Boekeloo, Bradley O.; Howard, Donna E.
Surveyed young adolescents receiving general health examinations regarding oral sex occurrence. Overall, 18 percent reported having oral sex, and of that 18 percent, 25 percent reported no vaginal sex. Few adolescents used barrier protection during oral sex. Most adolescents thought that penile-anal sex could transmit HIV, but only 68 percent…
Smith, Carolyn R.; Fisher, Bonnie S.; Gillespie, Gordon L.; Beery, Theresa A.; Gates, Donna M.
Aggression exposure is a critical health issue facing adolescents in the United States. Exposure occurs in various settings including home, school, and the community. An emerging context for aggression exposure is in the workplace. Thirty adolescent employees age 16-18 participated in a qualitative study exploring proposed responses to future…
Canadian data from the 1998 Cross-National Survey on Health Behaviors in School-Aged Children were analyzed to examine the effects of school experiences on personal health (physical health, mental health, self-esteem, helplessness, and body image) and interpersonal relationships (number of close friends and making friends) among adolescents.…
This paper examines the relationship between experiences with unwanted sexual behavior at school and adolescents' health. Adolescent boys and girls (N = 2,808) participated in a 1998/1999 survey of secondary school students in two regions of The Netherlands. The psychological issues investigated inc
Dyer, Kevin; Teggart, Tom
Victims and perpetrators of bullying experience a variety of psychological problems. The aim of the current pilot study was to explore the bullying experiences of Child and Adolescent Mental Health (CAMHS) service-users. The investigation was conducted as a cross-sectional survey at a community-based specialist CAMH service. A modified version of the Revised Olweus Bully/Victim Questionnaire was used to assess bullying experiences. Participants comprised an opportunity sample of 26 adolescent...
Full Text Available A recent Jamaican school-based survey revealed that 23.1% of 13–15 year-olds, had attempted suicide one or more times during the last 12 months. Research that links adolescent pregnancy and suicidal behaviour is lacking in Jamaica. Psychological distress and suicidal behaviours amongst pregnant adolescents elsewhere in the Americas has been documented at prevalence of between 13.3%–20%. The purpose of the study was to explore the experiences and the impact of pregnancy on pregnant adolescent psychological health. Individual interviews and focus groups were conducted with adolescents in two Jamaican antenatal clinics. One clinic was designed as a ‘Teen Pregnancy Clinic’ and the other used the standard antenatal clinic design. The following themes were identified: decision-making, resilience, social support, community support system, distress, and perceptions of service. Participants reported positively on the specific interventions tailored to their needs at the Teen Clinic. Although motherhood is valued, none of the pregnancies in this study were planned by the mother. Of the 30 adolescents interviewed, seven cases were referred for counseling due to their need for emotional and psychological support. One of the adolescents reported recent sexual violence and another reported having experienced childhood sexual abuse. Historically, Jamaican adolescent mothers faced barriers to education, self determination, and family planning. Empowering, adolescent-centred healthcare and comprehensive reproductive health education may mitigate psychosocial distress.
Kvist, Therese; Annerbäck, Eva-Maria; Sahlqvist, Lotta; Flodmark, Olof; Dahllöf, Göran
This study investigated the association between self-perceived oral health and self-reported exposure to different types of child abuse. It was hypothesized that self-perceived oral health is compromised in exposed adolescents. All Grade-9 compulsory school and second-year high-school pupils in Södermanland County, Sweden (n = 7,262) were invited to take part in a population-based survey; 5,940 adolescents responded. Survey items on health and social wellbeing included self-perceived oral health and exposure to abuse. The results showed that poor self-perceived oral health was associated with self-reported experience of physical abuse, intimate partner violence, forced sex, and bullying (adjusted OR = 2.3-14.7). The likelihood of reporting poor oral health increased from an adjusted OR of 2.1 for a single incident of abuse to an adjusted OR of 23.3 for multiple abuses. In conclusion, poor self-perceived oral health and previous exposure to child physical abuse, intimate partner violence, bullying, and forced sex is associated. It is important that dental professionals recognize adolescents with poor subjective oral health and take into consideration child abuse as a possible cause in order to prevent these adolescents from further victimization. These results further strengthen that dental professionals are an important resource in child protection. PMID:24206076
The overall aim of this thesis was to investigate pornography consumption and its relation to sexual experiences, lifestyles, health and perceptions of sexuality and pornography. One qualitative study (focus group discussions) and one prospective longitudinal quantitative study (baseline and follow-up questionnaires) are included. The core category emerging from the focus group discussions, among personnel working with adolescents, was “Conflicting messages about sexuality”. The participants’...
Vasilenko, Sara A; Kugler, Kari C; Lanza, Stephanie T
Adolescents' sexual and romantic relationship experiences are multidimensional but often studied as single constructs. Thus, it is not clear how different patterns of sexual and relationship experience may interact to differentially predict later outcomes. In this study we used latent class analysis to model patterns (latent classes) of adolescent sexual and romantic experiences, and then examined how these classes were associated with young adult sexual health and relationship outcomes in data from the National Longitudinal Study of Adolescent to Adult Health (Add Health). We identified six adolescent relationship classes: No Relationship (33%), Waiting (22%), Intimate (38%), Private (3%), Low Involvement (3%), and Physical (2%). Adolescents in the Waiting and Intimate classes were more likely to have married by young adulthood than those in other classes, and those in the Physical class had a greater number of sexual partners and higher rates of sexually transmitted infections (STIs). Some gender differences were found; for example, women in the Low-Involvement and Physical classes in adolescence had average or high odds of marriage, whereas men in these classes had relatively low odds of marriage. Our findings identify more and less normative patterns of romantic and sexual experiences in late adolescence and elucidate associations between adolescent experiences and adult outcomes. PMID:26445133
Full Text Available As the field of adolescent sexual and reproductive health (ASRH evolves, further discussion and documentation of national policy and aspects of its implementation is needed to ensure effectiveness of interventions. Further research is required to foster beneficial shifts in policy advocacy, including resource allocation, and in the prioritization of adolescent programs in health and education systems, in communities and in workplaces. Adolescents are exposed to diverse interventions across all the countries under discussion; however there exist obstacles to realization of ASRH goals. In some countries, there exist a conflict of interest between national laws and global policy guidelines on ASRH; moreover national laws and policies are ambiguous and inconsistent. In addition, there have been strong negligence of vulnerable groups such as HIV positive adolescents, pregnant street youth; young sex workers; orphans; adolescents in conflict areas; adolescent refugees; adolescent girls working in the informal sectors and very young adolescents, likewise many adolescents in rural areas remain largely underserved. Furthermore there are consistently less disaggregated data available on adolescents’ key indicators for comparative purposes signifying considerable knowledge gaps. There are multiple obstacles to the realization of ASRH and need for research combining both qualitative and quantitative approaches to determine the extent to which factors are either conducive or impeding to consistency between global guidelines, national ASRH policies, and actual policy implementation.
Full Text Available Adolescents represent a large proportion of the population. As they mature and become sexually active, they face more serious health risks. Most face these risks with too little factual information, too little guidance about sexual responsibility and multiple barriers to accessing health care. A typical descriptive and explanatory design was used to determine what the characteristics of an accessible adolescent health service should be. Important results and conclusions that were reached indicate that the adolescent want a medical doctor and a registered nurse to be part of the health team treating them and they want to be served in the language of their choice. Family planning, treatment of sexually transmitted diseases and psychiatric services for the prevention of suicide are services that should be included in an adolescent accessible health service. The provision of health education concerning sexual transmitted diseases and AIDS is a necessity. The service should be available thought out the week (included Saturdays and within easy reach. It is recommended that minor changes in existing services be made, that will contribute towards making a health delivery service an adolescent accessible service. An adolescent accessible health service can in turn make a real contribution to the community’s efforts to improve the health of its adolescents and can prove to be a rewarding professional experience to the health worker.
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Hauff Edvard; Haavet Ole; Oppedal Brit; Lien Lars; Thoresen Magne; Bjertness Espen
Background An increasing proportion of immigrants to Western countries in the past decade are from war affected countries. The aim of this study was to estimate the prevalence of war experience among adolescents and their parents and to investigate possible differences in internalizing and externalizing mental health problems between adolescents exposed and unexposed to own and parental war experience. Method ...
Storksen, Ingunn; Roysamb, Espen; Moum, Torbjorn; Tambs, Kristian
This is a prospective Norwegian study of a group of adolescents with an experience of parental divorce or separation (n=413) and a comparison group without this experience (n=1758). Mean age at T1 was 14.4 years and mean age at T2 was 18.4 years. Parental divorce was prospectively associated with a relative change in anxiety and depression,…
Okello, James; De Schryver, Maarten; Musisi, Seggane; Broekaert, Eric; Derluyn, Ilse
Background: Previous studies have shown a relationship between stressful war experiences and mental health symptoms in children and adolescents. To date, no comprehensive studies on the role of childhood adversities have been conducted with war-exposed adolescents living in post-war, low-resource settings in Sub-Saharan Africa. Methods: A cross-sectional study of 551 school-going adolescents aged 13-21 years old was undertaken four years post-war in northern Uganda. Participants compl...
Full Text Available Abstract Background An increasing proportion of immigrants to Western countries in the past decade are from war affected countries. The aim of this study was to estimate the prevalence of war experience among adolescents and their parents and to investigate possible differences in internalizing and externalizing mental health problems between adolescents exposed and unexposed to own and parental war experience. Method The study is based on a cross-sectional population-based survey of all 10th grade pupils in Oslo for two consecutive years. A total of 1,758 aadolescents were included, all with both parents born outside of Norway. Internalizing and externalizing mental health problems were measured by Hopkins Symptom Checklist-10 and subscales of the Strengths and Difficulties Questionnaire, respectively. Own and parental war experience is based on adolescent self-report. Results The proportion of adolescents with own war experience was 14% with the highest prevalence in immigrants from Eastern Europe and Sub-Saharan Africa. The proportion of parental war experience was 33% with Sub-Saharan Africa being highest. Adolescents reporting own war experience had higher scores for both internalizing and externalizing mental health problems compared to immigrants without war experience, but only externalizing problems reached statistically significant differences. For parental war experience there was a statistically significant relationship between parental war experience and internalizing mental health problems. The association remained significant after adjustment for parental educational level and adolescents' own war experience. Conclusion War exposure is highly prevalent among immigrants living in Oslo, Norway, both among adolescents themselves and their parents. Among immigrants to Norway, parental war experience appears to be stronger associated with mental health problems than adolescents own exposure to war experience.
ABSTRACT The purpose of this thesis was to investigate aspects of self-reported sexual abuse during childhood and adolescence in a population-based study of Swedish high school students. The aim of this thesis was first to investigate the lifetime prevalence of sexual abuse of varying severity and characteristics as well as the associations between sexual abuse, gender, socio-demographic characteristics and consensual sexual experiences. The next aim was to investigate disclosure rates and...
With the Westernization and opening of our society, adolescents' smoking is increasing and being popularized. Many adolescents start smoking at an early age out of curiosity and venturesomeness, and earlier start of smoking makes it more difficult to quit smoking. Adolescents' habitual smoking not only becomes a gateway to all kinds of substance abuse but also causes various health problems including upper respiratory infection, immature lung development, reduced maximum vital capacity, and lung cancer. Therefore, it is quite important to prevent adolescents from smoking. The lowering of adolescents' smoking rate cannot be achieved only through social restrictions such as stereotyped education on the harms of smoking and ID checking. In order to lower adolescents' smoking rate substantially, each area of society should develop standardized programs and make related efforts. As adolescents' smoking is highly influenced by home environment or school life, it is necessary to make efforts in effective education and social reinforcement in school, to establish related norms, and to execute preventive education using peer groups. When these efforts are spread throughout society in cooperation with homes and communities, they will be helpful to protect adolescents' health and improve their quality of life. PMID:22232621
Hacker, K.; Drainoni, M. L.
In 1999, the Boston Public Heath Commission used data from a variety of sources to explore the level of mental health disturbance in Boston's children and adolescents. Data for 1997 from the Youth Risk Behavior Survey showed that about 20% of Boston public high school students had ever experienced suicidal ideation, while approximately 10% had actually attempted suicide. About one in five teenage respondents to the Boston Youth Survey said they were frequently depressed. While females were mo...
Chang Ho Hong
Full Text Available During the adolescent period, they experience rapid physical, emotional, cognitive developments while they establish their lifestyle and habitual routines that strongly influence adult health and life. Recent rapid economic growth in Korea, and the earlier onset of physical, sexual, and psychological maturation of adolescents, has resulted in changes in the health status of adolescents from many years ago. Risk-taking behaviors such as drinking alcohol, smoking, and sexual experiences are critical issues that affect the health of, adolescents. Therefore, it is important for pediatricians to note the that risk-taking behaviors of adolescents in Korea that are caused by individual psychosocial factors. This review article illustrates the current health status of Korean adolescents and provides an overview of risktaking behaviors, to inform pediatricians about some of the key issues.
Background Evidence suggests that in spite of some adolescents being sexually active, many parents do not discuss sex-related issues with them due to lack of age-appropriate respectful vocabulary and skills. The likelihood of parent-adolescent communication improving sexual and reproductive health outcomes appears plausible. The desire to understand parent-adolescent communication and how to improve it for promotion of healthy sexual behaviours inspired this research. The paper is meant to de...
Gren-Landell, Malin; Aho, Nikolas; Carlsson, Elisabeth; Jones, Annica; Svedin, Carl Göran
Recent findings from studies on adults show similarities between social anxiety disorder (SAD) and posttraumatic stress in the form of recurrent memories and intrusive and distressing images of earlier aversive events. Further, treatment models for SAD in adults have been successfully developed by using transdiagnostic knowledge on posttraumatic stress symptoms (PTSS). Studies on adolescents are though missing. The present study aimed at exploring the association between PTSS and SAD in Swedish adolescents. A second aim was to study mental health services utilization in relation to these conditions. A total of 5,960 high-school students participated and reported on SAD, life time victimization, PTSS and mental health service utilization. Socially anxious adolescents reported significantly higher levels of PTSS than adolescents not reporting SAD and this difference was seen in victimized as well as non-victimized subjects. Contact with a school counselor was the most common mental health service utilization in subjects with SAD and those with elevated PTSS. In the prediction of contact with a CAP-clinic, significant odds ratios were found for a condition of SAD and elevated PTSS (OR = 4.88, 95% CI = 3.53-6.73) but not for SAD only. Screening of PTSS in adolescents with SAD is recommended. The service of school counselors is important in detecting and helping young people with SAD and elevated PTSS. Clinical studies on SAD and PTSS in adolescents could aid in modifying treatment models for SAD. PMID:23099817
Clark, Duncan B.; Thatcher, Dawn L.; Martin, Christopher S.
Objective We prospectively examined the health effects of child abuse and other traumatic events, with objective health indicators and consideration of alcohol use disorders (AUD). Methods Adolescents (n = 668) were recruited from clinical and community sources. At baseline, we examined child abuse and other traumas, AUD, health-related symptoms, physical findings, and blood assays. Subjects were assigned to Trauma Classes (TC), including witnessing violence, physical abuse, and sexual abuse....
Kerem, Nogah C; Hardoff, Daniel
There is a growing need for health care professionals to extend their knowledge in adolescent health care. Formal training curricula in adolescent medicine have been established in the United States, Canada, and Australia, yet many other countries have developed shorter training programs to enable interested physicians to further pursue knowledge and practical experience in delivering improved quality health care for adolescents. The Israeli experience in building an infrastructure that allows students and physicians to learn about adolescent medicine and to train in the field is described. It includes a series of lectures and seminars for medical students during medical school and at the clinical rotations in pediatric wards; the development of hospital-based and community-based multidisciplinary adolescent health services where residents can practice adolescent health care; a 3-year diploma course in adolescent medicine for specialists in pediatrics and family medicine; mini courses in adolescent medicine for pediatricians and family practitioners working in community settings; and a simulated patient-based program regarding communication with adolescents, aimed for all professional levels - medical students, residents, and specialists. This infrastructure has been developed to create a leading group of physicians, who are able to operate adolescent clinics and to teach adolescent medicine. Recently, a formal fellowship program in adolescent medicine has been approved by the Scientific Council of the Israel Medical Association. The Israeli experience described here could be applied in countries, where formal training programs in adolescent health care are not yet established. PMID:27341557
Full Text Available With the Westernization and opening of our society, adolescents’ smoking is increasing and being popularized. Many adolescents start smoking at an early age out of curiosity and venturesomeness, and earlier start of smoking makes it more difficult to quit smoking. Adolescents’ habitual smoking not only becomes a gateway to all kinds of substance abuse but also causes various health problems including upper respiratory infection, immature lung development, reduced maximum vital capacity, and lung cancer. Therefore, it is quite important to prevent adolescents from smoking. The lowering of adolescents’ smoking rate cannot be achieved only through social restrictions such as stereotyped education on the harms of smoking and ID checking. In order to lower adolescents’ smoking rate substantially, each area of society should develop standardized programs and make related efforts. As adolescents’ smoking is highly influenced by home environment or school life, it is necessary to make efforts in effective education and social reinforcement in school, to establish related norms, and to execute preventive education using peer groups. When these efforts are spread throughout society in cooperation with homes and communities, they will be helpful to protect adolescents’ health and improve their quality of life.
