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Table 3 Health Care Utilization among Adolescents in last 12 months across Sites by Gender

From: A mixed methods study to examine the influence of the neighborhood social context on adolescent health service utilization

  Baltimore
Female W % (U %, N)
Male W % (U %, N)
New Delhi
Female W % (U %, N)
Male W % (U %, N)
Ibadan
Female W % (U %, N)
Male W % (U %, N)
Johannesburg
Female W % (U %, N)
Male W % (U %, N)
Shanghai
Female W % (U %, N)
Male W % (U %, N)
Female (n)
Male (n)
188
251
250
250
222
213
224
272
215
220
Contact with a health care provider in the last 12 months *** 83.0 (78.2, 147)**
64.8 (65.9, 164)**
51.5 (51.0, 127)**
63.9 (62.7, 156)**
36.5 (37.8, 84)
43.9 (44.6, 95)
63.0 (64.7, 145)
61.7 (58.8, 160)
42.5 (45.1, 87)
33.5 (36.4, 80)
Been sick or needed a health care provider *** 53.7 (51.1, 96)*
37.0 (39.8, 100)*
46.5 (50.0, 125)*
61.0 (60.8, 152)*
35.9 (38.0, 84)*
37.9 (37.1, 79)*
59.0 (61.6, 138)*
40.9 (44.1, 120)*
36.2 (37.4, 80)**
22.6 (22.7, 50)**
Reasons for Seeking Care in the last 12 months (among those who report being sick or needing a health care provider)
Female (n)
Male (n)
97
96
124
147
89
82
138
119
79
49
Sickness (e.g. flu, fever, diarrhea, etc.) 60.4 (51.6, 50)
63.3 (43.8, 42)
65.6 (67.0, 83)
71.2 (68.0, 100)
48.5 (52.8, 47)
48.4 (51.2, 42)
74.9 (75.4, 104)***
48.1 (53.9, 64)***
85.3 (91.1, 72)
78.2 (77.6, 38)
Annual physical/sports check-up 26.5 (25.8, 25)**
14.5 (21.9, 21)**
12.5 (12.1, 15)
14.4 (16.3, 24)
7.0 (6.7, 6)
13.2 (11.0, 9)
4.7 (3.6, 5)
5.8 (8.4, 10)
15.9 (13.9, 11)
11.9 (14.3, 7)
Chronic disease issue (diabetes, asthma, etc.) 10.0 (5.2, 5)***
2.3 (5.2, 5)***
9.0 (8.9, 11)
4.0 (2.7, 4)
1.7 (2.3, 2)
1.4 (1.2, 1)
8.1 (9.4, 13)
7.4 (4.2, 5)
1.6 (2.5, 2)
5.6 (4.1, 2)
Reproductive health (contraceptives/condoms, pregnancy testing, etc.) 4.7 (6.2, 6)**
0.1 (1.0, 1)**
1.6 (0.8, 1)
2.0 (1.4, 2)
0 (0, 0)
4.6 (2.4, 2)
10.0 (6.5, 9)***
1.0 (1.7, 2)***
1.0 (1.3, 1)***
5.0 (2.0, 1)***
HIV testing or treatment 2.9 (2.1, 2)
0 (0, 0)
0 (0, 0)
2.0 (1.4, 2)
0 (0, 0)
1.2 (1.2, 1)
1.2 (2.9, 4)***
8.2 (7.6, 9)***
0 (0, 0)*
5.0 (2.0, 1)*
STI diagnosis or treatment 4.6 (3.1, 3)
2.9 (1.0, 1)
2.7 (2.4, 3)**
0.2 (0.7, 1)**
3.9 (3.4, 3)
5.5 (3.7, 3)
1.7 (2.9, 4)***
4.7 (4.2, 5)***
0 (0, 0)
0 (0, 0)
Mental health (counseling, diagnosis, treatment) *** 5.7 (7.2, 7)
3.2 (4.2, 4)
3.1 (3.2, 4)
2.8 (2.0, 3)
0 (0, 0)
1.9 (1.2, 1)
0.5 (1.5, 2)
0.5 (0.8, 1)
1.7 (2.5, 2)**
9.3 (6.1, 3)**
Injury, accident or violence *** 8.0 (10.3, 10)
8.1 (8.3, 8)
18.4 (21.0, 26)
12.9 (15.0, 22)
3.4 (5.6, 5)
6.8 (7.3, 6)
4.5 (4.4, 6)*
12.5 (10.1, 12)*
10.7 (6.3, 5)
14.1 (10.2, 5)
Alcohol or substance use *** 0.7 (1.0, 1)
0.7 (1.0, 1)
1.6 (1.6, 2)
1.3 (1.4, 2)
1.1 (1.1, 1)**
0.3 (1.2, 1)**
1.3 (1.5, 2)*
7.3 (7.6, 9)*
4.8 (5.1, 4)*
12.2 (4.1, 2)*
Other *** 9.4 (19.6, 19)
15.7 (22.9, 22)
16.9 (16.1, 20)
9.6 (9.5, 14)
12.2 (11.2, 10)
10.5 (13.4, 11)
6.4 (10.9, 15)
6.5 (6.7, 8)
16.1 (13.9, 11)
20.0 (24.5, 12)
None *** 5.2 (7.2, 7)***
10.3 (16.7, 16)***
11.4 (10.5, 13)
9.8 (8.2, 12)
20.0 (18.0, 16)
13.5 (12.2, 10)
1.7 (2.9, 4)***
8.6 (6.7, 8)***
0 (0, 0)
2.2 (4.1, 2)
  1. *p < .05; **p < .01;***p < .001