Preventative Counselling for Nova Scotia Adolescents: Examining Predictors of its Provision in Several Communities

Abstract

This project examined the extent to which Nova Scotian adolescents’ counselling needs are being met with respect to physical, sexual, substance use, and psychosocial health by their family physicians. This was accomplished by assessing how well Nova Scotian physicians provide preventative advice consistent with the Guidelines for Adolescent Preventative Services (GAPS). Analyses were performed using pooled data from surveys carried out in 2003 and 2006. Descriptive analyses, Poisson and logistic regression were used to examine associations of sociodemographic characteristics, need, and the presence of school based health centres (SBHCs) with the provision of advice. Advice was not well provided and appeared to be need-driven. Females were significantly more likely to be provided advice and respondent access to a SBHC increased the likelihood of advice being provided. These results have implications for policy and practice, specifically, ways to refine preventative healthcare services for the province’s adolescents to ensure optimal care.