To examine the medical status and history of health care utilization of adolescents at the time of their admission to a juvenile detention facility.
Data were collected over an 18-month period on all detainees admitted for the first time to a juvenile detention facility in a major southeastern city in the United States.
Information was gathered through a private, confidential interview completed by a medical social worker and a physical examination by a physician.
Information was obtained regarding past medical history, complaints at the time of admission, health care utilization, and physical examination.
Approximately 10% of teenagers admitted to a detention facility have a significant medical problem (excluding drug/alcohol abuse, or uncomplicated sexually transmitted diseases) that requires medical follow-up.
The majority of these conditions were known to the adolescent at the time of admission.
Only a third of adolescents admitted to the detention facility reported a regular source of medical care, and only about 20% reported having a private physician.
A majority of all the detainees had already fallen behind in or dropped out of school.
More than half of the families of the adolescents with a medical problem appeared to be unable or unwilling to assist in ensuring proper medical follow-up.
A significant percentage of adolescents entering a detention facility have a medical problem requiring health care services. (...)
Mots-clés Pascal : Délinquance juvénile, Etat sanitaire, Utilisation, Service santé, Prévalence, Epidémiologie, Alabama, Etats Unis, Amérique du Nord, Amérique, Adolescent, Homme, Trouble comportement social, Centre détention
Mots-clés Pascal anglais : Juvenile delinquency, Health status, Use, Health service, Prevalence, Epidemiology, Alabama, United States, North America, America, Adolescent, Human, Social behavior disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0220984
Code Inist : 002B30A03B. Création : 11/09/1998.