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首页> 外文期刊>BMJ Open >Can use of healthcare services among 15–16-year-olds predict an increased level of high school dropout? A longitudinal community study
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Can use of healthcare services among 15–16-year-olds predict an increased level of high school dropout? A longitudinal community study

机译：在15至16岁的人群中使用医疗保健服务是否可以预测高中辍学率的增加？纵向社区研究

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Objectives To study associations between healthcare seeking in 15–16-year-olds and high school dropout 5?years later. Design Longitudinal community study. Setting Data from a comprehensive youth health survey conducted in 2000–2004, linked to data from national registries up to 2010. Participants 13?964 10th grade secondary school students in six Norwegian counties. Main outcome measure Logistic regression was used to compute ORs for high school dropout. Results The total proportion of students not completing high school 5?years after registering was 29% (girls 24%, boys 34%). Frequent attenders to school health services and youth health clinics at age 15–16?years had a higher dropout rate (37/48% and 45/71%), compared with those with no or moderate use. Adolescents referred to mental health services were also more likely to drop out (47/62%). Boys with moderate use of a general practitioner (GP) had a lower dropout rate (30%). A multiple logistic regression analysis, in which we adjusted for selected health indicators and sociodemographic background variables, revealed that seeking help from the youth health clinic and consulting mental health services, were associated with increased level of high?school dropout 5?years later. Frequent attenders (≥4 contacts) had the highest odds of dropping out. Yet, boys who saw a GP and girls attending the school health services regularly over the previous year were less likely than their peers to drop out from high school. Conclusions Adolescents who seek help at certain healthcare services can be at risk of dropping out of high school later. Health workers should pay particular attention to frequent attenders and offer follow-up when needed. However, boys who attended a GP regularly were more likely to continue to high school graduation, which may indicate a protective effect of having a regular and stable relationship with a GP.
机译：目的研究15-16岁的寻求医疗保健与5年后的高中辍学之间的关联。设计纵向社区研究。根据2000年至2004年进行的一次全面的青年健康调查收集数据，并将其与截至2010年的国家注册数据相联系。参与者来自挪威6个县的13至964位10年级中学生。主要结局指标Logistic回归用于计算高中辍学生的OR。结果注册后5年未完成高中的学生比例为29％（女孩24％，男孩34％）。与未使用或中度使用的人相比，经常在15-16岁的学校卫生服务和青年健康诊所就读的人辍学率更高（37/48％和45/71％）。转向精神卫生服务的青少年也更容易辍学（47/62％）。中度使用全科医生（GP）的男孩辍学率较低（30％）。一项多元logistic回归分析（我们针对选定的健康指标和社会人口统计学背景变量进行了调整）显示，寻求青年健康诊所的帮助和咨询心理健康服务与5年后高中辍学水平的升高有关。经常参加的人（≥4位联系人）辍学的几率最高。但是，前一年看过全科医生的男孩和女孩定期参加学校保健服务的机会比同龄人辍学的可能性要小。结论在某些医疗保健服务中寻求帮助的青少年可能会有高中辍学的风险。卫生工作者应特别注意经常照料的人，并在需要时提供随访。但是，定期参加GP的男孩更有可能继续高中毕业，这可能表明与GP保持定期稳定关系的保护作用。

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