Community prostate cancer screening.

Health promotion and cancer prevention, including screening, are two important aspects of cancer care. However barriers exist to patients receiving recommended cancer screening procedures. One way to overcome these barriers is through the use of community cancer screening programs.

Birth outcomes of prostituting adolescents.

In 1989, researchers at the University of Washington, Division of Adolescent Medicine, described the multifactorial risks of pregnancy for adolescents engaged in prostitution activities. Factors identified as placing this population at particular risk were transience, substance abuse, violence, sexually transmitted diseases, inadequate (or no) medical care, and poor nutrition. The relationship between such risks in the pregnant adolescent and poor birth outcome has been widely demonstrated.

The medical care of street youth.

Our clinical contacts with street youth support the view that their numbers are growing and that their medical needs are largely neglected. We describe our experience in providing medical care to street youth in Seattle, with attention to their medical presentations and patterns of health care utilization. We address aspects of adolescent street life that are unique to that particular mode of living or importantly formative in the lives of persons drawn to it.

The pregnant adolescent prostitute.

The issue of teenage pregnancy is one of paramount concern and has been covered extensively in the professional literature. Teenage prostitution, as well, has drawn attention from medical and social science researchers. An increasing number of teenage prostitutes are becoming pregnant and delivering infants.

MMPI-based personality types among juvenile sexual offenders.

The MMPIs of 262 adolescent males who committed sexual offenses were categorized by means of cluster analysis into four distinct groups. Each of these groups was found to contain different two-point code types. Referral offense, historical and clinical data were compared for each of the four cluster groups and for each of the two-point code types; the latter provided more reliable discrimination among groups.

Adolescent sexual offenders: offender and offense characteristics.

Descriptive data are presented on 305 adolescent sexual offenders. Types of offenses and the circumstances under which they occurred are described. Results suggest that adolescents commit an array of sexual offenses, that they are not typically isolated incidents, and that they are frequently indicative of more general adjustment difficulties.

Maltreatment of adolescents: the relationship to a predisposition toward violent behavior and delinquency.

This discussion reviews the literature concerning the association between the maltreatment, abuse and exploitation of adolescents and the predisposition to violent and other offending behavior. We review the importance and family dynamics of abuse which bear a relationship to antisocial behavior. The distinction is made between child abuse and adolescent abuse, and controversies regarding the sequelae of various maltreatments are discussed.

Adolescent sexual offense behavior: the role of the physician.

This article explores the more common adolescent sexual behavior problems that have legal ramifications, and the role of the physician in approaching such problems. Various presenting sexual offense behaviors are described, as well as the implications for the patient as offender, and finally the parental and physician attitudes necessary to facilitate successful treatment outcomes. Intervention approaches are discussed, and two cases are presented from a group of 83 adolescent male sexual offenders referred to our Juvenile Sexual Offender Project.

Community college health services. Are they necessary?

A preliminary study was undertaken to assess the potential predictors of the medical care needs of the students attending a community college. No definite medical-social-economic parameters were useful predictors. The self-assessed primary health needs were documented.

Education and integration of midlevel health-care practitioners in obstetrics and gynecology: experience of a training program in Washington state.

The impetus for the development of the Gynecorps Training Program was the identification of medically underserved populations of women in Washington State and their need for preventive health care, the maldistribution of physicians, and the success of a pilot program for training midlevel personnel conducted in 1972 by the Department of Obstetrics and Gynecology, University of Washington School of Medicine. The program trains community-based and -sponsored Registered Nurses and Physician's Assistants as women's health-care specialists, with the goal of delivering preventive care in obstetrics and gynecology to populations of high-risk, low-income, and/or underserved women. A summary of the training program, its curriculum, and the integration of its graduates into community health teams is presented and discussed.

Runaways: a growing social and family problem.

The problem of the juvenile runaway is one of increasing magnitude, and it is causing considerable alarm among lay and professional people. As the age of the runaway becomes younger and the harmful consequences of being away from home increase, public attention has focused on the problem. Family physicians are in a unique position to provide both preventive and remedial help to runaways and their families.