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1.
Abraham Degarege Karl Krupp Kristopher Fennie Tan Li Dionne P. Stephens Laura A.V. Marlow Vijaya Srinivas Anjali Arun Purnima Madhivanan 《Journal of pediatric and adolescent gynecology》2018,31(5):494-502
Study Objective
The aim of this study was to compare the parental attitudes and beliefs about human papillomavirus (HPV), cervical cancer, and HPV vaccine between urban and rural areas, India.Design
Cross-sectional.Setting
Mysore, India.Participants
Parents of school-going adolescent girls.Interventions
Parents completed a self-administered questionnaire.Main Outcome Measures
Attitudes and beliefs about HPV, cervical cancer, and HPV vaccine.Results
A total of 1609 parents from urban (n = 778) and rural (n = 831) areas participated in this study. Most of the parents had never heard about HPV (73.6%), did not know that their daughters could get an HPV infection (62.7%) or cervical cancer (64.1%) in the future, and believed that HPV vaccine was not effective (67.1%). Parents living in the urban area were more likely to believe that HPV infection (adjusted odds ratio [aOR], 2.69; 95% confidence interval [CI], 1.43-5.06) and cervical cancer (aOR, 2.68; 95% CI, 1.83-3.91) could cause serious health problems than those living in the rural area. The odds of agreeing that HPV vaccination will make girls sexually active was lower among urban than rural parents (aOR, 0.55; 95% CI, 0.33-0.94). There was no significant difference among parents in the urban and rural areas in their beliefs about susceptibility of their daughter to HPV infection or cervical cancer, and beliefs about the safety and ability of HPV vaccine to protect against cervical cancer.Conclusion
Rural parents might be reluctant to recommend behaviors that can help prevent HPV infection and cervical cancer such as HPV vaccination for their daughters. 相似文献2.
Annika M. Hofstetter Lauren Lappetito Melissa S. Stockwell Susan L. Rosenthal 《Journal of pediatric and adolescent gynecology》2017,30(1):88-95
Study Objective
Many adolescents with chronic medical conditions (CMCs) are at risk of human papillomavirus (HPV) infection, associated complications, and underimmunization and often identify a pediatric subspecialist as their main provider. This study aimed to assess the HPV-related understanding, beliefs, and practices of pediatric subspecialists, which are largely unknown.Design and Setting
National cross-sectional study.Participants
Pediatric endocrinologists, hematologist/oncologists, pulmonologists, and rheumatologists identified using the American Medical Association Physician Masterfile (n = 418).Interventions
Subspecialists who care for adolescents with CMCs in the outpatient setting were recruited to complete a Web-based survey on their HPV-related knowledge, attitudes, comfort, and practices.Main Outcome Measures
HPV vaccination recommendation.Results
Over half of respondents (50.4%; n = 196/389) reported sometimes or always recommending HPV vaccination to adolescent patients with CMCs. Factors positively associated with recommendation included hematology/oncology (adjusted odds ratio [AOR], 4.69; 95% confidence interval [CI], 1.86-11.81) or rheumatology (AOR, 6.55; 95% CI, 1.67-25.74) specialization, seeing more adolescent patients with CMCs (AOR, 1.01; 95% CI, 1.00-1.02), and sometimes or always discussing sexual health (AOR, 2.53; 95% CI, 1.05-6.08) or checking vaccine status (AOR, 3.83; 95% CI, 1.59-9.20) with these patients. Those who thought it was important, but were uncomfortable discussing sexual health when recommending HPV vaccination (AOR, 0.28; 95% CI, 0.12-0.70) or who reported insufficient HPV vaccine information (AOR, 0.45; 95% CI, 0.23-0.88) or lack of primary–subspecialty care provider communication (AOR, 0.38; 95% CI, 0.16-0.93) as barriers to HPV vaccination were less likely to recommend HPV vaccination.Conclusion
This study revealed that many subspecialists fail to recommend HPV vaccination to adolescents with CMCs and highlights potential targets for future interventions. 相似文献3.
