Parent and Adolescent Views on Barriers to Adolescent Preventive Health Care Utilization

Aalsma, Matthew C.; Gilbert, Amy; Xiao, Shan; Rickert, Vaughn I.

doi:10.1016/j.jpeds.2015.10.090

Cited by 23 publications

(23 citation statements)

References 20 publications

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“…[128] Parents of adolescents report greater involvement in their children’s medical care than do the adolescents themselves [129], and recent research indicates that adolescents are less likely to receive preventive care services when parents perceive preventive care is unnecessary [130]. Tools and models of care have been developed to actively engage parents as partners, while providing care that is developmentally appropriate, including confidential care [10].…”

Section: Resultsmentioning

confidence: 99%

Research on Clinical Preventive Services for Adolescents and Young Adults: Where Are We and Where Do We Need to Go?

Harris

Aalsma

Weitzman

et al. 2017

Journal of Adolescent Health

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We reviewed research regarding system- and visit-level strategies to enhance clinical preventive service delivery and quality for adolescents and young adults. Despite professional consensus on recommended services for adolescents, a strong evidence base for services for young adults, and improved financial access to services with the Affordable Care Act’s provisions, receipt of preventive services remains suboptimal. Further research that builds off successful models of linking traditional and community clinics is needed to improve access to care for all youth. To optimize the clinical encounter, promising clinician-focused strategies to improve delivery of preventive services include screening and decision support tools, particularly when integrated into electronic medical record systems and supported by training and feedback. Although results have been mixed, interventions have moved beyond increasing service delivery to demonstrating behavior change. Research on emerging technology—such as gaming platforms, mobile phone applications, and wearable devices—suggests opportunities to expand clinicians’ reach; however, existing research is based on limited clinical settings and populations. Improved monitoring systems and further research are needed to examine preventive services facilitators and ensure that interventions are effective across the range of clinical settings where youth receive preventive care, across multiple populations, including young adults, and for more vulnerable populations with less access to quality care.

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Section: Resultsmentioning

confidence: 99%

Research on Clinical Preventive Services for Adolescents and Young Adults: Where Are We and Where Do We Need to Go?

Harris

Aalsma

Weitzman

et al. 2017

Journal of Adolescent Health

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“…In the study by Aalsma et al [26] analyzing parents' and adolescents' doubts about preventive care, a significant relationship between adolescents who discussed health with their parents and visiting the special medical provider on regular basis was found. One of the main barriers of not seeking preventive care in adolescents was their parents who avoided dental preventive medical visits.…”

Section: Discussionmentioning

confidence: 98%

Factors Associated with Non-Attendance at Dental Preventive Care in Slovak Adolescents

Samohýl¹,

Babjaková²,

Vondrová³

et al. 2020

Preprint

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The study aimed to determine the factors associated with the avoidance of dental preventive care in adolescents and their parents in the framework of The Youth and Parents Risk Factor Behavior Survey in Slovakia has been initiated during the years 2015/2016. The data were collected using two separate standardized questionnaires: (i) the questionnaire for adolescents (n=515) and (ii) the questionnaire for parents (n=681). The study group consisted of 57 adolescents (54.4% males) who did not visit the dentist for preventive care in the previous year. The control group consisted of 458 adolescents (35.8% males) who visited a dentist for preventive care at least once in the previous year. A significantly higher number of males (54.4%), older adolescents (21.4%) were not visiting dental preventive care regularly. Incomplete family (56.1%), stressful situations at home (17.5%), and feeling unwell were observed as the factors contributing to the avoidance of dental preventive care. More than 34.5% of adolescents were not visiting either dental preventive care but also pediatric preventive care (AOR=5.14; 95%CI=2.40, 10.99). Divorced mothers and mothers with household income lower than 900 € had significantly higher dental care avoidance in their children. A significantly higher percentage of fathers from the exposed group were not visiting dental preventive care regularly (47.8%; p&lt; .05). The results of the study can be used as an educational intervention steps focusing on the influence of parental and adolescent behavior in dental preventive care.

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“…Continued effort needs to address additional utilization barriers. Research on adolescents shows that lower well visit rates are associated with parental perceptions that seeking medical care is unnecessary if one does not have health problems and that the family cannot afford to seek medical care [19]. We are unaware of any parallel studies describing barriers to young adults accessing well visits.…”

Section: Discussionmentioning

confidence: 99%

Young Adult Preventive Healthcare: Changes in Receipt of Care Pre- to Post-Affordable Care Act

Adams

Park

Twietmeyer

et al. 2019

Journal of Adolescent Health

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A B S T R A C TPurpose: Young adults have unique health and health care needs. Although morbidity and mortality stem largely from preventable factors, they lack a structured set of preventive care guidelines. The Affordable Care Act (ACA), enacted in 2010, increased young adult insurance coverage, prohibited copayments for preventive visits among privately insured and for many preventive services. The objectives were to evaluate pre-to post-ACA changes in young adults' past-year well visits and, among those using a past-year health care visit, the receipt of preventive services. Methods: We used pooled Medical Expenditure Panel Survey data, comparing pre-ACA (2007e2009, N ¼ 10,294) to post-ACA (2014e2016, N ¼ 10,567) young adults aged 18e25 years. Bivariable and multivariable stratified logistic regression, adjusting for sociodemographic covariates, were conducted to determine differences in well visits and in preventive services among past-year health care utilizers: blood pressure and cholesterol checks, influenza immunization, and all three received. Results: Past-year well visits increased from pre-ACA (28%) to post-ACA (32%), p < .001. Increases were noted for most demographic subgroups with greatest increases among males, Asian, and highest income subgroups. Larger pre-to post-ACA increases were found for most of the preventive services, p < .05, including the receipt of all three services (7% vs. 16%), p < .001, among past-year health care utilizers. Conclusion: Following ACA implementation, young adults experienced modest increases in well visit rates and larger increases in most preventive services received. Overall rates of both remain low. Building on these improvements requires concerted efforts that account for young adults' unique combination of health care issues and challenges in navigating an adult health care system.

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Parent and Adolescent Views on Barriers to Adolescent Preventive Health Care Utilization

Cited by 23 publications

References 20 publications

Research on Clinical Preventive Services for Adolescents and Young Adults: Where Are We and Where Do We Need to Go?

Research on Clinical Preventive Services for Adolescents and Young Adults: Where Are We and Where Do We Need to Go?

Factors Associated with Non-Attendance at Dental Preventive Care in Slovak Adolescents

Young Adult Preventive Healthcare: Changes in Receipt of Care Pre- to Post-Affordable Care Act

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