Adolescent preventive services: rates and disparities in preventive health topics covered during routine medical care in a California sample.
Adolescent preventive services: rates and disparities in preventive health topics covered during routine medical care in a California sample.
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DOI：
10.1016/j.jadohealth.2008.08.015
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发表时间：
2009-06
影响因子：
7.6
通讯作者：
Ozer, Elizabeth M.
中科院分区：
文献类型：
--
作者：
Adams, Sally H.;Husting, Sheila;Zahnd, Elaine;Ozer, Elizabeth M.
其目的是使用加利福尼亚州的样本，检查青少年常规医疗保健期间预防性健康主题的比率和差异。利用2003年加州健康访谈调查数据，样本包括2192名在过去6个月内参加体检的青少年。青少年报告了在他们最近的体检中是否讨论了9个健康话题：烟草、酒精、毒品、安全带、头盔、暴力、运动、营养和性传播疾病。结果是讨论的健康话题比率以及基于年龄、性别、种族/民族、收入水平和保险状况的比率差异。发生率从15%(暴力)到76%(营养、运动)不等。与年龄较大的青少年相比，年龄较小的青少年报告更多地讨论安全，但物质、营养和性传播疾病的讨论较少。与男性相比，女性更少讨论烟草和头盔，但更多地讨论运动和性病。与白人青年相比，拉美裔青年报告更多地讨论大多数话题，黑人青年报告更多地讨论营养，较少讨论暴力，亚裔青年报告更多地讨论安全带和头盔。与高收入和参保群体相比，低收入和未参保群体报告了更多关于健康话题的讨论。健康主题覆盖率低于建议水平。与预期相反，少数群体、未参保群体和低收入群体报告的讨论健康话题的比率更高。在常规医疗期间增加预防健康主题覆盖面的战略应处理这些发现。
The objective was to examine rates and disparities in preventive health topics covered during routine medical care for adolescents, using a California sample. Utilizing 2003 California Health Interview Survey data, the sample included 2192 adolescents attending a physical exam within the past 6 months. Adolescents reported whether 9 health topics: tobacco; alcohol; drugs; seatbelts; helmets; violence; exercise, nutrition, and sexually transmitted diseases (STDs) were discussed during their most recent physical exam. Outcomes were rates of health topics discussed and disparities in rates based on age, gender, race/ethnicity, income level, and insurance status. Rates ranged from 15% (violence) to 76% (nutrition, exercise). Compared to older teens, younger teens reported discussing safety more, but substances, nutrition, and STDs less. Compared to males, females reported discussing tobacco and helmets less, but exercise and STDs more. Compared to white youths, Hispanic youths reported more discussion of most topics, black youths reported more discussion of nutrition and less of violence, and Asian youths reported more discussion of seatbelts and helmets. Lower-income and uninsured groups reported more discussion of health topics compared to higher-income and insured groups. Rates of coverage of health topics are below recommended levels. Contrary to expectations, minority, uninsured, and lower income groups reported higher rates of discussing health topics. Strategies to increase the coverage of preventive health topics during routine medical care should address these findings.
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影响因子：
8
作者：
Adams, Sally H.;Newacheck, Paul W.;Irwin, Charles E., Jr.
通讯作者：
Irwin, Charles E., Jr.
影响因子：
--
作者：
Hambidge, Simon J.;Emsermann, Caroline Bublitz;Steiner, John F.
通讯作者：
Steiner, John F.
影响因子：
8
作者：
Houtrow, Amy J.;Kim, Sue E.;Newacheck, Paul W.
通讯作者：
Newacheck, Paul W.
影响因子：
7.6
作者：
Rand, CM;Auinger, P;Weitzman, M
通讯作者：
Weitzman, M
影响因子：
8
作者：
Perry, Cynthia D.;Kenney, Genevieve M.
通讯作者：
Kenney, Genevieve M.