Pre-adult Improvement and Wellbeing.


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Branch of Pediatrics & Institute for Health Policy Studies ... Ethically, the teenager recognizes significant good/social norms, qualities and conviction ...
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Pre-adult Development and Health National Adolescent Health Information Center and The Public Policy Analysis & Education Center for Middle Childhood, Adolescent & Young Adult Health Department of Pediatrics & Institute for Health Policy Studies University of California, San Francisco

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In This Presentation Development Tasks and Stages of Adolescence Health Mortality Morbidity Chronic Conditions

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Adolescent Development

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Adolescent Development Adolescence : Period of progress from youngster  grown-up Psychological development Cognitive changes Social/social change Puberty : Biologic procedure Transition tyke  grown-up Secondary sexual attributes Adult size and appearance Reproductive abilities

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Tasks of Adolescence Body develops to sexual grown-up Cognitively-mind creates unique deduction aptitudes Morally, the teenager distinguishes important good/social principles, qualities and conviction frameworks Identity shaped – sex, sexual, social Teen characterizes a grown-up part with obligations Source: A. Rae Simpson, PhD, Parenting of Adolescents Center, Harvard School of Public Health

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Stages of Adolescent Development Early Adolescence Females: 9 - 13 yo Males: 11 – 15 yo Middle Adolescence Females: 13 – 16 yo Males: 14 – 17 yo Late Adolescence Females: 16 – 21 yo Males: 17 –21 yo

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Early Adolescence Adjusting to body/pubertal changes " Am I typical ?" Concern with self-perception and security Begin partition from family, expanded guardian youngster strife Self distraction and dream Moody ! Same-sex companions and gathering exercises Concentration of associations with companions Concrete supposing however starting to investigate new capacity to extract - concentrated on the present

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Middle Adolescence Extremely worried with looks-" Am I appealing?" Increased freedom from family-(excursion quandaries) Increased significance of companion gathering (Everyone\'s doing it) Experimentation with connections & sexual practices Movement towards framing sexual introduction/personality Increased theoretical supposing capacity Development of goals & choice of good examples The unselfish dreamer

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Late Adolescence Autonomy about secured-not mean absolutely Body picture & sex part definition almost secured Thinking past themselves  world perspective Attainment of unique supposing & helpful understanding Greater enthusiastic strength Greater closeness aptitudes Sexual introduction about secured Ability to express thoughts in words Concern for future Transition to grown-up parts - school, work

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Protective Factors in Adolescence Parental/family Connectedness to a critical grown-up School engagement & achievement Not working, or working < 20 hours/wk Being "in-a state of harmony" with companions re: physical dev Perceived significance of religion and petition Participation in sorted out exercises

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Adolescent Health

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Background Why would it be advisable for us to put resources into juvenile wellbeing? Yearly, an expected $700 billion is spent on preventable pre-adult wellbeing issues. This appraisal considers just the immediate and long haul medicinal and social expenses connected with 6 basic wellbeing issues: Adolescent pregnancy Sexually transmitted diseases Motor vehicle wounds Alcohol & other medication issues Other unexpected wounds Mental wellbeing issues

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Determinants of Health

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Mortality After cresting in the mid 1990s, death rates have diminished to (or are close) record lows for all young people. Throughout the most recent century, the main sources of death for teenagers changed from regular causes to damage and savagery. Harm and brutality represent 71% of passings among youths and youthful grown-ups. Sources: CDC Wonder, Compressed Mortality Database, 2004 - http://wonder.cdc.gov; CDC, National Center for Injury Prevention and Control, 2005 - http://www.cdc.gov/ncipc/wisqars/

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Trends in Overall Mortality by Gender, Ages 10-24, 1980-2002 Source: CDC Wonder, Compressed Mortality Database, 2004 - http://wonder.cdc.gov

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Mortality by Race/Ethnicity & Gender, Ages 10-24, 2002 Source: CDC, National Center for Injury Prevention and Control, 2005 - http://www.cdc.gov/ncipc/wisqars/

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Leading Causes of Death for Adolescents and Ages 10-19, 2002 Source: CDC, National Center for Injury Prevention and Control, 2005 - http://www.cdc.gov/ncipc/wisqars/

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Injury Unintentional harm mortality has fallen in the course of recent decades because of a lessening in deadly engine vehicle mishaps, the main source of death for youths. 82% of secondary school understudies and 70% of 18-24 year-olds in 2003 reported that they generally utilize safety belts. 33% of deadly crashes among 21-24 year-olds in 2002 included liquor. 28% of 18-25 year-olds in 2003 reported that they drove affected by liquor or illegal medications. Sources: CDC/NCIPC, 2005; YRBSS, 2004; BRFSS, 2004; NHTSA, 2003; NSDUH, 2004

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Unintentional Injury Mortality by Race/Ethnicity, Ages 10-24, 2002 Source: CDC, National Center for Injury Prevention and Control, 2005 - http://www.cdc.gov/ncipc/wisqars/

