Evidence map›Paper›PMID 33919813›Full record

ArticleInternational journal of environmental research and public health2021

Social-Ecological Barriers to Access to Healthcare for Adolescents: A Scoping Review.

Whitney Garney, Kelly Wilson, Kobi V Ajayi, Sonya Panjwani, Skylar M Love, Sara Flores, Kristen Garcia, Christi Esquivel

Abstract readScoping Review
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Adolescents' perspectives and experiences of accessing general practitioner services: A systematic review.Journal of child health care : for professionals working with children in the hospital and community · 2025
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  16. My Path and Perspectives as a Dual Adult and Pediatric Nephrology Fellow.Clinical journal of the American Society of Nephrology : CJASN · 2026
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11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Whitney GarneyDepartment of Health and Kinesiology, Texas A&M University, College Station, TX 77843, USA.ORCID 0000-0001-8215-3032
Kelly WilsonDepartment of Health and Kinesiology, Texas A&M University, College Station, TX 77843, USA.
Kobi V AjayiDepartment of Health and Kinesiology, Texas A&M University, College Station, TX 77843, USA.ORCID 0000-0002-9288-5795
Sonya PanjwaniDepartment of Health and Kinesiology, Texas A&M University, College Station, TX 77843, USA.ORCID 0000-0003-4742-6386
Skylar M LoveDepartment of Health and Kinesiology, Texas A&M University, College Station, TX 77843, USA.
Sara FloresDepartment of Health and Kinesiology, Texas A&M University, College Station, TX 77843, USA.
Kristen GarciaDepartment of Health and Kinesiology, Texas A&M University, College Station, TX 77843, USA.
Christi EsquivelDepartment of Health and Kinesiology, Texas A&M University, College Station, TX 77843, USA.ORCID 0000-0002-5635-9990

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Access to healthcare for adolescents is often overlooked in the United States due to federal and state-sponsored insurance programs such as Medicaid and the Children's Health Insurance Program. While these types of programs provide some relief, the issue of healthcare access goes beyond insurance coverage and includes an array of ecological factors that hinder youths from receiving services. The purpose of this scoping review was to identify social-ecological barriers to adolescents' healthcare access and utilization in the United States. We followed the PRISMA and scoping review methodological framework to conduct a comprehensive literature search in eight electronic databases for peer-reviewed articles published between 2010 and 2020. An inductive content analysis was performed to thematize the categories identified in the data extraction based on the Social-Ecological Model (SEM). Fifty studies were identified. Barriers across the five SEM levels emerged as primary themes within the literature, including intrapersonal-limited knowledge of and poor previous experiences with healthcare services, interpersonal-cultural and linguistic barriers, organizational-structural barriers in healthcare systems, community-social stigma, and policy-inadequate insurance coverage. Healthcare access for adolescents is a systems-level problem requiring a multifaceted approach that considers complex and adaptive behaviors.

Indexed as

Health Services AccessibilityInsurance CoverageAdolescentChildHealth FacilitiesHealth ServicesHumansMedicaidUnited Statesadolescentshealthcare accesshealthcare utilizationhealth services

Identifiers

PMID33919813
PMCPMC8070789

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.