Adolescents Who Use the Emergency Department as Their Usual Source of Care

作者: Karen M. Wilson , Jonathan D. Klein

DOI: 10.1001/ARCHPEDI.154.4.361

关键词: Health careEthnic groupLogistic regressionSexual abuseRural areaGerontologyMedicineEmergency departmentFamily medicineMultivariate analysisSUDAAN

摘要: Objective To examine the factors associated with use of emergency department (ED) as only source health care among adolescents. Design Analyses 1997 Commonwealth Fund Survey Health Adolescent Girls, a nationally representative sample 6748 in-school male and female adolescents in 5th through 12th grade. The χ 2 statistics logistic regression analyses were computed SUDAAN. Results Overall, 4.6% survey, or 1.5 million United States, reported that ED was their usual care. In multivariate models, included sex, African American ethnicity, fewer financial resources, living rural area. Adolescents higher levels risky behaviors, history physical sexual abuse, depression scores all more likely to who using also less have had regular well visits report having missed needed than those other sources primary Conclusions are often from vulnerable populations. Many special mental needs unlikely be met only, they needed. Creating linkages between EDs services could help at-risk identify appropriate

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