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Injury Risk Behaviors by Gender, High School Students, 2003 Source: Youth Risk Behavior Surveillance System, 2005 - http://apps.nccd.cdc.gov/yrbss/

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Violence Homicide is the second biggest reason for death for teenagers. In 2002, guys ages 15-19 had a crime rate 5 times the rate for same-age females (15 versus 3/100,000). In 2002, guys ages 20-24 had a manslaughter rate 6 times the rate for same-age females (27.5 versus 5/100,000). Dark, non-Hispanic guys ages 15-24 had the most astounding manslaughter rate (86/100,000) in 2002. Murder rates have diminished in the previous decade among ages 10-24. Source: CDC, National Center for Injury Prevention and Control, 2005 - http://www.cdc.gov/ncipc/wisqars/

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Homicide Mortality by Gender & Race/Ethnicity, Ages 10-24, 2002 Source: CDC, National Center for Injury Prevention and Control, 2005 - http://www.cdc.gov/ncipc/wisqars/

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Homicide Trends, Males, Ages 15-19, 1990-2002 Source: CDC, National Center for Injury Prevention and Control, 2005 - http://www.cdc.gov/ncipc/wisqars/

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Violence-Related Behavior by Gender, High School Students, 2003 Source: Youth Risk Behavior Surveillance System, 2005 - http://apps.nccd.cdc.gov/yrbss/

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Suicide In 2002, guys ages 15-19 had a suicide rate 5 times the rate for same-age females (12 versus 2/100,000). In 2002, guys ages 20-24 had a suicide rate 6 times the rate for same-age females (21 versus 3.5/100,000). American Indian/Alaskan Native, non-Hispanic guys ages 15-24 had the most noteworthy suicide rate (36) in 2002. Suicide rates have diminished in the previous decade among ages 10-24, from 9/100,000 in 1981 to 7/100,000 in 2002. Source: CDC, National Center for Injury Prevention and Control, 2005 - http://www.cdc.gov/ncipc/wisqars/

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Non-Lethal Suicidal Behavior by Gender, High School Students, 2003 Source: Youth Risk Behavior Surveillance System, 2005 - http://apps.nccd.cdc.gov/yrbss/

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Suicide Mortality by Race/Ethnicity & Gender, Ages 10-24, 2002 Source: CDC, National Center for Injury Prevention and Control, 2005 - http://www.cdc.gov/ncipc/wisqars/

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Sadness or Hopelessness which Prevented Usual Activities by Gender & Race/Ethnicity, High School Students, 2003 Source: Youth Risk Behavior Surveillance System, 2005 - http://apps.nccd.cdc.gov/yrbss/

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Learning Disabilities & ADHD by Gender, Ages 12-17, 2001 Source: Bloom et al., 2003; NHIS; Parent report - http://www.cdc.gov/nchs/nhis.htm

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Mental Health Among 12-17 year-olds in 2003, past year: 21% got psychological wellness treatment or directing. Among 18-25 year-olds in 2003, past year: 14% have a genuine dysfunctional behavior; higher among females, non-Hispanic Whites & non-school destined; 35% of those with genuine emotional instability got psychological well-being treatment or guiding. There are couple of national information on pre-adult emotional well-being status. Sources: NSDUH, 2004; Child Trends, 2003 - http://www.childtrends.org/

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Substance Use of tobacco, liquor and unlawful medications has diminished from the pinnacles of the late 1970s and mid 1980s. American Indian/Alaskan Native and White teenagers report the most elevated amounts of utilization. Rates of substantial substance use are a proceeding with concern.

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Trends in Past Thirty-Day Substance Use, twelfth Graders, 1975-2003 Source: Monitoring the Future, 2004 - http://www.monitoringthefuture.org/

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Past Month Substance Use by Type and Race/Ethnicity, Ages 12-17, 2004 Source: National Survey on Drug Use & Health, 2005 - http://www.drugabusestatistics.samhsa.gov/nsduh.htm

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Reproductive Health Overall, regenerative wellbeing patterns over the previous decade are certain: Young individuals are postponing sexual action; Among sexually dynamic secondary school understudies, there has been an expansion in condom utilize; The rates of youthful pregnancies, births and fetus removal have declined; The pervasiveness of most sexually transmitted diseases has diminished.

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Reproductive Health However, certain patterns warrant proceeded with concern: The wide pervasiveness of Chlamydia, and also increment in rates in the course of recent years; The moderately unobtrusive decrease in the pregnancy rate among Hispanic youths; The proceeding with high rate of STIs among youthful Black females.

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Pregnancy, Birth & Abortion Rates Among Females Ages 15-19, 1980-2000 Source: Henshaw, 2004 - http://www.guttmacher.org/bars/teen_stats.html

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Sexual Intercourse Experience by Race/Ethnicity, Gender & Grade Level, 2003 9 th Grade 12 th

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