Ahmet Reşit Ersay
Full Text Available In Turkey, one out of five person belonging to 10-24 age group, is at risk concerning reproductive health. Topics related to the reproductive health, are neither discussed within the family or society, nor within the educational system. Adolescents, who have to experience sexual intercourse with insufficient and incorrect knowledge, have to face with sexually transmitted diseases (STD, teenage pregnancy, abortion and other problems as a consequence of this experience. Research on this area has showed that both adolescents and young adults, especially health personnel, requested training on reproductive health. In terms of planning health services effectively, these topics should be evaluated carefully in Turkey. In this research, reproductive health regarding adolescents and young adults is examined under the four headings of sexual experience, STD, use of protection and productivity. As a result, depending on all the cultural restrictions and health service limitations, it is observed that adolescents and young adults experience sexual relationship with an inadequate knowledge and consequently, they have to face with problems. Within this context, it is suggested to expand the reproductive health educational programmes involving family, school and society within long term.
The UN Educational, Scientific and Cultural Organization Regional Clearing House on Population Education has commissioned a series of case studies on the promotion of adolescent reproductive and sexual health, with emphasis placed on advocacy and information, education and communication (IEC). The case studies will document the experiences of Bangladesh, China, India, Indonesia, Iran, Malaysia, Philippines, Sri Lanka, and Thailand. The advocacy activities include programs to gain the support of lawmakers and policymakers, the mass media and other influential groups. IEC activities, on the other hand, reach out to the youth, counselors, teachers and trainers, extension workers and motivators, and health personnel. Advocacy and IEC also differ in strategies. Political lobbying, high level meetings, seminars, mass media campaigns, and advocacy skills training are typical advocacy strategies; while, individual counseling, research, non-governmental organization involvement in communities, youth camps are of IEC strategies. The case studies also examine national policies, program responses and strategies, and factors that have contributed to best practices, and innovative approaches to advocacy and IEC. The impact of the target groups of the case studies will be evaluated and those with successful outcomes will be identified. PMID:12158254
... in Health Care LGBT Health Media Use by Adolescents Mental Health Sexual & Reproductive Health Sports Medicine Substance Use Transition to Adult Care Related Organizations Adolescent and Young Adult Clinical Care Resources Resources for ...
Koller, Theadora; Morgan, Antony; Guerreiro, Ana; Currie, Candace; Ziglio, Erio; Due, Pernille
translation of research into action, the Forum series focuses on increasing know-how to scale up intersectoral policies and interventions; reduce health inequities; and involve young people in the design, implementation and evaluation of policies and interventions. Interviews with selected participants in the...... ensure systematic, appropriate and meaningful youth involvement; maximization of the usefulness of the European consultation; and definition of a budget line and framework for evaluation of the process' impact at country level....
Shanafelt, Amy; Hearst, Mary O.; Wang, Qi; Nanney, Marilyn S.
Background: Food-insecure (FIS) adolescents struggle in school and with health and mental health more often than food-secure (FS) adolescents. Rural communities experience important disparities in health, but little is known about rural FIS adolescents. This study aims to describe select characteristics of rural adolescents by food-security…
Initial smoking experience is a potential predictor of later smoking. Our study has a twofold aim: (1) to provide further support for construct validity of retrospective measurement of an early smoking experience questionnaire (ESE) in a representative sample of adolescents; (2) to examine the association of initial smoking experience with sensation-seeking, current smoking and nicotine dependence.
Baird, Sarah; de Hoop, Jacobus; Ozler, Berk
We investigate the effects of a positive income shock on mental health among adolescent girls using evidence from a cash transfer experiment in Malawi. Offers of cash transfers strongly reduced psychological distress among baseline schoolgirls. However, these large beneficial effects declined with increases in the transfer amount offered to the…
Obermeyer, Carla Makhlouf; Bott, Sarah; Sassine, Anniebelle J
This article reviews the evidence about adolescent health in the Arab world, against the background of social, economic, and political change in the region, and with a particular focus on gender. For the literature review, searches were conducted for relevant articles, and data were drawn from national population- and school-based surveys and from the Global Burden of Disease project. In some parts of the Arab world, adolescents experience a greater burden of ill health due to overweight/obesity, transport injuries, cardiovascular and metabolic conditions, and mental health disorders than those in other regions of the world. Poor diets, insufficient physical activity, tobacco use, road traffic injuries, and exposure to violence are major risk factors. Young men have higher risks of unsafe driving and tobacco use and young women have greater ill-health due to depression. Several features of the social context that affect adolescent health are discussed, including changing life trajectories and gender roles, the mismatch between education and job opportunities, and armed conflict and interpersonal violence. Policy makers need to address risk factors behind noncommunicable disease among adolescents in the Arab region, including tobacco use, unhealthy diets, sedentary lifestyles, unsafe driving, and exposure to violence. More broadly, adolescents need economic opportunity, safe communities, and a chance to have a voice in their future. PMID:25770651
Ahmet Reşit Ersay; Gülbu Tortumluoğlu
In Turkey, one out of five person belonging to 10-24 age group, is at risk concerning reproductive health. Topics related to the reproductive health, are neither discussed within the family or society, nor within the educational system. Adolescents, who have to experience sexual intercourse with insufficient and incorrect knowledge, have to face with sexually transmitted diseases (STD), teenage pregnancy, abo...
Sara Mota Borges Bottino; Bottino, Cássio M. C.; Caroline Gomez Regina; Aline Villa Lobo Correia; Wagner Silva Ribeiro
Cyberbullying is a new form of violence that is expressed through electronic media and has given rise to concern for parents, educators and researchers. In this paper, an association between cyberbullying and adolescent mental health will be assessed through a systematic review of two databases: PubMed and Virtual Health Library (BVS). The prevalence of cyberbullying ranged from 6.5% to 35.4%. Previous or current experiences of traditional bullying were associated with victims and perpetrator...
Kranke, Derrick; Floersch, Jerry
This study investigated adolescents with a mental health diagnosis and their experience of stigma in schools. Forty adolescents between the ages of twelve and seventeen who met DSM-IV criteria for a psychiatric illness and who were prescribed psychiatric medication were selected. The Teen Subjective Experience of Medication Interview was used to…
Full Text Available Arlene Mejino,1 Janneke Noordman,1 Sandra van Dulmen1–31Netherlands Institute for Health Services Research (NIVEL, Utrecht, The Netherlands; 2Radboud University Nijmegen Medical Centre, Department of Primary and Community Care, Nijmegen, The Netherlands; 3Department of Health Science, Buskerud University College, Drammen, NorwayAims: This study examined the perspectives and experiences of patients, parents, and health care providers with shared medical appointments (SMAs for children and adolescents with type 1 diabetes. Specifically studied were reasons to attend SMAs, perceived differences between SMAs and individual medical appointments, patient-valued health care aspects, and providers' performance.Methods: Fifty-two patients, 8 parents, and 36 health care providers participated. Perspectives on SMAs were assessed with questionnaires and an online focus group. Data was analyzed using descriptive statistics.Results: Health care providers had work-related reasons to conduct SMAs. Patients and parents primarily valued the presence of other patients during SMAs. According to health care providers and patients, a higher or similar amount of information was discussed during SMAs as opposed to individual appointments, respectively. SMAs did contain more discussion about lifestyle. Most consultation aspects considered important by the patients were performed by their health care providers. Patient satisfaction with SMAs did tend to decrease after 3 months. Parents were somewhat more critical about SMAs.Conclusions: Health care providers, patients, and parents were generally positive about SMAs. Future studies should examine the impact of the presence of parents and different health care providers during SMAs, and that of differences in patient age, type of insulin treatment, and disease-related problems.Keywords: child, adolescent, diabetes mellitus type 1, pediatrics, shared medical appointment
The paper deals with the phenomenon of loneliness, the emotional state which is characterized by the feeling of emptiness and isolation, exclusion and isolation from other people. It is the state connected with many psychological troubles, behavioral and social problems and can seriously threaten mental and physical health of the adolescents and grown-up young people. The goal of the research is to examine the frequency of the experience of loneliness in th...
Basker, Mona M
Adolescents living in the Indian subcontinent form a significant proportion of the general population. India is home to 236 million adolescents, who make up one-fifth of the total population of India. Adolescent health is gradually considered an important issue by the government of India. Awareness is increasing about adolescent needs. Health care professionals in particular are becoming more interested in the specific needs of adolescent age. Adolescent medicine as a subspecialty of pediatrics has also gained importance gradually over the last decade. In a hospital setting, adolescent-specific needs are met, albeit not in a uniform manner in all the health centers. After having been trained in adolescent medicine in India and abroad, I present this paper as a bird's eye view of the practice of adolescent health and medicine in India. PMID:27447203
The International Center for Research on Women (ICRW) is investigating factors which affect the nutritional status of adolescent girls in Benin, Cameroon, Ecuador, Guatemala, India, Jamaica, Mexico, Nepal, and the Philippines. The research is funded through the US Agency for International Development's Office of Nutrition. 22.5% of women in Nepal marry before they reach age 14 years, with most marrying before age 18. The research in the country has found pregnancy to be a burden among these young women which threatens their nutritional and health status as well as that of their offspring. Unequal distribution of food in the household and heavy workloads increase the level of risk faced by adolescent females. Postponing pregnancy in adolescents, however, delays the onset of increased nutritional needs in girls who are already likely to be undernourished. Delayed pregnancy also gives girls more time to complete their physical growth and avoids the risk of medical emergencies in childbirth, such as hemorrhage which, if survived, can lead to anemia which is aggravated by nutritional deficiencies. The ICRW has therefore proposed four strategies for postponing first births among female adolescents: encouraging later marriage, providing family planning and reproductive health services specially for adolescents, providing family life education about options for the future, and increasing educational opportunities for girls. PMID:12346355
Full Text Available Abstract Background Adverse family experiences in early life are associated with subsequent psychopathology. This study adds to the growing body of work exploring the nature and associations between adverse experiences over the childhood years. Methods Primary carers of 1143 randomly recruited 14-year olds in Cambridgeshire and Suffolk, UK were interviewed using the Cambridge Early Experiences Interview (CAMEEI to assess family-focused adversities. Adversities were recorded retrospectively in three time periods (early and later childhood and early adolescence. Latent Class Analysis (LCA grouped individuals into adversity classes for each time period and longitudinally. Adolescents were interviewed to generate lifetime DSM-IV diagnoses using the K-SADS-PL. The associations between adversity class and diagnoses were explored. Results LCA generated a 4-class model for each time period and longitudinally. In early childhood 69% were allocated to a low adversity class; a moderate adversity class (19% showed elevated rates of family loss, mild or moderate family discord, financial difficulties, maternal psychiatric illness and higher risk for paternal atypical parenting; a severe class (6% experienced higher rates on all indicators and almost exclusively accounted for incidents of child abuse; a fourth class, characterised by atypical parenting from both parents, accounted for the remaining 7%. Class membership was fairly stable (~ 55% over time with escape from any adversity by 14 years being uncommon. Compared to those in the low class, the odds ratio for reported psychopathology in adolescents in the severe class ranged from 8 for disruptive behaviour disorders through to 4.8 for depressions and 2.0 for anxiety disorders. Only in the low adversity class did significantly more females than males report psychopathology. Conclusions Family adversities in the early years occur as multiple rather than single experiences. Although some children escape
Luiza Akiko Komura Hoga
Full Text Available Este artigo trata-se de um relato de experiência sobre um trabalho desenvolvido com um um grupo de adolescentes, moradores em uma comunidade de baixa renda. O objetivo do trabalho foi a educação para a saúde com contextualização socioeconômica e cultural. Participaram do grupo, 34 adolescentes de ambos os sexos, com idades entre 12 e 18 anos. Foram realizadas nove sessões grupais de educação para a saúde, no período entre setembro e dezembro de 1997. Foram levantadas as principais dúvidas que os adolescentes tinham sobre saúde, que foram esclarecidas no decorrer das sessões de educação para a saúde, com utilização de estratégia participativa, associados a vários recursos didáticos. Os termos técnicos foram decodificados para a linguagem popular. Com base nos temas trabalhados nas sessões, foi elaborado um caderno educativo e a compreensão sobre o conteúdo foi validado com os adolescentes. A experiência permitiu conhecer as peculiaridades do grupo e planejar orientações compreensíveis e significativas aos adolescentes.This article is a experience report about a group developed with adolescents, living in a low income community in Sao Paulo City. The aim of the task was the adolescent's health promotion, with sociocultural contextualization for this group. Took part in 34 adolescents of both sex, from 12 to 18 years old. It was realized nine health classes when the adolescents reported their doubts related to health. The methodology of the work was based on participative approach during the educational process. The adolescent's doubts about health were classified according to the similarities, and answered according to the scientific literature. These answers were formulated in popular language. The educational resource's contents were validated with the adolescents and they have suggested the necessary modifications. The experience permitted to know the charactheristics of this particular group and to plan a kind of
Gray, Christine L; Whetten, Kathryn; Messer, Lynne C; Whetten, Rachel A; Ostermann, Jan; O'Donnell, Karen; Thielman, Nathan M; Pence, Brian W
Orphans and separated children (OSC) are a vulnerable population whose numbers are increasing, particularly in sub-Saharan Africa and Asia. Over 153 million children worldwide have lost one or both parents, including 17 million orphaned by AIDS, and millions more have been separated from their parents. As younger orphans enter adolescence, their sexual health and HIV-related risk behaviors become key considerations for their overall health. Importantly, their high prevalence of exposure to potentially traumatic events (PTEs) may put OSC at additional risk for adverse sexual health outcomes. The Positive Outcomes for Orphans study followed OSC randomly sampled from institution-based care and from family-based care, as well as a convenience sample of non-OSC, at six sites in five low-and middle-income countries. This analysis focused on the 90-month follow-up, during which adolescents 16 and older were assessed for sexual health, including age at sexual debut, past-year sex, past-year condom use, and perceptions of condom use. We specifically examined the relationship between PTEs and sexual health outcomes. Of the 1258 OSC and 138 non-OSC assessed, 11% reported ever having sex. Approximately 6% of participants reported recent sex and 5% reported having recent unprotected sex. However, 70% of those who had recent sex reported that they did not use a condom every time, and perceptions of condom use tended to be unfavorable for protection against sexual risk behavior. Nearly all (90%) of participants reported experiencing at least one lifetime PTE. For those who experienced "any" PTE, we found increased prevalence of recent sex (PR = 1.39 [0.47, 4.07]) and of recent unprotected sex (PR = 3.47 [0.60, 19.91]). This study highlights the need for caregivers, program managers, and policymakers to promote condom use for sexually active OSC and identify interventions for trauma support services. Orphans living in family-based care may also be particularly vulnerable
Full Text Available The paper deals with the phenomenon of loneliness, the emotional state which is characterized by the feeling of emptiness and isolation, exclusion and isolation from other people. It is the state connected with many psychological troubles, behavioral and social problems and can seriously threaten mental and physical health of the adolescents and grown-up young people. The goal of the research is to examine the frequency of the experience of loneliness in the population of the adolescents, the connection of loneliness with other psychological difficulties, and also with the effects of socialization. A modified questionnaire about the ways of the expression of the crisis in the adolescence (Kondić and co., the short form of the UCLA Loneliness Scale (University of California Los Angeles Loneliness Scale and the battery of the tests of socializations (Momirović and co. are used in this research. The research is conducted on the sample of 300 first year students from the Faculty of Pedagogy in Jagodina, Medical Faculty in Belgrade, Faculty of Philology and Arts in Kragujevac and College of Health Studies in Ćuprija, of the average age 19.1 years. The results received by the application of the same questionnaire on the sample of the students in the final year of high schools in the interval of 5 years starting from 1985 until 2010 are used for the comparison (100 adolescents for each researched year. The results of the research have shown that 32% of the adolescents in the researched sample declare as lonely (the comparison points to the trend of the increase of loneliness in the population of the adolescents in relation to the previous year, that the loneliness is statistically significantly connected to other psychological difficulties (depression, self-image disorders, eating disorders, sleep disorders and with the emphasized effects of socialization, that is, exaggerated socialization (where the solution of this serious problem can be searched.
