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Impact of social status on the associations of psychological, social relationship

Impact of social status on the associations of psychological, social relationship and school difficulties with physician and treatment adherence in primary care among adolescents. Kénora Chau, 1,2 Jean-Charles Vauthier, 3 Bernard Kabuth, 1 Michèle Baumann, 2 Nearkasen Chau 4.

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Impact of social status on the associations of psychological, social relationship

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  1. Impact of social status on the associations of psychological, social relationship and school difficulties with physician and treatment adherence in primary care among adolescents Kénora Chau,1,2 Jean-Charles Vauthier,3 Bernard Kabuth,1 Michèle Baumann,2 Nearkasen Chau4 1 Université de Lorraine, Faculté de médecine, Service de Pédopsychiatrie, Hôpital d'Enfants de Nancy-Brabois, Vandoeuvre-lès-Nancy, France; 2University of Luxembourg, INtegrative research unit on Social and Individual DEvelopment (INSIDE), Walferdange, Luxembourg; 3Maison médicale, Dommartin-lès-Remiremont, France ; 4INSERM, U669, Univ Paris-Sud and Univ Paris Descartes, UMR-S0669, Paris, France. OBJECTIVES As primary care system general practitioners (GP) play an important role for health promotion through primary/secondary preventions, especially in disease screening, treatment, and monitoring. Patient-GP relationship and treatment adherence are thus crucial. Among adolescents, psychological, social relationship and school difficulties are more common and less likely treated in low social groups. These issues may favour lack of GP listening-treatment explanations (LLTE)and lack of treatment adherence (LTA) and then can increase health social inequalities. This study assessed the social disparities in the associations of LLTE and LTA with psychological, social relationship and school difficulties among adolescents. METHODS ORga: in colour green (p<0.05), purple (p<0.01), red (p<0.001), black (non-significant). Fig. 1: Associations of LLTE with psychological, social relationship and school difficulties for various father’s occupation categories (gender-age-adjusted odds ratios ORga) RESULTS Table 1: Associations of LLTE and LTA with gender, age, father’s occupation, and with psychological, social relationship and school difficulties ORga: in colour green (p<0.05), purple (p<0.01), red (p<0.001), black (non-significant). Fig. 2: Associations of LTA with psychological, social relationship and school difficulties for various father’s occupation categories (gender-age-adjusted odds ratios ORga) CONCLUSIONS Acknowledgments: The authors would like to thank M.J. Chau, E. Aptel, I. Armand, B. Barraud, O. Causin, M. Verdin, C. Richoux, Y. Delacour, C. Grangé, A. Chatton, L. Hiroux, L. Collet, and the staff of the schools for their valuable help in the study. This research involved French national institute with public funds. Correspondence: K. Chau, 8 rue du Breuil, F-54180 Heillecourt, France, c.kenora@yahoo.fr 21st IUHPE World Conference on Health Promotion, Thailand, Pattaya, 25-29 August 2013

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