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Clinical Pediatrics
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*Child Behavior Disorders
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Adolescent Risk Behavior Screening: The Difference Between Patients Who Come in Frequently and Infrequently

Therese M. Zink, MD, MPH

Department of Family Medicine, University of Cincinnati, Cincinnati, Ohio

Linda Levin, PhD

Center for Biostatistical Services, University of Cincinnati, Cincinnati, Ohio

Susan L. Rosenthal, PhD

Division of Adolescent & Behavioral Health, Department of Pediatrics, UTMB Children's Hospital, Galveston, Texas

Charts were examined retrospectively to identify evidence of risk behavior screening in adolescents, identified from billing data as visiting at least 9 times during a 1-year period (n=55), frequent attenders (FA). These were matched 2:1 on age, gender, and ethnicity with 121 nonfrequent attenders (NFA),?3 visits in 1 year. FA had more evidence of risk behavior screening than NFA, but less preventive care. Risk screening in males occurred less than in females in both FA and NFA. Chart review demonstrated many missed opportunities. Providers are encouraged to fully utilize well teen exams as well as acute visits for risk behavior screening.

Clinical Pediatrics, Vol. 42, No. 2, 173-180 (2003)
DOI: 10.1177/000992280304200212
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