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Article| Volume 28, ISSUE 6, P534-540, November 2014

Rural Adolescents' Access to Adolescent Friendly Health Services

Published:July 10, 2014DOI:https://doi.org/10.1016/j.pedhc.2014.05.004
Rural Adolescents' Access to Adolescent Friendly Health Services
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      Abstract

      Introduction

      The purpose of this study was to assess rural North Dakota adolescents' experiences in accessing adolescent-friendly health services and to examine the relationship between rural adolescents' communication with health care providers and risk behaviors.

      Methods

      Data are from the Rural Adolescent Health Survey (RAHS), an anonymous survey of 14- to 19-year-olds (n = 322) attending secondary schools in four frontier counties of North Dakota. Descriptive statistics were used to assess participants' access to adolescent-friendly health services characterized as accessible, acceptable, and appropriate. Logistic regressions were used to examine whether participant-reported risk behaviors predicted communication with health care providers about individual health risk behaviors.

      Results

      Rural adolescents reported high access to acceptable primary health care services but low levels of effective health care services. Participant report of engaging in high-risk behaviors was associated with having received information from health care providers about the leading causes of morbidity and mortality.

      Discussions

      These findings reveal missed opportunities for primary care providers in rural settings to provide fundamental health promotion to adolescents.

      Key Words

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      Biography

      Molly A. Secor-Turner, Assistant Professor, Departments of Nursing and Public Health, North Dakota State University, Fargo, ND.

      Biography

      Brandy A. Randall, Associate Professor and Associate Dean, Graduate School, Department of Human Development and Family Science, North Dakota State University, Fargo, ND.

      Biography

      Alison L. Brennan, Graduate Student, Department of Human Development and Family Science, North Dakota State University, Fargo, ND.

      Biography

      Melinda K. Anderson, Doctor of Nurse Practitioners and Family Nurse Practitioner, Sanford Health, Perham, MN.

      Biography

      Dean A. Gross, Assistant Professor, Department of Nursing, North Dakota State University, Fargo, ND.

      Article info

      Publication history

      Published online: July 10, 2014

      Footnotes

      This study was funded by North Dakota State University Department of Nursing Faculty Development Funds (Secor-Turner, primary investigator).

      Conflicts of interest: None to report.

      Identification

      DOI: https://doi.org/10.1016/j.pedhc.2014.05.004

      Copyright

      © 2014 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.

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