Margaret W. Gichane William A. Calo Schatzi H. McCarthy Kathy A. Walmer Joel C. Boggan Noel T. Brewer 《Journal of pediatric and adolescent gynecology》2017,30(1):96-101
Study Objective
Cervical cancer morbidity and mortality are pressing public health issues that affect women in Haiti. To inform efforts to develop a human papillomavirus (HPV) vaccination program in Haiti, we sought to understand HPV awareness and willingness to get HPV vaccination in Haiti.Design, Setting, and Participants
We interviewed a convenience sample of 475 women and men in 2 clinical settings in Port-au-Prince and Léogâne, Haiti between April and July 2014.Interventions and Main Outcome Measures
HPV awareness and willingness to get HPV vaccine for daughters.Results
Few participants (27%, 130/475) had heard of HPV. Awareness of HPV was higher among respondents with a previous sexually transmitted infection compared with those without a previous sexually transmitted infection (odds ratio, 2.38; 95% confidence interval, 1.10-5.13). Adults who had heard of genital warts were also more likely to be aware of HPV compared with those who had not (odds ratio, 4.37; 95% confidence interval, 2.59-7.38). Only 10% (24/250) of parents had previously heard of HPV vaccine; however, after researchers explained the purpose of the vaccine, nearly all (96%, 240/250) said they would be willing to get HPV vaccine for their daughters if it were available.Conclusion
Despite low awareness of HPV in Haiti, interest in HPV vaccination was nearly universal in our study of health care-seeking adults. This high acceptability suggests that HPV vaccination programs instituted in Haiti would be well received. 相似文献4.
C. Smith L. Ding P.M. Gorbach E.L. Franco J.A. Kahn 《Journal of pediatric and adolescent gynecology》2018,31(2):89-93
Study Objective
Evidence suggests that vaccine-type human papillomavirus (HPV) prevalence may decrease in unvaccinated women after HPV vaccine introduction, indicating herd protection. The aim of this study was to determine factors associated with vaccine-type HPV (i.e. absence of herd protection) after vaccine introduction.Design
We conducted three cross-sectional studies from 2006-2014 (n = 1180): wave 1 (2006-2007), wave 2 (2009-2010), and wave 3 (2013-2014).Setting
Participants were recruited from a hospital-based teen health center and a community health department.Participants
We recruited 13-26 year-old young women; those included in this analysis had not received an HPV vaccine.Interventions and Main Outcome Measures
The outcome measure was infection with at least one vaccine-type HPV (HPV6, 11, 16, 18).Results
Multivariable logistic regression demonstrated that in wave 1 (before vaccine introduction), history of anal intercourse (OR = 1.8, 95% CI = 1.1-3.0), age 18-21 vs 13-17 years (OR = 2.1, CI = 1.2-3.6), and Black/multiracial vs White race (OR = 1.8, CI = 1.1-3.0) were associated with vaccine-type HPV in unvaccinated women. In wave 2, no variables were associated with HPV. In wave 3, sexually transmitted infection history (OR = 3.6, CI = 1.3-9.7) was associated with HPV.Conclusion
We did not identify a consistent set of modifiable risk factors associated with vaccine-type HPV after vaccine introduction across the three study waves, underscoring the urgency of vaccination for primary HPV prevention and the limitations of relying on herd protection. 相似文献5.
Rosemary Corriero Jennifer L. Gay Sara Wagner Robb Ellen W. Stowe 《Journal of pediatric and adolescent gynecology》2018,31(1):23-27
Study Objective
The purpose of the study was to compare human papillomavirus (HPV) vaccination rates before and after Affordable Care Act (ACA) implementation among women, and examine differences according to insurance status and other sociodemographic variables.Design, Setting, and Participants
This was a cross-sectional analysis of the National Health and Nutrition Examination Survey questionnaire data. Participants (n = 4599) were from a random sample of the United States population.Interventions and Main Outcome Measures
HPV vaccination status and number of doses received according to age, income, education, race, and insurance coverage.Results
Over time, the proportion of women reporting HPV vaccination increased from 16.4% to 27.6%, and reporting vaccination completion (3 doses) increased from 56.8% to 67.2%. After ACA implementation, respondents were 3.3 times more likely to be vaccinated compared with before ACA implementation (95% confidence interval [CI], 2.0-5.5) adjusting for age, race, and insurance coverage. Similarly, respondents were more likely to have received 2 (odds ratio, 2.8; 95% CI, 1.5-5.3) or 3 doses (odds ratio, 5.8; 95% CI, 2.5-13.6).Conclusion
Vaccination uptake increased in a comparison of waves of data from before and after ACA implementation. This increase in vaccination coverage could be related to the increased preventative service coverage, which includes vaccines, required by the ACA. Future studies might focus on the role insurance has on vaccination uptake, and meeting Healthy People 2020 objectives for vaccination coverage. 相似文献6.
