Hill Linda L, Hovell Melbourne, Blumberg Elaine, Kelley Norma, Baird Sara, Sipan Carol, Schmitz Katharine, Friedman Lawrence
School of Medicine, University of California, San Diego, CA 92093, USA ; Department of Family and Preventive Medicine, UCSD, 9500 Gilman Drive, MS 0811, La Jolla, CA 92093-0811, USA.
Int J Family Med. 2013;2013:718568. doi: 10.1155/2013/718568. Epub 2013 Apr 24.
Objective. The purpose of this study was to determine the gaps between disclosed high-risk behaviors in low-income, mainly Hispanic youth and the identification of these risks by health care providers. Methods. This cross-sectional study included youth 13-19 years old who participated in a study on latent tuberculosis treatment. Youth were interviewed at baseline by bilingual research assistants; the provider visit was assessed by the chart review. Results. Of 221 youth, the majority (96%) were identified as Hispanic, 45% were foreign-born, and 46% were male. A total of 399 risk behaviors were revealed to research staff by the participants; only 24 risk behaviors were revealed to providers. Conclusions. The majority of risk behaviors based on the chart review were neither queried nor disclosed to the physicians. Physicians providing care to adolescents should consider strategies to improve disclosure as a necessary precursor to interventions.
目的。本研究的目的是确定低收入、主要为西班牙裔青少年所披露的高风险行为与医疗服务提供者对这些风险的识别之间的差距。方法。这项横断面研究纳入了13至19岁参与潜伏性结核病治疗研究的青少年。青少年在基线时由双语研究助理进行访谈；通过病历审查评估医疗服务提供者的问诊情况。结果。在221名青少年中，大多数（96%）被认定为西班牙裔，45%出生于国外，46%为男性。参与者向研究人员共披露了399种风险行为；向医疗服务提供者仅披露了24种风险行为。结论。根据病历审查，大多数风险行为既未被询问也未向医生披露。为青少年提供医疗服务的医生应考虑采取策略来改善信息披露情况，这是进行干预的必要前提。
