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Adolescents report their need for and use of health care services.
J Adolesc Health. 1997 Dec; 21(6):388-99.JA

Abstract

PURPOSE

The goals of this study were to describe student access to health care services, identify populations of students who remained in need of health care services, and highlight particular unmet needs for health care identified by these adolescents.

METHODS

Students in Grades 9-12 attending 50 schools in Oregon completed the Youth Risk Behavior Surveillance Survey (YRBS). Questions requesting adolescents to report their need for specific types of health care, and access to general and specific types of care were added to the core YRBS. Multivariate logistic regression analysis was used to determine independent relationships between student or community characteristics and health care access or unmet needs for care.

RESULTS

Almost 14,000 adolescents completed surveys, of whom 75% reported visiting one or more health care provider within the last 12 months. Nineteen percent of adolescents reported that they had not received 1 or more of 10 specific types of care when needed in the last year. Females, some racial/ethnic minorities, rural, and sexually active adolescents were more likely to report unmet needs for health care. Most frequently, adolescents reported they needed but did not receive care for an illness (7%) or for personal or emotional problems (6%). In addition, about 400 (3%) students reported they needed birth control that they did not receive.

CONCLUSIONS

A majority of high school-age adolescents had visited health care providers within the year prior to study. However, the number of adolescents who reported unmet specific health care needs within the same time period remained substantial.

Authors+Show Affiliations

Multnomah County Health Department, Portland, OR 97204, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

9401858

Citation

Zimmer-Gembeck, M J., et al. "Adolescents Report Their Need for and Use of Health Care Services." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 21, no. 6, 1997, pp. 388-99.
Zimmer-Gembeck MJ, Alexander T, Nystrom RJ. Adolescents report their need for and use of health care services. J Adolesc Health. 1997;21(6):388-99.
Zimmer-Gembeck, M. J., Alexander, T., & Nystrom, R. J. (1997). Adolescents report their need for and use of health care services. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 21(6), 388-99.
Zimmer-Gembeck MJ, Alexander T, Nystrom RJ. Adolescents Report Their Need for and Use of Health Care Services. J Adolesc Health. 1997;21(6):388-99. PubMed PMID: 9401858.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adolescents report their need for and use of health care services. AU - Zimmer-Gembeck,M J, AU - Alexander,T, AU - Nystrom,R J, PY - 1997/12/24/pubmed PY - 1997/12/24/medline PY - 1997/12/24/entrez KW - Adolescents KW - Age Factors KW - Americas KW - Delivery Of Health Care KW - Demographic Factors KW - Developed Countries KW - Economic Factors KW - Health KW - Health Services KW - Needs KW - North America KW - Northern America KW - Oregon KW - Organization And Administration KW - Population KW - Population Characteristics KW - Program Accessibility KW - Program Evaluation KW - Programs KW - Research Methodology KW - Research Report KW - Sampling Studies KW - Studies KW - Surveys KW - United States KW - Utilization Of Health Care KW - Youth SP - 388 EP - 99 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 21 IS - 6 N2 - PURPOSE: The goals of this study were to describe student access to health care services, identify populations of students who remained in need of health care services, and highlight particular unmet needs for health care identified by these adolescents. METHODS: Students in Grades 9-12 attending 50 schools in Oregon completed the Youth Risk Behavior Surveillance Survey (YRBS). Questions requesting adolescents to report their need for specific types of health care, and access to general and specific types of care were added to the core YRBS. Multivariate logistic regression analysis was used to determine independent relationships between student or community characteristics and health care access or unmet needs for care. RESULTS: Almost 14,000 adolescents completed surveys, of whom 75% reported visiting one or more health care provider within the last 12 months. Nineteen percent of adolescents reported that they had not received 1 or more of 10 specific types of care when needed in the last year. Females, some racial/ethnic minorities, rural, and sexually active adolescents were more likely to report unmet needs for health care. Most frequently, adolescents reported they needed but did not receive care for an illness (7%) or for personal or emotional problems (6%). In addition, about 400 (3%) students reported they needed birth control that they did not receive. CONCLUSIONS: A majority of high school-age adolescents had visited health care providers within the year prior to study. However, the number of adolescents who reported unmet specific health care needs within the same time period remained substantial. SN - 1054-139X UR - https://www.unboundmedicine.com/medline/citation/9401858/Adolescents_report_their_need_for_and_use_of_health_care_services_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1054-139X(97)00167-5 DB - PRIME DP - Unbound Medicine ER -