Including At-Risk Adolescents in Their Own Health and Mental Health Care: A Youth Development Perspective

Díaz, Ángela; Peake, Ken; Surko, Michael; Bhandarkar, Kalpana

doi:10.4324/9781315821184-1

Cited by 1 publication

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“…The study setting is a unique health service designed to appeal to young people, where care is free, confidential, comprehensive and adolescent specific 28 which is a limitation in terms of generalizability to non-clinic populations. Indeed, it is possible that self-rated health may be regulated by efforts to achieve health related goals: in one study actively seeking health care was associated with a positive perception of health compared to those not actively seeking care when studied.…”

Section: Discussionmentioning

confidence: 99%

Health Care Use and Status Among Abused Young People

Díaz

Peake

Nucci-Sack

et al. 2017

Annals of Global Health

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Importance Childhood abuse negatively impacts young people’s health. Little is known about its impact on health care utilization patterns or on perception of health status during a life-stage when learning to use care independently is a key developmental task. Objectives In non-clinical study settings, abuse has been found to be associated with disorganized utilization of care and perceived poorer health: our objective was to determine whether abused youth receiving health care show similar outcomes. Design This observational study, conducted between December 5, 2005 – April 13, 2007, screened for childhood abuse in 532 young people seeking services at a primary care clinic. Setting A New York City young people’s free health clinic. Participants ages 12 – 24 years; recruited during a visit; mostly female (86%); Latino or Black (94%); currently in school or college (79%). Exclusions: not English fluent or difficulty understanding the study/consent process. Outcomes Health care utilization (routine versus urgent care) in the prior 12 months and perceived health status were measured using the Health Service Utilization Scale. Potential demographic covariates were controlled for, as was depression (using the Beck Depression Inventory for Primary Care-Fast Screen). Results Fifty four percent disclosed abuse. Compared to non-abused, those reporting sexual abuse had 1.4 times more odds of choosing both urgent and routine care over routine care only. Those reporting any type of abuse had lower odds of selecting urgent care only over routine care. No association was found between childhood abuse and perceived health status. Conclusions/Relevance In contrast to studies conducted among youth in non-clinic settings, in this study childhood abuse was not associated with health care utilization patterns or with poorer perception of health. Further research is needed regarding the impact receiving health care has on perceived health and health care utilization in abused youth.

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Section: Discussionmentioning

confidence: 99%