Acceptability of Adolescent Social and Behavioral Health Screening in the Emergency Department
| Autor: | Shilpa J. Patel, Gia M. Badolato, Lenore Jarvis, Monika K. Goyal, Steven D Langerman, Alexandra C. Rucker |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Firearms Adolescent Social Determinants of Health Substance-Related Disorders Poison control Violence Suicide prevention Pediatrics Occupational safety and health Article 03 medical and health sciences 0302 clinical medicine Risk-Taking 030225 pediatrics Injury prevention medicine Humans Mass Screening 030212 general & internal medicine Social determinants of health Child business.industry Depression Public Health Environmental and Occupational Health Human factors and ergonomics Emergency department Odds ratio Psychiatry and Mental health Cross-Sectional Studies Caregivers Family medicine Pediatrics Perinatology and Child Health Female business Emergency Service Hospital |
| Zdroj: | J Adolesc Health |
| ISSN: | 1879-1972 |
| Popis: | PURPOSE: The American Academy of Pediatrics recommends routine screening for social and behavioral health risks (SBHR) in adolescents. Because adolescents who seek care in emergency departments (EDs) may have riskier behaviors than adolescents who access primary care, the ED may be a strategic additional setting for screening. We sought to identify acceptable domains for comprehensive SBHR screening in a pediatric ED. METHODS: We conducted a cross-sectional survey to assess adolescent and caregiver acceptance of ED-based SBHR screening across multiple domains. Logistic regression was performed to identify factors associated with screening acceptance. McNemar’s test was used to assess agreement within patient/caregiver dyads across domains. RESULTS: Among our 516 study participants (347 adolescents and 169 caregivers), those who indicated that they “agree” or “strongly agree” that ED-based screening should be conducted were classified as finding screening acceptable. Acceptability rates ranged from 45.0% (firearm access) to 77.5% (suicidality) among adolescents and 61.5% (firearm access) to 84.0% (substance use) among caregivers. After adjusting for gender, race/ethnicity, and insurance status, adolescents were less accepting than caregivers of screening for: substance use (aOR: 0.51; 0.31, 0.83; p |
| Databáze: | OpenAIRE |
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