Smokowski, Paul R.; Bacallao, Martica L.
This investigation examined acculturation risk factors and cultural assets, internalizing behavioral problems, and self-esteem in 323 Latino adolescents living in North Carolina. Multiple regression analyses revealed two risk factors--perceived discrimination and parent-adolescent conflict--as highly significant predictors of adolescent…
A.L. van Staa (AnneLoes); S. Jedeloo (Susan); H.A. van der Stege (Heleen)
textabstractBackground: As important users of health care, adolescents with chronic conditions deserve to be consulted about their experiences and expectations. This study aimed to explore chronically ill adolescents' preferences regarding providers' qualities, and outpatient and inpatient care. Fur
Currently, little is known about adolescents' self-stigma experiences as mental health (MH) treatment recipients. Hence, this study addresses the following two questions: (a) what are adolescents' and parents' perceptions of stigma and perceptions of the cause, controllability, and anticipated outcome (illness perceptions) of adolescents' MH…
Laurie Schwab Zabin
@@ The field of reproductive health has had long experience negotiating challenging environments in ways that other health fields have not -- perhaps because other health fields usually deal with illness which everyone agrees is not a good thing. Or maybe because we have all been born, we all think we know something about reproduction. Whatever the reason,we have over the years seen bitter political and ideological debates over population and family planning, abortion, the treatment of HIV/AIDS, in vitro fertilization, new contraceptive technologies--and now adolescent reproductive health. We shouldn't be surprised.But just as we have had to prevail in those debates in the past, they are crucial today: the numbers of young people entering their reproductive years throughout the world, especially the developing world, make it essential that youth be reached not only with messages and services crafted in the last 40 years but also with new messages, new ideas and new services.
Coyne, I; McNamara, N; Healy, M; Gower, C; Sarkar, M; McNicholas, F
Service user involvement is essential for quality care in the Child and Adolescent Mental Health Services (CAMHS). This study was conducted to explore adolescents' and parents' experiences of CAMHS in relation to accessibility, approachability and appropriateness. This study used a descriptive qualitative design, and focus groups and single interviews were conducted with adolescents (n = 15) and parents (n = 32) from three mental health clinics. Data were analysed using thematic analysis. Accessing mental health services was a challenging experience for many parents and adolescents due to knowledge deficit, lack of information and limited availability of specialist services. Some parents and adolescents reported positive experiences while others reported negative experiences. They expressed a need for more information, involvement in decision making, flexible scheduling of appointments, school support and parent support groups. The nature and quality of the relationship with staff was critical to positive experience with the service; therefore, frequent changes of medical staff was disruptive. Mental health nurses can play a vital role in ensuring continuity, assessing adolescents' participation preferences and advocating for their information needs with other members of the interdisciplinary team. PMID:25977175
Faustino R Pérez-López
Full Text Available Faustino R Pérez-López, Gonzalo Pérez-Roncero, María T López-BaenaGrupo de Investigación sobre Salud de la Mujer en Aragón (GRISAMAR, Universidad de Zaragoza, Hospital Clínico Zaragoza, SpainAbstract: Vitamin D is a hormone sequentially produced at different body sites, and which plays a significant role in human health, particularly bone health. However, other roles are emerging. When the serum concentration of vitamin D is very low, the risk of rickets, osteomalacia and osteoporosis is increased. In children and adolescents there is a high prevalence of low vitamin D status, especially in females and during the winter–the prevalence being lower than during the summer. Although there is no unanimous agreement over the minimum values necessary for good health, serum 25-hydroxyvitamin D [25(OHD] levels below 20 ng/mL may be regarded as a vitamin D-deficient condition, and levels between 20–30 ng/mL may be the range of vitamin D insufficiency. Mild low levels have been associated with bone mass accrual alterations in children and adolescents, diminished muscle strength, negative cardiovascular outcomes, insulin resistance and obesity, and neurological disorders. Effective preventive strategies are needed to guarantee adequate vitamin D levels throughout childhood and adolescence, taking into account the geographical setting, season of the year, the level of environmental pollution, skin characteristics, eating habits and body weight, with a view to securing optimum health during these phases, and the prevention of complications in adulthood. There needs to be a renewed appreciation of the beneficial effect of moderate sunlight for providing all humans with the vitamin D needed for ensuring good health. Prolonged sun exposure is not advised, however, due to the risk of skin cancer. In addition, a balanced diet is indicated, since vitamin D-rich foods are better assimilated than supplements. When such conditions cannot be met, then the
Shin, Jin Y.; D'Antonio, Emily; Son, Haein; Kim, Seong-A.; Park, Yeddi
The bullying experiences of Korean-American adolescents (N = 295) were explored in relation to discrimination and mental health outcomes. Bullying experiences were assessed by the "Bully Survey" (Swearer, 2005), discrimination by the "Perceived Ethnic and Racial Discrimination Scale" (Way, 1997) and depression by the "Center for Epidemiological…
Sara Mota Borges Bottino
Full Text Available Cyberbullying is a new form of violence that is expressed through electronic media and has given rise to concern for parents, educators and researchers. In this paper, an association between cyberbullying and adolescent mental health will be assessed through a systematic review of two databases: PubMed and Virtual Health Library (BVS. The prevalence of cyberbullying ranged from 6.5% to 35.4%. Previous or current experiences of traditional bullying were associated with victims and perpetrators of cyberbullying. Daily use of three or more hours of Internet, web camera, text messages, posting personal information and harassing others online were associated with cyberbullying. Cybervictims and cyberbullies had more emotional and psychosomatic problems, social difficulties and did not feel safe and cared for in school. Cyberbullying was associated with moderate to severe depressive symptoms, substance use, ideation and suicide attempts. Health professionals should be aware of the violent nature of interactions occurring in the virtual environment and its harm to the mental health of adolescents.
Bottino, Sara Mota Borges; Bottino, Cássio M C; Regina, Caroline Gomez; Correia, Aline Villa Lobo; Ribeiro, Wagner Silva
Cyberbullying is a new form of violence that is expressed through electronic media and has given rise to concern for parents, educators and researchers. In this paper, an association between cyberbullying and adolescent mental health will be assessed through a systematic review of two databases: PubMed and Virtual Health Library (BVS). The prevalence of cyberbullying ranged from 6.5% to 35.4%. Previous or current experiences of traditional bullying were associated with victims and perpetrators of cyberbullying. Daily use of three or more hours of Internet, web camera, text messages, posting personal information and harassing others online were associated with cyberbullying. Cybervictims and cyberbullies had more emotional and psychosomatic problems, social difficulties and did not feel safe and cared for in school. Cyberbullying was associated with moderate to severe depressive symptoms, substance use, ideation and suicide attempts. Health professionals should be aware of the violent nature of interactions occurring in the virtual environment and its harm to the mental health of adolescents. PMID:25859714
Oh, Jean-Yin; Rajasegaran, Kumudhini
The introduction of adolescent medicine as a medical subspecialty in Singapore was a welcome in an evolving health care system that is unique in terms of both efficiency, in financing and the results achieved in community health outcomes. The Ministry of Health (MOH) already recognized the need to accommodate the health care concerns related to adolescent psychosocial health risk behaviors and an increased prevalence of young people living with chronic illness. The challenge for the pioneer team of physicians trained in adolescent medicine was to develop and sustain a model of care that integrated (i) core clinical services that include quality measures of care to adolescents; (ii) professional development and capacity building needing an expansive teaching agenda at every level of health education; (iii) strong inter-sectorial collaborations within hospital and community partners; and (iv) robust research and evaluation strategies that keep clinical practice relevant and evidence based. PMID:26115501
Gren-Landell, Malin; Aho, Nikolas; Carlsson, Elisabeth; Jones, Annica; Svedin, Carl Göran
Recent findings from studies on adults show similarities between social anxiety disorder (SAD) and posttraumatic stress in the form of recurrent memories and intrusive and distressing images of earlier aversive events. Further, treatment models for SAD in adults have been successfully developed by using transdiagnostic knowledge on posttraumatic stress symptoms (PTSS). Studies on adolescents are though missing. The present study aimed at exploring the association between PTSS and SAD in Swedi...
Jiang, Han; Petersen, Poul Erik; Peng, Bin;
effect of socio-behavioral risk factors on perceived dental health, perceived need for dental care, and experience of dental symptoms. A cross-sectional survey of 2662 adolescents was conducted in eight capital cities in China; the response rate was 92%. The study population was chosen by multistage...
Jacobson, Cara; Bailin, Alexandra; Milanaik, Ruth; Adesman, Andrew
This article examines the health implications of new age technology use among adolescents. As Internet prevalence has increased, researchers have found evidence of potential negative health consequences on adolescents. Internet addiction has become a serious issue. Pornography is now easily accessible to youth and studies have related pornography with several negative health effects. Cyberbullying has become a large problem as new age technologies have created a new and easy outlet for adolescents to bully one another. These technologies are related to increased morbidity and mortality, such as suicides due to cyberbullying and motor vehicle deaths due to texting while driving. PMID:26613696
Strasburger, Victor C; Jordan, Amy B; Donnerstein, Ed
The media can be a powerful teacher of children and adolescents and have a profound impact on their health. The media are not the leading cause of any major health problem in the United States, but they do contribute to a variety of pediatric and adolescent health problems. Given that children and teens spend >7 hours a day with media, one would think that adult society would recognize its impact on young people's attitudes and behaviors. Too little has been done to protect children and adolescents from harmful media effects and to maximize the powerfully prosocial aspects of modern media. PMID:22643165
This update of the 2008 statement from the American Academy of Pediatrics redirects the discussion of quality health care from the theoretical to the practical within the medical home. This statement reviews the evolution of the medical home concept and challenges the provision of quality adolescent health care within the patient-centered medical home. Areas of attention for quality adolescent health care are reviewed, including developmentally appropriate care, confidentiality, location of adolescent care, providers who offer such care, the role of research in advancing care, and the transition to adult care. PMID:27432849
Hawaii State Dept. of Health, Honolulu. Maternal and Child Health Branch.
This publication reports on a survey to develop a profile of adolescent health in Hawaii in order to develop effective prevention and intervention strategies. The survey covered: general health status; family, peer, and school problems; depression and suicide; use of licit and illicit substances; sexuality and sexually transmitted diseases; and…
Terre, Lisa; And Others
Examined relationship between affect, demographics, and health-related lifestyle among 139 public high school students. Data analyses revealed distinctive demographic and affective correlates of different health behaviors. No one variable uniformly predicted adolescents' health behaviors. Demographics and affect showed differential relationships…
Dellbridge, Carey-Ann; Lubbe, Carien
An adolescent's subjective experiences of mindfulness were explored in a single case study of a 17-year-old female. Data were created by means of 'mindfulness sessions', unstructured interviews, creative expression, journals and field notes. The data were analysed and interpreted using a combination of typological and interpretive analysis strategies. Findings are presented within a conceptual framework of mindfulness derived by the main author from the literature review. Five themes emerged from the data in relation to the conceptual framework applied, namely present-centered awareness and attention, attitude and heart qualities, self-regulation, universalism and mindlessness. Overall findings suggest firstly that the participant subjectively experienced mindfulness as being predominantly task-oriented. Secondly, it appears that the participant experienced personal growth and development in terms of her understanding and practice of mindfulness. These findings could make a potential contribution towards qualitative research on mindfulness, and research on how mindfulness could possibly apply to an adolescent. Studies have shown mindfulness to be a potentially promising intervention and quality to be cultivated in the development of well-being. The study is thus significant in the context of positive psychology and a move towards more holistic health and well-being. PMID:25865726
Stapley, E. J.
There is a growing research literature exploring the experience of being the parent of an adolescent with mental health issues. However, there has been little previous research specifically exploring the experience of being the parent of an adolescent diagnosed with depression, even though adolescence is a period of development associated with significant risk for the onset of severe depression. Consequently, this was the aim of my thesis. Study 1 explored the experiences of 48 parents of ...
Tseng, Ying-Hua; Wang, Ruey-Hsia; Wang, Hsiu-Hung; Chou, Fan-Hao
Internet use is an important part of the daily life of adolescents. The ease of searching the internet for information makes finding information on sex, a topic of particular interest to adolescents, easy. Although the internet is replete with sexual information, the influence of internet use on adolescents' sexual health is analogous to a double-edged sword. This article identifies the four main sexual dilemmas facing Taiwan adolescents and analyzes the pros and cons of internet use with regard to adolescents' sexual health. Cons include the predominance of internet pornography and the potential risks of making friends online. Pros include the internet's role as an optimal communications platform and tool for sex-related research. We suggest that nurses have a unique role and functions to play in promoting adolescent sexual health. We also offer recommendations for school health nursing and clinical nursing. Further internet-based quantitative and qualitative research is necessary to clarify relevant sexual health issues. Finally, we offer design suggestions for sexual education homepages. PMID:23212259
Murphey, David; Barry, Megan; Vaughn, Brigitte
Mental disorders are diagnosable conditions characterized by changes in thinking, mood, or behavior (or some combination of these) that can cause a person to feel stressed out and impair his or her ability to function. These disorders are common in adolescence. This "Adolescent Health Highlight" presents the warning signs of mental disorders;…
Hirani, Kajal; Payne, Donald; Mutch, Raewyn; Cherian, Sarah
Adolescent refugees are a vulnerable population with complex healthcare needs that are distinct from younger and older age groups. Physical health problems are common in this cohort with communicable diseases being the focus of attention followed by an emphasis on nutritional deficiencies and other chronic disorders. Adolescent refugees have also often experienced multiple traumatic stressors and are at a heightened risk of developing mental health problems. Navigating these problems at the time of pubertal development adds further challenges and can exacerbate or lead to the emergence of health risk behaviours. Educational difficulties and acculturation issues further compound these issues. Adolescents who have had experiences in detention or are unaccompanied by parents are particularly at risk. Despite a constantly growing number of adolescent refugees resettling in high-income countries, knowledge regarding their specific healthcare needs is limited. Research data are largely extrapolated from studies conducted within paediatric and adult cohorts. Holistic management of the medical and psychological issues faced by this group is challenging and requires an awareness of the socioeconomic factors that can have an impact on effective healthcare delivery. Legal and ethical issues can further complicate their management and addressing these in a culturally appropriate manner is essential. Early identification and management of the healthcare issues faced by adolescent refugees resettling in high-income countries are key to improving long-term health outcomes and future healthcare burden. This review article aims to increase knowledge and awareness of these issues among paediatricians and other health professionals. PMID:26471111
Gayathri Shabaraya; Romate J; Sudha Bhogle
Aim: This study aims to determine the relationship between Health Behavior and Health Locus of Control among 1270 adolescents (Boys N = 635 and Girls = 635) who were drawn from Bangalore rural and urban district government high schools (mean age 13.76 years). Methodology: The Global School based Health survey (WHO, 2004) and Multidimensional Health Locus of Control by Wallston and Wallston, questionnaires were used to assess health locus of control and health behavior respectively...
Yong-liang LIU; Jin WANG
Objective To make a exploration of the function of advocacy in the promotion of sex and reproductive health education for adolescents.Methods The advocacy played a key role on the promotion of adolescent sex and reproductive education by taking "International cooperation project to promote Chinese youth reproductive health "(YRH project) as example.Results The successful experience of YRH project indicated advocacy's important function in the promotion of sex and reproductive health education for adolescents.Conclusion Advocacy is a crucial element in promoting adolescent sex and reproductive health education.
