Journal of Adolescent Health
Volume 60, Issue 6, 2017, Pages 720-726

Measuring Unmet Needs for Anticipatory Guidance Among Adolescents at School-Based Health Centers (Article)

Ramos M.M.* , McGrath J. , Sebastian R.A. , Stumbo S.P. , Fairbrother G.
  • a Department of Pediatrics, Envision New Mexico, University of New Mexico School of Medicine, Albuquerque, New Mexico, United States
  • b Department of Pediatrics, Envision New Mexico, University of New Mexico School of Medicine, Albuquerque, New Mexico, United States
  • c Child Policy and Population Health, James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States, Rachel Sebastian Research Consulting, 124 Basswood Circle, Fort Wright, KY 41011, United States; Child Policy and Population Health, James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States, Rachel Sebastian Research Consulting, 124 Basswood Circle, Fort Wright, KY 41011, United States
  • d Department of Population, Family, and Reproductive Health, Child and Adolescent Health Measurement Initiative, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States
  • e AcademyHealth, Washington, D.C., United States, Fairbrother Associates, 1564 Corte la Canada, Santa Fe, NM 87501, United States

Abstract

Purpose Our previously validated Youth Engagement with Health Services survey measures adolescent health care quality. The survey response format allows adolescents to indicate whether their needs for anticipatory guidance were met. Here, we describe the unmet needs for anticipatory guidance reported by adolescents and identify adolescent characteristics related to unmet needs for guidance. Methods We administered the survey in 2013–2014 to 540 adolescents who used school-based health centers in Colorado and New Mexico. A participant was considered to have unmet needs for anticipatory guidance if they indicated that guidance was needed on a given topic but not received or guidance was received that did not meet their needs. We calculated proportions of students with unmet needs for guidance and examined associations between unmet needs for guidance and participant characteristics using the chi-square test and logistic regression. Results Among participants, 47.4% reported at least one unmet need for guidance from a health care provider in the past year. Topics with the highest proportions of adolescents reporting unmet needs included healthy diet (19.5%), stress (18.0%), and body image (17.0%). In logistic regression modeling, adolescents at risk for depression and those with minority or immigrant status had increased unmet needs for guidance. Adolescents reporting receipt of patient-centered care were less likely to report unmet needs for guidance. Conclusions The Youth Engagement with Health Services survey provides needs-based measurement of anticipatory guidance received that may support targeted improvements in the delivery of adolescent preventive counseling. Interventions to improve patient-centered care and preventive counseling for vulnerable youth populations may be warranted. © 2017 Society for Adolescent Health and Medicine

Author Keywords

anticipatory guidance Preventive counseling Immigrant Adolescent health care Minority Depression Quality

Index Keywords

patient care depression health care survey Health Care Surveys health care personnel human statistics and numerical data health service priority journal Adolescent Health Services Health Services Needs and Demand Body Image adolescent health School Health Services Humans school health service Adolescent male counseling female stress Healthy Diet school Article New Mexico major clinical study utilization child health care health center anticipatory guidance Health Services Accessibility health care delivery Colorado
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85013103937&doi=10.1016%2fj.jadohealth.2016.12.021&partnerID=40&md5=b1747d045ffbe2d7f196d4333bc93f12
DOI: 10.1016/j.jadohealth.2016.12.021
ISSN: 1054139X
Cited by: 3
Original Language: English