ArticleJournal of public health (Oxford, England)2019
Does the density of the health workforce predict adolescent health? A cross-sectional, multilevel study of 38 countries.
Article in Journal of public health (Oxford, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Trends in multiple health complaints in Polish adolescents in light of data from 30 European countries and Canada (2002-2018).Journal of mother and child · 2021Article
- Healthcare system inputs and patient-reported outcomes: a study in adults with congenital heart defect from 15 countries.BMC health services research · 2020Observational
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Authors and funding
6 authors.
Funding
Abstract
backgroundScant evidence exists on the relation between the availability of health professionals and adolescent health, and whether the size of the health workforce equally benefits adolescents across socioeconomic strata.
methodsWe conducted a cross-sectional analysis of adolescent health in 38 countries. Data from 218 790 adolescents were drawn from the 2013/2014 Health Behavior in School-aged Children survey. We used multilevel regression analyses to examine the association between the density of the health workforce and psychosomatic and mental health symptoms with differences in country wealth and income inequality controlled.
resultsA higher density of psychologists was associated with better self-reported mental health in adolescents (P = 0.047); however, this finding was not robust to sensitivity analyses. The densities of physicians and psychiatrists were not significantly associated with better adolescent psychosomatic or mental health. Cross-level interactions between the health workforce and socioeconomic status did not relate to health, indicating that larger health workforces did not reduce socioeconomic differences in adolescent health.
conclusionsThis study found that adolescents in countries with a higher density of health providers do not report better psychosomatic or mental health. Other social or structural factors may play larger roles in adolescent health.
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