Gaps between Adolescent Risk Behaviors and Disclosure during Outpatient Visits

Objective. The purpose of this study was to determine the gaps between disclosed high-risk behaviors in low-income, mainly Hispanic youth and the identification of these risks by health care providers. Methods. This cross-sectional study included youth 13–19 years old who participated in a study on...

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Bibliographic Details
Published in:International Journal of Family Medicine 2013-01, Vol.2013 (2013), p.1-6
Main Authors: Hill, Linda L., Hovell, Melbourne, Blumberg, Elaine, Kelley, Norma, Baird, Sara, Sipan, Carol, Schmitz, Katharine, Friedman, Lawrence
Format: Article
Language:English
Subjects:
Analysis
Behavior
Demographic aspects
Risk-taking (Psychology)
Teenagers
Youth
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Summary:Objective. The purpose of this study was to determine the gaps between disclosed high-risk behaviors in low-income, mainly Hispanic youth and the identification of these risks by health care providers. Methods. This cross-sectional study included youth 13–19 years old who participated in a study on latent tuberculosis treatment. Youth were interviewed at baseline by bilingual research assistants; the provider visit was assessed by the chart review. Results. Of 221 youth, the majority (96%) were identified as Hispanic, 45% were foreign-born, and 46% were male. A total of 399 risk behaviors were revealed to research staff by the participants; only 24 risk behaviors were revealed to providers. Conclusions. The majority of risk behaviors based on the chart review were neither queried nor disclosed to the physicians. Physicians providing care to adolescents should consider strategies to improve disclosure as a necessary precursor to interventions.
ISSN:2090-2042
2090-2050
DOI:10.1155/2013/718568