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Cited by 111Adolescent and Pediatric HealthcareHealth disparities and outcomesHealth and Medical Studies

The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.

Unmet Health Care Need in US Adolescents and Adult Health Outcomes

Hargreaves, Dougal S., Elliott, Marc N., Viner, Russell M., Richmond, Tracy K., Schuster, Mark A.·2015·Pediatrics
DOI 10.1542/peds.2015-0237
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Abstract

BACKGROUND: Adolescence is a formative period when health care services have a unique opportunity to influence later health outcomes. Unmet health care need in adolescence is known to be associated with poor contemporaneous health outcomes; it is unknown whether it predicts poor adult health outcomes. METHODS: We used nationally representative data from 14 800 subjects who participated in Wave I (mean age: 15.9 years [1994/1995]) and Wave IV (mean age: 29.6 years [2008]) of the National Longitudinal Study of Adolescent to Adult Health. Logistic regression models were used to estimate the association between unmet health care need in adolescence and 5 self-reported measures of adult health (fair/poor general health, functional impairment, time off work/school, depressive symptoms, and suicidal ideation). Models were adjusted for baseline health, insurance category, age, gender, race/ethnicity, household income, and parental education. RESULTS: Unmet health care need was reported by 19.2% of adolescents and predicted worse adult health: fair/poor general health (adjusted odds ratio [aOR]: 1.27 [95% confidence interval (CI): 1.00–1.60]); functional impairment (aOR: 1.52 [95% CI: 1.23–1.87]); depressive symptoms (aOR: 1.36 [95% CI: 1.13–1.64]); and suicidal ideation (aOR: 1.30 [95% CI: 1.03–1.68]). There was no significant association between unmet health care need and time off work/school (aOR: 1.13 [95% CI: 0.93–1.36]). Cost barriers accounted for only 14.8% of unmet health care need. The reason for unmet need was not significantly related to the likelihood of poor adult health outcomes. CONCLUSIONS: Reported unmet health care need in adolescence is common and is an independent predictor of poor adult health. Strategies to reduce unmet adolescent need should address health engagement and care quality, as well as cost barriers to accessing services.

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Metadata

Authors
Hargreaves, D. S., Elliott, M. N., Viner, R. M., Richmond, T. K., & Schuster, M. A.
Affiliations
  • University College London (GB)
  • RAND Corporation (US)
  • Boston Children's Hospital (US)
  • Harvard University (US)
ORCID
Venue
Pediatrics
Publisher
American Academy of Pediatrics (AAP)
Published
2015-09-01
Volume
136
Issue
3
Pages
513-520
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.2015-0237
OpenAlex
W2170367623
Cited by
111
References
27
Citations by year
2026: 6 · 2025: 12 · 2024: 15 · 2023: 6 · 2022: 12 · 2021: 12 · 2020: 12 · 2019: 14 · 2018: 10 · 2017: 2 · 2016: 9 · 2015: 1
FWCI
16.05
Type
journal article
Language
en
Open access
closed
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
Funders
UNICEF
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Adolescent and Pediatric Healthcare
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Medical Studies
Keywords
adolescents, adult health outcomes, functional disability, depressive symptoms, suicidal ideation, health status, financial barriers to care, health care access, adolescent to adult transition, Add Health
MeSH terms
Absenteeism, Adolescent, Adult, Depression, Health Services Needs and Demand, Health Status, Humans, Longitudinal Studies, Socioeconomic Factors, United States, Prevalence, Adolescent Health Services, Insurance Coverage, Young Adult, Suicidal Ideation

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