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1.
Rev Saude Publica ; 53: 54, 2019 Aug 15.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31432911

RESUMO

Guidelines emphasize the importance of approaching substance use by adolescents, particularly in primary health care. However, there are problems with its incorporation. The objective of this study was to present the training stages on the theme for professionals in primary health care. Researchers conducted logistic structuring, content elaboration and evaluation of difficulties before and after training. Sixty percent of professionals involved in the care of adolescents in a medium-sized city participated in the study. More than half of them stated having difficulties in the approach, mainly theoretical limitations and short consultations. After the training, the professionals informed whether they felt more prepared, but practical difficulties remained.


Assuntos
Educação Continuada , Atenção Primária à Saúde/organização & administração , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Adolescente , Serviços de Saúde do Adolescente , Adulto , Brasil , Usuários de Drogas , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Prevenção Primária/métodos
3.
J Ment Health Policy Econ ; 22(2): 71-79, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31319377

RESUMO

BACKGROUND: Youth mental health interventions aimed at reducing substance use and delinquency in adolescents compete with other types of interventions for reimbursement from public funding. Within the youth mental health domain, delinquent acts impose high costs on society. These costs should be included in economic evaluations conducted from a societal perspective. Although the relevance of these costs is recognized, they are often left out because the unit costs of delinquent acts are unknown. AIMS OF THE STUDY: This study aims to provide a method for estimating the unit costs per perpetrator of 14 delinquent acts common in the Netherlands and included in self reported delinquency questionnaires: robbery/theft with violence, simple theft/pickpocketing, receiving stolen goods, destruction/vandalism of private or public property, disorderly conduct/discrimination, arson, cybercrime, simple and aggravated assault, threat, forced sexual contact, unauthorised driving, driving under the influence, dealing in soft drugs, and dealing in hard drugs. METHODS: Information on government expenditures and the incidence of crimes, number of perpetrators, and the percentage of solved and reported crimes was obtained from the national database on crime and justice of the Research and Documentation Centre of the Ministry of Justice and Security, Statistics Netherlands, and the Council for the Judiciary in the Netherlands. We applied a top-down micro costing approach to calculate the point estimate of the unit costs for each of the delinquent acts and, subsequently, estimated the mean (SD) unit costs for each of the delinquent acts by taking random draws from a triangular distribution while taking into account a 10% uncertainty associated with the associated point estimate. RESULTS: The mean (SD) unit costs per delinquent act per perpetrator ranged between EUR495 (EUR1.30) for "Driving under the influence" and EUR33,813 (EUR78.30) for a "Cybercrime". These unit costs may be considered as outliers as most unit costs ranged between EUR 2,600 and EUR 13,500 per delinquent act per perpetrator. DISCUSSION: This study is the first to estimate the unit costs per delinquent act per perpetrator in the Netherlands. The results of this study enable the inclusion of government expenditures associated with crime and justice in economic evaluations conducted from a societal perspective. IMPLICATIONS FOR HEALTH CARE PROVISION AND USE: Youth mental health interventions aimed at reducing substance use and delinquency in adolescents are increasingly subjected to economic evaluations. These evaluations are used to inform decisions concerning the allocation of scarce healthcare resources and should cover all the costs and benefits for society, including those associated with delinquent acts. IMPLICATIONS FOR HEALTH POLICIES: The results of this study facilitate economic evaluations of youth mental health interventions aimed at reducing substance use and delinquency in adolescents, conducted from a societal perspective. IMPLICATIONS FOR FURTHER RESEARCH: Based on health-economic evaluations conducted in the field of youth mental health and the results of the current study, we recommend including the estimated unit costs in guidelines for health-economic evaluations conducted from a societal perspective. Future research could aim at examining whether these unit costs require regular updating. The methodology applied in this study allows for this.


Assuntos
Serviços de Saúde do Adolescente/economia , Delinquência Juvenil/economia , Transtornos Relacionados ao Uso de Substâncias/economia , Adolescente , Análise Custo-Benefício , Serviços de Saúde/economia , Humanos , Delinquência Juvenil/reabilitação , Saúde Mental , Países Baixos , Transtornos Relacionados ao Uso de Substâncias/terapia , Inquéritos e Questionários
4.
Recurso educacional aberto em Espanhol | ID: oer-3841

RESUMO

Material educativo abierto constituído por 34 diapositivas que resumen los procedimientos a ser considerados en los servicios de salud adaptados a la atención de los adolescentes.


