The effects of mental health factors on ambulatory care visits by rural teens.
The effects of mental health factors on ambulatory care visits by rural teens.
复制标题
心理健康因素对农村青少年门诊护理的影响。
作者：
V. Rickert;S. Pope;J. Tilford;J. Wayne;S. Scholle;K. Kelleher
本研究旨在确定心理健康变量对农村青少年使用门诊医疗服务的影响，以及这些影响在常见的门诊环境中是否存在差异。采用横断面调查设计，通过一项标准化的健康行为调查，对密西西比河三角洲一个偏远县的2297名7 - 12年级公立学校的青少年进行了评估。这项自我报告测量询问了相关的健康行为，如饮酒、抑郁症状和医疗服务使用情况。学生的平均年龄为15岁，样本中有58%是黑人。约11%的样本报告有抑郁症状，16.5%报告有饮酒问题，同时报告这两种情况的略少于6%。在控制了倾向因素、使能因素和需求因素后，报告有抑郁症状、饮酒问题或两者兼有的情况与所考察的四个地点中的三个地点的门诊就诊次数增加有关。然而，观察到了地点之间的差异。这些数据表明，心理健康问题与门诊就诊次数增加有关，并且这些问题对服务使用的影响存在差异。因此，有效的干预措施以及门诊机构与心理健康服务提供者之间更好的联系可能会减少不必要的使用。
This study sought to determine the effects of mental health variables on rural adolescents' use of ambulatory health care services and whether these effects varied across common outpatient settings. Using a cross-sectional survey design, 2,297 adolescents who attended public schools in grades 7 through 12 in one isolated rural Mississippi River Delta county were assessed via a standardized health behavior survey. This self-report measure inquired about relevant health behaviors such as alcohol use, depressive symptoms, and health service use. The students' mean age was 15 years and 58 percent of the sample were black. Approximately 11 percent of the sample reported symptoms of depression, 16.5 percent reported problem drinking, and slightly fewer than 6 percent reported both. After controlling for predisposing, enabling, and need factors, the reporting of depressive symptoms, problem drinking, or both was related to an increased number of outpatient visits in three of four sites examined. However, differences among sites were observed. These data suggest that mental health problems are associated with increased visits to ambulatory settings, and these problems affect service use differentially. Thus, effective interventions and better linkages between ambulatory settings and mental health providers may reduce unnecessary use.
有问题的饮酒人群中与伤害相关的医疗保健利用。
影响因子：
12.7
作者：
Blose,JO;Holder,HD
通讯作者：
Holder,HD
卫生诊所高危青少年患者的问题和寻求帮助。
DOI：
10.1016/0197-0070(88)90255-0
发表时间：
1988
期刊：
Journal of adolescent health care : official publication of the Society for Adolescent Medicine
影响因子：
--
作者：
Stiffman,AR;Earls,F;Robins,LN;Jung,KG
通讯作者：
Jung,KG