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  1. The role of community heatlh centers in providing preventive care to adolescents.

    Article - En anglais

    Objectives 

    To (1) compare preventive health visits by poor and nonpoor adolescents, (2) describe adolescent users of community health centers (CHCs), (3) investigate adolescent preventive visits to CHCs, and (4) determine factors independently associated with timely preventive visits.

    Design 

    Analysis of the nationally representative sample of 6635 adolescents aged 11 to 17 years in the Child Health Supplement to the 1988 National Health Interview Survey.

    Results 

    Overall, 4% of US adolescents used CHCs for routine health care, and the percentage was higher for poor compared with nonpoor adolescents (11% vs 3%, P<. 01).

    Although CHC users were more likely to be poor (41% vs 10%, P<. 001), uninsured (23% vs 10%, P<. 001), and to have behavior (16% vs 9%, P=02) and school problems (56% vs 43%, P<. 001), they were as likely to have had timely preventive visits (83% vs 81%, P=61) as adolescents who used private practices.

    Using logistic regression, timely adolescent preventive visits were independently associated with having a source for routine care (odds ratio, 4.1 ; 95% confidence interval, 3.3-5.2), a chronic health condition (odds ratio, 1.2 ; 95% confidence interval, 1.0-1.5), and the use of seat belts all or most of the time (odds ratio, 1.4 ; 95% confidence interval, 1.2-1.6), but no independent association was observed between poverty status and timely preventive visits.

    Conclusions 

    Community health centers are an important source of preventive ...

    Mots-clés Pascal : Centre santé, Adolescent, Homme, Prévention, Utilisation, Pauvreté, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Health center, Adolescent, Human, Prevention, Use, Poverty, United States, North America, America

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

    Cote : 96-0296002

    Code Inist : 002B30A03B. Création : 199608.