dc.contributor.author | Yassaee, Arrash | |
dc.contributor.author | Hargreaves, Dougal | |
dc.contributor.author | Chester, Kayleigh | |
dc.contributor.author | Lamb, Stephanie | |
dc.contributor.author | Hagell, Ann | |
dc.contributor.author | Brooks, Fiona | |
dc.date.accessioned | 2017-04-03T15:22:16Z | |
dc.date.available | 2017-04-03T15:22:16Z | |
dc.date.issued | 2017-04-01 | |
dc.identifier.citation | Yassaee , A , Hargreaves , D , Chester , K , Lamb , S , Hagell , A & Brooks , F 2017 , ' Experience of primary care services among early adolescents in England and association with health outcomes ' , Journal of Adolescent Health , vol. 60 , no. 4 , pp. 388-394 . https://doi.org/10.1016/j.jadohealth.2016.09.022 | |
dc.identifier.issn | 1054-139X | |
dc.identifier.uri | http://hdl.handle.net/2299/17745 | |
dc.description | This document is the Accepted Manuscript version of the following article: Arrash A. Yassaee, Dougal S. Hargreaves, Kayleigh Chester, Stephanie Lamb, Ann Hagell, and Fiona Brooks, Experience of Primary Care Services Among Early Adolescents in England and Associated with Health Outcomes, Journal of Adolescent Health, Vol. 60 (4): 388-394, first published 1 December 2016. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ The version of record is available online at doi: http://dx.doi.org/10.1016/j.jadohealth.2016.09.22 © 2016 Society for Adolescent Health and Medicine. All rights reserved. | |
dc.description.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. | en |
dc.format.extent | 7 | |
dc.format.extent | 2112727 | |
dc.language.iso | eng | |
dc.relation.ispartof | Journal of Adolescent Health | |
dc.subject | adolescent | |
dc.subject | GP | |
dc.subject | patient experience | |
dc.subject | primary care | |
dc.subject | student | |
dc.subject | health measures | |
dc.title | Experience of primary care services among early adolescents in England and association with health outcomes | en |
dc.contributor.institution | Centre for Research in Public Health and Community Care | |
dc.contributor.institution | Communities, Young People and Family Lives | |
dc.contributor.institution | School of Health and Social Work | |
dc.contributor.institution | Department of Adult Nursing and Primary Care | |
dc.contributor.institution | Nursing, Midwifery and Social Work | |
dc.contributor.institution | Weight and Obesity Research Group | |
dc.description.status | Peer reviewed | |
dc.date.embargoedUntil | 2017-12-01 | |
rioxxterms.versionofrecord | 10.1016/j.jadohealth.2016.09.022 | |
rioxxterms.type | Journal Article/Review | |
herts.preservation.rarelyaccessed | true | |