Authors: HAAVET, Ole Rikard¹; SAUGSTAD, Ola Didrik²; STRAAND, Jørúnd¹

Source: Acta Pædiatrica, Volume 94, Number 3, 1 March 2005 , pp. 345-351(7)

Publisher: Wiley-Blackwell

Abstract:

<section xml:id="abs1-1"> <title type="main">Abstract</title>

Aim: To explore possible risk-reducing factors associated with the incidence of common illnesses and use of healthcare services among adolescents. Methods: Cross-sectional questionnaire study conducted in all Oslo schools among all 15- and 16-y-olds in 2000 and 2001. The adolescent population was divided into a low-risk (LR) and a high-risk (HR) group, and into quartiles, based on a sum score of different negative life experiences. The groups were compared with respect to potential risk-reducing factors. Results: 88% of the 8316 pupils filled in the questionnaires. The difference between the LR and HR groups was largest for the possible risk-reducing factor “my family values my opinion“ (LR group = 92%; HR group = 82%), and I manage to solve serious problems myself (LR = 91%; HR = 86%). The family valuing the adolescents' opinions was the risk-reducing factor most often associated with lower incidences of illness and healthcare utilization. Among the adolescents at highest risk, less depression was strongly related to positive relationships with friends, boys: odds ratio = 0.1 (CI 95%: 0.0-0.7); and girls: 0.2 (0.1-0.5). Adolescents reporting that they managed their own problems had about half the risk of depression. </section> <section xml:id="abs1-2"> <title type="main">Conclusion</title>

: Good relations with family and friends, and a feeling of managing one's own life, are significantly related to lower rates of illness, in particular depression, and less healthcare-seeking behaviour. The risk-reducing effects increase with increasing risk. Healthcare workers therefore need to pay more attention to HR patients. </section>

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1651-2227.2005.tb03078.x

Affiliations: 1: Department of General Practice and Community Medicine, Section for General Practice, University of Oslo, Oslo, Norway 2: Department of Paediatric Research, Rikshospitalet, Oslo, Norway

Publication date: 2005-03-01

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