To determine the factors associated with the intentions of pediatric residents to : 1) screen adolescents for high risk behaviors using the Guidelines for Adolescent Preventive Services (GAPS) and 2) to record the results in the medical record.
64 pediatric residents at a university children's hospital were given seven scenarios and were asked to rate on a five point Likert scale (1=always, 5=never) the likelihood that they would ask and document adolescent patient responses about sexual activity/birth control, alcohol/drug use, depression/suicidal ideation, fighting/coping with anger, and nutrition/eating disorders.
The association of patient-related factors (e.g., gender, presenting symptom, medical setting, known private provider, and presence of a chronic illness) and resident-related factors (e.g. gender, post graduate level, future plans, and a prior adolescent rotation) on intentions to screen was determined using analysis of variance for ranked data.
Residents indicated they were most likely to ask adolescents about sexual activity (mean Likert=2.6, median Likert=2, range 1-5) (P=0.014).
Residents were more likely to screen for substance use (2.8,3,1-5) than nutritional issues (3.5,4,1-5) (P<0.0001), and were least likely to ask about depression (3.8,4,1-5) and fighting (3.9,4,1-5) (P ¾ 0.0001).
Mots-clés Pascal : Prévention, Dépistage, Prise risque, Comportement sexuel, Toxicomanie, Trouble comportement alimentaire, Violence, Etat dépressif, Trouble humeur, Pratique professionnelle, Attitude, Médecin, Pédiatrie, Adolescent, Homme
Mots-clés Pascal anglais : Prevention, Medical screening, Risk taking, Sexual behavior, Drug addiction, Eating disorder, Violence, Depression, Mood disorder, Professional practice, Attitude, Physician, Pediatrics, Adolescent, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0489131
Code Inist : 002B30A05. Création : 01/03/1996.