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Results for “Adolescent Health”

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At least 19 recordsLinked to original sources
PubMedDate not supplied

Adolescent health concerns: a comparison of adolescent and health care provider perceptions.

The purpose of this study was to ascertain adolescent perceptions of health concerns and to contrast the health care provider perceptions of adolescent concerns. The student sample consisted of 179 students from the 9th, 10th, and 11th grade in a 2,000-student suburban high school. The health care provider sample consisted of 74 physicians, nurse practitioners, and school nurses. The largest number of students reported concerns about AIDS, schoolwork, making friends, sex, discrimination, and dental problems. Additionally, menstruation, violence, rape, abuse, pregnancy, sadness, and obesity were of concern to a greater number of female than male students. Homosexuality, sex, auto accidents, and low weight were of concern to a greater number of male than female students. The findings of this study support the following conclusions: (a) Adolescents have more diverse health concerns with greater magnitude than expected by health care providers; (b) health care providers underestimate adolescent psychological and social health concerns; (c) female adolescents were more concerned about their health and more concerned about gender-specific and violent issues than males; (d) women's health care providers are unaware of female adolescent concern about violent acts against women.

Adolescent↗
PubMed1992

Peer perceptions of adolescent health behaviors.

Perceptions adolescents form of peers in relation to modeled health behaviors were examined. Five hundred ten adolescents, ages 12-15, from eight midwest schools were shown a slide of a male or female adolescent displaying a health behavior artifact (apple, tennis racket, cigarette, beer can), or without an artifact and asked to rate the model on 16 characteristics using a semantic differential scale. Data were factor analyzed using principle components analysis and a 2x2x5 MANOVA. Results indicated that models appeared less mature when holding a beer can or cigarette. In addition, the female model was rated more popular than the male in the control and beer can depictions. The influence of modeled behaviors on traits adolescents want to develop must be understood to present effective health education programs. Educational efforts should include consideration of the perceptions adolescents hold of their peers' health behaviors.

Adolescent↗
PubMed1991

Adolescent health care and school-based clinics.

School-based adolescent health centers are emerging as a promising means of dealing comprehensively with the health needs, risks, and behaviors of the community's youth. This article reports on the initial experience of The Robert Wood Johnson Foundation in working jointly with communities, schools, and local medical institutions (hospitals, health centers, health departments) in establishing adolescent health clinics of this kind. The Foundation has helped to fund approximately one quarter of all such clinics nationwide.

Adolescent↗
PubMed1991

Attitudes, knowledge, and training of medical residents regarding adolescent health issues.

This study examined attitudes, knowledge, and training relating to adolescent health issues, of medical residents in six different specialties who provide care to adolescents, at a southern, rural medical school without an organized curriculum in adolescent medicine. An original 18-item questionnaire was developed which examined four broad health care categories: general medicine, sexuality, high-risk behaviors, and development. Of 118 residents 91 (77%) responded. For any health care area, residents reported managing fewer than 10 adolescent patients and often fewer than 3 patients. However, they reported comfort and confidence and little desire for additional training in most of these areas. There were few differences between specialties or year of training. Almost one-half (42%) believed that pediatric care should end by age 16 years; 32% thought it should end at age 18 years. However, there was little support for pediatricians providing prenatal care to pregnant teens. These findings are useful for planning curriculum in ambulatory adolescent health and developing strategies for encouraging residents to understand and embrace the challenge of adolescent health care.

Adolescent↗
PubMed1991

Adolescent health care: an assessment of referral activities.

The referral activities of 45 agencies (90% of the sample originally polled) in a moderate-sized midwest community were investigated with respect to agency referral patterns and professionals' appraisal of adolescents' health care status. A combined analysis of qualitative and quantitative data provided valuable insight into the problems of unmet adolescent health care needs and underutilization of adolescent health care services. Referral activity characteristics which may hinder the successful networking of services for adolescents are highlighted.

Adolescent↗
PubMedDate not supplied

Nursing competence in adolescent health: anticipating the future needs of youth.

