Healthcare-seeking behaviours in college students and young adults: a review

Tran, Dieu-My T; Silvestri-Elmore, Angela

doi:10.1177/1744987120951594

Cited by 10 publications

(14 citation statements)

References 34 publications

(83 reference statements)

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“…In this study, more than 70% of the contacts were made by females. The finding is supported by the previous findings about females using more healthcare services compared with males 14 20 42. In a previous study, Finnish female university students reported more psychological and physical symptoms and use more sexual health services compared with males, which may explain the result 29.…”

Section: Discussionsupporting

confidence: 80%

“…16 17 The basis of the preventative work in the FSHS is a two-staged health screening process, which includes an electronic Health Questionnaire (eHQ) provided to all university entrants and a subsequent health check, when necessary, based on the students' eHQ responses. 18 19 Previous research on university students' healthcare service utilisation is limited, 20 even though there are studies focusing on school-based healthcare of adolescents, not yet in universities. 21 Most research studying the effect of health checks on healthcare utilisation has focused on hospitalisations and very few have been conducted in the primary care context.…”

Section: Open Accessmentioning

confidence: 99%

“…Previous research on university students’ healthcare service utilisation is limited, 20 even though there are studies focusing on school-based healthcare of adolescents, not yet in universities. 21 Most research studying the effect of health checks on healthcare utilisation has focused on hospitalisations and very few have been conducted in the primary care context.…”

Section: Introductionmentioning

confidence: 99%

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Association between university students’ two-staged health screening and student health care utilisation: register based observational study

et al. 2022

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ObjectivesThe aim of this study was to explore how university students’ participation in a two-staged health screening at the beginning of university studies associates with student health care utilisation in a 6-year follow-up.DesignNationwide, observational, register-based cohort study with a 6-year follow-up.SettingStudent health care in Finland. Finnish Student Health Service (FSHS) provides statutory student health services to university students in Finland. The two-staged health screening of FSHS includes the electronic health questionnaire (eHQ) provided annually to university entrants and a subsequent health check, when necessary, based on students eHQ response.ParticipantsA national cohort of university entrants from the 2011–2012 academic year (N=15 723) was assessed. After exclusions the study population consisted of 12 972 students, n (female)=7368, n (male)=5604.Outcome measuresThe primary outcome measures were students’ health service utilisation pattern obtained by clustering analyses method and the students’ participation in different stages of the health examination process.ResultsFour distinguishable health care utilisation patterns were identified: (1) constant low use, (2) constant high use, (3) increasing use and (4) decreasing use. The students’ OR for belonging to the constant high use group was significantly higher among females (OR 4.0, 95% CI 3.5 to 4.6) and students who attended the health check (OR 4.7, 95% CI 3.9 to 5.6).ConclusionsParticipating in the two-staged health screening was associated with increase in health care utilisation. The process detects students with health problems.

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Section: Discussionsupporting

confidence: 80%

Section: Open Accessmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between university students’ two-staged health screening and student health care utilisation: register based observational study

et al. 2022

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“…Screening for ACEs and other health risks is especially germane to the present study’s target population (i.e., young adults), given low rates of primary care utilization and increased rates of high-risk behaviors [ 57 , 58 ]. Recent data show that young adults generally have a significant cardiovascular health risk resulting from heightened stress, poor diet, lack of sleep, decreased physical activity, and increased tobacco, alcohol, and drug use [ 59 ]. Compounding these known health risks is the deficient “transition of care” process from pediatric to adult medicine for young adults [ 57 , 60 ].…”

Section: Discussionmentioning

confidence: 99%

Adverse Childhood Experiences and Cardiovascular Risk among Young Adults: Findings from the 2019 Behavioral Risk Factor Surveillance System

Jackson

Testa

Woodward

et al. 2022

IJERPH

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Background: Heart disease is the fourth leading cause of death for young adults aged 18–34 in the United States. Recent research suggests that adverse childhood experiences (ACEs) may shape cardiovascular health and its proximate antecedents. In the current study, we draw on a contemporary, national sample to examine the association between ACEs and cardiovascular health among young adults in the United States, as well as potential mediating pathways. Methods: The present study uses data from the 2019 Behavioral Risk Factor Surveillance System (BRFSS) to examine associations between ACEs and cardiovascular risk, as well as the role of cumulative disadvantage and poor mental health in these associations. Results: Findings indicate that young adults who have experienced a greater number of ACEs have a higher likelihood of having moderate to high cardiovascular risk compared to those who have zero or few reported ACEs. Moreover, both poor mental health and cumulative disadvantage explain a significant proportion of this association. Conclusions: The present findings suggest that young adulthood is an appropriate age for deploying prevention efforts related to cardiovascular risk, particularly for young adults reporting high levels of ACEs.

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“…respond to the eHQ, have more health problems, especially mental health issues, than non-participants [30]. However, in most previous studies, psychological issues of college students have been associated with restrains in seeking medical services [31][32][33]. It should be considered that the health examination process of the FSHS may provide the students a low threshold gateway to mental health services.…”

Section: Discussionmentioning

confidence: 99%

Health check attendance association with health and study-related factors: a register-based cohort study of Finnish university entrants

Seilo

Paldanius

Autio

et al. 2022

Environ. Health Prev. Med.

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Background General health checks are an established component of preventive health care in many countries. Declining participation rates have raised concerns in health care providers. Understanding the reasons for attendance and non-attendance is necessary to improve the preventive health care system. The aim of this study was to examine health- and study-related factors associated with university entrants’ health check attendance. Methods Since 2009, an electronic health questionnaire (eHQ) has been conducted yearly to all Finnish university entrants by the Finnish Student Health Service (FSHS) to screen students for a general health check. The questionnaire comprises 26 questions about health, health habits and studying. The study population consisted of the 3346 entrants from the 2011–2012 academic year who were referred to a health check based on their eHQ responses. The eHQ data were linked with health check attendance information. Multivariable logistic regression was used to study the associations between the questionnaire responses and non-attendance of the health check. Results Male sex (OR 1.6, 95% CI % 1.4–1.9) and low engagement with studies (OR 1.5, 95% CI 1.2–2.0) were the variables most strongly associated with non-attendance. Having low state of mind was negatively associated with health check non-attendance thus enhanced the health-check attendance (OR 0.6, 95% CI 0.5–0.8). Conclusions The results suggest that providing health checks in student health care may serve as a way of reaching students with health concerns. However, motivating males and smokers to attend general health checks continue to be a challenge also in a university student population. That low engagement with studies associates with health check non-attendance points to need to improve collaboration between universities and student health care. Supplementary information The online version contains supplementary material available at https://doi.org/10.1265/ehpm.22-00032 .

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Healthcare-seeking behaviours in college students and young adults: a review

Cited by 10 publications

References 34 publications

Association between university students’ two-staged health screening and student health care utilisation: register based observational study

Association between university students’ two-staged health screening and student health care utilisation: register based observational study

Adverse Childhood Experiences and Cardiovascular Risk among Young Adults: Findings from the 2019 Behavioral Risk Factor Surveillance System

Health check attendance association with health and study-related factors: a register-based cohort study of Finnish university entrants

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