Tanner, Alicia; Hasking, Penelope; Martin, Graham
Co-occurring internalizing and externalizing problem behaviors in adolescence typically marks more severe psychopathology and poorer psychosocial functioning than engagement in a single problem behavior. We examined the negative life events, emotional and behavioral problems, substance use, and suicidality of school-based adolescents reporting both non-suicidal self-injury (NSSI) and repetitive firesetting, compared to those engaging in either behavior alone. Differences in NSSI characteristics among self-injurers who set fires, compared to those who did not, were also assessed. A total of 384 at-risk adolescents aged 12-18 years (58.8% female) completed self-report questionnaires measuring NSSI, firesetting, and key variables of interest. Results suggest that adolescents who both self-injure and deliberately set fires represent a low-prevalence but distinct high-risk subgroup, characterized by increased rates of interpersonal difficulties, mental health problems and substance use, more severe self-injury, and suicidal behavior. Implications for prevention and early intervention initiatives are discussed. PMID:26214360
The mass media rank among the most important socialization agents influencing the health behaviors of today's youth, with some researchers estimating that youth spend 33-50% of their waking hours with some form of media (Strasburger and Wilson 2002). The impact of the media on health and the large amount of time adolescents spend with media make…
Plancherel, Bernard; Bolognini, Monique
Focused on mental health and protective factors in early adolescence. Significant relations between coping strategies and mental health were found, which are different according to gender: girls invest in more social relations, negative feelings, and consumption habits; boys often use sense of humor, or practice a hobby or sport. (JBJ)
This article discusses a 3-year project, "Promotion of Adolescent Reproductive Health and Healthy Living," which was implemented by the Federation of Family Planning Associations, Malaysia. The project seeks to achieve the following: 1) development of a reproductive health of adolescent module (RHAM) for trainers and educators; 2) training of trainers; 3) sharing of adolescent reproductive health experiences in Asian countries; and 4) setting up three service models in Sabah, Selangor, and Terengganu to provide reproductive health (RH) care to adolescents and youth. The first part of the RHAM with the trainer's manual has been finalized and will be tested in a workshop. The second part, a teacher's guide, is under preparation. A series of training on the use of the RHAM will be conducted including a 5-day national workshop, which will be followed by several state level workshops. The three service models being set up have specific orientations. The Sabah model is putting up a youth clinic for adolescents within its clinic network. The Selangor model is developing a Youth Resource Center for training and youth involvement in RH activities. Lastly, the Terengganu family planning association (FPA) has developed a Youth Center web site, which features the history, mission, and activities of the Terengganu FPA. PMID:12158246
Habibolah Taghizadeh Moghaddam
Full Text Available Adolescence is a transitional stage of physical and psychological human development that generally occurs during the period from puberty to legal adulthood. There are approximately 1.2 billion adolescents (10-19 years globally, roughly 90% of whom live in low and middle-income countries. Most are healthy, but there is still significant death, illness and diseases among adolescents. Illnesses can hinder their ability to grow and develop to their full potential. Alcohol or tobacco use, lack of physical activity, unprotected sex and/or exposure to violence can jeopardize not only their current health, but often their health for years to come. The mortality rate decreased from 126 to 111 per 100 000 between 2000 and 2012. This modest decline of about 12% continues the trend of the past 50 years. Mortality rates dropped in all regions and for all age groups except 15–19 year old males in the Eastern Mediterranean and the Americas regions. The leading causes of death among adolescents in recent years were: road injury, HIV, suicide, lower respiratory infections, and interpersonal violence. Promoting healthy practices during adolescence, and taking steps to better protect young people from health risks are critical for the prevention of health problems in adulthood, and for countries’ future health and social infrastructure.
Michaud, Pierre-André; Ambresin, Anne-Emmanuelle
The available data on adolescent health, weather statistics of mortality, hospital-based information or the one originating from health survey identify five main sources of concern: mental health problems, intentional and unintentional violence, chronic conditions including obesity and eating disorders, and negative consequences linked with risky sexual behavior and substance misuse. The responses to these issues lie in two ares, the one of health care and the one of prevention/health promotion. Access to health care must be improved, using the adolescent friendly framework, which stresses the importance of accessibility, flexibility, network approaches and effectiveness. Preventive activities encompass not only mere information in specific areas such as sexuality or psychoactive substance, but must also address the acquisition of life skills as well as the improvement of the environment. Structural measures such as the ones governing traffic of vehicles, those impacting on the school climate or those involving community health measures targeting vulnerable population have proven effective. PMID:24005070
Full Text Available Adolescents are currently being more and more exposed to the expectations of parents, educators, health-workers/helpers and policy makers to meet the demands of society and conform to it. The perception arises that adults are not able to let the adolescent take responsibility for the HOW of his own life story, despite all the expectations and demands. Under the influence of the post-modernistic approach to science and the narrative therapy it appears that each person is an expert of his own life and that each person is responsible for the how and the writing and rewriting of his own life story. This means that even the adolescent with mental health problems is busy with the writing and rewriting of his life story till even unpleasant incidents and experiences gain new meaning. This demands from the adolescent with mental health problems to be actively involved with his treatment program while the therapist is a participating observer of the therapeutic events. A one-sided approach, where the therapist’s objectives and ideas make the difference in the treatment of adolescents with mental health problems, becomes redundant. An alternative approach is suggested where the adolescent with mental health problems becomes co-author of his own life story and his treatment program. In this research the researcher aimed to explore and describe the HOW of the life world of the adolescent with mental health problems. The utilization of the case-study format as research method enabled an in-depth, holistic description of the life world of the adolescent with mental health problems. The implementation of the strategies to ensure trustworthiness, as described by Guba was applied to ensure the validity and reliability of this study. Focus was specifically placed on the application of the strategy of cross validation. This implies that multiple datacollection sources, different experts, theories and respondents were utilized in the exploration of the life world
... State and Territorial Data Reproductive Health Contraceptive Use Infertility Reproductive Health FastStats Mobile Application Get Email Updates ... Links Child Health Mortality Data National Health and Nutrition Examination Survey National Health Interview Survey Centers for ...
Leaper, Campbell; Brown, Christia Spears
This study investigated predictors of adolescent girls' experiences with sexism and feminism. Girls (N = 600; M = 15.1 years, range = 12-18), of varied socioeconomic and ethnic backgrounds, completed surveys of personal experiences with sexual harassment, academic sexism (regarding science, math, and computer technology), and athletics. Most girls…
Silva, Marta Angélica Iossi; Mello, Flávia Carvalho Malta de; Mello, Débora Falleiros de; Ferriani, Maria das Graças Carvalho; Sampaio, Julliane Messias Cordeiro; Oliveira, Wanderlei Abadio de
The objective of this exploratory study with a qualitative approach was to analyze how adolescents perceive reality in terms of vulnerability in respect to health. A total of 17 semi-structured interviews were staged with adolescents from two elementary-middle (k-8) schools in a city in the interior of São Paulo, Brazil. Content analysis was used to interpret the data, from which three thematic nuclei emerged. The results revealed that the adolescents understand the complex interaction between individual predisposition and health vulnerability, as well as the issues related to social structure, which contributes to strengthening the concept of vulnerability based on individual, social and programmatic logic. It was established that public policies, prevention and care provided during adolescence should not be guided by a single reference point, but instead by the plurality of the adolescent individuals concerning vulnerability in their dimensions, which should be acknowledged in order to break with the idea of the universality of the process of becoming an adolescent. PMID:24863838
Liliana Cristina Morales
Full Text Available Introduction: Terminal renal failure affects all aspects of the person’s life. The impact of this illness during the adolescence is quite dramatic since the adolescent must overcome the demands from the developmental stage and the illness situation. Knowledge about the illness impact on the adolescents´life is scarce; as a contribution to increasing this knowledge, a study was done to describe the lived experiences of adolescents in dialysis. Methodology: The study is qualitative; the methodological strategy used was interpretive phenomenolgy based on Heidegger´s phylosophy. Findings: Adolescents in dialysis experienced losses in their everyday life, especially as students; they also experienced loss of their independence, their previous body image and their desirable body image. The imposed and rigid timetables for the pharmacological treatment and dialysis procedure, the dialysis catheter and the diet restrictions are the main causes of their losses. Peer relationships deteriorated due to the social isolation the adolescents imposed on themselves as a way to cope with the losses. Renal transplant is perceived as a mean to recover all they have lost. Conclusion: Knowledge generated by this study would contribute to provide health care more congruent with the adolescents’ everyday needs.
Full Text Available Aim: This study aims to determine the relationship between Health Behavior and Health Locus of Control among 1270 adolescents (Boys N = 635 and Girls = 635 who were drawn from Bangalore rural and urban district government high schools (mean age 13.76 years. Methodology: The Global School based Health survey (WHO, 2004 and Multidimensional Health Locus of Control by Wallston and Wallston, questionnaires were used to assess health locus of control and health behavior respectively. The data obtained was subjected to statistical analysis using Pearson’s product moment correlation methods to examine the relationship between these variables. Results and Interpretation: Findings revealed that total health behavior score of adolescents is significantly correlated with ‘internal’ and ‘powerful others’ dimensions of health locus of control. Further, the ‘chance factor’ of health locus of control did not show any significant relationship with the total health behavior score. From this it can be inferred that adolescents with high inclinations towards ‘internal health locus of control’ and ‘powerful others’ have healthier dimensions of positive behaviors. Findings have also revealed that health behavior is not significantly correlated with the beliefs that ‘health is a function of chance/luck’.
de Graaf, J.C.
Although sexual development is a lifelong process, it is especially striking during adolescence. This dissertation contains one literature review and three empirical studies. It provides insight into sexual trajectories and its correlates, associations between parenting and a broad range of sexual h
Ruhi Selcuk TABAK
Full Text Available Main objective of this study is to investigate the relationships between health locus of control perceptions and health behaviours of adolescents as well as the effectiveness of lectures on health locus of control to them. The subjects of our study are 192 students in 6 groups of the 9. Grade students of a high school. Three groups of 108 students were randomly selected as the experiment group who were subjected to 4 class-hours specific lectures on health locus of control. The rest 84 students constituted the control group. A 34-item questionnaire for health behaviours and the Multidimensional Health Locus of Control Scale (MHLOC, were filled by the students before and after the lectures. The lectures on health locus of control increased the perception of internal health locus of control of adolescents while decreasing chance health locus of control. The differences between experiment and control groups in this aspect were found to be statistically significant. Internal health locus of control is the main source for the increase of responsibility and management of individuals on their health. The relations that were detected between students health behaviours and information solicitation and their perceptions of health locus of control showed that the students with higher internal health locus of control are more eager to be responsible and active for their health, especially, for the health behaviours such as physical exercise, smoking, tooth-brushing, medical check-ups so on. [TAF Prev Med Bull 2006; 5(2.000: 118-130
Full Text Available Abstract Background Experiencing or being at risk of adverse reactions to certain food items is a common health issue, especially among children and adolescents. Research has shown that living with the risk of food reactions and always having to take measures to avoid certain food in one's diet has a negative impact on quality of life. The aim of this study was to illuminate adolescents' experiences of being food hypersensitive. Methods Three focus group interviews and six individual interviews were carried out with all together 17 adolescents, 14–18 years of age, who had exclusion diets at school due to food hypersensitivity. The interviews were taped and transcribed verbatim and a qualitative content analysis was carried out. Results Five categories with subcategories, and one pervading theme, emerged. The categories were: Perceiving oneself as being particular, Feeling constrained, Experiencing others' ignorance, Keeping control, and Feeling it's okay. A pervading theme was conceptualised as Striving to normalise the experience of being food-hypersensitive. The adolescents regarded themselves as competent and courageous, but also described how they avoided the extra attention it implied to ask for special food considerations taken into account. Their self-conceptions were probably essential for their management of and attitude toward the hypersensitivity condition. They felt deprived, and those at risk of severe food reactions experienced insecurity and fear. Feelings of being disregarded were expressed, as well as facing unreliability and a lack of understanding from others. The continual work of constant vigilance and decision-making was described as time-consuming and frustrating. However, the adolescents also experienced considerate and supportive surroundings and were at pains to tone down the negative experiences and consequences of being food-hypersensitive. Conclusion Food avoidance by itself, and not only the somatic food reactions
Vicki A Nejtek
Full Text Available Vicki A Nejtek, Sarah Hardy, Scott WinterUniversity of North Texas Health Science Center, Fort Worth, TX, USAAbstract: The leading cause of suicide ideation, attempts, and completion in adolescents is persistent and unresolved parental conflict. National statistics show extremely high rates of childhood neglect and abuse are perpetrated most often by single mothers. Psychiatric disorders arising from maternal–child dysfunction are well-documented. However, resources to prevent offspring victimization are lacking. Here, we report maternal neglect of a 15-year-old male brought to the psychiatric emergency room for suicidal ideation. An inpatient treatment plan including pharmacotherapy, family therapy and psychological testing was initiated. The patient’s mother failed to attend clinic appointments or family therapy sessions. Clinician attempts to engage the mother in the treatment plan was met with verbal assaults, aggression, and threatening behavior. The patient decompensated in relation to the mother’s actions. Child Protective Services were contacted and a follow-up assessment with the patient and mother is pending. Psychiatric treatment of the mother may be a necessary intervention and prevention regimen for both the adolescent and the mother. Without consistent Child Protective Services oversight, medical and psychosocial follow-up, the prognosis and quality of life for this adolescent is considered very poor. Stringent mental health law and institutional policies are needed to adequately intercede and protect adolescents with mental illness.Keywords: adolescent, suicide, maternal treatment noncompliance, maternal neglect
Beop-Rae Roh; Yoewon Yoon; Ahye Kwon; Seunga Oh; Soyoung Irene Lee; Kyunghee Ha; Yun Mi Shin; Jungeun Song; Eun Jin Park; Heejung Yoo; Hyun Ju Hong
Objective This study had two main goals: to examine the structure of co-occurring peer bullying experiences among adolescents in South Korea from the perspective of victims and to determine the effects of bullying on suicidal behavior, including suicidal ideation and suicide attempts, among adolescents. Method This study used data gathered from 4,410 treatment-seeking adolescents at their initial visits to 31 local mental health centers in Gyeonggi Province, South Korea. The structure of peer...
Pichini, Amanda; Shuman, Cheryl; Sappleton, Karen; Kaufman, Miriam; Chitayat, David; Babul-Hirji, Riyana
Adolescence is a complex period of development that involves creating a sense of identity, autonomy, relationships and values. This stage of adjustment can be complicated by having a genetic condition. Genetic counseling can play an important role in providing information and support to this patient population; however, resources and guidelines are currently limited. In order to appropriately establish genetic counseling approaches and resource development, we investigated the experiences and perspectives of adolescents with a genetic condition with respect to their genetic counseling interactions. Using a qualitative exploratory approach, eleven semi-structured interviews were conducted with adolescents diagnosed with a genetic condition who received genetic counseling between the ages of 12 and 18 years at The Hospital for Sick Children. Transcripts were analyzed thematically using qualitative content analysis, from which three major interrelated themes emerged: 1) understanding the genetic counselor's role; 2) increasing perceived personal control; and 3) adolescent-specific factors influencing adaptation to one's condition. Additionally, a list of suggested tools and strategies for genetic counseling practice were elucidated. Our findings can contribute to the development of an adolescent-focused framework to enhance emerging genetic counseling approaches for this patient population, and can also facilitate the transition process from pediatric to adult care within patient and family-centered contexts. PMID:26573304
Jacobs, Myrthe; Downie, Helen; Kidd, Gill; Fitzsimmons, Lorna; Gibbs, Susie; Melville, Craig
Background: Children and young people with learning disabilities experience high rates of mental health problems. Methods: The present study reviewed the literature on mental health services for children with learning disabilities, to identify known models of service provision and what has been experienced as effective or challenging in providing…
Selkie, Ellen M.; Benson, Meghan; Moreno, Megan
Background: Adolescents frequently report barriers to obtaining sexual health education. Purpose: The purpose of this study was to determine adolescents' views regarding how new technologies could be used for sexual health education. Methods: Focus group interviews were conducted with a purposeful sample of adolescents between 14 and 19 years old.…
Farideh K Abadi Farahani; Siamak Alikhani; Mohammad Reza Mohammadi; Alireza Bahonar
Objective: Parents are believed to be among the most influential adults who have a deterministic role in the success of interventional programs on adolescents' reproductive health. The aim of this study is to describe parents' perceptions and attitudes towards adolescent reproductive needs, experiences and associated factors. Method: A population-based study of 539 parents of adolescent boys, aged 15-18 in Tehran was conducted using a self-administered questionnaire. bivariate and m...
