Les adolescents et les soins ambulatoires: resultats d'une enquete nationale aupres des jeunes de 15-20 ans en Suisse. [Adolescents and ambulatory care: results from a national survey of young people 15 to 20 years of age in Switzerland]

Détails

ID Serval
serval:BIB_0AA1C7A9962E
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Les adolescents et les soins ambulatoires: resultats d'une enquete nationale aupres des jeunes de 15-20 ans en Suisse. [Adolescents and ambulatory care: results from a national survey of young people 15 to 20 years of age in Switzerland]
Périodique
Archives de Pediatrie
Auteur(s)
Narring  F., Michaud  P. A.
ISSN
0929-693X (Print)
Statut éditorial
Publié
Date de publication
01/2000
Volume
7
Numéro
1
Pages
25-33
Notes
English Abstract
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Jan
Résumé
In industrialized countries, statistics on health services exhibit a low level of health care use by adolescents, despite the fact that their needs have been widely described. OBJECTIVES: To assess ambulatory health care use by 15-20-year-old teenagers in Switzerland. METHOD: Nine thousand, two hundred and sixty-eight adolescents responded to the self-administered questionnaire distributed in secondary schools and vocational classes for the Swiss Adolescent Health Survey. Questions about visits to general practitioners, specialists and gynecologists, reasons for visit, the availability of a regular health care provider and a confidential health care resource were analysed. RESULTS: Within the previous 12 months, 87.6% of the girls and 75.3% of the boys reported having seen a physician. General practitioners were visited more frequently than specialists. The contact with a specialist was the only one to be related to socio-demographic variables: a lower proportion of reported visits to a specialist was related to apprenticeship, low educational status of parents or rural living area. Thirty-nine percent of the girls reported having seen a gynecologist during the previous 12 months. Two adolescents out of three reported having a personal doctor, and one out of two declared being aware of a confidential health care resource. Girls reported a larger number of reasons for visits than boys: chronic conditions, fatigue, headache and depressive symptoms were the most often cited in a list of ten reasons. Among the subjects who declared a health concern (sleep disturbances, eating disorders, depressive symptoms, smoking or alcohol-related problems) and a need for help, less than 10% declared having seen a health care provider for this reason, even if more than 70% reported contact with a physician within the last 12 months. CONCLUSION: These results show that most adolescents, especially girls, reported recent use of medical services, but did not discuss their health concerns with the doctor. Training should be improved to give better knowledge and counseling skills to health professionals, in order to allow them to address adolescents' health needs.
Mots-clé
Adolescent Adolescent Health Services/*utilization Adult Ambulatory Care/*utilization Counseling Female Humans Male Middle Aged Physician-Patient Relations Sex Factors Switzerland
Pubmed
Web of science
Création de la notice
25/01/2008 14:21
Dernière modification de la notice
20/08/2019 13:32
Données d'usage