Abraham Degarege Karl Krupp Kristopher Fennie Vijaya Srinivas Tan Li Dionne P. Stephens Laura A.V. Marlow Anjali Arun Purnima Madhivanan 《Journal of pediatric and adolescent gynecology》2018,31(6):583-591
Study Objective
The purpose of this study was to examine factors predicting human papillomavirus (HPV) vaccine acceptability among parents of adolescent girls in a rural area in Mysore district, India.Design
Cross-sectional.Setting
Mysore, India.Participants
Parents of school-going adolescent girls.Interventions
Parents completed a validated self-administered questionnaire.Main Outcome Measures
Parental willingness to vaccinate their daughters with HPV vaccine.Results
Of the 831 parents who participated in this study, 664 (79.9%) were willing to vaccinate their daughter with HPV vaccine sometime soon if they were invited to receive it. Higher odds of parental willingness to vaccinate their daughters with HPV vaccine was observed among those who believed that HPV vaccine is safe (adjusted odds ratio [aOR], 2.11; 95% confidence interval [CI], 1.01-4.45); their daughter might become sexually active (aOR, 1.84; 95% CI, 1.08-3.13); they have support of other family members to vaccinate their daughter (aOR, 2.86; 95% CI, 1.47-5.57); and that HPV infection causes severe health problems (aOR, 1.64; 95% CI, 1.04-2.57). In contrast, parents who believed that there is low risk that their daughter will get cervical cancer (aOR, 0.52; 95% CI, 0.29-0.95); that the family will disapprove of getting their daughter vaccinated (aOR, 0.45; 95% CI, 0.22-0.76); that the injection might cause pain (aOR, 0.53; 95% CI, 0.31-0.89), and were older-age parents (aOR, 0.96; 95% CI, 0.93-0.99) had lower odds of willingness to vaccinate daughters with HPV vaccine.Conclusion
Acceptance of HPV vaccination for daughters was high among rural parents in Mysore, India. However, health education to reduce the belief that injection is painful and that daughters are at low risk to get cervical cancer is important to further improve parental HPV vaccine acceptability in Mysore. Public health education should target older-aged parents and extended family members. 相似文献7.
Anne M. Teitelman Su Kyung Kim Roshani Waas Amanda DeSenna Rebecca Duncan 《Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG》2018,47(6):844-852
Objective
To identify salient beliefs about human papillomavirus (HPV) vaccine completion among young adult women who live in economically disadvantaged urban communities and to describe the integration of those beliefs into the development of a mobile health (mHealth) application to promote vaccine completion.Design
Theory-based, community-informed, mHealth application development process.Setting
Two federally supported family planning clinics in a large metropolitan area in the Northeastern region of the United States.Participants
Thirty-five young adult women ages 18 to 26 years who lived in economically disadvantaged communities.Methods
Participants completed a baseline survey and postclinic survey after they received the first doses of the HPV vaccine. Results informed the content of the application with additional input from a community advisory board and provider advisory board.Results
One third of participants had prior sexually transmitted infections, but fewer than half used condoms during most recent intercourse. Most participants (n = 30 and 32 [86% and 91%]) had correct knowledge about HPV and cervical cancer, and most (n = 31, 89%) intended to get the next dose of the HPV vaccine. Twelve salient beliefs about HPV vaccine completion were identified and used to develop the NowIKnow mHealth application. The application includes information, motivational content, a discussion forum, and vaccine completion reminders.Conclusion
Theory-based research and user-centered design can be systematically integrated into the development of mHealth applications. With content tailored to the target population, use of this novel intervention has the potential to reduce cancer disparities by reaching disadvantaged young adult women. 相似文献8.
9.