Assuntos
Serviços de Saúde do Adolescente/normas
5.
BMC Health Serv Res ; 19(1): 339, 2019 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-31138177

RESUMO

BACKGROUND: Collaborative learning has been shown to be effective in improving health worker performance, but relatively little is known about the feasibility or acceptability of collaborative learning in youth-friendly health services (YFHS). This paper describes the characteristics, feasibility and acceptability of a collaborative learning approach implemented in YFHS in Moldova as part of a national scaling up process. METHODS: We gathered and analysed data on the number, location, themes, and participants of sessions, as well as benefits and challenges of collaborative learning, using two information sources: 1) formal reports on collaborative learning sessions, and 2) two questionnaires conducted with participants and moderators. RESULTS: Collaborative learning sessions have been implemented in 30 out of 35 YFHS in Moldova. In 2016, 464 collaborative learning sessions were conducted. Sessions were conducted one to three times per month, had a mean of 15 participants and an average duration of two - three hours. 74.3% of participants (n = 6942) were from rural areas and 55.1% were health professionals. The most common topics in 2016 were adolescent health and YFHS (159 of 464 sessions), sexual and reproductive health (103 sessions), and violence (76 sessions). Reported benefits for participants of collaborative learning fell into three categories: 1) improved knowledge on adolescent health / development and use of evidence-based resources; 2) strengthened teamwork and cooperation; and 3) empowerment to provide high quality, youth-friendly care. Moderators identified benefits for the quality, youth-friendliness, and positioning of YFHS as centres of excellence on adolescent health. Challenges included the time and resources required to start and maintain the program, developing a constructive multi-disciplinary learning culture, and ensuring the involvement of stakeholders from outside YFHS. CONCLUSION: This study confirms that collaborative learning within YFHS is feasible and acceptable, and offers benefits to both participants and YFHS. Collaborative learning may be a valuable strategy to improve the quality and youth-friendliness of services. It may also be relevant to key challenges in scaling up YFHS such as increasing utilisation and achieving long-term sustainability. Further research is required to confirm our results in other settings and to examine the effects of collaborative learning at the outcome and impact level.


Assuntos
Serviços de Saúde do Adolescente/normas , Competência Clínica/normas , Pessoal de Saúde/normas , Adolescente , Saúde do Adolescente , Confidencialidade , Comportamento Cooperativo , Assistência à Saúde/normas , Estudos de Viabilidade , Feminino , Pessoal de Saúde/educação , Humanos , Práticas Interdisciplinares , Aprendizagem , Masculino , Moldávia , Pesquisa , Inquéritos e Questionários , Desempenho Profissional/normas
6.
Rev Infirm ; 68(248): 45-46, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30955543

RESUMO

Catherine is an advanced nurse practitioner (ANP) in the UK. She works in general practice and is trained to manage patients autonomously. Today she is running a family planning clinic.


Assuntos
Anticoncepção , Medicina Geral , Profissionais de Enfermagem , Encaminhamento e Consulta , Adolescente , Serviços de Saúde do Adolescente , Feminino , Humanos
7.
Artigo em Russo | MEDLINE | ID: mdl-30990973

RESUMO

The study was carried out analyzing common patterns and features of effect of medical social factors and life-style to particular indices of health of adolescents aged 15-17 years attending various educational organizations. It is established that students of elder adolescent age are cooperated on the basis of particular life-style, characterized by long duration of using computer, low motional activity, wide prevalence of bad habits, deficiency of basic nutrients in diet. The study established high indices of personal and reactive anxiety among school children as compared with students of technical school. The quantitative evaluation of adolescents' complaints about general state feelings.


