城镇青少年对青少年友好服务特征喜好的排序

Sorting preference for characteristics of youth-friendly services among adolescents in urban areas

目的了解青少年对青少年友好服务特征喜好的排序情况,为决策完善青少年生殖健康服务的优先方面提供依据。方法在黑龙江省穆陵市、江苏省盐城区、山东省即墨市、广东省惠州市惠城区、重庆市铜梁县、贵州省凯里市,以整群抽样的方法选择12～24岁校内外男、女青少年共2 766名,通过问卷调查的方法收集他们对随机列出的23条青少年友好服务特征的排序,使用排序投票制中的波达计数法根据每个特征的总体加权值结果进行排序。结果青少年按照喜好情况排在前3位的依次是开诊时间便于青少年就诊（110人,12%）、医务人员尊重青少年（100名,10.6%）、保护青少年隐私（107名,36.5%）。其中将开诊时间便于青少年就诊（64名,10.3%）排在第1位的青少年数量最多。校内男、女和校外女青少年最喜好的5项青少年友好服务特征均依次为开诊时间便于青少年就诊、保护青少年隐私、医务人员技术水平好、医务人员尊重青少年、主要的生殖健康方面的医疗保健服务都可以提供;校外男青少年依次为保护青少年隐私、医务人员技术水平好、医务人员尊重青少年、偏护青少年隐私、费用对于青少年来说可支付得起。结论青少年是对于生殖健康服务敏感、要求比较高的群体。青少年生殖健康服务的优化需要从卫生服务的普遍特征入手,同时不忽视全方位考虑。

Objective To understand sorting preference for characteristics of youth-friendly service （ YFS）, and to provide evidence to identify the priority in youth reproductive health services （YRHS）. Methods With cluster sampling method, 2 766 in-school and out-of-school boys and girls aged of 15-24 years old were selected from Heilongjiang, Jiangsu, Shandong, Guangdong, Chongqing and Guizhou. Participants were asked to sort 23 randomly listed characteristics of YFS according to their preference. Use Borda Count in Consensus Voting System to sorting overall weighted value of each characteristic. Results Among the 23 listed characteristics of YFS, the following ranked highest ： ＂service hour being convenient for young people＂ （ 110, 12% ）, ＂service proriders respecting young people＂ （ 100, 10.6%）, ＂protecting young people＇s privacy＂ （ 107, 36.5%）. About 10.3% of all participants prioritized ＂service hours being convenient for young people＂. The most preferred 5 characteristics for both in-school were as follows： ＂service hours be convenient for young people＂, ＂protecting young people＇s privacy＂,＂professional service＂,＂ service providers respecting young people＂, ＂major reproductive health care services being provided＂ ; while for out-of-school male young people, the top 5 items were： ＂protecting young people＇s privacy＂, ＂ professional service＂, ＂ service providers respecting young people＂, ＂keeping secret for young people＂, ＂affordable＂. Conclusion Young people are sensitive but also have high demand for reproductive health services. In order to improve young people＇s reproductive health, accountability and utilisation of comprehensive reproductive health services should be prioritized.