Charee M. Thompson Jane Broecker Maggie Dade Kelly Nottingham 《Journal of pediatric and adolescent gynecology》2018,31(5):509-515
Study Objective
According to the American Academy of Pediatrics, pediatricians are to counsel and provide long-acting reversible contraceptives (LARCs) as first line of defense contraceptives because they are the most effective. We wanted to explore positive influences on LARC placement for pediatricians, particularly compared with providers in other specialties who care for women.Design
Survey methods with data analyzed using analyses of variance and general linear models in statistical software SPSS version 24.0 (IBM Corp).Setting
Online survey.Participants
Participants were 224 providers across the state of Ohio who specialize in family medicine (51.8%), obstetrics/gynecology (17.9%), pediatrics (16.5%), and internal medicine (13.8%). Most of the sample was female (50.9%) and Caucasian (74.6%). The most frequent provider types were Doctors of Osteopathic Medicine (42.0%), followed by Doctors of Medicine (37.9%), and Certified Nurse Practitioners (8.5%).Interventions
None.Main Outcome Measures
Attitudes about LARCs, perceived norms about placing LARCs, perceived behavioral control over placing LARCs, intentions to place LARCs.Results
Means for all of the variables (attitudes, perceived norms, perceived behavioral control, and intentions to place) differed according to provider specialty. A pattern emerged across these variables in which internal medicine and pediatric practitioners reported lower attitudes, perceived norms, perceived behavioral control, and intentions to place LARCs than family medicine and obstetrics/gynecology practitioners, in that order.Conclusion
To increase positive attitudes and perceived norms about LARCs, professional organizations should increase communication to providers about the importance and expectations to place, counsel about, and facilitate placement of LARCs, and medical schooling can improve LARC counseling and procedural training to medical students, interns, and residents. Because perceived behavioral control is linked to intentions to place LARCs, perhaps providers would feel more confident to place them if they had more deliberate training. For pediatricians in particular, perhaps encouraging those who do not currently provide LARC methods to begin with training in implant placement would be a way to capitalize on their more favorable attitudes about implants. For pediatricians who do not feel comfortable providing device placement themselves, other strategies should be encouraged to facilitate provision of LARCs. 相似文献10.
B. Navarro Santana R. Sanz Baro R. Orozco J. Plaza Arranz 《Taiwanese journal of obstetrics & gynecology》2018,57(4):475-478
Objective
To assess rates of negative cytology and high-risk HPV testing after CO2 laser treatment for low-grade lesions and persistent infection with high-risk HPV as well as factors that can influence these rates.Material and methods
Between February 2011 and January 2015, 124 cervical vaporizations were performed with a CO2 laser in patients presenting persistent infection with high-risk HPV or LSIL of CIN I that had persisted for more than 2 years. Data on parity, condom use, oral contraceptive use, smoking, vaccination against HPV, and immune status were collected and the relationship with rates of negative cytology and high-risk HPV testing was studied.Results
We performed cytology, colposcopic and high-risk HPV detection 6 months after treatment in 116 patients (93%). Seventy-nine percent of patients had benign cytology in this control and 60% had negative results for HPV. Both parameters were normalized in 54% of patients. Mean follow-up was 22.35 months. Rates of negative cytology testing showed no significant relationship with any of the variables studied. Regarding rates of negative high-risk HPV testing, there is a statistically significant relationship with age younger than 45 years; type of high-risk HPV other than 16 and 18; and nulliparity and condom use. Among patients with persistent HPV infection and abnormal cytology at 6 months of vaporization, 55% had normalized cytology results but only 14.7% had negative results for high-risk HPV at the end of follow-up.Conclusions
CO2 laser vaporization is a simple, safe, and successful outpatient treatment that can be performed without anesthesia. 相似文献11.
