Access to Private and Confidential Health Care Among Secondary School Students in New Zealand

Denny, Simon; Farrant, Bridget; Cosgriff, John; Hart, Mo; Cameron, Toby; Johnson, Ross G.; McNair, Viv; Utter, Jennifer; Fleming, Theresa; Ameratunga, Shanthi; Sheridan, Janie; Robinson, Elizabeth

doi:10.1016/j.jadohealth.2011.12.020

Cited by 15 publications

(17 citation statements)

References 29 publications

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“…In New Zealand, over 80% of secondary school students access health services in a given year, predominantly from their usual primary care provider. 13 It is of interest then that forgone health care was higher among students who had accessed health care in the last year compared to those who had not. While this could reflect ongoing health concerns among young people accessing health care, it also could mean that primary health care services are not meeting the needs of this age group.…”

Section: Discussionmentioning

confidence: 99%

Forgone health care among secondary school students in New Zealand

Denny¹,

Farrant²,

Cosgriff³

et al. 2013

J Prim Health Care

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INTRODUCTION: Perceived lack of confidential health care is an important barrier for young people accessing health care services in New Zealand (NZ). AIM: To determine the prevalence of forgone health care among a nationally representative sample of NZ secondary school students and to describe the health concerns and specific health issues for which young people had difficulty accessing health care. METHODS: Random sample of 9107 NZ secondary school students participated in a 2007 health survey using internet tablets. Questions about access to health care included whether there had been a time when they had not accessed health care when needed, reasons for difficulty in accessing health care, current health concerns and health risk behaviours. RESULTS: One in six students (17%) had not seen a doctor or nurse when needed in the last 12 months. Female Maori and Pacific students and those living in neighbourhoods with high levels of deprivation were more likely to report forgone health care. Students with chronic health problems, those engaging in health risk behaviours or experiencing symptoms of depression were more likely to report being unable to access health care when needed. Students reporting privacy concerns were more likely to report difficulty accessing health care for sensitive health issues, such as sexual health, emotional problems, pregnancy-related issues, stopping cigarette smoking, or alcohol or drug use. DISCUSSION: NZ secondary school students who forgo health care are at increased risk of physical and mental health problems and in need of accessible and confidential health services. KEYWORDS: Access to health care; adolescent health services; general practice; preventive health services

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Section: Discussionmentioning

confidence: 99%

Forgone health care among secondary school students in New Zealand

Denny¹,

Farrant²,

Cosgriff³

et al. 2013

J Prim Health Care

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“…Providing confidentiality is, likewise, a key aspect of care and yet was poorly provided. 15 This is concerning since confidentiality has specific significance for adolescents. Concerns about lack of confidentiality is a key factor in young people not accessing health-care services.…”

Section: Discussionmentioning

confidence: 99%

Missed opportunities for adolescent friendly care in hospital

Crossen

2017

J Paediatrics Child Health

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“…20 Evidence suggests that health providers who do not see adolescents for at least part of a consultation alone, and do not discuss confidentiality, will not adequately meet the healthcare needs of young people, particularly those of a sensitive nature. [58][59][60] There is growing evidence that increasing access at venues that are convenient for young people like school-based health services 58,61 and youth 'one-stop-shops' can be an effective means for increasing healthcare access amongst adolescents. 62 Moreover, primary health care, including pharmacies, must be responsive and accessible.…”

Section: Discussionmentioning

confidence: 99%

Changes in the sexual health behaviours of New Zealand secondary school students, 2001–2012: findings from a national survey series

Clark

Lucassen

Fleming

et al. 2016

Australian and New Zealand Journal of Public Health

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Objective: To describe trends in self-reported sexual and reproductive health behaviours among New Zealand secondary school students. Methods:Nationally representative health and wellbeing surveys conducted in 2001 (n=9,699), 2007 (n=9,107) and 2012 (n=8,500) were analysed. Logistic regressions were used to explore variations in sexual health outcomes between 2001 and 2012.Results: 'Ever had sex' (-6.9%, p<0.001); 'currently sexually active' (-2.3%, p<0.001); 'always use condoms' (-3.3%, p=0.006); 'condoms at last sex' (-7.0, p=0.002); 'contraception at last sex' (-5.8%, p<0.001) and sexually transmitted infections (-0.3%, p=0.001) have reduced over time. 'Always use contraception' did not change significantly (-1.4%, p=0.514) over time. Māori (OR 0.7), Pacific (OR 0.5) and socioeconomically deprived students (OR 0.7) less frequently used condoms. Māori (OR 0.6), Pacific (OR 0.4), Asian (OR 0.5), younger (OR 0.6), and socioeconomically deprived (OR 0.6) students less frequently used contraception.Conclusions: Students in 2012 were more likely to delay sexual activity, but were less likely to use condoms and contraception consistently, compared to students in 2001. Declining contraceptive use over an 11-year period suggests that current strategies are inadequate, particularly for Māori, Pacific and socioeconomically deprived students. Appropriate and accessible sexual and reproductive health services are urgently required.

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Access to Private and Confidential Health Care Among Secondary School Students in New Zealand

Cited by 15 publications

References 29 publications

Forgone health care among secondary school students in New Zealand

Forgone health care among secondary school students in New Zealand

Missed opportunities for adolescent friendly care in hospital

Changes in the sexual health behaviours of New Zealand secondary school students, 2001–2012: findings from a national survey series

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