Assuntos
Serviços de Saúde do Adolescente , Saúde do Adolescente , Estilo de Vida , Estudantes , Adolescente , Dieta , Humanos , Prevalência , Instituições Acadêmicas
8.
BMC Health Serv Res ; 19(1): 257, 2019 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-31029109

RESUMO

BACKGROUND: There are increasing calls to make mental health and substance use services youth friendly, with hopes of improving service uptake, engagement and satisfaction. However, youth-friendliness in this area has not been clearly defined and there is a lack of information about the characteristics that make such services youth friendly. The purpose of this scoping review was to examine the literature available on youth-friendly mental health and substance use services in order to identify the characteristics, outline the expected impacts, and establish a definition. METHODS: A scoping review of seven databases and grey literature sources was conducted. Twenty-eight documents were retained as relevant to the research questions. Relevant data from these documents was extracted, analyzed and presented to stakeholders, including youth, caregivers and service providers to validate and refine the results. RESULTS: Youth-friendly mental health and substance use services include integrated, inclusive, confidential and safe organization and policy characteristics; bright, comfortable, environment with informational materials; welcoming and genuine service providers with appropriate communication and counselling skills; an accessible location; minimal wait times; and individualized and innovative approaches. All areas in which youth friendliness should be implemented in a mental health and substance use service organization had a core value of youth voice. CONCLUSION: Improving the youth friendliness of mental health and substance use services includes incorporating youth voice in organization, policy, environment, service providers, and treatment services, and has implications for treatment uptake, engagement and satisfaction. Further research is required to determine the impact of youth friendliness in such services.


Assuntos
Serviços de Saúde do Adolescente/organização & administração , Serviços de Saúde Mental/organização & administração , Serviços de Saúde Mental/normas , Centros de Tratamento de Abuso de Substâncias/organização & administração , Transtornos Relacionados ao Uso de Substâncias/psicologia , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Adolescente , Serviços de Saúde do Adolescente/normas , Assistência à Saúde , Humanos , Centros de Tratamento de Abuso de Substâncias/normas
9.
Clin Child Psychol Psychiatry ; 24(2): 203-222, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30968724

RESUMO

The care of children and adolescents whose experience of the body is at odds with their gender feelings raises a number of questions that are as much ethical as medical or psychological. In this article I highlight some areas of ethical concern from the point of view of a senior clinician at the nationally commissioned UK Gender Identity Development Service (GIDS). I make the assumption that ethical deliberation is relational and grounded in the natural, social, political and institutional worlds in which the ethical questions arise. I try to show how matters of empirical fact, alongside an appreciation of broad social contexts, and historic and current power relations, provide an essential framework for the ways that ethical choices are framed by key groups of people as they take up different, sometimes opposing, ethical positions. I argue that practising ethically in such a service is not helpfully reduced to a single event, a treatment decision aimed at achieving the morally 'right' outcome, but an extended process in time. In the charged debate surrounding the recognition of these young people's needs, we must do more to promote responsible debate about the scope of sound ethical practice.


Assuntos
Desenvolvimento do Adolescente , Serviços de Saúde do Adolescente/ética , Desenvolvimento Infantil , Serviços de Saúde da Criança/ética , Identidade de Gênero , Minorias Sexuais e de Gênero , Adolescente , Criança , Humanos , Reino Unido
10.
Clin Child Psychol Psychiatry ; 24(2): 322-337, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30968721

RESUMO

Working with young people who present with diverse gender identifications and their families requires consideration and acknowledgement of a range of contexts (including relationship, family, social and cultural) as well as the influences of prior experience and language. Family members often present with diverse understandings and hopes from their referral to the Gender Identity Development Service and look to us to meet these. This article considers the contribution of Cronen and Pearce who introduced the theory of the co-ordinated management of meaning (CMM). We focus on their ideas about communication, the complexities of communication, meaning, context and multiple perspectives. This article relates to our practice as well as considers useful ways to work with families and young people, within a highly contested field. Clinical examples are used to illustrate how we have made use of the theory and models of CMM to facilitate engagement, build therapeutic rapport, facilitate understanding and support those we see in a way which takes into account the many contexts of their lives.


