The Use of Youth Healthcare Services and Its Association with Health-related Quality of Life, Physical and Mental Health and Over-the-counter Analgesics Use in 13-19-year-old Adolescents: a Cross-sectional Study

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2024 Jan 5

PMID 38183040

Authors

Eva-Grethe Befus

Eirin Molland

Solvi Helseth

Milada Hagen

Tonje Holte Stea

Sandra Nolte

Kristin Haraldstad

Affiliations

Soon will be listed here.

Abstract

Background: Youth healthcare services in Norway include a public health nurse (PHN) at school and local youth health centres (YHCs). They provide health services for all adolescents free of charge, focusing on health promotion and disease prevention. The present study aimed to assess possible associations between health-related quality of life (HRQoL), physical and mental health, over-the-counter analgesics (OTCA) use and use of youth healthcare services among 13-19-year-old adolescents.

Methods: This study was based on national, cross-sectional data from the Ungdata Survey conducted in 2022. The sample was comprised of 16 482 adolescents. Multiple logistic regression was used to analyse the associations between HRQoL, headaches, selected physical symptoms, psychological distress, use of OTCA, PHN availability, sociodemographic variables, and use of the PHN at school or at a YHC. The KIDSCREEN-10 was used to measure HRQoL, and the Hopkins Symptoms Checklist 10 was used to measure symptoms of psychological distress.

Results: Girls used the youth healthcare services more frequently than boys. Better HRQoL was significantly associated with fewer visits to the PHN at school. Girls reported lower HRQoL and mental health, and more pain and frequent OTCA use than boys. When having symptoms of psychological distress, boys had greater odds of visiting the PHN at school than girls. For girls in senior high school, headaches and OTCA use were strongly associated with visiting the PHN at school and the YHC. In senior high school, boys with an immigration background had greater odds of visiting the YHC than native Norwegian boys, while girls with an immigration background were less likely to visit the YHC than native Norwegian girls.

Conclusions: Our results show that more girls than boys use youth healthcare services. When adolescents experience pain, have mental problems, use OTCA, or report low levels of HRQoL, they have greater odds of using youth healthcare services. Youth healthcare services offer excellent opportunities to support and follow up with adolescents. The findings provide important insights into youth healthcare services used by adolescents for various stakeholders, including PHNs and policy makers, with potential implications for future public health efforts.

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References

Haraldstad K, Stea T . Associations between pain, self-efficacy, sleep duration, and symptoms of depression in adolescents: a cross-sectional survey. BMC Public Health. 2021; 21(1):1617. PMC: 8418745. DOI: 10.1186/s12889-021-11680-1. View

Derdikman-Eiron R, Indredavik M, Bratberg G, Taraldsen G, Bakken I, Colton M . Gender differences in subjective well-being, self-esteem and psychosocial functioning in adolescents with symptoms of anxiety and depression: findings from the Nord-Trøndelag Health Study. Scand J Psychol. 2011; 52(3):261-7. DOI: 10.1111/j.1467-9450.2010.00859.x. View

Potrebny T, Wiium N, Haugstvedt A, Sollesnes R, Wold B, Thuen F . Trends in the utilization of youth primary healthcare services and psychological distress. BMC Health Serv Res. 2021; 21(1):115. PMC: 7860003. DOI: 10.1186/s12913-021-06124-w. View

Ferro M . Major depressive disorder, suicidal behaviour, bipolar disorder, and generalised anxiety disorder among emerging adults with and without chronic health conditions. Epidemiol Psychiatr Sci. 2015; 25(5):462-474. PMC: 7137593. DOI: 10.1017/S2045796015000700. View

Reiss F, Meyrose A, Otto C, Lampert T, Klasen F, Ravens-Sieberer U . Socioeconomic status, stressful life situations and mental health problems in children and adolescents: Results of the German BELLA cohort-study. PLoS One. 2019; 14(3):e0213700. PMC: 6415852. DOI: 10.1371/journal.pone.0213700. View

DeRogatis L, Lipman R, Rickels K, Uhlenhuth E, Covi L . The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory. Behav Sci. 1974; 19(1):1-15. DOI: 10.1002/bs.3830190102. View