Dolgun, Gülümser; İnal, Sevil; Uğurlu, Figen
Nurses have an indispensable role in maintenance and promotion of adolescens rsquo; health Nurses must know the basic principles of appropriate approach to adolescents should be able to guide the adolescent and family in the promotion and maintenance of health In this article general observation principles of adolescent and family the appropriate nursing approach to the major adolescent health issues how to evaluate gathered data about adolescent rsquo;s such as nutrition physical activity me...
Rosengard, Cynthia; Tannis, Candace; Dove, David C.; van den Berg, Jacob J.; Lopez, Rosalie; Stein, L. A. R.; Morrow, Kathleen M.
Background: Sources of sexual health information exert strong influence on adolescents' sexual behavior. Purpose: The current study was undertaken to understand how family serve as sexual information sources, the messages adolescents recall from family, and how family learning experiences affect sexual behavior among at-risk adolescents. Methods:…
Background: Emotional health problems are widespread among adolescents. The Health Behavior in School aged Children (HBSC) survey from 2010 of 11-15-year-olds' health and well-being show that 21% of girls and 16% of boys experience at least one emotional problem every day. Adolescents´ mental...... health is an important public health issue and a goal in itself. Further, mental health and competencies in adolescence track into adulthood. Emotional health problems seem to be socially patterned as the prevalence of problems is approximately twice as high in lower compared to higher social classes but...... these inequalities are still vaguely documented among adolescents. Further, little research exist about the social patterning of social and personal competencies but some studies suggest that socioeconomic status is connected to the development of different aspects of competencies. Objectives: This...
Kackar, Hayal Z.; Shumow, Lee; Schmidt, Jennifer A.; Grzetich, Janel
Extant data collected through the Experience Sampling Method were analyzed to describe adolescents' subjective experiences of homework. Analyses explored age and gender differences in the time adolescents spend doing homework, and the situational variations (location and companions) in adolescents' reported concentration, effort, interest,…
Giannakopoulos, George; Tzavara, Chara; Dimitrakaki, Christine; Ravens-Sieberer, Ulrike; Tountas, Yannis
The frequency of health care use is crucial for adolescent well-being and health systems. The present study was the first to test a set of variables in a representative sample of Greek adolescents in order to identify factors that predict health care use and contribute to improving health service planning. Questionnaires were administered to a…
Gilman, Rich; Carter-Sowell, Adrienne; Dewall, C Nathan; Adams, Ryan E; Carboni, Inga
This study validates a new self-report measure, the Ostracism Experience Scale for Adolescents (OES-A). Nineteen items were tested on a sample of 876 high school seniors to assess 2 of the most common ostracism experiences: being actively excluded from the peer group and being largely ignored by others. Exploratory and confirmatory factor analyses, bivariate correlations, and hierarchical regression provided support for the construct validity of the measure. The findings provided psychometric support for the OES-A, which could be used in research into the nature and correlates of social ostracism among older adolescents when a brief self-report measure is needed. Further, the OES-A may help determine how social ostracism subtypes differentially predict health-compromising behaviors later in development, as well as factors that protect against the most pernicious effects of ostracism. PMID:23205625
Vicki A Nejtek; Sarah Hardy; Scott Winter
Vicki A Nejtek, Sarah Hardy, Scott WinterUniversity of North Texas Health Science Center, Fort Worth, TX, USAAbstract: The leading cause of suicide ideation, attempts, and completion in adolescents is persistent and unresolved parental conflict. National statistics show extremely high rates of childhood neglect and abuse are perpetrated most often by single mothers. Psychiatric disorders arising from maternal–child dysfunction are well-documented. However, resources to prevent offsp...
Řehulková, Oliva; Řehulka, Evžen
St. Peterburg: Peterburgskaja Akademia postdiplomovo pedagogičeskogo obrazovania, 2006, s. 101-103. [Care of educational institutions about children health. St. Peterburg (RU), 28.06.2006-30.06.2006] R&D Projects: GA AV ČR(CZ) IAA7025403 Institutional research plan: CEZ:AV0Z70250504 Keywords : Quality of life * adolescence * well-being Subject RIV: AN - Psychology
Michele B. Diniz
Full Text Available Obesity is a chronic disease characterized by excess body fat, which can lead to other health problems, including insulin resistance, non-alcoholic fatty liver disease, polycystic ovary syndrome, hypertension, dyslipidemia, sleep apnea, asthma, heart attack, stroke, atherosclerosis and metabolic syndrome. Currently, obesity and dental caries are major public health concerns and dietary habits are a very important common component of their etiological factors, showing some correlation with the sociodemographic characteristics of individuals presenting these diseases. In relation to caries experience, the literature suggests a correlation between obesity and dental caries in children and adolescents, in primary and/or permanent dentition, though divergent results exist regarding assessment based on the method recommended by the WHO (1997, i.e., restricted to carious lesions with cavitation. Some studies indicate greater prevalence of proximal carious lesions in obese adolescents compared with those with normal weight. Salivary changes, such as the concentrations of phosphate, sialic acid, proteins and immunoglobulins and in peroxidase activity could explain the increased probability of obese children presenting greater risk of dental caries. Thus, it is important to consider the contribution of salivary parameters in caries experience of overweight children and adolescents and the implementation of preventive measures in this population.
Hansen, Claus D.; Andersen, Johan Hviid
school performance and subsequent educational achievements. The aim of this study was to examine the impact of health measures on school performance at the end of compulsory school (9 years of school). Methods Information from a birth cohort study of adolescents born in 1989 (n = 3058) living in...... depressive symptoms. If parents report health problems for the participant between ages 7 and 14, grades decrease with 0.89 (95% CI 0.44 to 1.32). Conclusions Frequent headache, perceived stress and depressive symptoms contributes to lower grades at the end of compulsory school, thereby indicating that...
Shrestha Niranjan; Prasad Paneru Damaru; Jnawali Kalpana
BACKGROUND: Adolescent (10–19 years) is a transition of age during which hazardous sexual health behaviors may be adopted; increasing vulnerability to several kinds of behavioral disorders like drug use, unsafe sexual act leading to reproductive ill health. Objective of the study was to assess sexual health behaviors of adolescents in Pokhara, Nepal. METHODS: An institution based cross-sectional study was conducted among 15–19 years adolescents studying in grades 11 and 12. Probability ...
Charisse L Nixon Pennsylvania State University, the Behrend College, Erie, PA, USA Abstract: Cyberbullying has become an international public health concern among adolescents, and as such, it deserves further study. This paper reviews the current literature related to the effects of cyberbullying on adolescent health across multiple studies worldwide and provides directions for future research. A review of the evidence suggests that cyberbullying poses a threat to adolescents' health...
Ramos, Mary M.; Greenberg, Cynthia; Sapien, Robert; Bauer-Creegan, Judith; Hine, Beverly; Geary, Cathy
Background: As members of interdisciplinary teams, school nurses provide behavioral health services. Studies indicate that school nurses may lack sufficient continuing education in adolescent behavioral health and in the management of behavioral health emergencies, specifically. We conducted this study to describe the adolescent behavioral health…
Yarger, Jennifer; Decker, Mara; Brindis, Claire; Cortez, Rafael; Quinlan-Davidson, Meaghen
Adolescent sexual and reproductive health (ASRH) is one of five areas of focus of the World Banks reproductive health action plan (RHAP) 2010-2015, which recognizes the importance of addressing ASRH as a development issue with important implications for poverty reduction. Delaying childbearing and preventing unintended pregnancies during adolescence has been shown to improve health outcome...
Yarger, Jennifer; Lara, Diana; Decker, Mara; Brindis, Claire
Adolescent Sexual and Reproductive Health (ASRH) is one of five areas of focus of the World Banks Reproductive Health Action Plan 2010 - 2015 (RHAP), which recognizes the importance of addressing ASRH as a development issue with important implications for poverty reduction. Delaying childbearing and preventing unplanned pregnancies during adolescence has been shown to improve health outcom...
Pennington, Nicole; Johnson, Molly; Delaney, Elizabeth; Blankenship, Mary Beth
A new hazard for adolescents is the negative health effects of energy drink consumption. Adolescents are consuming these types of drinks at an alarming amount and rate. Specific effects that have been reported by adolescents include jitteriness, nervousness, dizziness, the inability to focus, difficulty concentrating, gastrointestinal upset, and…
Dwairy, Marwan; Menshar, Kariman E.
Three questionnaires that measure parenting style, adolescent-family connectedness, and mental health were administered to 351 Egyptian adolescents. Results show that in rural communities the authoritarian style is more predominant in the parenting of male adolescents, while the authoritative style is more predominant in the parenting of female…
Banspach, Stephen; Zaza, Stephanie; Dittus, Patricia; Michael, Shannon; Brindis, Claire D; Thorpe, Phoebe
Approximately 42 million adolescents aged 10-19 years, representing 13% of the population, resided in the United States in 2014 (1). Adolescence is characterized by rapid and profound physical, intellectual, emotional, and psychological changes (2), as well as development of healthy or risky behaviors that can last a lifetime. Parents have strong influence on their adolescent children's lives, and family-based programs can help parents support healthy adolescent development. Because schools are natural learning environments, implementing and improving school-based policies and programs are strategic ways to reinforce healthy behaviors and educate adolescents about reducing risky behaviors. Health care during adolescence should be tailored to meet the changing developmental needs of the adolescent while providing welcoming, safe, and confidential care. Parents, educators, care providers, public health officials, and communities should collaborate in fostering healthy environments for all adolescents, now and into the future. PMID:27491062
Sophía González Zúñiga
Full Text Available Introduction. Adolescence is considered a vulnerable stage on all people’s life. Within the health system, this population is characterized by a low coverage exclusively aimed at finding the problems, which requires more specialization. This article aims to present the situational diagnosis of a group of teenagers in the intermediate stage in order to further develop a program of Pediatric Nursing care for the adolescent in the intermediate stage, in an institution of secondary education for the years 2013-2014.Method. The implemented methodology is qualitative with a constructivist epistemological approach; triangulating the information gathered performed data analysis.Results. Among the main findings of the diagnostic phase was obtained teenagers prioritized issues such as the phenomenon of drugs and situations related to sexuality; also describe their experience along this stage of life, the changes that occurred, and interaction with peers and family, information necessary for a pediatric nurse practitioner intervene appropriately. The main findings on the diagnose phase show that adolescents prioritized issues like drugs and situations related to sexuality. They also describe their experience through this life stage, all the changes occurred and the interaction with partners and family.Conclusion. The study reveals that it is essential to establish a first contact with the adolescent to identify all their needs in an integral form, and to give them the opportunity to propose possible solutions. Being continuously in contact stimulates the development of empathy in order to obtain a greater openness from the individual to the nurse-practitioner as an accompaniment figure throughout their adolescence.
Jyoti S. Ghongdemath; Ashwini Sidhmalswamy; Mallapur, Ashalata A; Shindholimath, Vishwanath V
Background: Adolescence is a transitional phase linking childhood to adulthood. Among adolescents, girls are especially vulnerable and more susceptible biologically to reproductive tract infections. In rural India, health education given to these girls, builds knowledge, motivates them to improve and maintain their health, prevent disease and reduce risky behaviors. This study aims to evaluate the impact of adolescent health education on these rural teenage girls. Methods: This is a schoo...
Rice, Frances; Lifford, Kate J.; Thomas, Hollie V.; Thapar, Anita
Objective: To assess the value of maternal and self-ratings of adolescent depression by investigating the extent to which these reports predicted a range of mental health and functional outcomes 4 years later. The potential influence of mother's own depressed mood on her ratings of adolescent depression and suicidal ideation on adolescent outcome…
Rees, Clare S; Smith, Anne J; O'Sullivan, Peter B; Kendall, Garth E; Straker, Leon M
Background There is a high prevalence of mental health problems amongst adolescents. In addition there is a high prevalence of spinal pain in this population. Evidence suggests that these conditions are related. This study sought to extend earlier findings by examining the relationship between mental health problems as measured by the Child Behaviour Check List (CBCL) and the experience of back and neck pain in adolescents. Methods One thousand five hundred and eighty participants (mean age 1...
Full Text Available Adolescence is the period of physical and psychological development from the onset of puberty to maturity. The World Health Organization defines an adolescent as a person between ages 10 and 19 years. A dramatic shift in thinking from concrete to abstract gives adolescents a whole new set of mental tools, to analyze situations logically in terms of cause and effect, appreciate hypothetical situations, evaluate alternatives, introspection, decision making and cognitive abilities. Adolescents experience intense physical, psychological changes as they make transition from childhood to adulthood. This period of transition is the most vulnerable time. Adolescents are at risk of developing behavioral problems like school failure and drop outs, substance abuse, delinquency and violence, sexually transmitted diseases, unwanted pregnancies, domestic violence, stress and depression and risk-taking behaviour. It is the responsibility of the society to utilize this period constructively through education, counseling, mass media, awareness programmes and address the reproductive health needs of adolescents. The present study analyzes the psychosocial risk status and knowledge of reproductive health in adolescents in Raipur city. The study recommends implementation of provisions by government to provide continuous education and economic security for adolescents. Programmes like age-appropriate reproductive health curriculum should be introduced in schools and colleges with counseling facilities at school and primary health care levels.
Vernon, Lynette; Barber, Bonnie L; Modecki, Kathryn L
An important developmental task for adolescents is to become increasingly responsible for their own health behaviors. Establishing healthy sleep routines and controlling media use before bedtime are important for adequate, quality sleep so adolescents are alert during the day and perform well at school. Despite the prevalence of adolescent social media use and the large percentage of computers and cell phones in adolescents' bedrooms, no studies to date have investigated the link between problematic adolescent investment in social networking, their sleep practices, and associated experiences at school. A sample of 1,886 students in Australia aged between 12 and 18 years of age completed self-report data on problematic social networking use, sleep disturbances, sleep quality, and school satisfaction. Structural equation modeling (SEM) substantiated the serial mediation hypothesis: for adolescents, problematic social networking use significantly increased sleep disturbances, which adversely affected perceptions of sleep quality that, in turn, lowered adolescents' appraisals of their school satisfaction. This significant pattern was largely driven by the indirect effect of sleep disturbances. These findings suggest that adolescents are vulnerable to negative consequences from social networking use. Specifically, problematic social networking is associated with poor school experiences, which result from poor sleep habits. Promoting better sleep routines by minimizing sleep disturbances from social media use could improve school experiences for adolescents with enhanced emotional engagement and improved subjective well-being. PMID:26167837
Dow, Dorothy E; Turner, Elizabeth L; Shayo, Aisa M; Mmbaga, Blandina; Cunningham, Coleen K; O'Donnell, Karen
AIDS-related mortality among HIV-positive adolescents has risen by 50% despite the scale up of antiretroviral therapy (ART). ART maladherence likely plays a role in the increase of AIDS-related deaths among adolescents and has shown to be associated with psychosocial and mental health difficulties. Addressing the specific mental health needs of HIV-positive adolescents is critical to ending the HIV epidemic. This cross-sectional study prospectively enrolled HIV-positive adolescents (12-24 years) in Moshi, Tanzania. A structured questionnaire was administered that included questions about home, school, adherence, and measures of stigma (Berger Stigma Scale) and mental health. Mental health measures included depression (Patient Health Questionnaire-9), emotional/behavioral difficulties (Strengths and Difficulties Questionnaire), and traumatic experiences/post-traumatic stress symptoms (The University of California Los Angeles-post-traumatic stress disorder-Reaction Index). Mental health difficulties were prevalent among HIV-positive adolescents and were associated with incomplete adherence and stigma. Resources are needed to reduce HIV stigma and address mental health among HIV-positive adolescents in low-resource settings. This will improve not only mental health, but may also improve ART adherence and virologic suppression, improving overall health of the individual and reducing the risk of HIV transmission to others. PMID:26837437
Carlos Roberto Silveira Correa
Full Text Available Objective: To present epidemiological data on adolescents oral health, collected by Community Health Agents (CHA using Community Oral Health Indicator (COHI in a city of Ceará State, Brazil. Methods: Cross-sectional study conducted in Guaiúba-CE from July, 2007 to February, 2008. Community health agents collected data using the COHI. The COHI evaluates the masticatory capacity (number of teeth; the need of restorative care (dental cavities and residual roots; presence of soft tissue injury; use and need of dental prosthesis. It allows giving priority care to the patients with greater needs by means of a list of signs related to oral health problems. A total of 743 adolescents were examined. Results: adolescents had 26.14 ± 3.61 teeth on average; 129 (17.4% did not present cavities, 301 (40.5% had one or two, 223 (30.0%, had three or more; 110 (14.8% presented residual root, 121 (25.7% tartar, 74 (10.0% sore gums, 15 (2.0% oral tissues injuries; 49 (6.6% required prosthesis; 694 (93.4% used toothbrush; and 281 (51.3% had visited the dentist last year. It was detected an association between visit to the dentist in the last year and gender (p = 0, 0001, and between age below 12 and having three or more cavities (p = 0.023. Conclusion: Collected data demonstrated low oral health indicators among teenagers. It was noted that those aged under 12 present oral health indicators worse than the older ones, which demands public policies concerning such reality. Data suggests that COHI is suitable for epidemiological surveys.
