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        Experience of primary care services among early adolescents in England and association with health outcomes

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        Yassaee_et_al_Accepted_Manuscript.pdf (PDF, 2Mb)
        Author
        Yassaee, Arrash
        Hargreaves, Dougal
        Chester, Kayleigh
        Lamb, Stephanie
        Hagell, Ann
        Brooks, Fiona
        Attention
        2299/17745
        Abstract
        Purpose The aim of this study was to investigate adolescents' (11–15 years) experience of their general practitioner (GP), whether poor reported GP experience was associated with worse physical and mental health measures and whether poor previous GP experience was linked to lower utilization of these services. Methods We used logistic regression to analyze data from the 2014 Health Behaviour in School-aged Children study. Four aspects of recent care experience were studied: feeling at ease, feeling treated with respect, satisfaction with doctor's explanation, and feeling able to discuss personal matters. Five dichotomized measures of health status were used: ever self-harmed; fair or poor self-reported health; frequent (at least weekly) low mood; sleeping problems; or headaches. Results Of 5,335 students, 4,149 reported having visiting their GP within the past year. Of these, 91.8% felt treated with respect, 78.7% felt at ease, 85.7% were satisfied with explanation, and 53.9% felt able to discuss personal matters. After adjusting for ethnicity, age, gender, and family affluence score, poor experience on any indicator was strongly associated with increased risk of self-harm (adjusted odds ratio range, 2.01–2.70; all p < .001); feeling low (AOR range, 1.53–2.11; all p < .001); and sleeping problems (AOR range, 1.49–1.91; all p ≤ .001). Poor experience on all indicators, except discussing personal matters, was associated with worse self-reported health. Conclusions Nearly half of this large, national study of adolescents did not feel able to discuss personal matters with their doctor. There was a consistent, strong association between reported lack of good GP experience and poor health measures.
        Publication date
        2017-04-01
        Published in
        Journal of Adolescent Health
        Published version
        https://doi.org/10.1016/j.jadohealth.2016.09.022
        Other links
        http://hdl.handle.net/2299/17745
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