Vrunda Patel Julie Hakim Veronica Gomez-Lobo Anne-Marie Amies Oelschlager 《Journal of pediatric and adolescent gynecology》2018,31(1):45-47
Study Objective
To examine providers' experiences with vaginal dilator training for patients with vaginal agenesis.Design and Setting
Anonymous electronic survey.Participants
Members of the North American Society for Pediatric and Adolescent Gynecology.Interventions and Main Outcome Measures
How providers learn about vaginal dilator training, common techniques, and methods used for patient training, assessment of patient readiness, common patient complaints, issues leading to early discontinuation.Results
There were a total of 55 completed survey responses of which 31 respondents (56%) had been in practice for more than 10 years. Forty-nine were gynecologists (89%), 20 had completed a fellowship in pediatric and adolescent gynecology (36%), and 6 were reproductive endocrinologists (11%). Thirty-one respondents had first learned about vaginal dilator training through lectures (56%) whereas only 9 through mentorship and fellowship (16%). According to respondents, the most common issue leading to early discontinuation was lack of patient motivation and readiness (n = 42; 76%). The most common complication was pain or discomfort (n = 45; 82%). More than half of respondents determined dilator therapy was successful when patients reported comfortable sexual intercourse (n = 30; 55%) and 65% (n = 35) did not delineate any restrictions to initiation of sexual intercourse. Most respondents (87%) requested further vaginal dilator training at either a clinical meeting (n = 26; 47%) or with a training video (n = 22; 40%).Conclusion
Our study in an experienced cohort of pediatric gynecology providers highlights the need for further research and training on vaginal dilation education. 相似文献12.
Jennie Lee Yoost Rachael Whitley Starcher Rebecca Ann King-Mallory Nafeeza Hussain Christina Ann Hensley Todd William Gress 《Journal of pediatric and adolescent gynecology》2017,30(2):193-198
Study Objective
To evaluate the use of telehealth to teach reproductive health to rural areas with high rates of teen pregnancy.Design
Prospective cohort study.Setting
Two high schools in rural West Virginia.Participants
High school female students who attended telehealth sessions.Interventions
Teleconferencing equipment connected rural high schools to a distal academic institution. Telehealth sessions included reproductive health and life skills topics. Demographic information, session pre- and post-tests, and 6- month assessment was obtained.Main Outcome Measures
Reproductive health knowledge, behavior, and self-efficacy were assessed at intervention and at 6 months, along with Likert scale evaluation of telehealth as an educational tool.Results
Fifty-five students participated in the program with an average age of 16.14 (SD 1.24) years. Only 20% (10/50) of subjects' mothers and 12% (6/50) of subjects' fathers had achieved education beyond high school, and 20% (10/50) of subject's mothers had experienced teen pregnancies (age 18 or younger). Sexual activity was reported among 52% (26/50) of subjects, 4/50 (8%) reported desire to become pregnant within the next year, and 4/50 (8%) reported already pregnant. Thirty-seven students completed the 6-month follow-up survey. Reported condom use increased from 20% (10/50) at baseline to 40% (15/37) at 6 months (P = .04) and hormonal contraception use increased from 22% (11/50) to 38% (14/37) (P = .12). Report of human papillomavirus vaccination increased from 38% (10/26) to 70% (26/37) (P = .001) among all subjects. At 6 months, 91.8% (34/37) reported the use of telehealth was “very effective” as a means to teach the material.Conclusions
Telehealth is an effective tool to teach reproductive health to rural areas. 相似文献13.
Jong-Wook Seo Dong-Yun Lee Byung-Koo Yoon DooSeok Choi 《Journal of pediatric and adolescent gynecology》2017,30(2):223-227
Study Objective
Young age is a possible risk factor of endometriosis recurrence after surgery. However, the efficacy of postoperative medical treatment has not been well addressed in adolescents. The purpose of this study was to evaluate whether postoperative medical treatment is as effective in adolescents as it is in adults in the prevention of endometrioma recurrence.Design
A retrospective cohort study.Setting
Samsung Medical Center, Seoul, Korea.Participants
This study included 176 reproductive-aged women who underwent conservative laparoscopic surgery for pathology-confirmed endometrioma. Women were classified into 2 groups according to age: adolescents (20 years of age and younger, n = 34; group I) and reproductive-aged women (aged 25-35 years, n = 142; group II).Interventions
The same surgeon performed all of the surgeries for uniformity. Postoperatively, patients were treated monthly with a gonadotropin-releasing hormone agonist depot for 3-6 months, followed by cyclic oral contraceptives.Main Outcome Measures
Endometrioma recurrence was determined using ultrasonography. The recurrence rate of endometrioma was compared between the 2 groups.Results
During the treatment period (median, 41.0 months; range, 6-159 months), recurrence was noted in 8 cases (4.5%). After adjusting for confounders (which were statistically different between the groups), the cumulative proportion of recurrent endometriomas after 60 months was comparable between the 2 groups (5.3% in group I and 8.5% in group II).Conclusion
Long-term postoperative medical treatment with cyclic oral contraceptives after a gonadotropin-releasing hormone agonist can be as effective in adolescents as it is in adults in the prevention of endometrioma recurrence. 相似文献14.