Childhood and adolescent mental health is a major public health concern. Childhood behavioral problems and low self-esteem can predispose children to future depression. Mental health issues often emerge in adolescence making examination of potential early modifiable risk factors for these three mental health indicators crucial. Potential risk factors for mental health issues often reflect findings from Western settings where confounding by low socioeconomic position may occur, making it diffi...
Good health is an important prerequisite to a good quality of life. Good or bad health orginates from biological factors, factors in the environ ment (e.g. housing conditions), health care provision, and lifestyle. Th e health status of Flemish school aged children and adolescents has sign ificant links with energy balance behaviours (eating and physical exerci se), substance use behaviours and safety practices. In order to foster g ood health, it must be known why adolescents behave the way ...
Petanidou Dimitra; Giannakopoulos George; Tzavara Chara; Dimitrakaki Christine; Ravens-Sieberer Ulricke; Kolaitis Gerasimos; Tountas Yannis
Abstract Background Experience of common health symptoms without a clear physical or psychological cause, such as headache or dizziness, is often reported in adolescence. The present study attempted to investigate associations of self-reported subjective health complaints (SHC) with a number of sociodemographic factors of Greek adolescents. Methods Questionnaires were administered to a Greek nationwide random school-based sample of adolescents aged 12 to 18 years and their parents in 2003. Da...
Geckova, A.M.; van Dijk, J.P.; Zezula, I.; Tuinstra, J.; Groothoff, J.W.; Post, Doeke
Objectives: To explore socio-economic health differences among Slovak adolescents. Methods: Socio-economic differences in health (psychological health: GHQ-12, vitality and mental health scale of RAND, experienced health complaints, chronic illness, use of medicines, self-reported health, self-perce
Austin, S B; Rich, M
Marketplace practices are integral to the larger economic and social context of adolescent health risk behaviors. To corporations and marketers, adolescents represent a gold mine of current and future profits. Adolescent incomes increased by almost a third in the 1990s. The annual spending of the U.S. adolescent population is estimated now to have reached 155 billion US dollars. The sheer size of the adolescent population and its spending power are of keen interest to corporations and marketers. This chapter presents a brief history of youth-targeted marketing and examines the major avenues in the media and inside schools that marketers and corporations use today to reach adolescents with their messages and products. It outlines the impact of consumerism and marketing on adolescent health using five case examples: tobacco, alcohol, cosmetic surgery, laxatives, and diet pills. It then concludes with a discussion of resistance efforts, led by health advocates, policy makers, parents, and youth themselves to restrict sales of harmful products to youth and curtail advertisers' access to adolescents in schools. A critical role for adolescent health researchers and advocates is to contribute a public health perspective into ongoing debates over regulating business practices that negatively affect the health of young people. PMID:11602442
Hall-Lande, Jennifer A.; Eisenberg, Marla E.; Christenson, Sandra L.; Neumark-Sztainer, Dianne
This study investigates the relationships among social isolation, psychological health, and protective factors in adolescents. Feelings of social isolation may influence psychological health in adolescents, but protective factors such as family connectedness, school connectedness, and academic achievement may also play a key role. The sample…
Hawkins, Robert P.; And Others
The Body Awareness Resource Network (BARN) is a system of interactive computer programs designed to provide adolescents with confidential, nonjudgmental health information, behavior change strategies, and sources of referral. These programs cover five adolescent health areas: alcohol and other drugs, human sexuality, smoking prevention and…
Rose, Theda; Joe, Sean; Shields, Joseph; Caldwell, Cleopatra H.
The influence of family, school, and religious social contexts on the mental health of Black adolescents has been understudied. This study used Durkheim's social integration theory to examine these associations in a nationally representative sample of 1,170 Black adolescents, ages 13-17. Mental health was represented by positive and negative…
Elfers, John; Carlton, Lidia; Gibson, Paul; Puffer, Maryjane; Smith, Sharla; Todd, Kay
The Adolescent Sexual Health Work Group commissioned the development of core competencies that define the knowledge, skills, and attitudes necessary for all providers of adolescent sexual and reproductive health. This article describes the background and rationale for this set of competencies, the history and use of competencies, and the process…
Meynard, Anne; Rutishauser, Christoph; Thomi, Mirjam; Stronski Huwiler, Suzanne M
Swiss adolescents generally enjoy satisfying life conditions. Nonetheless, violence, suicide and mental health are the main concerns together with injuries, chronic conditions and eating disorders. Adolescents still face barriers to access the care they need. Adequate training can improve practitioners' skills when dealing with adolescents. The last two decades have seen the development of innovative adolescent health units and networks in various regions of Switzerland as well as research and public health programmes. Training programmes in adolescent health (continuous medical education, post-graduate or pre-graduate) for physicians and nurses are developing but still patchy in Switzerland. Adolescent health is not a sub-specialty as such. Efforts have to be made in order to link with professional associations and institutions to implement adolescent health curricula more efficiently. PMID:26124048
Full Text Available Nikolas Aho, Marie Proczkowska Björklund, Carl Göran Svedin Division of Child and Adolescent Psychiatry, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden Abstract: The main objective of this article was to study the relationship between the different areas of victimization (eg, sexual victimization and psychological symptoms, taking into account the full range of victimization domains. The final aim was to contribute further evidence regarding the bias that studies that focus on just one area of victimization may be introduced into our psychological knowledge. The sample included 5,960 second-year high school students in Sweden with a mean age of 17.3 years (range =16–20 years, standard deviation =0.652, of which 49.6% were females and 50.4% males. The Juvenile Victimization Questionnaire and the Trauma Symptom Checklist for Children were used to assess victimization and psychological problems separately. The results show that a majority of adolescents have been victimized, females reported more total events and more sexual victimization and childhood maltreatment, and males were more often victims of conventional crime. The majority of victimization domains as well as the sheer number of events (polyvictimization [PV] proved to be harmful to adolescent health, affecting females more than males. PV explained part of the health effect and had an impact on its own and in relation to each domain. This suggests the possibility that PV to a large degree explains trauma symptoms. In order to understand the psychological effects of trauma, clinicians and researchers should take into account the whole range of possible types of victimization. Keywords: victimization, childhood trauma, psychological symptoms, JVQ, TSCC
Smith, Scott R; Kushalnagar, Poorna; Hauser, Peter C
Deaf individuals have more cardiovascular risks than the general population that are believed to be related to their cardiovascular health knowledge disparities. This phenomenological study describes where 20 deaf sign language-using adolescents from Rochester, New York, many who possess many positive characteristics to support their health literacy, learn cardiovascular health information and their lived experiences accessing health information. The goal is to ultimately use this information to improve the delivery of cardiovascular health education to this population and other deaf adolescents at a higher risk for weak health literacy. Deaf bilingual researchers interviewed deaf adolescents, transcribed and coded the data, and described the findings. Five major sources of cardiovascular health information were identified including family, health education teachers, healthcare providers, printed materials, and informal sources. Despite possessing advantageous characteristics contributing to stronger health literacy, study participants described significant challenges with accessing health information from each source. They also demonstrated inconsistencies in their cardiovascular health knowledge, especially regarding heart attack, stroke, and cholesterol. These findings suggest a great need for additional public funding to research deaf adolescents' informal health-related learning, develop accessible and culturally appropriate health surveys and health education programming, improve interpreter education, and disseminate information through social media. PMID:26048900
really relate to the diseases, and it is therefore difficult for them to actively affect the different determinants. The adolescents feel that a lot of information and teaching is being directed towards them. They face an abundance of communication about health and information directed at their presumed...... risk-behaviour. They often experience saturation and lose both interest and focus. They reject patronizing or negative knowledge and generally express a desire to know more about the things that make life fun and positive. They feel that the knowledge directed at them must be more concrete and...
Conclusions: The predominant health concern for which the adolescent girls seek consultation in hospital is menstrual irregularity besides dysmenorrhea and white discharge. Many of these issues can be addressed in adolescent school health education programs and may help alleviate the anxiety of young girls. [Int J Reprod Contracept Obstet Gynecol 2015; 4(6.000: 1700-1703
Aho, Nikolas; Proczkowska-Björklund, Marie; Svedin, Carl Göran
The main objective of this article was to study the relationship between the different areas of victimization (eg, sexual victimization) and psychological symptoms, taking into account the full range of victimization domains. The final aim was to contribute further evidence regarding the bias that studies that focus on just one area of victimization may be introduced into our psychological knowledge. The sample included 5,960 second-year high school students in Sweden with a mean age of 17.3 years (range =16-20 years, standard deviation =0.652), of which 49.6% were females and 50.4% males. The Juvenile Victimization Questionnaire and the Trauma Symptom Checklist for Children were used to assess victimization and psychological problems separately. The results show that a majority of adolescents have been victimized, females reported more total events and more sexual victimization and childhood maltreatment, and males were more often victims of conventional crime. The majority of victimization domains as well as the sheer number of events (polyvictimization [PV]) proved to be harmful to adolescent health, affecting females more than males. PV explained part of the health effect and had an impact on its own and in relation to each domain. This suggests the possibility that PV to a large degree explains trauma symptoms. In order to understand the psychological effects of trauma, clinicians and researchers should take into account the whole range of possible types of victimization. PMID:27616895
Full Text Available Charisse L Nixon Pennsylvania State University, the Behrend College, Erie, PA, USA Abstract: Cyberbullying has become an international public health concern among adolescents, and as such, it deserves further study. This paper reviews the current literature related to the effects of cyberbullying on adolescent health across multiple studies worldwide and provides directions for future research. A review of the evidence suggests that cyberbullying poses a threat to adolescents' health and well-being. A plethora of correlational studies have demonstrated a cogent relationship between adolescents' involvement in cyberbullying and negative health indices. Adolescents who are targeted via cyberbullying report increased depressive affect, anxiety, loneliness, suicidal behavior, and somatic symptoms. Perpetrators of cyberbullying are more likely to report increased substance use, aggression, and delinquent behaviors. Mediating/moderating processes have been found to influence the relationship between cyberbullying and adolescent health. More longitudinal work is needed to increase our understanding of the effects of cyberbullying on adolescent health over time. Prevention and intervention efforts related to reducing cyberbullying and its associated harms are discussed. Keywords: cyberbullying, adolescent health, prevention, intervention
Ghaddar, Suad F.; Valerio, Melissa A.; Garcia, Carolyn M.; Hansen, Lucy
Background: Little research has examined adolescent health literacy and its relationship with online health information sources. The purpose of this study is to explore health literacy among a predominantly Hispanic adolescent population and to investigate whether exposure to a credible source of online health information, MedlinePlus[R], is…
Gonçalves, Érica M; Cavalcanti, Laysa C; Firmino, Ramon T; Ribeiro, Gustavo L; Granville-Garcia, Ana F; Menezes, Valdenice A
Investigations into the oral health status of indigenous populations are scarce. The aim of this study was to evaluate caries experience and associated factors among 342 indigenous children and adolescents aged 5-15 years of the Xukuru community in the municipality of Pesqueira, Brazil. A cross-sectional census study was carried out using the criteria of the World Health Organization to determine caries experience. Examinations were performed by two calibrated dentists and a questionnaire was administered to parents/caregivers addressing socio-demographic data, diet and oral hygiene habits. Logistic regression analysis were performed, with dmft and DMFT as the dependent variables (P Caries experience (dmft/DMFT) was high in both the primary and permanent dentition (75.6% and 62.9%, respectively). Mean dmft and DMFT indices were 3.11 and 2.21, respectively. Caries experience in the primary dentition was associated with children residing in villages far from urban areas (P = 0.016), while caries in the permanent dentition was associated with older children (P caries experience, which was associated with age and group of villages. Public policies are needed to improve the oral health status of this population. PMID:26062861
Jackson, Margot I
The educational and economic consequences of poor health during childhood and adolescence have become increasingly clear, with a resurgence of evidence leading researchers to reconsider the potentially significant contribution of early-life health to population welfare both within and across generations. Meaningful relationships between early-life health and educational attainment raise important questions about how health may influence educational success in young adulthood and beyond, as well as for whom its influence is strongest. Using data from the National Longitudinal Survey of Youth 1997, I examine how adolescents'health and social status act together to create educational disparities in young adulthood, focusing on two questions in particular. First, does the link between adolescent health and educational attainment vary across socioeconomic and racial/ethnic groups? Second, what academic factors explain the connection between adolescent health and educational attainment? The findings suggest that poorer health in adolescence is strongly negatively related to educational attainment, net of both observed confounders and unobserved, time-invariant characteristics within households. The reduction in attainment is particularly large for non-Hispanic white adolescents, suggesting that the negative educational consequences of poor health are not limited to only the most socially disadvantaged adolescents. Finally, I find that the link between adolescent health and educational attainment is explained by academic factors related to educational participation and, most importantly, academic performance, rather than by reduced educational expectations. These findings add complexity to our understanding of how the educational consequences of poor health apply across the social hierarchy, as well as why poor health may lead adolescents to complete less schooling. PMID:20084824
Background: Anorexia Nervosa is mental health problem which crosses both psychological and physical realms. It is also known to be a difficulty that often arises in adolescence. Unfortunately its prognosis is not favourable with elevated rates of chronicity and a higher mortality rate than any other psychiatric disorder in adolescence. Objectives: This research set out to explore the experiences of young people about the early stages of Anorexia. It was anticipated that this wo...
Full Text Available The present study aims to assess the mental health and maltreatment among orphan and non-orphan schooling adolescents residing in Jammu city. A purposive sample of 200 school going adolescents (100 from orphan schools and 100 from non-orphan schools from Jammu,with an age range of 13-16 years was collected.Consent from guardians and assent from adolescents were taken. In conclusion, study demonstrated that the mental health of orphan and non – orphan adolescents fall in the poor spectrum as observed from the manual comparatively . The mean value of mental health of non orphan adolescent boys & girls is slightly better than mental health of orphan boys and girls.
Ekstrand, K.R.; Christiansen, M.E.C.; Qvist, V.
Caries experience, adolescents, explanatory role, fluoride, socio-economic factors, structural factors......Caries experience, adolescents, explanatory role, fluoride, socio-economic factors, structural factors...
The major threats to the health of American teenagers are behavioral-risky and reckless things adolescents do that threaten their well-being and that of others. The primary approach to preventing adolescent risk taking has been classroom-based health education. Yet, most systematic research indicates that even the best programs are successful mainly at changing adolescents' knowledge but not in altering their behavior. Research on adolescent brain development has revolutionized our understanding of this stage of life, but our approach to deterring adolescent risk taking remains grounded in old, antiquated, and erroneous views of the period. Classroom-based health education is an uphill battle against evolution and endocrinology, and it is not a fight we are likely to win. Instead of trying to change teenagers into something they are not, we should try to reduce the risks they are exposed to. We should spend less money and effort trying to influence how adolescents think, and focus more on limiting opportunities for their inherently immature judgment to hurt themselves or others. Although there is evidence that some programs aimed at strengthening adolescents' self-regulation may also deter risky behavior, our public health policies should emphasize changing the context in which adolescents live, rather than solely attempting to change adolescents themselves. PMID:26581723
Bauldry, Shawn; Shanahan, Michael J.; Boardman, Jason D.; Miech, Richard A.; MacMillan, Ross
This paper proposes and tests a life course model of self-rated health (SRH) extending from late childhood to young adulthood, drawing on three waves of panel data from the U.S. National Longitudinal Study of Adolescent Health (Add Health). Very little research has examined SRH during the early decades, or whether and how these self-assessments reflect experiences in the family of origin. Background characteristics (parental education, income, and family structure), parental health conditions...
