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Résumé :
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ObjectiveTo assess medium to long term predictors of healthcare services use in a population-based sample of children/adolescents in Spain.MethodsA sample of children and adolescents aged 8–18 and their parents were evaluated at baseline (2003) and follow-up (2006). Total use of healthcare services and visits to specialist and dentists at the follow-up were analyzed.ResultsFour hundred fifty-four children/adolescents completed baseline and follow-up assessments (response rate 54 %). 90 % of respondents reported at least one visit during the 12 months previous to the follow-up. Low socioeconomic status (beta coefficient = 0.30, 95 % CI = 0.02–0.57), double healthcare coverage (0.41, 0.17–0.66), parental use of services, poor mental health and activity limitation were associated to the total number of visits. Access to specialist was associated to double healthcare coverage (OR = 1.77, 1.01–3.07) and parental primary level of education (OR = 0.51, 0.32–0.81). Age and low family affluence predicted visits to dentists (OR = 0.38, 0.19–0.73).ConclusionNo barriers to healthcare services use were found. Family level of education, family affluence and double healthcare coverage predicted the use of specialists and dentists.
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