Reference of this article: González Rodríguez P, Parra Martínez MI, Herrero González MA, Agis Brusco M, Muñoz Alcañiz JL, Doñoro Mazario M, et al. diagnostic and preventive activities in an adolescent population of a Primary Care Health Centre. Rev Pediatr Aten Primaria. 2007;9:397-410.
Published in Internet: 30-09-2007 - Visits: 5269
Purpose: to examine the adolescents? (age 11-18) utilization of ambulatory care.
Methods: prospective study of the activity in a Primary Care Health Centre over two
years. 434 adolescents were included (age 11-18). Visit characteristics consisted of gender,
age, country, number of visits, morbidity, health supervision visits, counselling on six selected
topics: alcohol consumption, tobacco, and other illicit drugs, diet and exercise, injury
prevention, sex advice, other explorations and specialty consultation, immunization status,
family relationship and school performance, hospital admissions.
Results: 353 adolescents (81%) attended at least once the physician
office during this period. The mean number of visits was 3.97 + 4.6 (CI 95% = 3.53-4.41)
and the mean number of check-ups was 0.57 + 0.64 (CI 95% = 0.51-0.63). The leading reasons
for both male and female visits were respiratory, dermatological and musculoskeletal
conditions. 212 adolescents (49%) had at least one check-up during this period, most of them
among the group younger than 16. 69% of the adolescents received behavioural counselling
regarding drinking, drugs, tobacco use, sexual education and nutrition. 98% of counselling
was in the pediatric office.
Conclusions: decreasing barriers to accessing Primary Care increases adolescent visits
and their inclusion in preventive activities.
Key words: Adolescent, Health promotion, Primary Care, Preventive health services.
Keywords● Adolescent ● Health promotion ● Preventive health services ● Primary Care