College of Nursing, Hanyang University, Seoul 04763, Korea.
College of Nursing, Yonsei University, Seoul 03722, Korea.
Int J Environ Res Public Health. 2021 Dec 3;18(23):12781. doi: 10.3390/ijerph182312781.
Adolescent health is considered the basis of adult health, and the unmet healthcare needs in adolescents are an important issue to be solved. This study, therefore, aimed to explore the prevalence of unmet healthcare needs, and examine its associated factors among adolescents in Korea based on Andersen's Behavioral Model of Health Services, using data from the Seventh Korea National Health and Nutrition Examination Survey (2016 to 2018). This survey's data source comprised 12- to 18-year-old adolescents, of which 1425 provided information on their unmet healthcare needs, as well as their predisposing, enabling, and need factors. For statistical analysis, SPSS version 25.0 was used. Descriptive analyses were performed to assess each variable, whereas multiple logistic regression was used to determine the associated factors. The overall prevalence of unmet healthcare needs was 5.5%. The factors that had statistically significant relationships with adolescents' unmet healthcare needs were: age; stress perceptions; housing types; and perceived health status. Unlike previous studies that presented related factors on vulnerable groups, this study's results presented unmet healthcare needs and related factors for all Korean adolescents using a national survey dataset. Hence, its findings could provide feedback on current policies, and guide future studies.
青少年健康被视为成年健康的基础,青少年未满足的医疗保健需求是一个亟待解决的重要问题。本研究旨在基于安德森健康服务行为模型,利用 2016 年至 2018 年第七次韩国国家健康和营养检查调查的数据,探讨韩国青少年未满足的医疗保健需求的流行情况,并检查其相关因素。该调查的数据来源包括 12 至 18 岁的青少年,其中 1425 名提供了有关他们未满足的医疗保健需求以及他们的倾向、使能和需求因素的信息。使用 SPSS 版本 25.0 进行统计分析。进行描述性分析以评估每个变量,而多逻辑回归用于确定相关因素。未满足的医疗保健需求的总体流行率为 5.5%。与青少年未满足的医疗保健需求具有统计学显著关系的因素是:年龄;压力感知;住房类型;以及感知健康状况。与之前呈现弱势群体相关因素的研究不同,本研究使用全国调查数据集呈现了所有韩国青少年的未满足的医疗保健需求及其相关因素。因此,其研究结果可以为现行政策提供反馈,并指导未来的研究。