| Titre : | Foregone health care among adolescents. (1999) |
| Auteurs : | C.A. FORD ; P.S. BEARMAN ; J. MOODY ; Department of Sociology. University of North Carolina. Chapel Hill. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 282, n° 23, 1999) |
| Pagination : | 2227-2234 |
| Langues: | Anglais |
| Mots-clés : | Soins santé primaire ; Prévention santé ; Facteur sociodémographique ; Adolescent ; Homme ; Etats Unis ; Amérique ; Questionnaire ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST wG6R0xuG. Diffusion soumise à autorisation]. Context No annual national population estimates exist of the numbers of adolescents who think they need but do not receive health care or their risk of health problems. Objective To describe the proportion of adolescents who report foregone health care each year and the influence of sociodemographic factors, insurance status, past health care, and health risks/behaviors on foregone care. Design Cross-sectional analyses of data from wave 1 of the National Longitudinal Study of Adolescent Health, conducted during 1995. Setting In-home interviews conducted throughout the United States. Participants Of 27 000 adolescents in grades 7 through 12 who were invited to participate, 20 746 (76.8%) completed the in-home interview. Main Outcome Measure Reported foregone health care in the preceding year by individual and family characteristics, insurance status, past health care, health/behavior risk factors, and symptoms. Results On average, 2268 (18.7%) of 12 079 adolescents reported foregone health care within the past year. Factors associated with decreased risk of foregone care included continuous private or public insurance (adjusted relative risk [95% confidence interval], 0.64 [0.50-0.82] to 0.82 [0.70-0.96]), and having a physical examination within the past year (0.87 [0.78-0.97] for male and 0.79 [0.70-0.88] for female adolescents). Factors associated with increased risk of foregone care included older age (1.12 [1.06-1.15] for male), minority race/ethnicity (1.25 [1. (...) |
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