Assuntos
Serviços de Saúde do Adolescente , Família , Disforia de Gênero/terapia , Identidade de Gênero , Teoria Psicológica , Minorias Sexuais e de Gênero , Adolescente , Terapia Familiar , Feminino , Humanos , Masculino , Reino Unido
11.
Artigo em Inglês | PAHO-IRIS | ID: phr-50672

RESUMO

[ABSTRACT]. This analysis reviews the situation of child and adolescent mental health in Chile, organizational determinants, and the initiatives and interventions implemented to enhance child development despite the country’s inequities. Progressive development of national mental health plans is covered, from the country’s first plan in 2000, to growing the number of mental health professionals and the training they receive, such as MhGAP, to the implementation of “Chile Crece Contigo,” whose preliminary evaluations are starting to show some effectiveness. However, the World Health Organization reports that progress in complying with the United Nations Convention of Children´s Rights is insufficient. A set off legislative initiatives on behalf of children and adolescents have been passed, while others are being discussed in Parliament. There is much to be done in the nation as a whole and within its health system to ensure improved child and adolescent mental health and wellbeing. More research into child and adolescent mental health should be undertaken. Adequate funding and policymaking are also crucial to giving priority to child and adolescent mental health in Chile.


[RESUMEN]. En este análisis se examina la situación de la salud mental de niños y adolescentes en Chile, los determinantes institucionales y las iniciativas e intervenciones ejecutadas para mejorar el desarrollo infantil a pesar de las inequidades del país. Se ha abarcado el desarrollo progresivo de los planes nacionales de salud mental, desde el primer plan nacional en el año 2000, pasando por el aumento del número de profesionales de salud mental y la capacitación que reciben, como el programa MhGAP, hasta la ejecución de “Chile Crece Contigo”, cuyas evaluaciones preliminares están comenzando a mostrar cierta eficacia. Sin embargo, la Organización Mundial de la Salud informa que el progreso en el cumplimiento de la Convención de las Naciones Unidas sobre los Derechos del Niño es insuficiente. Se ha aprobado un conjunto de iniciativas legislativas a favor de los niños y adolescentes, mientras que otras están tratándose en el parlamento. Es mucho lo que hay por hacer en el país en general y en su sistema de salud para garantizar el mejoramiento de la salud mental y el bienestar de niños y adolescentes. Es necesario aumentar la investigación sobre la salud mental de niños y adolescentes. La disponibilidad de fondos suficientes y la formulación de políticas son también cruciales para dar prioridad a la salud mental de niños y adolescentes en Chile.


[RESUMO]. Uma análise foi realizada para examinar a situação da saúde mental de crianças e adolescentes no Chile, determinantes organizacionais e iniciativas e intervenções implementadas para melhorar o desenvolvimento infantil diante das iniquidades no país. É descrita a evolução dos planos nacionais de saúde mental, a partir do primeiro plano elaborado em 2000, o crescimento do número de profissionais de saúde mental e a capacitação recebida, como parte do programa mundial de ação para reduzir as lacunas em saúde mental da OMS (MhGAP), e a implementação do programa Chile Crece Contigo cujas avaliações preliminares indicam certo grau de efetividade. Porém, segundo informou a Organização Mundial da Saúde (OMS), houve pouco progresso no cumprimento da Convenção das Nações Unidas sobre os Direitos da Criança. Um conjunto de iniciativas legislativas em prol das crianças e adolescentes foi aprovado e outras propostas estão em debate no congresso. Há ainda muito a ser feito no país como um todo e dentro do sistema de saúde para garantir melhor saúde mental e bem-estar para crianças e adolescentes. Devem ser realizadas outras pesquisas sobre saúde mental da criança e do adolescente. É indispensável dispor de financiamento e políticas adequados que priorizem a saúde mental da criança e do adolescente no Chile.


