Primary care for urban adolescent girls from ethnically diverse populations: Foregone care and access to confidential care

Melissa D. McKee, Jason Fletcher

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Adolescent girls face unique challenges in health care utilization, which can result in unmet needs. We sought to describe settings of usual care and primary care use, and to identify predictors of foregone care and experience of confidential care in a primarily racial/ethnic minority low-income sample. We conducted an anonymous computer-assisted self-administered survey of 9th-12th grade girls (n=819) in three Bronx public high schools, the majority of whom were Hispanic (69.8%) and Black (21.4%). Most (80%) reported having a usual source of care. Of these, 77.2% had a regular doctor. Those least likely to have a usual source of care were non-U.S. born girls (73.1% vs. 83.1%) and less acculturated girls. Predictors of foregone care in the last year include being sexually active, poor family social support, and low self esteem. Predictors of access to confidential care at last visit were age, self-efficacy for confidential care, having a regular doctor, setting of care, and having had a recent physical exam. Many urban adolescent girls, especially non-U.S. born girls, lack a usual source of care and regular health care provider. Continued attention to reducing both financial and non-financial barriers to care is required to ensure access to and quality of care for diverse populations.

Original languageEnglish (US)
Pages (from-to)759-774
Number of pages16
JournalJournal of Health Care for the Poor and Underserved
Volume17
Issue number4
DOIs
StatePublished - Nov 2006

Fingerprint

Primary Health Care
adolescent
Population
Patient Acceptance of Health Care
Quality of Health Care
Self Efficacy
Hispanic Americans
Self Concept
Social Support
Health Personnel
health care
national minority
self-esteem
self-efficacy
social support
low income
school grade
utilization
lack

Keywords

  • Adolescents-female
  • Health care utilization
  • Hispanics
  • Immigrant
  • Minorities
  • Preventive health care
  • Unmet health needs

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy
  • Social Sciences (miscellaneous)

Cite this

Primary care for urban adolescent girls from ethnically diverse populations : Foregone care and access to confidential care. / McKee, Melissa D.; Fletcher, Jason.

In: Journal of Health Care for the Poor and Underserved, Vol. 17, No. 4, 11.2006, p. 759-774.

Research output: Contribution to journalArticle

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