Adolescent Preventive Services: Rates and Disparities in Preventive Health Topics Covered During Routine Medical Care in a California Sample
2008 | Download
This article examines rates and disparities in preventive health topics covered during routine medical care for adolescents. Utilizing 2003 California Health Interview Survey data, the sample included 2,192 adolescents who reported whether nine health topics were discussed during their most recent physical exam in the past six months: tobacco, alcohol, drugs, seatbelts, helmets, violence, exercise, nutrition, and sexually transmitted diseases.
Rates ranged from 15% (violence) to 76% (nutrition, exercise). Compared to older teens, younger teens reported discussing safety more, but substances, nutrition, and STDs less. Compared to males, females reported discussing tobacco and helmets less, but exercise and STDs more. Compared to white youths, Hispanic youths reported more discussion of most topics, black youths reported more discussion of nutrition and less of violence, and Asian youths reported more discussion of seatbelts and helmets. Lower income and uninsured groups reported more discussion of health topics compared to higher income and insured groups.
Conclusions: Rates of coverage of health topics are below recommended levels. Contrary to expectations, minority, uninsured, and lower income groups reported higher rates of discussing health topics. Strategies to increase the coverage of preventive health topics during routine medical care should address these findings.