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dc.contributor.authorYassaee, Arrash
dc.contributor.authorHargreaves, Dougal
dc.contributor.authorChester, Kayleigh
dc.contributor.authorLamb, Stephanie
dc.contributor.authorHagell, Ann
dc.contributor.authorBrooks, Fiona
dc.date.accessioned2017-04-03T15:22:16Z
dc.date.available2017-04-03T15:22:16Z
dc.date.issued2017-04-01
dc.identifier.citationYassaee , 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.issn1054-139X
dc.identifier.otherPURE: 10574761
dc.identifier.otherPURE UUID: 328407ec-2907-443c-8628-52b67edb9318
dc.identifier.otherScopus: 85007496827
dc.identifier.urihttp://hdl.handle.net/2299/17745
dc.descriptionThis 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.abstractPurpose 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.extent7
dc.language.isoeng
dc.relation.ispartofJournal of Adolescent Health
dc.rightsEmbargoed
dc.subjectadolescent
dc.subjectGP
dc.subjectpatient experience
dc.subjectprimary care
dc.subjectstudent
dc.subjecthealth measures
dc.titleExperience of primary care services among early adolescents in England and association with health outcomesen
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionCommunities, Young People and Family Lives
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionNursing, Midwifery and Social Work
dc.contributor.institutionWeight and Obesity Research Group
dc.description.statusPeer reviewed
dc.date.embargoedUntil2017-12-01
dc.relation.schoolSchool of Health and Social Work
dc.description.versiontypeFinal Accepted Version
dcterms.dateAccepted2017-04-01
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1016/j.jadohealth.2016.09.022
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeEmbargoed


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