Far from acceptable: youth-reported risk behaviour screening by primary care physicians.

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State: Public
Version: Author's accepted manuscript
License: Not specified
Serval ID
serval:BIB_2E74646F6EE0
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Far from acceptable: youth-reported risk behaviour screening by primary care physicians.
Journal
Family practice
Author(s)
Eisner-Fellay T., Akre C., Auderset D., Barrense-Dias Y., Suris J.C.
ISSN
1460-2229 (Electronic)
ISSN-L
0263-2136
Publication state
Published
Issued date
28/11/2020
Peer-reviewed
Oui
Volume
37
Number
6
Pages
759-765
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Adolescence and early adulthood are periods of experimentation during which health detrimental behaviours might be acquired.
This study's purpose is to evaluate physicians' likelihood of addressing health risk behaviours with youths depending on the youths' wishes, risk behaviours and personal characteristics.
Data were drawn from the third wave (2017-18) of the GenerationFRee longitudinal study carried out on a sample of 1970 youths aged 17-26 in Switzerland. Analysed risk behaviours were: eating disorders, substance use, emotional wellbeing, problematic Internet use and gambling. Bivariate and multivariate analyses were performed, results are presented as adjusted odds ratios (aORs).
Physicians discussed most risk behaviours with less than half of the youths. The odds of addressing risk behaviours were seldom raised when the risk behaviour was present, or when the youth wished to discuss it. Emotional wellbeing was addressed with half as many males as females (aOR 0.47), and drugs were found to be addressed more frequently with youths reporting a low family socio-economic status (aOR 6.18). When a risk behaviour is addressed it is mostly alongside an extended screening.
This study confirmed the low levels of health risk behaviours screening, regardless of the youths' wish to discuss the topic with their physician. Despite the low levels, physicians do tend to screen systematically, especially when discussing substance use. There is a need to improve physicians training in risk behaviour screening and counselling in order to increase this practice.
Keywords
Adolescents, physician training, prevention, primary care screening, risk behaviours, young adults
Pubmed
Web of science
Create date
13/07/2020 12:19
Last modification date
23/02/2021 8:08
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