Some years ago, the name of this journal was Arctic Medicine, but it was changed to Circumpolar Health. The latter term is wider and includes all the subjects related to human well-being in these areas. My interest in arctic medicine, or circumpolar health, originates from childhood and, later, from my medical studies. I grew up in the city of Oulu in the 40 ́s and 50 ́s and experienced great changes in temperature and sun-light during the seasons. The city is located close to the 65th latitu...
The aim of this thesis is to study the differences between traditional bullying and cyberbullying among adolescents, focusing on gender, psychosomatic problems, and disability, and to gain insight into health staff’s experience of bullying in schools. The four studies in this thesis were based on surveys undertaken among 3,800 adolescents in Grades 7, 8 and 9 in Sweden, as well as focus groups of 16 people consisting of school social workers and school nurses. While almost no gender differenc...
Randy M. Page
Full Text Available Background and Objectives: Although studied extensively among adults, self-rated health (SRH has not received the same research attention among adolescents. It has been suggested that SRH in adolescents may be a function of adolescents' overall sense of functioning and may reflect psychosocial functioning more so than in adults. The rating of health as poor by adolescents might be a somatic expression of life distress and may be connected with risky behaviors. Therefore, the purpose of this study was to investigate self-rated health (SRH in Central and Eastern European (CEE adolescents and determine its association with psychosocial functioning and other dimensions of adolescent health. Methods: A survey was administered to 3,123 students in 34 secondary schools across CEE which included measures of SRH, psychosocial functioning (loneliness, hopelessness, shyness, perceptions of social status, self-rated happiness, and perception of physical attractiveness, and other dimensions of adolescent health (height/weight, physical activity, eating breakfast, sleep. Results: More girls (19.4 % than boys (11.3 % rated themselves as "not healthy" and this was true in each of the six countries. Significant predictors of SRH in the logistic regression model were gender, country of residence, hopelessness, shyness, subjective social status-society, self-rated happiness, perception of physical attractiveness, vigorous physical activity, eating breakfast, overweight status, and usually get 7-8 hours or more sleep a night. Conclusions: SRH appears to be associated with psychosocial functioning and other dimensions of adolescent health in CEE youth.
Hsieh Yeu-Sheng; Wang Edward K; Yang Rea-Jeng; Chen Mei-Yen
Abstract Background Regular breakfast eating (RBE) is an important contributor to a healthy lifestyle and health status. The aims of the present study were to evaluate the relationships among irregular breakfast eating (IRBE), health status, and health promoting behavior (HPB) for Taiwanese adolescents. Methods A cross-sectional, descriptive design was used to investigate a cluster sample of 1609 (7th -12th grade) adolescents located in the metropolitan Tao-Yuan area during the 2005 academic ...
Whitehead, Ross David; Currie, Dorothy Bruce; Inchley, Jo; Currie, Candace
This research was funded by NHS Health Scotland. Objectives. Previous research finds adolescents expecting to attend university are more likely to demonstrate health-promoting behaviour than those not expecting university attendance. This suggests public health improvements may be achievable by encouraging adolescents to adopt academic goals. We investigate confounders of this putative relationship, focusing on those identified by evolutionary theory. Methods. Multi-level logistic regressi...
Rose, Theda; Joe, Sean; Shields, Joseph; Caldwell, Cleopatra Howard
The influence of family, school, and religious social contexts on the mental health of Black adolescents has been understudied. This study used Durkheim’s Social Integration Theory to examine these associations in a nationally representative sample of 1,170 Black adolescents, ages 13-17. Mental health was represented by positive and negative psychosocial well-being indicators. Results showed that adolescents’ integration into family and school were related to better mental health. Additionall...
Sarah E Wiehe; Mei-Po Kwan; Jeff Wilson; J Dennis Fortenberry
BACKGROUND: Various forms of community disorder are associated with health outcomes but little is known about how dynamic context where an adolescent spends time relates to her health-related behaviors. OBJECTIVE: Assess whether exposure to contexts associated with crime (as a marker of community disorder) correlates with self-reported health-related behaviors among adolescent girls. METHODS: Girls (N = 52), aged 14-17, were recruited from a single geographic urban area and monitored for 1 we...
Jeffrey G. Johnson; Cohen, Patricia; Kasen, Stephanie
Data from a community-based prospective longitudinal study were used to investigate the association of minor depressive disorder during adolescence with adverse mental health outcomes during adulthood. Structured diagnostic interviews were administered to a community-based sample of 755 individuals during adolescence and adulthood. Results indicated that minor depressive disorder during adolescence was associated with elevated risk for subsequent psychiatric disorders during adulthood, ...
Alessandro Musetti; Paola Corsano; Marinella Majorano; Tiziana Mancini
The aim of this study was to assess the relation between the experience of being alone and identity processes analysing the mediation role of adolescents’ age and gender. The Ego Identity Process Questionnaire – EIPQ (Balistrieri, Busch-Rossnagel, & Geisinger, 1995) and the Louvain Loneliness Questionnaire for Children and Adolescents – LLCA (Marcoen, Goossens, & Caes, 1987) were administered to 181 high school adolescents and 141 university students, classed as late adolescents. Data...
Quint, Elisabeth H
Adolescents with special needs have unique reproductive health care needs related to their physical and cognitive issues. This review discusses some of the most common concerns that are encountered in clinical practice, as the clinician will partner with the adolescent and her family to guide her through the pubertal transition and to help navigate the risks and rights of reproduction. Families often seek anticipatory guidance before menarche on menstrual hygiene, abuse risk and sexuality and can be reassured that most teens with special needs do very well with menstruation. The clinician needs to evaluate the teenager's reproductive knowledge as well her risk for abuse and coercion and her ability to consent to sexual activity, if she requests contraception. Menstrual management is mostly based on the impact of the menstrual cycles on the teenager's life and activities. The adolescents may have a decreased ability to tolerate menses or pain, or experience changes in seizure pattern or altered mood. Hormonal treatment is often used to assist with menstrual hygiene, cyclical mood changes or dysmenorrhea. The goal of treatment can be complete amenorrhea, alleviate pain or regulate and decrease menstrual flow. The unique risks and benefits of hormonal treatment for this special population are highlighted. PMID:26542013
Hallal, Pedro C; Victora, Cesar G; Azevedo, Mario R; Wells, Jonathan C K
Physical activity in adolescence may contribute to the development of healthy adult lifestyles, helping reduce chronic disease incidence. However, definition of the optimal amount of physical activity in adolescence requires addressing a number of scientific challenges. This article reviews the evidence on short- and long-term health effects of adolescent physical activity. Systematic reviews of the literature were undertaken using a reference period between 2000 and 2004, based primarily on the MEDLINE/PubMed database. Relevant studies were identified by examination of titles, abstracts and full papers, according to inclusion criteria defined a priori. A conceptual framework is proposed to outline how adolescent physical activity may contribute to adult health, including the following pathways: (i) pathway A--tracking of physical activity from adolescence to adulthood; (ii) pathway B--direct influence of adolescent physical activity on adult morbidity; (iii) pathway C--role of physical activity in treating adolescent morbidity; and (iv) pathway D - short-term benefits of physical activity in adolescence on health. The literature reviews showed consistent evidence supporting pathway 'A', although the magnitude of the association appears to be moderate. Thus, there is an indirect effect on all health benefits resulting from adult physical activity. Regarding pathway 'B', adolescent physical activity seems to provide long-term benefits on bone health, breast cancer and sedentary behaviours. In terms of pathway 'C', water physical activities in adolescence are effective in the treatment of asthma, and exercise is recommended in the treatment of cystic fibrosis. Self-esteem is also positively affected by adolescent physical activity. Regarding pathway 'D', adolescent physical activity provides short-term benefits; the strongest evidence refers to bone and mental health. Appreciation of different mechanisms through which adolescent physical activity may influence adult
Releva, M; Boskovska, M; Apceva, A; Polazarevska, M; Novotni, A; Bonevski, D; Sargent, J
This paper describes the development of child and adolescent mental health emergency services in Macedonia since 1993. The evolution of services through the Mental Crisis Centre for Children and Adolescents, funded by the Open Society Institute, and located in six cities is outlined. The paper also defines traditional services, the nature of child mental health emergencies, the evaluation process, follow-up care and training and supervision. It concludes with concern that the mental health emergency system is not sufficient to meet the needs of the child and adolescent population, particularly in the face of the Kosovar refugee crisis. Recommendations for the future are made. PMID:11508566
Amaral, Gorette; Geierstanger, Sara; Soleimanpour, Samira; Brindis, Claire
Background: The purpose of this study is to compare the mental health risk profile and health utilization behaviors of adolescent school-based health center (SBHC) users and nonusers and discuss the role that SBHCs can play in addressing adolescent health needs. Methods: The sample included 4640 students in grades 9 and 11 who completed the…
Bauldry, Shawn; Shanahan, Michael J; Macmillan, Ross; Miech, Richard A; Boardman, Jason D; O Dean, Danielle; Cole, Veronica
This paper examines associations among parental and adolescent health behaviors and pathways to adulthood. Using data from the National Longitudinal Study of Adolescent to Adult Health, we identify a set of latent classes describing pathways into adulthood and examine health-related predictors of these pathways. The identified pathways are consistent with prior research using other sources of data. Results also show that both adolescent and parental health behaviors differentiate pathways. Parental and adolescent smoking are associated with lowered probability of the higher education pathway and higher likelihood of the work and the work & family pathways (entry into the workforce soon after high school completion). Adolescent drinking is positively associated with the work pathway and the higher education pathway, but decreases the likelihood of the work & family pathway. Neither parental nor adolescent obesity are associated with any of the pathways to adulthood. When combined, parental/adolescent smoking and adolescent drinking are associated with displacement from the basic institutions of school, work, and family. PMID:27194662
Murphey, David; Barry, Megan; Vaughn, Brigitte; Terzian, Mary
Cigarette smoking has steadily declined among adolescents during the last fifteen years, although use of some tobacco products, like cigars, has seen recent increases. However, large numbers of teens continue to use tobacco products. This "Adolescent Health Highlight" presents key research findings; describes prevalence and trends; illustrates…
Dinaj-Koci, Veronica; Deveaux, Lynette; Wang, Bo; Lunn, Sonya; Marshall, Sharon; Li, Xiaoming; Stanton, Bonita
The inclusion of parents in adolescent-targeted interventions is intended to benefit the adolescent. Limited research has explored whether parents participating in these programs also benefit directly. We examined the impact of Caribbean Informed Parents and Children Together, the parenting portion of an adolescent-targeted HIV prevention…
Yarcheski, Adela; Mahon, Noreen E; Yarcheski, Thomas J
The purposes of this methodological study were to factor analyze the Laffrey Health Conception Scale (LHCS) and to assess construct validity of the instrument with early adolescents. The final sample consisted of 230 early adolescents, aged 12 to 14, who responded to instrument packets in classrooms in an urban middle school. Data obtained on the LHCS were subjected to principal components factor analysis with oblique rotation. A two-factor solution was accepted, which is consistent with early adolescents' conceptions of health. Factor I was labeled Wellness and Factor II was labeled Clinical Health. A higher order factor analysis yielded one factor with 26 items, labeled the LHCS for Early Adolescents. The 26-item LHCS had a coefficient alpha of .95. Construct validity was assessed by testing three theoretical propositions, which significantly linked health conception to social support, self-esteem, and positive health practices. The findings indicate that the LHCS is a reliable and valid measure of health conceptions in early adolescents. Results also offer flexibility to researchers interested in testing theory involving the constructs of the definition of health, wellness, and clinical health in early adolescents. PMID:16315571
The Internet has turned during the past decade into a major information resource in various domains of life and a communication venue among adolescents who seek health information via the net. The increasing availability of computers in homes, as well as wireless Internet access, means that adolescents today can go online anywhere, at any time. The media are not the leading cause of any major health problem, but they do contribute significantly to a variety of adolescent health problems, including aggressive behavior, sexual activity, drug use, obesity, sleep disorders, eating disorders, depression, suicide and self harm. This paper focuses on 3 major health issues in adolescents' Internet use: Body image and eating behaviors; sexuality and reproductive health behaviors; and self harm and suicidal behavior. This paper also demonstrates Internet venues where reliable health information is provided to young people by health professionals. Health professionals need to recognize the hazards of adolescents Internet use, and to address potential Internet abuse when encountering adolescents in clinical settings. PMID:24099822
Impett, Emily A.; Tolman, Deborah L.
This study presented and tested a model of sexual satisfaction for late adolescent girls. In this model, sexual self-concept and approach sexual motives were tested as predictors of adolescent girls' sexual satisfaction with their most recent experience of sexual intercourse. A total of 116 girls in 12th grade (ages 16-19) completed measures of…
Background Regarding adolescence developmental psychopathology and the psychological correlates associated with the onset of severe and enduring mental health in adolescence, this thesis proposes that early attachment related experiences underlie the successful ability to regulate emotions, negotiate interpersonal interactions, assess and utilise social support and develop the necessary mentalizing skills for organizing and understanding both the self and others. Insecure attachment and po...
McManus, M A; Newacheck, P W; Weader, R A
The demographic and health characteristics of metropolitan and nonmetropolitan adolescents are examined based on a nationally representative sample of 15,181 randomly selected adolescents from the 1984 National Health Interview Survey. One third of all adolescents reside in nonmetropolitan areas of the United States. Nonmetropolitan youth differed from their metropolitan counterparts in race, population concentration in the South, poverty status, family composition, education of household head, and marital status. While the health status of metropolitan and nonmetropolitan youth were similar, their patterns of health services utilization and health insurance coverage were not. Nonmetropolitan adolescents made fewer physician visits and were more apt to delay seeking physician care than metropolitan youth. Adolescents in nonmetropolitan areas were also 39 percent more likely to be hospitalized and 30 percent more likely than metropolitan youth to be without any form of health insurance protection. Despite higher rates of poverty among nonmetropolitan adolescents, they were 20 percent less likely to be publicly insured. The delivery and financing implications of these distinct metropolitan and nonmetropolitan demographic and health characteristics are discussed. PMID:10103873
Page, Randy M.; And Others
Examined relationship between television viewing frequency and adolescents' health-related and psychosocial characteristics. Found that shyness and exercise frequency predicted television viewing frequency. Among females, exercise frequency, shyness, loneliness, and perceived attractiveness predicted viewing frequency. Light viewers exercised more…
Deville, W.L.J.M.; Santosham, M.; Barlow, A.; Tingey, L.L.
Native American and indigenous populations experience the greatest behavioural health disparities in the world. A constellation of factors impacting Native American Tribes contributes to high rates and co-morbidity of mental health disorders, substance use and sexually transmitted infection (STI), and considerable barriers to prevention and treatment. In Native communities, adolescents are the subgroup most affected by these behavioural health disparities. Suicide is sometimes an outcome of c...
Staff, Jeremy; VanEseltine, Matthew; Woolnough, April; Silver, Eric; Burrington, Lori
A long-standing critique of adolescent employment is that it engenders a precocious maturity of more adult-like roles and behaviors, including school disengagement, substance use, sexual activity, inadequate sleep and exercise, and work-related stress. Though negative effects of high-intensity work on adolescent adjustment have been found, little…
M. Ramajayam; V. Gopinath
Socio economic transformation over the previous decade may have created a less active life style and a decline in fitness among world wise children and adolescents. The aim of this study was to analysis the health related physical fitness among adolescents school boys of Puducherry. The sampling procedure used in this study large distribution of random population. To achieve this purpose the health related physical fitness of different age group 13, 14, 15 and 16 yrs school going boys of Pudu...
Funtikova, Anna N.; Navarro, Estanislau; Bawaked, Rowaedh Ahmed; Fit?? Colomer, Montserrat; Schr??der, H.
The manifestation of cardiovascular risk factors, such as hypertension, diabetes, and particularly obesity begins in children and adolescents, with deleterious effects for cardiometabolic health at adulthood. Although the impact of diet on cardiovascular risk factors has been studied extensively in adults, showing that their cardiometabolic health is strongly lifestyle-dependent, less is known about this impact in children and adolescents. In particular, little is known about the relationship...
