Document Detail


Primary care services provided to adolescents in detention: a cross-sectional study using ICPC-2.
MedLine Citation:
PMID:  20178509     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The aim of this study was to provide a detailed description of the health problems for which primary care services are provided to adolescents in a juvenile detention facility in Europe. METHODS: We reviewed the medical files of all detainees in a juvenile detention centre in Switzerland in 2007. The health problems for which primary care services were provided were coded using the International Classification for Primary Care, version 2. Analysis was descriptive, stratified by gender. RESULTS: A total of 314 adolescents (18% female) aged 11-19 years were included. Most (89%) had a health assessment and 195 (62%) had consultations with a primary care physician; 80% of the latter had a physical health problem, and 60% had a mental health problem. The most commonly managed problems were skin (49.7%), respiratory (23.6%), behavioural (22.6%) and gynaecological problems (females: 23.9%); 13% females (no males) had sexually transmitted infections (STI), and 8.7% were pregnant. Substance abuse was common (tobacco: 64.6%, alcohol: 26.2%, cannabis: 31.3%). CONCLUSION: In addition to health problems known to be more prevalent among young offenders, such as mental health problems and STI, these adolescent detainees required care for a range of common primary care problems. These data should inform the development of comprehensive primary care services in all juvenile detention facilities in Europe.
Authors:
D M Haller; P Sebo; B Cerutti; D Bertrand; A Eytan; G Niveau; H Wolff; F Narring
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-02-19
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  99     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-12     Completed Date:  2010-08-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  1060-4     Citation Subset:  IM    
Affiliation:
Department of Community Medicine and Primary Care, Geneva University Hospitals & University of Geneva, Geneva, Switzerland. dagmar.haller-hester@hcuge.ch
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adolescent Health Services / statistics & numerical data*
Child
Cross-Sectional Studies
Female
Health Status*
Humans
Juvenile Delinquency
Male
Mental Disorders / epidemiology
Pregnancy
Primary Health Care / statistics & numerical data*
Prisoners* / psychology,  statistics & numerical data
Prisons / organization & administration*
Respiration Disorders / epidemiology
Sexually Transmitted Diseases / epidemiology
Skin Diseases / epidemiology
Switzerland
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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