Does Delivering Preventive Services in Primary Care Reduce Adolescent Risky Behavior?
Does Delivering Preventive Services in Primary Care Reduce Adolescent Risky Behavior?
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DOI：
10.1016/j.jadohealth.2011.02.011
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发表时间：
2011-11-01
影响因子：
7.6
通讯作者：
Irwin, Charles E., Jr.
中科院分区：
文献类型：
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作者：
Ozer, Elizabeth M.;Adams, Sally H.;Irwin, Charles E., Jr.
目的：确定预防性服务的提供是否会改变青少年的行为。这项探索性研究调查了在三个儿科诊所接受护理的青少年的危险行为轨迹，其中在健康访问期间提供了预防性服务干预。方法：干预措施包括筛查和提供者的简短咨询，然后是健康教育者访问。 904 名青少年在 14 岁时（第一年）接受了风险评估和干预，并在一年后的 15 岁时（第二年）接受了风险评估。结果是青少年与安全带和头盔使用相关的行为发生变化；吸烟、酗酒和吸毒；和性行为。分析涉及干预措施与 14-15 岁的几个横截面比较样本之间的年龄相关比较。结果：干预样本中头盔使用的变化高出 100% (p < .05)，男性安全带使用的变化高出 50% (p = .14)；男性吸烟率的变化降低了 54% (p < .10)，饮酒率没有差异，吸毒率则高出 10%（不显着 [NS]）；性交率的变化比队列比较样本 (NS) 低 18% 和 22%。 结论：干预措施在头盔使用方面效果最强，显示出增加男性青少年安全带使用和减少吸烟的希望，并表明延迟性活动开始的趋势不显着。参与干预似乎对 14 岁至 15 岁之间尝试酒精和毒品的比例没有影响。 (C) 2011 年青少年健康与医学协会。版权所有。
Purpose: To determine whether the delivery of preventive services changes adolescent behavior. This exploratory study examined the trajectory of risk behavior among adolescents receiving care in three pediatric clinics, in which a preventive services intervention was delivered during well visits.Methods: The intervention consisted of screening and brief counseling from a provider, followed by a health educator visit. At age 14 (year 1), 904 adolescents had a risk assessment and intervention, followed by a risk assessment 1 year later at age 15 (year 2). Outcomes were changes in adolescent behavior related to seat belt and helmet use; tobacco, alcohol, and drug use; and sexual behavior. Analysis involved age-related comparisons between the intervention and several cross-sectional comparison samples from the age of 14-15 years.Results: The change in helmet use in the intervention sample was 100% higher (p < .05), and the change in seat belt use among males was 50% higher (p = .14); the change in smoking among males was 54% lower (p < .10), in alcohol use was no different, and in drug use was 10% higher (not significant [ NS]); and the change in rate of sexual intercourse was 18% and 22% lower than cohort comparison samples (NS).Conclusions: The intervention had the strongest effect in the area of helmet use, shows promise for increasing seat belt use and reducing smoking among male adolescents, and indicates a nonsignificant trend toward delaying the onset of sexual activity. Participation in the intervention seemed to have no effect on the rates of experimentation with alcohol and drugs between the ages of 14 and 15 years. (C) 2011 Society for Adolescent Health and Medicine. All rights reserved.