The health problems of youth have dramatically shifted in the last 30 years from biological to social causes of morbidity and mortality. To assess the adequacy of nurses' knowledge and skills in adolescent health, a national survey of 445 nurses, including members of the American Public Health Association, the American School Health Association, and the National Association of Pediatric Nurse Associates and Practitioners, was undertaken in 1985. Results indicated that even among nurses who work with young people the most, areas of greatest knowledge and skill deficiencies included common social morbidities of adolescents. In addition to self-assessed inadequacies in knowledge and skills, nurses identified excessive time demands as a primary obstacle to the provision of health services to adolescents. To assure adequate preparation of nurses, it is recommended that accreditation criteria for baccalaureate and graduate programs specify essential adolescent health content for curricula compared to current accreditation criteria that generalizes "across the life span." Focusing on the enhancement of educational opportunities in adolescent health, nurses identified strategies for further education that would bridge the gap between the health needs of youth and nurse's self-perceived competencies in providing these services.

Adolescent↗
PubMed2026

Adolescent health across Asia Pacific, 2000-23: a systematic analysis for the Global Burden of Disease Study 2023.

BACKGROUND: The Asia Pacific region is home to more than half of the world's 1·93 billion adolescents (aged 10-24 years). Addressing adolescent health in this region is of global importance, but to date a systematic analysis of key contributors to disease in adolescents has not been done, which is a barrier to responsive action. This systematic analysis of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2023 aims to provide a comprehensive assessment of adolescent health across the Asia Pacific region, at both the subregional and national levels, encompassing burden of disease, mortality, and prevalence of adolescent risk factors. METHODS: As part of GBD 2023, we obtained estimates for cause-specific mortality, disability-adjusted life-years (DALYs), and risk factor prevalence by sex for adolescents aged 10-24 years and 5-year age groups (10-14 years, 15-19 years, and 20-24 years) across 44 countries and territories (hereafter referred to collectively as Asia Pacific), grouped by seven UN subregions, from 2000 to 2023. We extracted GBD 2023 population counts and estimates of number and rate (per 100 000 population) for mortality and disease burden (DALYs). Risk prevalence estimates were obtained directly from the Institute for Health Metrics and Evaluation, and binge drinking estimates were sourced from WHO. Estimates are reported with 95% uncertainty intervals (UIs) where possible. UIs were estimated by running 250 draws of the posterior distribution, ordering the draws, and selecting the 2·5th and 97·5th percentiles for each metric. FINDINGS: In 2023, in adolescents across Asia Pacific, there were 637 496 deaths and a total disease burden of 115·8 million DALYs, representing 34·1% of global adolescent deaths and 40·6% of the global adolescent burden of disease. Non-communicable diseases (NCDs; particularly mental disorders) were the leading causes of disease burden and mortality (64·8% of DALYs and 43·9% of deaths). Unintentional and transport injuries were also leading causes of death (14·7% of deaths due to transport injury and 13·3% of deaths due to unintentional injury) and leading causes of disease burden particularly among males in south-eastern Asia. In Melanesia, Micronesia, and some parts of south-eastern Asia (Cambodia, Indonesia, Laos, the Philippines, and Timor-Leste), respiratory infections and tuberculosis remained important contributors. Southern Asia had the largest reduction (1·5% per year) in all-cause DALYs over the study period, and Australia and New Zealand (0·2% per year) had the smallest, with females in Australia and New Zealand showing a slight increase contrary to regional trends. Eastern Asia had the largest reduction (2·8% per year) in all-cause mortality rate and Melanesia (0·8% per year) the smallest. Risk factors generally had between-subregion and within-subregion variation; however, some regional trends stood out, with overweight and obesity increasing in all countries across the region, and binge drinking increasing in more countries than not. In 2023, prevalence of smoking in males exceeded that in females in every country, from 40% difference in Timor-Leste to less than 1% difference in Australia. Anaemia prevalence is decreasing in all countries, but female prevalence was higher and reducing at a slower rate than in males. Bullying prevalence was slightly higher in Polynesia, Micronesia, and Melanesia combined, Australia and New Zealand, and eastern Asia compared with southern and south-eastern Asian subregions. INTERPRETATION: Several patterns were consistent across the region: the dominance of mental disorders and NCDs, the universal rise in overweight and obesity (particularly high in Oceanic countries but increasing rapidly in south and south-eastern Asia), and persistent sex-specific challenges across subregions: unintentional injuries and smoking in males, and anaemia in females. Actions to tackle shared risk factors (while accounting for context-specific local health profiles, workforce deficits, cultural factors, and health system capacity) should not be forgone due to local variation. Future research could focus on subnational variation, intersecting inequalities, and multi-sectoral interventions targeting shared risk factors. Priority actions should include regional investment in adolescent mental health services and obesity prevention, targeted injury reduction strategies for high-risk populations, and sex-specific approaches to smoking cessation and anaemia reduction, delivered through local health systems with the capacity and cultural responsiveness to meet local needs. FUNDING: Gates Foundation and Australian Government.

