Original ArticleParent and Adolescent Views on Barriers to Adolescent Preventive Health Care Utilization
Section snippets
Methods
This study is a secondary analysis of data collected between December 2012 and January 2013 by Harris Interactive, Inc (Rochester, New York). Online surveys targeted adolescents (N = 500) and a separate sample of parents of adolescents (N = 504). Adolescents and parents in the current study were unrelated to each other. These surveys were conducted by the National Foundation of Infectious Diseases in collaboration with Pfizer Inc (New York, New York). The authors did not aid in the study
Results
The weighted majority of participants were female (56.6%), and about one-half reported having a male child (51.7%; Table I). Roughly two-thirds of participants were white (66.9%), with over two-thirds of parents between the ages of 41 and 64 years (69.2%). The age and sex groups of their children were roughly equal across categories.
The weighted majority of adolescents were white (52.3%) and between the ages of 13 and 15 years (Table I). Adolescents reported that a majority of their mothers
Discussion
We found that both adolescents and parents reported high rates of preventive care visits within the last year, which is consistent with previous studies of preventive care.8, 9, 10 With that said, self-report rates of preventive care8, 9, 10 are higher than preventive care rates reported in other studies using Health Plan Employer Data and Information Set across multiple states11 and a large health program in a single Midwestern state.12 Although respondents were asked when their last annual
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Cited by (20)
Adolescent and Young Adult Perspectives on Quality and Value in Health Care
2023, Academic PediatricsBinary and Nonbinary Transgender Adolescents' Healthcare Experiences, Avoidance, and Well Visits
2022, Journal of Adolescent HealthCitation Excerpt :In our sample, the rates of past-year well visit exceeded the rates of adolescents nationally [34] and did not differ by gender. Rates of past-year well visits in our sample could be elevated for a number of reasons including that this data was self-reported, as opposed to measured via claims data [34,35], and that this study recruited a clinic-based sample of adolescents already receiving care from a specialist [36] (i.e., gender clinic provider) who also provided preventative care for some of the sample (approximately, 20%). Although, it is not well understood why receipt of care from a specialist would be a facilitator for adolescents' completion of an annual well visit, it is notable that some gender-affirming care specialists may also provide preventative care services [35,37].
Results of a National Text Message Poll of Youth: Perspectives on Primary Care
2020, Journal of Adolescent HealthCitation Excerpt :This mismatch is likely related to barriers to accessing primary care [6]. In line with what was found in previous reports, youth in this study found it difficult to get an appointment in a timely manner with their PCP, may have long wait times and then only spend a short time with their provider, and may not be able to afford care [2,7,22,25]. These barriers can lead to youth accessing fragmented care outside of the medical home, or, even worse, leaving health care needs unmet, which can lead to worse adult health [6,26].
Caregiver Comfort in Adolescents Independently Completing Screening Tablet-Based Questionnaires at Primary Care Visits
2019, Journal of Adolescent HealthCorrelations between adolescents’ perceptions of family health tasks and adolescents’ smoking behaviors in Indonesia
2019, Enfermeria ClinicaCitation Excerpt :Utilizing healthcare services is the fifth task, and this applies to knowledge of the location, benefits obtained, types of services offered and results of healthcare services.9 Research by Aalsma et al.20 reported that there were barriers between parents and adolescents about visiting primary healthcare centers, including the belief that healthcare visits were only needed when adolescents were physically ill. The results of the multivariate analysis revealed that the families who were unable to carry out the family health tasks as a whole tended to have adolescent smokers 2.627 times more often than those families who were able to implement the tasks.
Young Adult Preventive Healthcare: Changes in Receipt of Care Pre- to Post-Affordable Care Act
2019, Journal of Adolescent HealthCitation Excerpt :Continued effort needs to address additional utilization barriers. Research on adolescents shows that lower well visit rates are associated with parental perceptions that seeking medical care is unnecessary if one does not have health problems and that the family cannot afford to seek medical care [19]. We are unaware of any parallel studies describing barriers to young adults accessing well visits.
Supported by the Agency for Healthcare and Quality (R01HS022681) and Health Resources and Services Administration (T71MC00008). The Perceptions of Adolescent Health (PATH) online survey was conducted by the National Foundation for Infectious Diseases (NFID) in collaboration with, and with support from, Pfizer, Inc. The authors did not aid in the study development or design. Findings and conclusions are those of the authors and do not reflect the official positions of NFID or Pfizer, Inc. V.R. served on the advisory board for human papillomavirus, as well as the speakers' bureau for Merck & Co, Inc; and served on the Adolescent Health and Wellness advisory boards for Pfizer, Inc. The other authors have no conflicts of interest.
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Deceased.