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  1. Health care access and utilization among pregnant adolescents.

    Article - En anglais

    Purpose 

    To assess access to and use of health care by adolescents prior to their becoming pregnant.

    Methods 

    An interviewer-administered questionnaire was completed by all pregnant adolescents (n=65) entering the Rochester Adolescent Maternity Program (RAMP) between January and June 1994.

    Questions addressed access and utilization issues including routine care and other services used, and existence of a regular source of care prior to pregnancy.

    Results 

    Sixty-one adolescents (94%) completed questionnaires.

    Almost all (93%) had made a doctor or clinic visit, and 77% had had a checkup in the prior year.

    Most had Medicaid (85%) or private insurance (13%). The median number of visits to a regular source of care was 2.0 (range 0-10).

    Most frequently reported sources of regular care were hospital clinics (43%), community health centers (26%), and private physician offices (15%). Two-thirds (66%) reported having used multiple sources of care.

    Of those who used other sources in addition to a primary care source, 40% used reproductive health clinics.

    Adolescents whose primary care source was a traditional physician's office were more likely to also use reproductive health clinics than those who reported using more comprehensive primary care sources.

    Conclusions 

    Most pregnant adolescents in this sample had previously used routine primary care, usually in hospital clinics or health centers. (...)

    Mots-clés Pascal : Mère, Père, Adolescent, Homme, Gestation, Utilisation, Accessibilité, Service santé, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Mother, Father, Adolescent, Human, Pregnancy, Use, Accessibility, Health service, United States, North America, America

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

    Cote : 97-0505990

    Code Inist : 002A26J04. Création : 13/02/1998.