Department of Public Health, Aarhus University, Bartholins Allé 2, 8000, Aarhus C, Denmark.
Department of Child and Adolescent Psychiatry, Research Unit, Psychiatry, Aarhus University Hospital, Palle Juul Jensens Boulevard 175, entrance K, 8200, Aarhus N, Denmark.
Sci Rep. 2020 Feb 24;10(1):3292. doi: 10.1038/s41598-020-60125-z.
The objective of the present study was to explore past and future primary health care use in preadolescents reporting frequent non-specific health complaints or a low self-rated health compared to that of preadolescents with no frequent health complaints or with good self-rated health. The study was conducted as a cohort study based within the Danish National Birth Cohort (1996-2002). Information on non-specific health complaints and self-rated health was obtained by an 11-year follow-up questionnaire. Information about number of general practitioner (GP) contacts was obtained from the Health Insurance Service Register. A total of 44,877 pre-adolescents gave complete exposure information. Pre-adolescents who reported frequent non-specific health complaints had a higher use of GP compared to pre-adolescents without complaints across the five years following the index date (somatic complaints: IRR = (1.46 [1.38; 1.55], mental complaints: IRR = 1.16 [1.12; 1.19], both complaints: IRR = 1.58 [1.47; 1.69]). The same pattern was found for the association between low self-rated health and number of GP contacts (IRR = 1.41 (1.36; 1.46)). Non-specific health complaints and a poor self-rated health in pre-adolescents was associated with a higher past and future use of GP, indicating a need for development of early interventions with help for symptom management.
本研究旨在探讨与无频繁健康投诉或自我健康评估良好的青少年相比，报告频繁非特异性健康投诉或自我健康评估较低的青少年过去和未来的初级保健使用情况。该研究是基于丹麦全国出生队列（1996-2002 年）进行的队列研究。非特异性健康投诉和自我健康评估的信息是通过 11 年的随访问卷获得的。关于普通科医生（GP）就诊次数的信息是从健康保险服务登记处获得的。共有 44877 名青少年提供了完整的暴露信息。与没有投诉的青少年相比，报告频繁出现非特异性健康投诉的青少年在指数日期后的五年内，对全科医生的使用更高（躯体投诉：IRR=（1.46 [1.38; 1.55]），精神投诉：IRR=1.16 [1.12; 1.19]），两种投诉：IRR=1.58 [1.47; 1.69]）。自我健康评估较低与全科医生就诊次数之间的关联也存在同样的模式（IRR=1.41 [1.36; 1.46]）。青少年的非特异性健康投诉和较差的自我健康评估与过去和未来更高的 GP 使用有关，这表明需要开发早期干预措施，帮助管理症状。