Humans↗
PubMed1992

Use of injectable progestin (medroxyprogesterone acetate) in adolescent health care.

To assess medroxyprogesterone acetate (DMPA) prescription practices in adolescent health care practices, an anonymous questionnaire was distributed to 160 American and Canadian physicians attending the 1991 meetings of either the Society for Adolescent Medicine or the North American Society for Pediatric and Adolescent Gynecology. Of 54 (33.7%) physicians who responded, 33 (61.1%) reported prior prescription of an injectable progestin (DMPA) as a form of birth control. Of those, 15 (45.5%) had prescribed it to 10 or more adolescents. Twelve (57%) pediatricians but only 3 (25%) gynecologists reported prescribing DMPA to 10 or more adolescents (p = 0.074). Female physicians were more likely to have prescribed DMPA to adolescents than male physicians (p = 0.009). Mental retardation was considered the strongest "potential indication" for DMPA administration by 48 physicians responding to a 5-point Likert scale. The study suggests that physicians with interest or expertise in Adolescent Medicine are using DMPA as a form of birth control for selected young women in spite of the lack of Food and Drug Administration approval. A centralized DMPA registry is suggested to monitor adverse outcomes in users.

Adult↗
PubMed1992

Parents' views of adolescent health issues.

To determine how important the parents of teenagers consider adolescent health issues to be and the kind of involvement they would like from their schools and physicians, a questionnaire was sent to 1090 families with children attending two public high schools in a suburban community. The 438 parents who completed the questionnaire (40% response rate) indicated that their adolescents had a mean age of 16.2 years, 52% were male, 54% were in grades 11 and 12, and 70% received regular care from a pediatrician. Most parents considered substance use, sexuality, mental health issues, nutritional concerns, and general medical issues to be issues requiring attention nationally; many considered these issues to require attention locally; fewer considered these issues to require attention for their teenager's friends; and only some indicated these issues require attention for their own teenagers. More than 95% of respondents said parents should discuss these topics with their teenagers, more than 80% said they themselves did, and more than 85% said they wanted these issues discussed with their adolescents in school. Approximately three quarters of parents said that they would bring their adolescent to their regular doctor for management of these issues, expected that their physician would be comfortable with such care, and wanted their doctor to discuss these issues with their teenagers.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1991

The evolving law of adolescent health care.

This article provides an outline of the legal principles applicable to the health care of adolescents. Over the past 20 years, states have expanded the ability of minors to seek medical treatment without parental consent. Minor treatment statutes, the mature minor rule, and specific types of health care (including contraception and abortion) are discussed. Recent trends permitting some older adolescents to refuse serious treatment are analyzed.

Adolescent↗
PubMed1991

Assessment of primary care nursing in relation to adolescent health behaviour by means of trigger films.

The patterns of adolescents' behaviour place them at a risk from developing health and social pathology. In order to assess whether primary care nursing meets adolescents' health needs, the reported performance of 306 registered nurses working in different primary health care settings was studied. The research tool developed especially for the study was a video-taped trigger film. Demographic, education and work-related variables were studied by means of a questionnaire. The behaviour patterns studied were smoking, sexual activity, alcohol and drug consumption, and eating habits. The clinical issues were hypertension, obesity and anorexia nervosa. Reported performance was low--35% of the total possible score--with the lowest scores in the areas of preventive care, data gathering and recording, and somewhat higher in the areas of curative care and follow-up. The video-taped trigger films were considered to have face validity; they were found to be reliable, with an ability to assess the nurses' reported performance and to differentiate between the nurses in the three different work settings. This is the first study of its kind in Israel. The results show that primary health nursing of adolescents is insufficient, and that teenagers should get higher priority as a target population from the nursing profession in order to achieve WHO's aims of 'health for all by the year 2000'.

Adult↗