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16.
Robin Ann Narruhn 《Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG》2018,47(5):641-653
Objective
To explore health care administrators’ perspectives on (a) institutional values, practices, and policies on the provision of patient- and family-centered and culturally appropriate reproductive health care for women from Somalia; (b) limitations imposed by these institutional values, practices, and policies; and (c) strategies to address these limitations.Design
An exploratory single case study with in-person interviews and institutional document analysis guided by critical theory.Setting
A Level 4 academic medical center on the West Coast of the United States.Participants
Eleven health care administrators employed at the study site.Methods
Administrators participated in semistructured interviews after reading a prototypical vignette to contextualize the clinical encounter of a Somali woman with health care providers. Data from interviews were analyzed using a deductive structural coding process. Institutional documents were analyzed to identify values, policies, and practices regarding patient- and family-centered and culturally appropriate care for women from Somalia.Results
The overarching theme was Our institution respects diversity and patient- and family-centered care. The subthemes that emerged were Current practices are important but difficult to institute, Current institutional policies are good but too nonspecific to follow, and Engagement between the provider and woman is of value but difficult to enact. Recommendations to address these contrasts fell into two categories: pragmatic planning and changing the paradigm of care.Conclusion
Cultural barriers, limitations caused by structural factors, and competing provider–patient paradigms contribute to challenges for many providers when caring for Somali women in some U.S. health care systems. Specific policies and training to provide culturally appropriate reproductive care for Somali women are imperative. 相似文献17.
Jennifer E. McCabe-Beane Sara M. Stasik-O&#x;Brien Lisa S. Segre 《Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG》2018,47(1):105-113
Objectives
To examine the incremental identification of emotional distress in mothers of hospitalized newborns by screening for anxiety in addition to depression and to provide practical information about anxiety screening scales to facilitate instrument selection and screening implementation by nurses in the NICU.Design
In this secondary data analysis, screening data from the recruitment phase of a feasibility trial to evaluate a nurse-delivered counseling intervention for emotionally distressed mothers of newborns in the NICU were used to examine the effect of anxiety screening.Setting
A Level IV NICU at a large academic medical center in the Midwestern United States.Participants
Women 18 years of age and older (N = 190) with newborns in the NICU.Methods
Participants completed multiple measures of depression and anxiety symptoms.Results
Of participants who had negative screening results on a depression-only screening instrument, 4.7% to 14.7% endorsed clinically significant anxiety symptoms depending on the screening instrument used.Conclusion
Screening for anxiety in mothers of newborns in the NICU resulted in identification of distressed mothers who would otherwise have been missed during routine depression-only screening. Multiple options for anxiety screening exist that add incremental information to depression-only screening and require little additional burden on providers and mothers of newborns in the NICU. 相似文献18.
Avril S. Albaugh Susan Hatters Friedman Sarah Nagle Yang Miriam Rosenthal 《Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG》2018,47(1):3-11
Objective
To describe characteristics of women referred to mental health care during pregnancy or the year after giving birth and to identify characteristics associated with attendance at mental health intake visits.Design
Retrospective record review of referral documentation.Setting
Women's health practices and perinatal mental health clinics in urban areas.Participants
The sample included 647 women during pregnancy or the year after giving birth who were referred for mental health treatment.Methods
We reviewed the referral data sent from women's health care providers to perinatal mental health clinics to determine if mental health visits occurred.Results
Fifty percent of the 647 women who accepted perinatal mental health referrals had intake appointments. Women were more likely to participate in an intake appointment if in-home services were offered (p < .01). Those with lower income were also more likely to participate (p < 0.05). Those with histories of perinatal loss and those who self-referred tended to be more likely to participate, although these relationships were statistically nonsignificant.Conclusion
Even among women who accepted referrals to mental health services, only half attended intake appointments. For this group of pregnant women and those in the first year after birth, in-home mental health visits were most likely to result in care engagement, which has important implications for service delivery. 相似文献19.
Mark McShane James Perucho Melissa Olsakowski John P. Gaughan Robert T. Brown Lori Feldman-Winter 《Journal of pediatric and adolescent gynecology》2018,31(6):566-570
