Afifi M
Directorate of Research and Studies, Ministry of Health, Muscat, Oman.
East Mediterr Health J. 2004 Jan-Mar;10(1-2):64-71.
The study assessed patterns of health service use by adolescents and the association with mental health problems in Alexandria, Egypt. A systematic stratified random sample of 1577 school students aged 14-19 years completed a self-report questionnaire about demographic and health status, use of health services in the previous year, and the Children's Depression Inventory and the Adolescent Self-Report Aggression Scale. Overall, 97.1% of students reported using school health clinics once or more in the year before the study, 93.7% primary health centres, 16.8% mental health services and 13.6% other health services. A history of organic illness in the previous year (OR = 1.80), having depressive symptoms (OR = 2.93) and having aggressive symptoms (OR = 5.53) were significantly associated with frequent use of health services (> or = 4 visits/year).
该研究评估了埃及亚历山大港青少年的卫生服务利用模式及其与心理健康问题的关联。一项对1577名年龄在14至19岁的在校学生进行的系统分层随机抽样调查中，学生们完成了一份关于人口统计学和健康状况、前一年卫生服务利用情况、儿童抑郁量表以及青少年自我报告攻击量表的自填问卷。总体而言，97.1%的学生报告在研究前一年曾使用过学校健康诊所一次或以上，93.7%使用过初级卫生保健中心，16.8%使用过心理健康服务，13.6%使用过其他卫生服务。前一年有器质性疾病史（比值比=1.80）、有抑郁症状（比值比=2.93）以及有攻击症状（比值比=5.53）与频繁使用卫生服务（≥4次/年）显著相关。
