Adolescent behavioral risk screening in primary care: physician's point of view


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PhD thesis: a PhD thesis.
Adolescent behavioral risk screening in primary care: physician's point of view
Eisner Taslina
Suris Joan-Carles
Barrense-Dias Yara
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Université de Lausanne, Faculté de biologie et médecine
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Background: Despite regular consultation between adolescents/young adults (AYA) and their physicians, they are not regularly screened for psy- chosocial risk behaviours. This study examines physicians’ self-reported psychosocial risk behaviour screening in AYA. It aims to highlight which elements hinder or improve screening abilities.
Methodology: The design was a cross-sectional quantitative survey. Data were obtained through a self-reported questionnaire sent out to pri- mary care physicians (PCP) in Switzerland in 2018. The target population consisted of 1,824 PCP (29% response rate). Participants were asked whether they screened youths from 3 age groups [10–14 y/o, 15–20 y/o, and 21–25y/o] for the HEEADSSS items during child well visits and rou- tine checkups. Barriers to screening included primary consultation motive prioritization, insufficient time, patient compliance, reimbursement, lack of skills related to adolescent health, lack of referral options. Data were analysed first through a bivariate analysis using Chi-square tests then through a multinomial logistic regression.
Results: The majority of physicians partook in preventive screening for 3–5 psychosocial risk elements. They reported the primary consultation motive as well as a lack of available time as having a high impact on their screening habits. Physician’s experience and having discussed confi- dentiality were related to an increase in the number of topics addressed. Confidentiality remained a significant variable throughout all analyses.
Conclusion: Barriers such as lack of consultation time and prioritization issues were found by physicians to be critical but did not hinder screening habits. The main element impacting screening habits was assuring confidentiality and the second is self-efficacy.
adolescent health, confidentiality, health risk behaviours, physicians, prevention, primary health care
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27/03/2024 11:58
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12/04/2024 8:50
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