Youths' Health-Related Social Problems: Concerns Often Overlooked During the Medical Visit
Youths' Health-Related Social Problems: Concerns Often Overlooked During the Medical Visit
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DOI：
10.1016/j.jadohealth.2013.02.024
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发表时间：
2013-08-01
影响因子：
7.6
通讯作者：
Fleegler, Eric W.
中科院分区：
文献类型：
--
作者：
Hassan, Areej;Blood, Emily A.;Fleegler, Eric W.
目的：本研究的目的是（1）衡量青少年和年轻成人初级保健患者中与健康相关的社会问题的患病率； (2) 估计之前的筛查和转诊经历； (3) 检查参与者对筛查和转诊的态度。方法：收集数据作为在城市年轻人诊所进行的横断面研究的一部分。 15至25岁的患者完成了计算机化问卷调查，以筛查九个社会领域与健康相关的社会问题。此外，参与者还回答了有关他们以前的筛查经历、转诊需求以及使用该系统的经验的问题。结果：76% (304/401) 的青少年至少在一项主要问题上筛查呈阳性，包括医疗保健服务 (37%)、住房 (34%) 和食品安全 (29%)。百分之四十七 (190/401) 在两个或多个社会领域经历过重大问题。去年每个领域的筛查率平均为 26%； 3% 的受访者在过去 12 个月内对所有九个领域进行了筛查，33% 的受访者未在任何领域进行筛查。总体而言，75% 的人在上一年内需要转介，42% 的人至少确定了一个未满足的转介需求。大多数（84%）参与者表示，筛查这些问题是可以接受的。结论：青少年中与健康相关的社会问题的患病率很高。大多数人在上一年至少需要一次转介来满足社交需求。初级保健医生将受益于改进的健康相关社会问题筛查和转诊系统，以便为患者创建一个全面的医疗之家。 (C) 2013 年青少年健康与医学协会。版权所有。
Objective: The objectives of this study were to (1) measure the prevalence of health-related social problems among adolescent and young adult primary care patients; (2) estimate previous screening and referral experiences; and (3) examine participant attitudes toward screening and referral.Methods: Data were collected as part of a cross-sectional study conducted in an urban young adult clinic. Patients aged 15 to 25 years completed a computerized questionnaire screening for health-related social problems in nine social domains. In addition, participants answered questions about their previous screening experiences, need for referrals, and their experience using the system.Results: Seventy-six percent (304/401) of youth screened positive for at least one major problem, including healthcare access (37%), housing (34%), and food security (29%). Forty-seven percent (190/401) experienced major problems in two or more social domains. The prevalence of screening in the past year for each domain averaged 26%; 3% were screened in all nine domains in the previous 12 months and 33% were not screened in any domain. Overall, 75% needed a referral within the previous year, and 42% identified at least one unmet referral need. The majority (84%) of participants reported that it was acceptable to screen for these problems.Conclusion: Prevalence of health-related social problems among youth is high. The majority needed at least one referral for a social need in the previous year. Primary care physicians would benefit from improved systems for screening and referral of health-related social problems in order to create a comprehensive medical home for their patients. (C) 2013 Society for Adolescent Health and Medicine. All rights reserved.