Assuntos
Serviços de Saúde Mental , Serviços de Saúde da Criança , Serviços de Saúde do Adolescente , Programas Nacionais de Saúde , Chile , Serviços de Saúde Mental , Serviços de Saúde da Criança , Serviços de Saúde do Adolescente , Programas Nacionais de Saúde , Serviços de Saúde Mental , Serviços de Saúde da Criança , Serviços de Saúde do Adolescente , Programas Nacionais de Saúde
12.
BMC Public Health ; 19(1): 286, 2019 Mar 11.
Artigo em Inglês | MEDLINE | ID: mdl-30857523

RESUMO

BACKGROUND: Adolescents face many problems due to risky behavior. As a result, they require special consideration through the administration of health education and reproductive health services. However the utilization of adolescent reproductive health service programs in Makassar is still relatively low. The purpose of this study, then, was to identify the rates at which adolescent reproductive health services are utilized and to analyze the determinants affecting such utilization. METHOD: This research was a quantitative project with a cross-sectional design, and it was conducted in March to May of 2018 in Makassar City. Data were collected via the independent completion of questionnaires by 383 senior high school students randomly selected from a total of six schools. Data were analyzed using chi-square testing and multiple logistic regression using SPSS. RESULTS: This study found that only 24.3% of the students took advantage of adolescent reproductive health services. The results of the analysis proved that knowledge of reproductive health and available services (OR = 1.74; 95% CI = 1.040-2.911) are related to the utilization of those services. It was found that students with high levels of knowledge are nearly twice as likely to utilize adolescent reproductive health services as those with low levels of knowledge after the results were controlled for the variables of family and peer support. CONCLUSION: It is necessary to promote socialization between students and parents on a regular basis, disseminate information through online media/social networking, administer peer educator training, and establish school organizations in the field of reproductive health to increase awareness and utilization of adolescent reproductive health services.


Assuntos
Serviços de Saúde do Adolescente/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Serviços de Saúde Reprodutiva/estatística & dados numéricos , Estudantes/psicologia , Adolescente , Estudos Transversais , Feminino , Pesquisas sobre Serviços de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Acesso aos Serviços de Saúde , Humanos , Indonésia , Masculino , Saúde Reprodutiva , Instituições Acadêmicas , Estudantes/estatística & dados numéricos
15.
Eur J Obstet Gynecol Reprod Biol ; 235: 116-120, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30826159

RESUMO

Paediatric and Adolescent Gynaecology (PAG) is a multidisciplinary field combining aspects of gynaecology but also includes paediatrics, endocrinology, genetics, radiology, psychology and urology. Specialist knowledge is warranted for the care of these youngsters, and it is important that doctors attending to the gynaecological needs of children must understand that they are not just "little women". Their needs and accompanying clinical approaches required are very different from those of adults in this sensitive area, as is the spectrum of diseases and problems. A multidisciplinary collaboration is as important as the establishment and adoption of standards in education, training and management. The situation in Europe in PAG is varied, reflecting the relative youth of this area of special interest and thereby allowing for earlier consolidation of standards and services across Europe. This article summarises the background to PAG in Europe, inequitable current provision of care and issues relating to education and training all of which are relevant in providing a common approach to PAG problems and endeavouring to obtain the best outcomes. There remains huge diversity how the services for "young women" are currently delivered across different countries within Europe. A concerted European approach is urgently required to streamline standards of training and clinical care, to ensure high quality care by using agreed national and European pathways.


Assuntos
Serviços de Saúde do Adolescente , Medicina do Adolescente/métodos , Serviços de Saúde da Criança , Ginecologia/métodos , Pediatria/métodos , Adolescente , Criança , Assistência à Saúde , Europa (Continente) , Feminino , Ginecologia/organização & administração , Humanos , Obstetrícia/métodos , Obstetrícia/organização & administração , Equipe de Assistência ao Paciente , Gravidez , Sociedades Médicas , Conselhos de Especialidade Profissional
16.
BMC Res Notes ; 12(1): 74, 2019 Feb 04.
Artigo em Inglês | MEDLINE | ID: mdl-30717774

RESUMO

OBJECTIVE: There is a continuing challenge to ensure equitable access to youth healthcare services in small rural communities. Sweden's 'youth clinic' system is an attempt to provide comprehensive youth health services from a single centre, but many small rural communities have not adopted the youth clinic model. This study uses one case study to examine what the issues might be in establishing a youth clinic in a small rural community. The objective of this paper is to examine the issues around youth healthcare access in one municipality without a youth clinic, and to explore whether and how a youth clinic model might contribute to access in this municipality. RESULTS: Three categories emerged from the analysis; (i) rural closeness; both good and bad, (ii) youth are not in the centre of the healthcare organization, and (iii) adapting youth clinics to a rural setting. While limited to one case example, the study provides valuable insights into youth health service planning in particular types of rural communities. This paper identified structural barriers to developing youth-specific services, and some alternative approaches that might be more suitable to smaller communities.


