Access to medical care for adolescents: Results from the 1997 Commonwealth Fund Survey of the Health of Adolescent Girls
Access to medical care for adolescents: Results from the 1997 Commonwealth Fund Survey of the Health of Adolescent Girls
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DOI：
10.1016/s1054-139x(98)00146-3
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发表时间：
1999-08-01
影响因子：
7.6
通讯作者：
Collins, KS
中科院分区：
文献类型：
--
作者：
Klein, JD;Wilson, KM;Collins, KS
目的：本研究调查了影响青少年获得保健服务的相关因素，包括性别、保险范围和有固定的医疗保健来源。方法：对1997年联邦基金青春期女孩健康调查进行分析，这是一个具有全国代表性的5至12年级在校青少年样本。评估了青少年获得医疗保健的机会、缺少必要的护理以及青少年是否与提供者有私人时间。Cochran-Mantel-Haenszel卡方统计使用SUDAAN软件计算。结果：在接受调查的6748名青少年中，近三分之一的人错过了需要照顾的机会。缺少照顾的最常见原因是不想让父母知道(35%)。女孩比男孩更容易错过照顾(29%比24%)。大多数青少年报告使用初级卫生保健来源(92%)；女孩比男孩更有可能使用医生办公室而不是其他网站(65%对60%)。11%的青少年报告没有医疗保险。未参保的青少年更有可能错过所需的护理(40%比23%)。结论：某些青少年群体获得医疗保健的机会较少。女孩有更多的情感障碍，比如不想让父母知道关心的事情，以及尴尬。由于经济压力，没有医疗保险的青少年错过护理的风险很高。各州、保险公司和倡导者可以影响围绕机密性和保险覆盖范围的政策，以解决这些问题。(C)青少年医学学会，1999年。
Purpose: This study examined the factors associated with access to care among adolescents, including gender, insurance coverage, and having a regular source of health care.Methods: Analyses were done on the 1997 Commonwealth Fund Survey of the Health of Adolescent Girls, a nationally representative sample of in-school adolescents in 5th through 12th grade. Access to health care, missing needed care, and whether the adolescent had private time with their provider were assessed. Cochran-Mantel-Haenszel chi-square statistics were computed using SUDAAN.Results: Nearly a third of the 6748 adolescents surveyed had missed needed care. The most common reason for missing care was not wanting a parent to know (35%). Girls were more likely than boys to miss care (29% vs. 24%). Most adolescents reported using a source of primary health care (92%); girls were more likely than boys to use a physician's office rather than another site (65% vs. 60%). Eleven percent of adolescents reported having no health insurance. Uninsured adolescents were more likely to have missed needed care (40% vs. 23%).Conclusions: Certain groups of adolescents have less access to health care. Girls have more emotional barriers, such as not wanting parents to know about care, and embarrassment. Adolescents without health insurance are at high risk for missing care because of financial strain. States, insurers, and advocates can influence policies around confidentiality and insurance coverage to address these issues. (C) Society for Adolescent Medicine, 1999.