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Brief ReportBrief Report

Differences in Receipt of Time Alone with Healthcare Providers Among US Youth Ages 12–17

Marvin So
The Journal of the American Board of Family Medicine March 2024, 37 (2) 309-315; DOI: https://doi.org/10.3122/jabfm.2023.230222R1
Marvin So
From the LifeLong Medical Care, William Jenkins Health Center, Richmond, CA.
MD, MPH
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    Table 1.

    Prevalence and Odds Ratios of Time Alone with Health Care Provider at Last Visit Among Adolescents Ages 12–17—United States, 2018–2019

    Time Alone at Last Health Care Visit% (95% CI)Odds Ratio (95% CI)
    Overall53.5 (52.0–55.1)–
    Child
    Sex
     Female53.9 (51.7–56.1)Ref
     Male53.2 (51.1–55.3)0.97 (0.82–1.16)
    Race/ethnicity
     Hispanic/Latinx50.3 (45.7–54.9)0.84 (0.70–1.00)
     White NH54.7 (53.2–56.1)Ref
     Black NH55.7 (51.1–60.2)1.04 (0.87–1.24)
     Asian NH*49.6 (43.2–56.0)0.82 (0.68–0.97)
     Other NH54.2 (49.0–59.4)0.98 (0.82–1.17)
    Special health care needs
     Yes56.3 (53.6–59.0)Ref
     No52.4 (50.5–54.2)0.85 (0.72–1.02)
    Mental, emotional, or behavioral problemsa
     Yes58.8 (56.2–61.3)Ref
     No*51.4 (49.5–53.3)0.74 (0.62–0.88)
    Family
    Parental nativity
     Parent(s) born in U.S.54.6 (53.0–56.2)Ref
     >1 parent born outside U.S.*48.7 (44.7–52.7)0.79 (0.66–0.94)
    Parental highest education
     Less than high school45.1 (36.8–53.7)0.63 (0.53–0.75)
     High school or equivalent48.3 (44.3–52.4)0.72 (0.60–0.86)
     Some college or technical school54.1 (51.3–56.9)0.91 (0.76–1.08)
     College degree or higher56.5 (54.7–58.3)Ref
    Household language
     English55.0 (53.5–56.4)Ref
     Not English*42.2 (35.8–48.8)0.60 (0.50–0.71)
    Household income
     <100% FPL (lowest)*47.5 (42.8–52.3)0.68 (0.57–0.81)
     100 to 199% FPL54.9 (51.0–58.8)0.91 (0.77–1.09)
     200 to 399% FPL*51.6 (49.0–54.3)0.80 (0.67–0.96)
     >400% FPL (highest)57.1 (55.0–59.2)Ref
    Health Care
    Medical home
     Yes54.4 (52.5–56.4)Ref
     No52.7 (50.4–55.0)0.94 (0.78–1.11)
    Health insurance status
     Insured54.1 (52.6–55.7)Ref
     Not insured*41.6 (34.2–49.4)0.60 (0.51–0.72)
    Health insurance adequacy
     Adequate55.0 (53.1–56.9)Ref
     Not adequate50.8 (48.2–53.4)0.85 (0.71–1.01)
    • Notes. *Significantly different effect estimate from logistic regression (P < .05). aRespondents were classified as having a mental, emotional, or behavioral problem if they responded yes to at least 1 of 10 conditions: Tourette syndrome, anxiety, depression, behavioral or conduct problem, developmental delay, intellectual disability, speech or other language disorder, learning disability, Autism Spectrum Disorder or Attention Deficit/Hyperactivity Disorder.

    • Abbreviations: NH, non-Hispanic; FPL, federal poverty level; CI, confidence interval.

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    Appendix Table 1.

    Prevalence of Time Alone with Health Care Provider at Last Visit Among Adolescents Ages 12–17, by state—United States, 2018–2019

    StateTime Alone at Last Healthcare Visit%
    Alabama39.2
    Alaska66.3
    Arizona38.5
    Arkansas37.9
    California53.5
    Colorado65.1
    Connecticut67.5
    Delaware58.1
    District of Columbia64.9
    Florida41.1
    Georgia53.0
    Hawaii61.4
    Idaho47.6
    Illinois57.5
    Indiana47.6
    Iowa56.8
    Kansas55.6
    Kentucky51.4
    Louisiana37.2
    Maine67.4
    Maryland59.5
    Massachusetts74.9
    Michigan55.7
    Minnesota62.4
    Mississippi40.0
    Missouri49.2
    Montana55.9
    Nebraska63.0
    Nevada42.4
    New Hampshire72.0
    New Jersey56.5
    New Mexico48.6
    New York65.1
    North Carolina57.7
    North Dakota62.7
    Ohio53.1
    Oklahoma44.0
    Oregon69.2
    Pennsylvania58.2
    Rhode Island68.5
    South Carolina46.5
    South Dakota51.0
    Tennessee50.2
    Texas47.4
    Utah32.8
    Vermont76.5
    Virginia47.7
    Washington61.1
    West Virginia60.8
    Wisconsin57.5
    Wyoming53.8
    • View popup
    Appendix Table 2.

    Prevalence of Time Alone With Health Care Provider At Last Visit Among Adolescents Ages 12–17, by Health Resources and Services Administration Region—United States, 2018–2019

    Health Resources and Services Administration RegionTime Alone at Last Healthcare Visit
    I (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont)71.8 (68.4–74.9)
    II (New York, New Jersey, U.S. Virgin Islands, Puerto Rico)62.4 (57.0–67.6)
    III (Delaware, Maryland, Pennsylvania, Virginia, West Virginia, District of Columbia)55.6 (52.1–59.1)
    IV (Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee)47.9 (45.0–50.8)
    V (Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin)55.4 (52.3–58.4)
    VI (Arkansas, Louisiana, New Mexico, Oklahoma, Texas)45.4 (40.1–50.8)
    VII (Iowa, Missouri, Nebraska, Kansas)54.4 (51.1–57.8)
    VIII (Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming)53.1 (49.3–56.9)
    IX (Arizona, California, Hawaii, Nevada, Pacific Islands [American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Northern Mariana Islands, Palau])51.1 (45.2–56.9)
    X (Alaska, Idaho, Oregon, Washington)61.5 (57.1–65.8)
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The Journal of the American Board of Family     Medicine: 37 (2)
The Journal of the American Board of Family Medicine
Vol. 37, Issue 2
March-April 2024
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Differences in Receipt of Time Alone with Healthcare Providers Among US Youth Ages 12–17
Marvin So
The Journal of the American Board of Family Medicine Mar 2024, 37 (2) 309-315; DOI: 10.3122/jabfm.2023.230222R1

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Differences in Receipt of Time Alone with Healthcare Providers Among US Youth Ages 12–17
Marvin So
The Journal of the American Board of Family Medicine Mar 2024, 37 (2) 309-315; DOI: 10.3122/jabfm.2023.230222R1
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Keywords

  • Access to Health Care
  • Adolescent
  • Adolescent Health
  • Confidentiality
  • Health Services Accessibility
  • Logistic Regression
  • National Survey of Children’s Health
  • Primary Health Care

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