adolescents' reproductive health and social media. First, we address the current state of the science across se...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2020.06.016
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVES:To review the etiologies, diagnosis, and treatment options of adolescent endometriosis. METHODS:Review of publications relating to adolescent endometriosis. RESULTS:Endometriosis occurs in adolescents as young as 8 years of age; furthermore, there have been documented cases of endometriosis occurring prior...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/s1083-3188(03)00066-4
更新日期:2003-06-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate the utility of transabdominal ultrasound and magnetic resonance imaging in the evaluation of American Society for Reproductive Medicine (†)(ASRM)-classified müllerian anomalies compared to surgical findings in the pediatric and adolescent population. DESIGN:Retrospective chart review. SETT...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2011.12.069
更新日期:2012-06-01 00:00:00
abstract:STUDY OBJECTIVE:Adolescent compliance with cytologic and histologic cervical abnormalities is poor. Recent changes in abnormal cytology follow-up and colposcopy indications in young women may delay the diagnosis of cervical dysplasia. The objective of our study was to determine the compliance with follow up. We also wa...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2008.08.003
更新日期:2009-06-01 00:00:00
abstract::The clinical setting of pediatric and adolescent gynecology poses complex tasks for the physician with its numerous procedures and the communication demands of interacting with an adolescent and/or guardian. Needless to say, teaching within this setting is highly demanding. Regardless of the level of learner or the pr...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章,评审
doi:10.1016/j.jpag.2013.09.013
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to identify trends in the clinical workup, diagnosis, and treatment of polycystic ovary syndrome by pediatric endocrinologists, pediatric gynecologists, and adolescent medicine specialists. DESIGN:Retrospective chart review. SETTING:Tertiary care medical center. PARTICIPANTS:Fe...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2014.03.002
更新日期:2015-02-01 00:00:00
abstract:STUDY OBJECTIVE:To characterize Müllerian anatomy in 46,XX cloacal exstrophy patients. DESIGN:Retrospective review of prospectively maintained, institutionally approved exstrophy-epispadias-cloacal exstrophy database. SETTING:Tertiary care, high-volume exstrophy center (Division of Pediatric Urology, The Johns Hopkin...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2016.01.124
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:Mesonephric duct remnants usually do not present any clinical dilemma. However, if the cellular lining remains active, it may lead to cystic lesions that may cause pain or torsion of the adnexa. CASE:This is a 13-year-old female who presented because of severe pelvic pain. Ultrasound and CT scan revealed a ...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2012.06.009
更新日期:2012-12-01 00:00:00
abstract:STUDY OBJECTIVE:To understand factors influencing use and nonuse of contraception in young, low-income Latina adolescents through focus group conversations. DESIGN:We conducted seven focus group discussions with Latino females in an outpatient clinic and community setting. Qualitative data analyses techniques were use...
journal_title:Journal of pediatric and adolescent gynecology
pub_type: 杂志文章
doi:10.1016/j.jpag.2004.05.003
更新日期:2004-08-01 00:00:00