Health Care Use and Status Among Abused Young People
Background</h3><p id="sp0010">Childhood abuse negatively affects young people's health. Little is known about its effect on health care usage patterns or on perception of health status during a life stage when learning to use care independently is a key developmental task....
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Ubiquity Press
2017
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oai:doaj.org-article:d17d741e6a1646ccb885d9adc66764b52021-12-02T03:05:50ZHealth Care Use and Status Among Abused Young People2214-999610.1016/j.aogh.2017.10.017https://doaj.org/article/d17d741e6a1646ccb885d9adc66764b52017-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/142https://doaj.org/toc/2214-9996Background</h3><p id="sp0010">Childhood abuse negatively affects young people's health. Little is known about its effect on health care usage patterns or on perception of health status during a life stage when learning to use care independently is a key developmental task.</p><h3 id="st0020">Objectives</h3><p id="sp0015">In nonclinical study settings, abuse has been found to be associated with disorganized use of care and perceived poorer health. Our objective was to determine whether abused youth receiving health care had similar outcomes.</p><h3 id="st0025">Methods</h3><p id="sp0020">This observational study, conducted between December 5, 2005 and April 13, 2007, screened for childhood abuse in 532 young people seeking services at a primary care clinic. The setting was a New York City young people's free health clinic. Participants were aged 12-24 years, recruited during a visit, mostly female (86%), Latino or black (94%), and currently in school or college (79%). Exclusions included not being fluent in English or having difficulty understanding the study/consent process.</p><h3 id="st0030">Results</h3><p id="sp0025">Health care use (routine vs urgent care) in the prior 12 months and perceived health status were measured using the Health Service Utilization Scale. Potential demographic covariates were controlled for, as was depression (using the <a title="Learn more about Beck Depression Inventory" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/beck-depression-inventory">Beck Depression Inventory</a> for Primary Care—Fast Screen). A total of 54% disclosed abuse. Compared with those who were not abused, those reporting <a title="Learn more about Sexual Abuse" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/sexual-abuse">sexual abuse</a> had 1.4 times greater odds of choosing both urgent and routine care over routine care only. Those reporting any type of abuse had lower odds of selecting <a title="Learn more about Urgent care" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/urgent-care">urgent care</a> only over routine care. No association was found between childhood abuse and perceived health status.</p><h3 id="st0035">Conclusions</h3><p id="sp0030">In contrast to studies conducted among youth in nonclinic settings, in this study childhood abuse was not associated with health care usage patterns or with poorer perception of health. Further research is needed regarding the impact receiving health care has on perceived health and health care use in abused youth. Annals of '<a title="Learn more about Global Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/global-health">Global Health</a>' 2017;0:000-000Angela DiazKen PeakeAnne Nucci-SackViswanathan ShankarUbiquity Pressarticleadolescentchildhood physical abusechildhood sexual abusehealth care utilizationperceived healthyoung adultInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 5-6, Pp 735-742 (2017) |
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DOAJ |
| collection |
DOAJ |
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EN |
| topic |
adolescent childhood physical abuse childhood sexual abuse health care utilization perceived health young adult Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 |
| spellingShingle |
adolescent childhood physical abuse childhood sexual abuse health care utilization perceived health young adult Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Angela Diaz Ken Peake Anne Nucci-Sack Viswanathan Shankar Health Care Use and Status Among Abused Young People |
| description |
Background</h3><p id="sp0010">Childhood abuse negatively affects young people's health. Little is known about its effect on health care usage patterns or on perception of health status during a life stage when learning to use care independently is a key developmental task.</p><h3 id="st0020">Objectives</h3><p id="sp0015">In nonclinical study settings, abuse has been found to be associated with disorganized use of care and perceived poorer health. Our objective was to determine whether abused youth receiving health care had similar outcomes.</p><h3 id="st0025">Methods</h3><p id="sp0020">This observational study, conducted between December 5, 2005 and April 13, 2007, screened for childhood abuse in 532 young people seeking services at a primary care clinic. The setting was a New York City young people's free health clinic. Participants were aged 12-24 years, recruited during a visit, mostly female (86%), Latino or black (94%), and currently in school or college (79%). Exclusions included not being fluent in English or having difficulty understanding the study/consent process.</p><h3 id="st0030">Results</h3><p id="sp0025">Health care use (routine vs urgent care) in the prior 12 months and perceived health status were measured using the Health Service Utilization Scale. Potential demographic covariates were controlled for, as was depression (using the <a title="Learn more about Beck Depression Inventory" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/beck-depression-inventory">Beck Depression Inventory</a> for Primary Care—Fast Screen). A total of 54% disclosed abuse. Compared with those who were not abused, those reporting <a title="Learn more about Sexual Abuse" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/sexual-abuse">sexual abuse</a> had 1.4 times greater odds of choosing both urgent and routine care over routine care only. Those reporting any type of abuse had lower odds of selecting <a title="Learn more about Urgent care" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/urgent-care">urgent care</a> only over routine care. No association was found between childhood abuse and perceived health status.</p><h3 id="st0035">Conclusions</h3><p id="sp0030">In contrast to studies conducted among youth in nonclinic settings, in this study childhood abuse was not associated with health care usage patterns or with poorer perception of health. Further research is needed regarding the impact receiving health care has on perceived health and health care use in abused youth. Annals of '<a title="Learn more about Global Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/global-health">Global Health</a>' 2017;0:000-000 |
| format |
article |
| author |
Angela Diaz Ken Peake Anne Nucci-Sack Viswanathan Shankar |
| author_facet |
Angela Diaz Ken Peake Anne Nucci-Sack Viswanathan Shankar |
| author_sort |
Angela Diaz |
| title |
Health Care Use and Status Among Abused Young People |
| title_short |
Health Care Use and Status Among Abused Young People |
| title_full |
Health Care Use and Status Among Abused Young People |
| title_fullStr |
Health Care Use and Status Among Abused Young People |
| title_full_unstemmed |
Health Care Use and Status Among Abused Young People |
| title_sort |
health care use and status among abused young people |
| publisher |
Ubiquity Press |
| publishDate |
2017 |
| url |
https://doaj.org/article/d17d741e6a1646ccb885d9adc66764b5 |
| work_keys_str_mv |
AT angeladiaz healthcareuseandstatusamongabusedyoungpeople AT kenpeake healthcareuseandstatusamongabusedyoungpeople AT annenuccisack healthcareuseandstatusamongabusedyoungpeople AT viswanathanshankar healthcareuseandstatusamongabusedyoungpeople |
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1718401947125415936 |