Adolescent cardiovascular risk factors: A follow-up study

To assess the outcomes of a school nurse referral to a family physician for adolescents identified with elevated cholesterol or blood pressure risk factors.

Telephone survey interviews were used to collect quantitative and qualitative data.

Data were collected on 178 adolescents through parent and adolescent interviews over a 3-month period. The main theme reported for not complying with the follow-up referral was that respondents did not perceive it as necessary or urgent. Of the approximately 60% who reportedly went to the physician, 58% had further tests, 10% were referred to specialists, and 3% were prescribed medications. Eating and exercise changes were reported by those who went for follow-up.

Adolescent health-seeking behaviors can be influenced positively by school programs that involve families in discussion, nurses in risk identification, and referrals to physicians for follow-up.