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美国儿科学会更新了青少年避孕咨询的建议

AAP Updates Recommendations for Adolescent Contraceptive Counseling

Drugs 等信源发布 2025-06-17 01:46

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MONDAY, June 16, 2025 -- In a policy statement issued by the American Academy of Pediatrics and published online June 16 in

2025年6月16日星期一——美国儿科学会发布的一份政策声明,并于6月16日在线发表。

Pediatrics

儿科

, updated recommendations are presented for providing adolescent patients with contraceptive counseling and methods.

,更新的建议提出了为青少年患者提供避孕咨询和方法。

Mary A. Ott, M.D., from the Icahn School of Medicine at Mount Sinai in New York City, and colleagues updated the 2014 policy statement on contraception for adolescents to provide pediatricians with evidence-informed and equity-informed practices in contraceptive care.

纽约市西奈山伊坎医学院的玛丽·A·奥特博士及其同事更新了2014年关于青少年避孕的政策声明,为儿科医生提供基于证据和公平性的避孕护理实践。

According to the authors, pediatricians should provide all adolescents access to contraceptive information and counseling within a sexual and reproductive health equity framework as a best practice. To enable adolescents to choose the best method for their goals, preferences, and needs, regardless of gender, age, race, ethnicity, sexual orientation, illness, or ability status, a developmentally appropriate approach should be informed by principles of shared decision-making and person-centered care.

根据作者的观点,儿科医生应在一个性与生殖健康公平框架内,向所有青少年提供避孕信息和咨询服务,这是最佳实践。为了使青少年能够选择最符合其目标、偏好和需求的方法,无论其性别、年龄、种族、民族、性取向、疾病或能力状况如何,都应采用一种以共同发展决策原则和以人为中心的护理原则为指导的发展适宜方法。

Counseling should account for and educate about reduced access to abortion services based on state law. When there are no medical contraindications, pediatricians should provide adolescents with their contraceptive of choice on the same day as contraceptive counseling as a best practice. Policies and products that support pediatricians in providing confidential and timely contraceptive care to adolescents should be designed by governments, insurers, electronic health care vendors, and health care systems..

咨询时应考虑到基于州法律的堕胎服务获取受限的情况,并对此进行教育。在没有医学禁忌症的情况下,儿科医生应在避孕咨询的同一天为青少年提供他们选择的避孕措施,这是最佳实践。政府、保险公司、电子医疗供应商和医疗系统应设计支持儿科医生为青少年提供保密且及时的避孕护理的政策和产品。

'Pediatricians can help answer questions that teens might be afraid to ask, in a way that is honest, compassionate, informed by science and centered on care,' Ott said in a statement. 'Education on reproductive health is an important step toward every adolescent's journey into independence and adulthood.'.

“儿科医生可以帮助解答青少年可能害怕提出的问题,以诚实、富有同情心、基于科学和以关怀为中心的方式,”奥特在一份声明中说。“生殖健康教育是每个青少年走向独立和成年的重要一步。”

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