關懷青少女－－從建立校園婦女健康諮詢層面探討

Caring for Teenage Girls: From the Perspective of Establishing Women's Health Consultations on Campuses

在青少女之婦女健康問題日益增多的今日社會中，校園中之健康諮詢較少將「青少女婦女健康」作個別之探討。本文就「青少女的健康權」、「婦女健康諮詢」以及「設置校園婦女健康諮詢－－從青少女之主觀層面」等三方面，探討關懷青少女健康照護之相關議題。為了解青少女學生之主觀看法，筆者問卷調查387位平均為17.91歲之女學生以及深度訪談其中之七位青少女學生，發現如下：98.2%之女學生均認為有必要設置校園內婦女健康諮詢，因為可以得到個人健康隱私之諮詢，且這些知識是教科書少見的。305位（78.8%）的受訪女生自覺有婦女健康問題，其婦女健康問題依序如下：痛經、經期不規則、陰道異常分泌物、避孕問題、泌尿系統問題。青少女學生建議校園內設置婦女健康諮詢，宜有以下特點：隱密的迫切性、多重管道諮詢的設置諮詢方式、諮詢地點人不要太多、不要貼標籤予諮詢學生。綜合以上之文獻與實務層面之探討，期能提供未來設置校園內青少女婦女健康諮詢中心成立的參考。

Women's health problems are increasing among teenage girls in modern society. However, there are only a few programs related to women's health consultation on campuses. Three issues are explored in this paper-the health rights of teenage girls, women's health consultations, and teenage girls' subjective views about the establishment of a women's health consultation service on their campus. In the course of our research of teenage girls' subjective views, three hundred and eighty-seven young girl students responded to questionnaires and seven volunteer students among them were invited to do in-depth interviews. Most students (98.2%) thought that it was necessary to set up a women's health consultation service on campus, because they hoped to get personal health information that could not be found in a textbook. Three hundred and five (78.8%) students perceived that they had women's health problems. Their health problems are ranked as follows: dysmenorrhea, irregularity of menstrual periods, unusual vaginal secretions and questions of contraception and urinary system health. They suggested that campus consultation centers should have the following characteristics protection of students' privacy, provision of multiple channels for consultation, strict limitation on numbers of people in the consulting office, and a non-discriminatory policy towards all clients. Hopefully, an information database can provide a good reference for establishing a women's health consultation service on campus in the near future.