ArticleBMJ open2013
Can use of healthcare services among 15-16-year-olds predict an increased level of high school dropout? A longitudinal community study.
Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- From illness to inactivity: Exploring the influence of physical diseases on youth Not in Education, Employment, or Training status in Europe: A systematic literature review.Journal of adolescence · 2024Pooled it
- Detecting young people with mental disorders: a cluster-randomised trial of multidisciplinary health teams at the GP office.BMJ open · 2021Trial
- Catchment area characteristics do not account for geographical variation in ADHD diagnoses.European child & adolescent psychiatry · 2025Article
- Confidentiality matters! Adolescent males' views of primary care in relation to psychosocial health: a structural equation modelling approach.Scandinavian journal of primary health care · 2022Article
- Trends in the utilization of youth primary healthcare services and psychological distress.BMC health services research · 2021Article
- Importance of physical health and health-behaviors in adolescence for risk of dropout from secondary education in young adulthood: an 8-year prospective study.International journal for equity in health · 2015Article
- Living with mentally ill parents during adolescence: a risk factor for future welfare dependence? A longitudinal, population-based study.BMC public health · 2015Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo study associations between healthcare seeking in 15-16-year-olds and high school dropout 5 years later.
designLongitudinal community study.
settingData from a comprehensive youth health survey conducted in 2000-2004, linked to data from national registries up to 2010.
participants13 964 10th grade secondary school students in six Norwegian counties.
main outcome measureLogistic regression was used to compute ORs for high school dropout.
resultsThe total proportion of students not completing high school 5 years after registering was 29% (girls 24%, boys 34%). Frequent attenders to school health services and youth health clinics at age 15-16 years had a higher dropout rate (37/48% and 45/71%), compared with those with no or moderate use. Adolescents referred to mental health services were also more likely to drop out (47/62%). Boys with moderate use of a general practitioner (GP) had a lower dropout rate (30%). A multiple logistic regression analysis, in which we adjusted for selected health indicators and sociodemographic background variables, revealed that seeking help from the youth health clinic and consulting mental health services, were associated with increased level of high school dropout 5 years later. Frequent attenders (≥4 contacts) had the highest odds of dropping out. Yet, boys who saw a GP and girls attending the school health services regularly over the previous year were less likely than their peers to drop out from high school.
conclusionsAdolescents who seek help at certain healthcare services can be at risk of dropping out of high school later. Health workers should pay particular attention to frequent attenders and offer follow-up when needed. However, boys who attended a GP regularly were more likely to continue to high school graduation, which may indicate a protective effect of having a regular and stable relationship with a GP.
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