Perception of Adolescents Towards Health Related Issues in Secondary Schools, Kuwait

Basma Ar Al-qallaf; Bader Nmb Al-otaibi; Heyam Am Al-othman

Perception of Adolescents Towards Health Related Issues in Secondary Schools, Kuwait

Year 2012, Volume: 9 Issue: 3, 162 - 169, 01.09.2012

Basma Ar Al-qallaf Bader Nmb Al-otaibi Heyam Am Al-othman

Abstract

A large number of adolescents face health problems. To explore health related topics that they want to know about, topics they actually discussed with their physician, their sources of health information. Two secondary schools were selected randomly (one for males and another for females) from each of three regions in Ahmadi governorate in Kuwait. All students registered in the selected schools, 15 – 18 years old were sequentially recruited. Anonymous self-administered questionnaire was used and included 4 sections (health care topics that adolescents want to talk about, topics that they actually discussed with the physician, sources of health information that adolescents depended upon, barriers against discussing health care issues with physicians). Data were collected from 2428 secondary school students. The study revealed that healthy nutrition, physical activities and ideal body weight are the most important health related topics students want to talk about. However, only about half of them actually discussed health related conditions with their physicians. Anxiety and depression, sexuality and sexually transmitted diseases were the least topics that students actually discussed. The majority of the participants depended on their parent as key sources of information. The reasons for not discussing these topics with physicians were feeling embarrassed and gender difference between physician and the student. There is a continuing need to change adolescent perceptions towards health related problems as well as improving physicians\' attitude towards providing health services for this sector of the population and to enhance communication with adolescent. Education program on communication skill for primary care physicians is critical Key words: Adolescents, health related topics, physician, patient communications Kuveyt\'teki

Keywords

References

Board on Children, Youth and Families (BOCYF). Challenges in Adolescent Health Care: Workshop Report. The National Academies Press 2007:Page 6.
Walker Z, Townsend J. The role of general practice in pro- moting teenage health: a review of the literature. Fam Pract 1999;16:164–7.
Federico G, Baroncelli GI, Vanacore T, Fiore L, Saggese G. Pubertal changes in biochemical markers of growth. Horm Res 2003; 60(Suppl 1):46-51.
Williamson NE. Behavioural change among youth: repro- ductive health and HIV. IPPF 2002;36:3-4.
Millstein SG, Petersen AC, Nightingale EO. Promoting the Health of Adolescents: New Directions for the Twenty- first Century. New York, NY: Oxford University Press 1993.
WHO. Improving adolescent health and development. Adolescent Health and Development Programme, Family and Reproduction Health. WHO 1998; WHO/FRH/ ADH/98.18. Rev.1:1-20
Kipk MD (ed). Risk and opportunities : Synthesis of studies on adolescence. Washington, DC: National Academy Press 1999.
Jacobson LD, Mellanby AR, Donovan C, Taylor B, Tripp JH. Teenagers’ views on general practice consultations and other medicaladvice. Family Practice 2000;17:156–8.
Barker, Gary. Adolescents, social support and help- seeking behavior. An international literature review and programme consultation with recommendations for ac- tion. WHO 2007. WHO discussion papers on adolescence. TSBN978924159574.
Kari J, Donovan C, Li J, Taylor B. Adolescents’ attitudes to general practice in North London. Br J Gen Pract 1997;47:349.
WHO. Concerted WHO efforts to address adolescent health and development Leaflet. WHO 2007. Department of Child and Adolescent Health and Development (CAH).
WHO. Adolescent friendly health services. An agenda for change. WHO 2002; WHO/FCH/CAH/02.14: 1-48.
WHO. EMRO. Overview of child health in Arab countries. 2001. http://www.emro.who.int/dsaf/dsa505
Abahussain E, Matowe LK, Nicholls PJ. Self-reported med- ication use among adolescents in Kuwait. Med Princ Pract 2005;14:161-4.
El-Bayoumy I, Shady I, Lotfy H. Prevalence of obesity among adolescents (10 to 14 Years) in Kuwait. Asia-Pacific Journal of Public Health 2009;21:153-9.
World Health Organization; UNICEF; UNFPA. Guidelines for adaptation of the WHO orientation programme on adolescent health for health care providers in Europe and Central Asia. WHO 2006: 1-25.
Centers for Disease Control and Prevention (CDC). Cigarette smoking among adults and trends in smoking cessation - United States, 2008. MMWR Morb Mortal Wkly Rep 2009;58:1227-32.
Weddle M, Kokotailo P. Adolescent substance abuse. Confidentiality and consent. Pediatr Clin North Am 2002;49:301.
WHO. Commonwealth Medical Association Trust and UNICEF. Orientation programme on adolescent health for health-care providers. WHO 2006. ISBN 9241591269.
Rees Lewis J. Patient views on quality in general practice: literature review. Social Sci Med 1994;39:655–70.
WHO. Helping parents in developing countries improve adolescents' health. WHO 2007; ISBN: 9789241595841.
Blum, Robert. Risk and protective factors affecting ado- lescent reproductive health in developing countries. WHO 2004; ISBN: Summary 9241592273.
Jacobson L, Wilkinson C, Pill R, Hackett P. Communication between teenagers and British general practitioners: a preliminary study of the teenage perspective. Ambul Child Health 1996;1:291–301.
Kidger J, Donovan JL, Biddle L, Campbell R, Gunnell D. Supporting adolescent emotional health in schools: a mixed methods study of student and staff views in England. BMC Public Health 2009;9:403.
Helleve A, Flisher AJ, Onya H, Kaaya S, Mukoma W, Swai C, Klepp KI. Teachers' confidence in teaching HIV/AIDS and sexuality in South African and Tanzanian schools. Scand J Public Health 2009;37 Suppl 2:55-64.
Jacobson L, Wilkinson C, Pill R. Teenage pregnancy in the United Kingdom in the 1990s: the implications for pri- mary care. Fam Pract 1995;12:232–6.
Iverson SA, Howard KB, Penney BK. Impact of internet use on health-related behaviors and the patient-physi- cian relationship: a survey-based study and review. J Am Osteopath Assoc 2008;108:699-711
Sanfilippo JS, Lara-Torre E. Adolescent gynecology. Obstet Gynecol 2009;113:935-47. 29. Ford CA, Thomsen SL, Compton B. Adolescents'interpretations of conditional confidentiality assurances. J Adolesc Health 2001;29:156.
Jones RK, Purcell A, Singh S, Finer LB. Adolescents' re- ports of parental knowledge of adolescents' use of sexual health services and their reactions to mandated paren- tal notification for prescription contraception. JAMA 2005;293:340.
Anonymous. Primary healthcare in focus at GCC meet. Gulf Times 2005.
Lehrer JA, Pantell R, Tebb K, Shafer MA. Forgone health care among U.S. adolescents: associations between risk characteristics and confidentiality concern. J Adolesc Health 2007;40:218.
Kreier R. Crossing the cultural divide. American Medical News, American Medical Association (AMA). 1999