臺北市國中三年級學生自評與醫師檢查性成熟度之比較

Self-Assessment and Physicians' Assessment of Sexual Maturation in Adolescents' in Taipei

吳文豪(Wen-Haur Wu) ； 李鍾祥(Chung-Hsiang Lee) ； 吳振龍(Chen-Long Wu)

《Acta Paediatrica Sinica》 34卷2期 (1993/04) Pp. 125-131

摘要

本研究旨在探討由青少年自行判斷其第二性徵發育成熟度結果與醫師檢查結果的差異情形，作為日後應用自評性徵的參考資料。
研究以臺北市國中三年級學生為對象，用分層分段隨機取樣法抽樣，實得有效人數男生412名及女生90名。參加者在口頭及圖片說明後，即接受問卷調查，是為自評性徵。
結果顯示，現今青少年自評之性徵分期與醫評結果吻合率頗低(11.2-48.1%)，相關係數僅0.25-0.52間，遠較國外報告低，其中男生以睪丸、女生以陰毛為最低。因此，現階段應不適宜使用學生之自評資料。

關鍵字

文摘

並列摘要

The characteristics of puberty included the change of physiology, psychology and behavior, the inter-relationship within three was emphasized. The study of the sexual development is difficult to be achieved, only adolescents' self-assessment can overcome this obstacle.
Four-hundred and twelve male and ninety female junior high school students grade thee were enrolled from Taipei middle schools by probability proportionate to size method.
The criteria of Tanner sexual staging were explained to the target population orally and pictorially. The orchidometer was demonstrated as well. Judging self-development were then asked for. School children were later examined by physician of same sex. The study included pubic hair, testis, penis and breast.
The agreement between adolescents' rating and physicians' rating was high in penis and breast, low in male's testis and female's pubic hair. The correlation coefficient between two ranged from 0.25 to 0.52.
Although the foreign reports revealed that adolescents can assess their own sexual development reliably. It is not so in our study. Perhaps more efforts in discussion on development performed immediately would help.

並列關鍵字

adolescent ； puberty ； sexual maturation