{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T13:13:11Z","timestamp":1746709991215,"version":"3.40.5"},"reference-count":16,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2000,11,1]]},"abstract":"<jats:sec><jats:title>Objective.<\/jats:title><jats:p>We assessed the extent to which a health concerns checklist (HCC) helps bridge the gap between the reason for encounter (RFE) described by girls entering an adolescent health service and the ultimate diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods.<\/jats:title><jats:p>The sample, 547 consecutive 12- to 18-year-old girls visiting an adolescent health service, first underwent a structured intake procedure, including a self-administered form on which they described their RFEs and other health concerns, as well as a psychosocial interview and medical evaluation performed by staff members. The RFEs, HCC items, and diagnoses, grouped into somatic, sexuality-related, and psychosocial categories, were then compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p>Among the 399 girls expressing specific RFEs on entering the clinic, one-third were diagnosed with psychosocial disorders and one-fifth with sexuality-related concerns. Of the patients receiving a sexuality-related diagnosis, 57% presented with a sexuality-related request; another 26% noted it on the checklist. For those diagnosed with psychosocial problems, 22% stated this as the RFE, and another 50% indicated it on the HCC. The contribution of the HCC to the diagnosis was higher among adolescents not stating a specific RFE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion.<\/jats:title><jats:p>The findings highlight the HCC's contribution in identifying health problems, especially among adolescents who find it difficult to verbalize sensitive issues.<\/jats:p><\/jats:sec>","DOI":"10.1542\/peds.106.5.1065","type":"journal-article","created":{"date-parts":[[2004,8,13]],"date-time":"2004-08-13T23:50:41Z","timestamp":1092441041000},"page":"1065-1069","source":"Crossref","is-referenced-by-count":5,"title":["Using a Health Concerns Checklist as a Bridge From Reason for Encounter to Diagnosis of Girls Attending an Adolescent Health Service"],"prefix":"10.1542","volume":"106","author":[{"given":"Rachel","family":"Wilf-Miron","sequence":"first","affiliation":[{"name":"From the Pediatric Division and"},{"name":"Health Services Research Unit, Chaim Sheba Medical Center, Tel Hashomer, Israel."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saralee","family":"Glasser","sequence":"additional","affiliation":[{"name":"Health Services Research Unit, Chaim Sheba Medical Center, Tel Hashomer, Israel."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabienne","family":"Sikron","sequence":"additional","affiliation":[{"name":"Health Services Research Unit, Chaim Sheba Medical Center, Tel Hashomer, Israel."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vita","family":"Barell","sequence":"additional","affiliation":[{"name":"Health Services Research Unit, Chaim Sheba Medical Center, Tel Hashomer, Israel."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2000,11,1]]},"reference":[{"key":"2021121003300982600_B1"},{"key":"2021121003300982600_B2"},{"key":"2021121003300982600_B3","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1542\/peds.89.3.422","article-title":"Health-risk behaviors and health concerns among young adolescents.","volume":"3","author":"Millstein","year":"1992","journal-title":"Pediatrics."},{"key":"2021121003300982600_B4"},{"key":"2021121003300982600_B5","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/1054-139X(95)91196-S","article-title":"Concerns and risk behaviors and the association between them among high school students in Jerusalem.","volume":"17","author":"Palti","year":"1995","journal-title":"J Adolesc Health."},{"key":"2021121003300982600_B6","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/S0022-3476(83)80677-5","article-title":"Assessment of health needs and willingness to use health care resources of adolescents in a suburban population.","volume":"102","author":"Marks","year":"1983","journal-title":"J Pediatr."},{"key":"2021121003300982600_B7","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1111\/j.1745-7599.1991.tb01084.x","article-title":"Adolescent health concerns: a comparison of adolescent and health care provider perceptions.","volume":"3","author":"Kowpak","year":"1991","journal-title":"J Am Acad Nurse Pract."},{"key":"2021121003300982600_B8"},{"key":"2021121003300982600_B9"},{"key":"2021121003300982600_B10","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/0197-0070(90)90037-3","article-title":"Knowledge and attitudes of health professionals toward adolescent health care.","volume":"11","author":"Blum","year":"1990","journal-title":"J Adolesc Health Care."},{"key":"2021121003300982600_B11","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/0197-0070(90)90026-X","article-title":"Adolescent medicine in pediatric practice.","volume":"11","author":"Marks","year":"1990","journal-title":"J Adolesc Health Care."},{"key":"2021121003300982600_B12"},{"key":"2021121003300982600_B13","first-page":"79","article-title":"Treating the adolescent: the initial treatment meeting.","volume":"3","author":"Brown","year":"1987","journal-title":"Semin Adolesc Med."},{"key":"2021121003300982600_B14","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/0197-0070(91)90084-Y","article-title":"HEADSS, a psychosocial risk assessment instrument: implications for designing effective intervention programs for runaway youth.","volume":"12","author":"Cohen","year":"1991","journal-title":"J Adolesc 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