Assuntos
Serviços de Saúde do Adolescente , Acesso aos Serviços de Saúde , Serviços de Saúde Rural , População Rural , Adolescente , Humanos , Suécia
17.
Cien Saude Colet ; 24(2): 401-410, 2019 Feb.
Artigo em Português, Inglês | MEDLINE | ID: mdl-30726373

RESUMO

People with mental disorders play an important role in the mental health reform process, which involves the creation of new public policies, practices, knowledge, and ways of relating to this experience. Using a guiding question addressing the history of child and adolescent mental health in Brazil and the participation of child and adolescent mental health service users in the policy construction process, a narrative literature review was undertaken framing the main policy developments and advances in this area within the overall context of the Brazilian mental health reform. A search of technical, institutional, and legal documents in the thematic area Mental Health was conducted using a national database. The material analyzed addressed milestones in child and adolescent mental healthcare, highlighting the paths taken in building this field. The article also discusses the participation of child and adolescent mental health service usersin this process in the form of a commentary. Finally, the article highlights the need to guarantee the participation of this group to enable them to play a leading role in the struggle for the construction and realization of rights.


Assuntos
Política de Saúde , Transtornos Mentais/terapia , Serviços de Saúde Mental/organização & administração , Adolescente , Serviços de Saúde do Adolescente/organização & administração , Brasil , Criança , Serviços de Saúde da Criança/organização & administração , Assistência à Saúde/organização & administração , Reforma dos Serviços de Saúde , Humanos , Saúde Mental , Formulação de Políticas
19.
Pediatr Ann ; 48(2): e51-e55, 2019 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-30747979

RESUMO

Contraceptive management is occurring more frequently in the primary care setting. Pediatricians should be familiar with the most common methods of contraception due to the fact that families are comfortable seeking care for their adolescents at the primary care office for these types of concerns. Contraceptive methods are often used for noncontraceptive benefits as well, which makes it even more important to feel comfortable prescribing contraceptives at pediatricians' offices. [Pediatr Ann. 2019;48(2):e51-e55.].


Assuntos
Anticoncepção/métodos , Aconselhamento/métodos , Gravidez na Adolescência/prevenção & controle , Atenção Primária à Saúde/métodos , Adolescente , Serviços de Saúde do Adolescente , Feminino , Humanos , Pediatras , Médicos de Atenção Primária , Gravidez
20.
Pediatr Ann ; 48(2): e58-e63, 2019 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-30747981

RESUMO

Sexual violence and intimate partner violence are common among adolescents, especially for those who are developmentally disabled. Pediatricians have a critical role in treating and preventing sexual violence in adolescents. As medical providers, they possess trusted access to identify sexual violence in adolescents and to intervene to help prevent further violence and mitigate associated health effects. Therefore, it is imperative that pediatricians are aware of the scope of sexual violence in adolescents. Specific sexual violence screening recommendations for sexual assault, intimate partner violence, reproductive coercion, and sex trafficking are reviewed in this article. In addition, recommendations for the comprehensive treatment of adolescents exposed to sexual violence are examined. National and local resources for victims and promising strategies to prevent sexual violence, including sex trafficking, are identified. Through collaboration with community partners in multidisciplinary efforts, pediatricians can most effectively promote the health of adolescents and prevent further victimization. [Pediatr Ann. 2019;48(2):e58-e63.].


Assuntos
Comportamento do Adolescente , Violência por Parceiro Íntimo/prevenção & controle , Programas de Rastreamento/métodos , Delitos Sexuais/prevenção & controle , Adolescente , Saúde do Adolescente , Serviços de Saúde do Adolescente , Vítimas de Crime , Feminino , Humanos , Masculino , Pediatras , Papel do Médico , Guias de Prática Clínica como Assunto , Parceiros Sexuais
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