Table of Contents
International Journal of Family Medicine
Volume 2013, Article ID 718568, 6 pages
Research Article

Gaps between Adolescent Risk Behaviors and Disclosure during Outpatient Visits

1School of Medicine, University of California, San Diego, CA 92093, USA
2Department of Family and Preventive Medicine, UCSD, 9500 Gilman Drive, MS 0811, La Jolla, CA 92093-0811, USA
3Center for Behavioral Epidemiology and Community Health (C-BEACH), Graduate School of Public Health, San Diego State University, San Diego, CA 92182, USA
4Department of Family Medicine, University of Washington, Seattle, WA 98195-6390, USA

Received 6 January 2013; Revised 6 April 2013; Accepted 8 April 2013

Academic Editor: Carolyn Chew-Graham

Copyright © 2013 Linda L. Hill et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. The purpose of this study was to determine the gaps between disclosed high-risk behaviors in low-income, mainly Hispanic youth and the identification of these risks by health care providers. Methods. This cross-sectional study included youth 13–19 years old who participated in a study on latent tuberculosis treatment. Youth were interviewed at baseline by bilingual research assistants; the provider visit was assessed by the chart review. Results. Of 221 youth, the majority (96%) were identified as Hispanic, 45% were foreign-born, and 46% were male. A total of 399 risk behaviors were revealed to research staff by the participants; only 24 risk behaviors were revealed to providers. Conclusions. The majority of risk behaviors based on the chart review were neither queried nor disclosed to the physicians. Physicians providing care to adolescents should consider strategies to improve disclosure as a necessary precursor to interventions.