Abstrakt: |
dolescents with a chronically ill, disabled or addicted family member: reason for concern In 2003, the Municipal Public Health Service Rotterdam-Rijnmond started a project on adolescents with a chronically ill family member. The aim of the project was to trace the problems of these adolescents in an early stage and to prevent or solve them (in collaboration with others). Part of this project was to investigate the kind and extent of the problems experienced by such adolescents. We investigated the number of adolescents with a chronically ill family member (1), whether there are differences in (psychical) health, lifestyle, school absenteeism and problems at home between adolescents with and without a chronically ill family member (2) and the influence on the problems of the type of illness and the relation to the family member (3). Over 10.000 adolescents (aged 11-16) completed a questionnaire in the school year 2004-2005. Over a quarter (29%) of the adolescents reported having a (physically and/or mentally) disabled and/or addicted parent or sibling. Compared to the control group, adolescents with a chronically ill family member reported more often low perceived health (OR 2.0, 95% CI 1.8-2.2), psychical problems (OR 2.2, 95% CI 1.9-2.5), suicidal thoughts (OR 1.9; 95% CI 1.7-2.1), attempts at suicide (OR 2.2, 95% CI 1.9- 2.6), alcohol use (OR 1.4, 95% CI 1.2-1.5), marijuana use (OR 1.5, 95% CI 1.2-1.8, school absenteeism (OR 1.4, 95% CI 1.3-1.6), non-membership of a club (OR 1.2, 95% CI 1.1-1.3) and problems at home (OR 2.4, 95% CI 2.1-2.7). Adolescents with a mentally ill or addicted family member reported more problems than adolescents with a physically ill family member. Both adolescents with an ill parent and adolescents with an ill sibling reported more problems than adolescents without an ill family member. Adolescents with a chronically ill family member should be considered a risk group. Therefore, we recommend systematically tracing and supporting these adolescents within the youth health care system. [ABSTRACT FROM AUTHOR] |