61: Are adolescents being screened for depression in primary care?

Ozer, Elizabeth M.; Zahnd, Elaine; Adams, Sally; Husting, Sheila; Norman, Kim P; Smiga, Susan

doi:10.1016/j.jadohealth.2006.11.115

Cited by 2 publications

(1 citation statement)

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“…On the basis of our previous work on demographic factors that are associated with screening, we adjusted for age, race/ethnicity, income status, and gender in our models. [17][18][19] We repeated this analysis stratified by year to investigate whether the relationship between BMI status and screening by topic differed within each year. We then used 2 testing to determine whether differences in screening by year were statistically significant in an exploratory bivariate analysis.…”

Section: Discussionmentioning

confidence: 99%

The Association of BMI Status With Adolescent Preventive Screening

2011

PEDIATRICS

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WHAT'S KNOWN ON THIS SUBJECT:Guidelines ask providers to target adolescent diet and physical activity counseling by BMI status, but providers do not consistently provide this service and often rely on inspection alone versus calculating BMI percentile. WHAT THIS STUDY ADDS:This study investigated whether providers target adolescent preventive screening on the basis of BMI status, with a focus on overweight adolescents, given recent guidelines. The study is strengthened by the use of adolescent self-report versus relying on provider or parent report. abstract OBJECTIVE: To examine the relationship between BMI status (normal, overweight, and obese) and preventive screening among adolescents at their last checkup. METHODS:We used population-based data from the 2003-2007 California Health Interview Surveys, telephone interviews of adolescents aged 12 to 17 years with a checkup in the past 12 months (n ϭ 9220). Respondents were asked whether they received screening for nutrition, physical activity, and emotional distress. BMI was calculated from self-reported height and weight: (1) normal weight or underweight (Ͻ85th percentile); (2) overweight (85th-94th percentile); and (3) obese (Ͼ95th percentile). Multivariate logistic regression models tested how screening by topic differed according to BMI status, adjusting for age, gender, income, race/ethnicity, and survey year. RESULTS:Screening percentages in the pooled sample (all 3 years) were higher for obese, but not overweight, adolescents for physical activity (odds ratio: 1.4; P Ͻ .01) and nutrition (odds ratio: 1.6; screening did not differ P Ͻ .01). Stratified analysis by year revealed higher screening for obese (versus normal-weight) adolescents for nutrition and physical activity in 2003 and for all 3 topics in 2005. However, by 2007, screening did not differ according to BMI status. Overall screening between 2003 and 2007 declined for nutrition (75%-59%; P Ͻ .01), physical activity (74%-60%; P Ͻ .01), and emotional distress (31%-24%; P Ͻ .01). CONCLUSIONS:Obese adolescents receive more preventive screening versus their normal-weight peers. Overweight adolescents do not report more screening, but standards of care dictate increased attention for this group. These results are discouraging amid a rise in pediatric obesity and new guidelines that recommend screening by BMI status.

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Section: Discussionmentioning

confidence: 99%