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. 2005 Apr 16;330(7496):882.
doi: 10.1136/bmj.38411.378229.E0. Epub 2005 Mar 16.

Shared help seeking behaviour within families: a retrospective cohort study

M Cardol  1 , P P Groenewegen, D H de Bakker, P Spreeuwenberg, L van Dijk, W van den Bosch
Affiliations

Shared help seeking behaviour within families: a retrospective cohort study

M Cardol et al. BMJ. .

Abstract

Objective: To examine the extent to which the family influences individual use of general practitioner care.

Design: Retrospective cohort study of all consultations in one calendar year. Multilevel modelling was used to analyse contact frequencies of individuals within families within practices.

Setting: General practice in the Netherlands.

Participants: 42 262 families with children aged 2-21 years registered in 96 practices.

Main outcome measures: Family influence on individual frequency of contact with general practice and correlation in frequency of contacts between parents and children.

Results: After correction for patients' age and sex, analysis of siblings indicates that 22% of the variance in frequencies of contact can be ascribed to influence of the family. This means that contact frequencies of family members within families resemble each other, whereas differences in contact frequencies exist between families. Almost 6% of the variance refers to differences between practices and 73% of the variance refers to individual differences. The strongest correlations were found between mothers and children and between children.

Conclusions: The extent of shared help seeking behaviour within families has considerable implications in the context of the practice.

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Figures

Figure 1
Figure 1
Relation between frequencies of first contacts and patients' age and sex, corrected for influences of family and practice
See this image and copyright information in PMC

References

    1. Mechanic D. The influence of mothers on their children's health attitudes and behavior. Pediatrics 1964;33: 444-53. - PubMed
    1. Huijgen FJA. Family medicine; the medical life history of families. Nijmegen: Dekker and Van de Vegt, 1978.
    1. Litman TL. The family as a basic unit in health and medical care: a social-behavioral overview. Soc Sci Med 1974;8: 495-519. - PubMed
    1. Schor E, Starfield B, Stidley C, Hankin J. Family health. Med Care 1987;25: 616-26. - PubMed
    1. Wilcox-Gok VL. Sibling data and the family background influence on child health. Med Care 1983;21: 630-8. - PubMed

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