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  1. Factors affecting pediatric residents'intentions to screen for high risk behaviors.

    Article - En anglais

    Purpose 

    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.

    Methods 

    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.

    Results 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0489131

    Code Inist : 002B30A05. Création : 01/03/1996.