Adolescent self-rated health predicts general practice attendance in adulthood: Results from the Young-HUNT1 survey
Open Access
- 29 April 2018
- journal article
- research article
- Published by SAGE Publications in Scandinavian Journal of Public Health
- Vol. 47 (1), 37-44
- https://doi.org/10.1177/1403494818772212
Abstract
Aims: Self-rated health (SRH) is a predictor of future health. However, the association between SRH in adolescence and health problems and health care utilization in adulthood has rarely been investigated. The aim of this study was to examine adolescent SRH as a predictor of general practitioner consultations in adulthood. Methods: SRH was registered in the Young-HUNT1 survey in 1995–1997 (N=8828, mean age 16 years, 88% participation rate). General practitioner consultations during 2006–2014 were obtained from a national claims database. The predictive value of adolescent SRH on general practitioner consultations in adulthood was analysed by regression models estimating the relative risks (RR) for the total number of consultations and consultations for psychological, gastrointestinal, musculoskeletal or respiratory problems. Age, sex and baseline measures of chronic disease and health care attendance were used as the adjusting variables. Results: SRH was reported as ‘very good’ by 28.4%, ‘good’ by 60.6% and ‘not good’ by 11.0% of the respondents. The increases in consultation rates were 21% (RR 1.21, 95% CI 1.15–1.27) and 52% (RR 1.52, 95% CI 1.40–1.64) when comparing respondents with ‘very good’ SRH to those with ‘good’ and ‘not good’ SRH, respectively. We also demonstrated a dose–response association between adolescent SRH and general practitioner consultations for psychological, gastrointestinal, musculoskeletal or respiratory problems. Conclusions: SRH in adolescence is a predictor for general practitioner consultations in adult life. Previous research shows that SRH is influenced by factors such as well-being, health behaviour, functional status and body satisfaction. Intervention studies are needed to evaluate whether population-based and clinical interventions can improve SRH by improving these factors among adolescents.Keywords
This publication has 29 references indexed in Scilit:
- Cohort profile of the Young-HUNT Study, Norway: A population-based study of adolescentsInternational Journal of Epidemiology, 2013
- Why does self-rated health predict mortality? An update on current knowledge and a research agenda for psychologistsPsychology & Health, 2011
- Stress- and Allostasis-Induced Brain PlasticityAnnual Review of Medicine, 2011
- Self-rated health during adolescence: stability and predictors of change (Young-HUNT study, Norway)European Journal of Public Health, 2008
- Self-rated health in adolescence: A multifactorial compositeScandinavian Journal of Public Health, 2008
- Predictors of adolescent health care utilizationJournal of Adolescence, 2006
- A LIFE COURSE APPROACH TO CHRONIC DISEASE EPIDEMIOLOGYAnnual Review of Public Health, 2005
- Positive self-assessed general health in patients with medical problemsScandinavian Journal of Primary Health Care, 2004
- Self-rated health and mortality among young men: what is the relation and how may it be explained?Scandinavian Journal of Public Health, 2002
- The role of socioeconomic status gradients in explaining differences in US adolescents' health.American Journal of Public Health, 1999