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  1. Patterns of ICD-9 diagnoses among adolescents using school-based clinics : Diagnostic categories by school level and gender.

    Article - En anglais

    Purpose 

    Understanding utilization patterns in school clinics is important in discerning potential health outcomes among adolescents.

    This study reports on high-middle school and gender differences in ICD-9 diagnostic codes for students using Baltimore school clinics in the academic year 1989-90.

    Methods 

    12,953 visits resulted in 17,241 individual diagnoses.

    Data were grouped into 17 major diagnostic categories, subcategories for reproductive health and mental health, and 20 sentinel diagnoses.

    Results 

    Reproductive health diagnoses were most common for high school clinics (28% of all diagnoses).

    Mental health (psychosocial) diagnoses were most common for middle school clinics (30%). Adolescent women were much more likely to use clinics for reproductive health care needs than adolescent men.

    Adolescent men and women used the clinics with equal frequency for mental health, although specific diagnoses varied considerably by gender.

    Conclusions 

    This overview of diagnostic patterns among adolescents using Baltimore's school-based clinics provides a unique view of differences in health care needs between younger and older teens and between male and female teens.

    These data have meaningful implications for clinic staffing and enhanced outreach efforts.

    Mots-clés Pascal : Service santé, Soin santé primaire, Milieu scolaire, Clinique, Epidémiologie, Prévalence, Etat sanitaire, Santé mentale, Prévention, Etats Unis, Adolescent, Amérique du Nord, Amérique, Homme

    Mots-clés Pascal anglais : Health service, Primary health care, School environment, Clinic, Epidemiology, Prevalence, Health status, Mental health, Prevention, United States, Adolescent, North America, America, Human

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

    Cote : 96-0207090

    Code Inist : 002B30A03B. Création : 199608.