Haraldstad K, Sorum R, Eide H, Natvig G, Helseth S . Pain in children and adolescents: prevalence, impact on daily life, and parents' perception, a school survey. Scand J Caring Sci. 2010; 25(1):27-36. DOI: 10.1111/j.1471-6712.2010.00785.x. View

Wen J, Al Sayah F, Simon R, Lahtinen M, Johnson J, Ohinmaa A . Self-reported health-related quality of life of the general population in Alberta, Canada during the COVID-19 pandemic. J Patient Rep Outcomes. 2022; 6(1):109. PMC: 9556143. DOI: 10.1186/s41687-022-00518-y. View

Duong M, Bruns E, Lee K, Cox S, Coifman J, Mayworm A . Rates of Mental Health Service Utilization by Children and Adolescents in Schools and Other Common Service Settings: A Systematic Review and Meta-Analysis. Adm Policy Ment Health. 2020; 48(3):420-439. DOI: 10.1007/s10488-020-01080-9. View

10.

Pinquart M, Shen Y . Behavior problems in children and adolescents with chronic physical illness: a meta-analysis. J Pediatr Psychol. 2011; 36(9):1003-16. DOI: 10.1093/jpepsy/jsr042. View

11.

Kekkonen V, Kivimaki P, Valtonen H, Tolmunen T, Lehto S, Hintikka J . Psychosocial problems in adolescents associated with frequent health care use. Fam Pract. 2015; 32(3):305-10. DOI: 10.1093/fampra/cmu090. View

12.

Askeland K, Haugland S, Stormark K, BOe T, Hysing M . Adolescent school absenteeism and service use in a population-based study. BMC Public Health. 2015; 15:626. PMC: 4497412. DOI: 10.1186/s12889-015-1978-9. View

13.

Sawyer S, Afifi R, Bearinger L, Blakemore S, Dick B, Ezeh A . Adolescence: a foundation for future health. Lancet. 2012; 379(9826):1630-40. DOI: 10.1016/S0140-6736(12)60072-5. View

14.

Skarstein S, Rosvold E, Helseth S, Kvarme L, Holager T, Smastuen M . High-frequency use of over-the-counter analgesics among adolescents: reflections of an emerging difficult life, a cross-sectional study. Scand J Caring Sci. 2013; 28(1):49-56. DOI: 10.1111/scs.12039. View

15.

Riiser K, Helseth S, Haraldstad K, Torbjornsen A, Richardsen K . Adolescents' health literacy, health protective measures, and health-related quality of life during the Covid-19 pandemic. PLoS One. 2020; 15(8):e0238161. PMC: 7454983. DOI: 10.1371/journal.pone.0238161. View

16.

Myrtveit S, Sivertsen B, Skogen J, Frostholm L, Stormark K, Hysing M . Adolescent neck and shoulder pain--the association with depression, physical activity, screen-based activities, and use of health care services. J Adolesc Health. 2014; 55(3):366-72. DOI: 10.1016/j.jadohealth.2014.02.016. View

17.

Swain M, Henschke N, Kamper S, Gobina I, Ottova-Jordan V, Maher C . An international survey of pain in adolescents. BMC Public Health. 2014; 14:447. PMC: 4046513. DOI: 10.1186/1471-2458-14-447. View

18.

Jonassen R, Hilland E, Harmer C, Abebe D, Bergem A, Skarstein S . Over-the-counter analgesics use is associated with pain and psychological distress among adolescents: a mixed effects approach in cross-sectional survey data from Norway. BMC Public Health. 2021; 21(1):2030. PMC: 8572415. DOI: 10.1186/s12889-021-12054-3. View

19.

Zachrisson H, Rodje K, Mykletun A . Utilization of health services in relation to mental health problems in adolescents: a population based survey. BMC Public Health. 2006; 6:34. PMC: 1386725. DOI: 10.1186/1471-2458-6-34. View

20.

. World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Bull World Health Organ. 2001; 79(4):373-4. PMC: 2566407. View