Boden, Joseph M.; Fergusson, David M.; Horwood, L. John
Objective: The present study examined the associations between the experience of sexual abuse in childhood (CSA) and the number of abortions in adolescence and early adulthood. Method: A 25-year prospective longitudinal study of the health, development, and adjustment of a birth cohort of 1,265 New Zealand children (630 females). Measures included…
Farideh K Abadi Farahani
Full Text Available Objective: Parents are believed to be among the most influential adults who have a deterministic role in the success of interventional programs on adolescents' reproductive health. The aim of this study is to describe parents' perceptions and attitudes towards adolescent reproductive needs, experiences and associated factors. Method: A population-based study of 539 parents of adolescent boys, aged 15-18 in Tehran was conducted using a self-administered questionnaire. bivariate and multivariate analyses were performed to identify the factors associated with parents' attitudes and their reports of adolescent heterosexual relationships. Results: Higher education, higher income, access to satellite programs and internet were associated with a liberal attitude among parents. Some demographic factors including adolescents' age, lack of adolescents' endorsement to religion, access to satellite programs, parents' drinking, and various family factors such as poor parent-adolescent relationship, conflict, parental low valuation on education, parents' low endorsement to morals, difficult parent-adolescent communication on important issues and finally easy communication about sex, were all among the factors associated with more frequent reports of having a girlfriend over the last year for the adolescent males. Parents' reports on their adolescents' sexual relationships with the opposite sex highlighted a significant gap with the figure reported for the adolescents aged 15-18 in a preceding study in 2002(3% vs. 28%. Conclusion: Parents should be advised to build a good relationship with teens, to maintain a close parent-teen communication, and to discuss morals and values with teens .
Lear, Julia Graham; And Others
In 1981 the Robert Wood Johnson Foundation provided funds to 20 teaching hospitals to support health services to high-risk adolescents (young people living in communities with high rates of pregnancy, drug abuse, alcohol abuse, accidents, homicide, suicide, and depression). The experiences of these institutions are described. (Author/MLW)
Agampodi Thilini C
Full Text Available Abstract Background Adolescent health needs, behaviours and expectations are unique and routine health care services are not well geared to provide these services. The purpose of this study was to explore the perceived reproductive health problems, health seeking behaviors, knowledge about available services and barriers to reach services among a group of adolescents in Sri Lanka in order to improve reproductive health service delivery. Methods This qualitative study was conducted in a semi urban setting in Sri Lanka. A convenient sample of 32 adolescents between 17–19 years of age participated in four focus group discussions. Participants were selected from four midwife areas. A pre-tested focus group guide was used for data collection. Male and female facilitators conducted discussions separately with young males and females. All tape-recorded data was fully transcribed and thematic analysis was done. Results Psychological distresses due to various reasons and problems regarding menstrual cycle and masturbation were reported as the commonest health problems. Knowledge on existing services was very poor and boys were totally unaware of youth health services available through the public health system. On reproductive Health Matters, girls mainly sought help from friends whereas boys did not want to discuss their problems with anyone. Lack of availability of services was pointed out as the most important barrier in reaching the adolescent needs. Lack of access to reproductive health knowledge was an important reason for poor self-confidence among adolescents to discuss these matters. Lack of confidentiality, youth friendliness and accessibility of available services were other barriers discussed. Adolescents were happy to accept available services through public clinics and other health infrastructure for their services rather than other organizations. A demand was made for separate youth friendly services through medical practitioners
Espinoza, Guadalupe; Gonzales, Nancy A.; Fuligni, Andrew J.
School bullying incidents, particularly experiences with victimization, are a significant social and health concern among adolescents. The current study extended past research by examining the daily peer victimization experiences of Mexican-American adolescents and examining how chronic (mean-level) and episodic (daily-level) victimization incidents at school are associated with psychosocial, physical and school adjustment. Across a two-week span, 428 ninth and tenth grade Mexican-American st...
Vieno, Alessio; Santinello, Massimo; Lenzi, Michela; Baldassari, Daniela; Mirandola, Massimo
The aim of the study was to compare health status between native and immigrant early adolescents in Italy and to analyze related psychosocial factors. Data were taken from "Health Behavior in School Aged Children", a cross-sectional survey investigating health behaviors among early adolescents in selected European countries. A representative sample of 6,744 (50.4% males) Italian students (11, 13 and 15-years-old) completed a questionnaire. Students were assessed for demographics characteristics, socio-economic conditions, social support and bullying victimization, and, as dependent variables, for health complaints, self-reported health, life satisfaction and happiness. It turned out that immigrant adolescents, as compared to natives, are more often affected by psychosomatic symptoms, less satisfied about their health and about life, and less happy. A multiple regression model showed that migration itself is related to life satisfaction and happiness. Socio-economic inequalities, lack of social integration and victimization determine the differences between immigrants and natives in terms of health symptoms and self-reported health. Immigrant adolescents demonstrated worse health status then their native classmates. However, the differences in terms of subjective well-being are not explained by socio-economic differences, lack of social integration and discrimination. PMID:19152071
Tantam Digby; Balfe Myles
Abstract Background Little is known about the health and social profile of adolescents and adults with Asperger syndrome (AS) living in the community. We conducted a study to describe the living, employment and psycho-social situation of a community sample of forty two adults and adolescents with AS, and to describe these indivdiuals' experiences of accessing health services and taking medication. Findings Most respondents (including those over eighteen years of age) lived at home with their ...
Priebe, Gisela; Hansson, Kjell; Göran Svedin, Carl
Background: Few population-based Nordic studies with adolescents investigate the associations between sexual abuse (SA) and psychosocial health. Aim: Associations between adolescents self-reported experiences of SA different severity and aspects of psychosocial health such as emotional and behavioral problems, sense of coherence and self-esteem were investigated. Methods: A school-based study with 1107 Swedish high school seniors was conducted. The students completed the Strengths and Difficu...
Selisvane Ribeiro da Fonseca Domingos
Full Text Available OBJECTIVE: to understand the experience of women who induced an abortion during adolescence as demanded by their mothers. METHOD: qualitative study with a social phenomenology approach conducted in 2010 with three women through interviews with open questions. RESULTS: the participants tried to hide their pregnancies from their mothers and when the mothers found out about the pregnancies they decide to interrupt it, demanding that their daughters have an abortion, which was performed in an unsafe manner, regardless of the adolescents' desire. After the abortion, the adolescents experienced suffering, guilt, and regret for not having fought against their mothers' decisions. These women expect to be autonomous to make their own decisions, take care of their own health and become pregnant again. CONCLUSION: the study evidenced the decision for an abortion was centered on the adolescents' mothers, a result that deserves to be further explored in future research deepening the relationship established between daughter and mother in the situation of an induced abortion. We suggest the creation of opportunities for the triad of health professional/adolescent/family to dialogue, especially the mother, who in the context of family relations, can help the daughter to safely deal with an early pregnancy and prevent it instead of influencing the adolescent to induce an abortion.
Jackson, Margot I.
The educational and economic consequences of poor health during childhood and adolescence have become increasingly clear, with a resurgence of evidence leading researchers to reconsider the potentially significant contribution of early-life health to population welfare both within and across generations. Meaningful relationships between early-life health and educational attainment raise important questions about how health may influence educational success in young adulthood and beyond, as we...
Full Text Available BACKGROUND: Adolescent (10–19 years is a transition of age during which hazardous sexual health behaviors may be adopted; increasing vulnerability to several kinds of behavioral disorders like drug use, unsafe sexual act leading to reproductive ill health. Objective of the study was to assess sexual health behaviors of adolescents in Pokhara, Nepal. METHODS: An institution based cross-sectional study was conducted among 15–19 years adolescents studying in grades 11 and 12. Probability sampling techniques were applied. A structured, pretested, envelope sealed self administered questionnaire was distributed among all (1584 adolescents of the 11 and 12 grades of selected institutions. Data were analyzed using Statistical Package for Social Sciences (16 versions. Descriptive and inferential statistics were applied. RESULTS: About 19.37% adolescents had sexual contact and male participation was higher than females (P<0.05. Nearly one fifth of unmarried were found to be involved in sexual activities and most of them had first sex between 15-19 years age (median age 15.26 years. Of those who had sex, 6.91% had adopted all the three: vaginal, oral and anal sexes and majority had single followed by 2-5 sex partners in their sexual intercourse in the last one year and last month. About 13.93% adolescents were found to be indulged in group sex. Most of them had sex with regular partners and commercial sex workers. More than eight out of every ten who had sex had used contraceptive methods and condom was method of choice (94.77%. CONCLUSIONS: Premarital sexual involvement was prevalent among adolescents; sex with commercial sex workers and non commercial sex partners was perceived to be risk. Behavior change intervention strategies need to be formulated and implemented to promote adolescent reproductive and sexual health.
Parekh Paras A Shah Ankita P
Context: The present study evaluated oral hygiene & anomalies of tooth formation and eruption in adolescents. This was a cross-sectional study, with the primary data was collected from two different schools in Ahmedabad, Gujarat, India. Aims: Aim of the study was to evaluate oral health that includes maintenance of oral hygiene and dental anomalies in adolescents of Ahmedabad city. Methods and Material: In this study, total 500 healthy male and female subjects between 14-16 years of age were...
Petersen, Poul Erik; Jiang, Han; Peng, Bin;
OBJECTIVES: The objectives of this study were to measure the association of general and oral health-related behaviours with living conditions and to explore the interrelationships between general and oral health-related behaviours in Chinese urban adolescents. METHODS: A cross-sectional survey of...
Bruce, Douglas; Harper, Gary W.
Health disparities among gay men (HIV, substance use, depression) have been described as a mutually occurring "syndemic" that is socially produced through two overarching dynamics: marginalization and migration. Although the syndemic theory proposes a developmental trajectory, it has been largely based on epidemiological studies of adult gay men…
Objectives: To determine the existing knowledge, attitude and behavior about reproductive and sexual health in adolescents of Karachi and seek their opinion about reproductive health education. Study type, settings and duration: A cross sectional study was conducted on adolescents (17-19 years) of both gender studying in colleges of Karachi during 2010. Subject sand Methods: Using stratified sampling procedure, a cross sectional study was carried out. After informed consent and ensuring confidentiality an anonymous quantitative questionnaire was completed to ascertain the knowledge of adolescents on reproductive health. Results: A total of 912 adolescents (470 males and 442 females) of 12 public and private sector colleges of Karachi participated in the study. Acquaintance to reproductive health was present in 75% males and 71% females and most participants confirmed discussing reproductive health issues with friends. About 81% males and 91 % females affirmed for a need for enhanced reproductive health education and awareness while over 50% of the respondents were of the opinion that the right age for reproductive health education was 16 to 18 years. Confining sexual activity to one partner and avoiding exposure to blood and needles for the prevention of AIDS was known to 38% males and 44% females but the prevention of sexually transmitted infections using condoms, was known to only 1/3 rd of the respondents. Although 70% of the respondents of both genders knew that pregnancy can be avoided but only 20% knew about contraceptives. Conclusions: Most adolescents' knew about the reproductive cycle but were not well aware of how to avoid exposures to sexually transmitted infections and pregnancies. Policy message: Reproductive health education is insufficient in adolescents should be gender specific and socio culturally sensitive. (author)
Full Text Available Abstract Background The Internet is a fundamental part of the daily life of adolescents, they consider it as a safe and confidential source of information on health matters. The aims is to describe the experience of Spanish adolescents searching for health information on the Internet. Methods A cross-sectional study of 811 school-age adolescents in Granada was carried out. An adapted and piloted questionnaire was used which was controlled by trained personnel. Sociodemographic and health variables were included together with those concerning the conditions governing access to and use of information and communication technologies (ICT. Results 811 adolescents were surveyed (99.38% response rate, mean age was 17 years old. Of these, 88% used the Internet; 57.5% used it on a daily or weekly basis and 38.7% used it occasionally. Nearly half the sample group (55.7% stated that they used the Internet to search for health-related information. The main problems reported in the search for e-health were the ignorance of good web pages (54.8% and the lack of confidence or search skills (23.2%. Conclusions In conclusion, it seems plausible to claim that websites designed and managed by health services should have a predominant position among interventions specifically addressed to young people.
Full Text Available This study had two main goals: to examine the structure of co-occurring peer bullying experiences among adolescents in South Korea from the perspective of victims and to determine the effects of bullying on suicidal behavior, including suicidal ideation and suicide attempts, among adolescents.This study used data gathered from 4,410 treatment-seeking adolescents at their initial visits to 31 local mental health centers in Gyeonggi Province, South Korea. The structure of peer bullying was examined using latent class analysis (LCA to classify participants' relevant experiences. Then, a binomial logistic regression adjusted by propensity scores was conducted to identify relationships between experiences of being bullied and suicidal behaviors.The LCA of experiences with bullying revealed two distinct classes of bullying: physical and non-physical. Adolescents who experienced physical bullying were 3.05 times more likely to attempt suicide than those who were not bullied. Victims of (non-physical cyber bullying were 2.94 times more likely to attempt suicide than were those who were not bullied.Both physical and non-physical bullying were associated with suicide attempts, with similar effect sizes. Schools and mental health professionals should be more attentive than they currently are to non-physical bullying.
Due, P; Lynch, J; Holstein, B;
To investigate the role of different types of social relations in adolescent health inequalities.......To investigate the role of different types of social relations in adolescent health inequalities....
Kim, Hyun Sik
Numerous studies have demonstrated the negative influence of sexual debut during adolescence on mental health outcomes. This article contributes to this literature by investigating whether sexual debut has negative effects on mental health among South Korean adolescents and whether the timing of adolescent sexual debut matters. Drawing on longitudinal data from a nationally representative survey, we first predicted mental health outcomes at one year after high school graduation using first sexual intercourse that had occurred before the outcomes were measured. In a second statistical model, adolescent sexual debut was defined as first coitus that had occurred before high school graduation. Sexual debut was associated with an increase in problematic aggressive behaviors for both genders. In contrast, only girls experienced a rise in depressive symptoms after becoming sexually active. For girls, having sex before high school graduation was correlated with worse mental health outcomes to the extent that sexual debut even enhanced the risk of suicidal ideation. We concluded that the negative effects of sexual activity among South Korean adolescents are attributable mainly to the sexually conservative atmosphere and gendered sexuality in that country. PMID:26457545
Mmari, Kristin; Marshall, Beth; Lantos, Hannah; Blum, Robert Wm
This study is one of the first to explore the relevance of trust to the health of adolescents living in a disadvantaged urban setting. The primary objectives were to determine the differences in the sociodemographic characteristics between adolescents who do and do not trust and to examine the associations between trust and health. Data were drawn from the Well-Being of Adolescents in Vulnerable Environments (WAVE) study, which is a cross-sectional global study of adolescents in very low-income urban settings conducted in 2011-2013. This paper focused on 446 adolescents in Baltimore as it was the primary site where trust was explicitly measured. For the main analyses, six health outcomes were examined: (1) self-rated health; (2) violence victimization; (3) binge drinking; (4) marijuana use; (5) post-traumatic stress disorder (PTSD); and (6) condom use at last sex. Independent variables included sociodemographic variables (age, gender, current school enrolment, perceived relative wealth, and family structure) and two dimensions of trust: community trust (trust in individuals/groups within neighborhood) and institutional trust (trust in authorities). The results show that more than half the sample had no trust in police, and a high proportion had no trust in other types of authority. Among girls, those with higher levels of community trust were less likely to be victimized and involved in binge drinking. Meanwhile, girls with higher levels of institutional trust were more likely to use a condom and less likely to have used marijuana. Among boys, those with higher levels of community trust were more likely to use a condom, while those with higher levels of institutional trust were less likely to use marijuana, but more likely binge drink. Overall, this study highlights the importance of trust for adolescent health. Most surprising were the differences in the associations between boys and girls with regard to the type of trust and specific health outcome that was
Yugo, Melanie; Davidson, Mélanie Josée
International studies have shown that the more developmental assets adolescents possess, the greater their likelihood of engaging in health-enhancing practices and the lesser their likelihood of engaging in practices that put health at risk. Logistic regressions were conducted on data from the 2000–2001 National Longitudinal Survey of Children and Youth (NLSCY) for 12- to 15-year-old Canadian youth to examine which of five assets accounts for the most variance in positive health outcomes and ...
DINESH P. NAIK
The present study was conducted to test the hypothesis that music training causes improvements in several aspects of Mental Health. The researcher tested this hypothesis using a “pre-post” intervention study design, in which researcher measured adolescent's Mental Health. Initially 588 students from Senior College were selected for the present study. All were nineteen-to-twenty one year old. Pre testing sessions were conducted on several small groups. By using the Mithila Mental Health Statu...
Mathur, S; Malhotra, A; Mehta, M
The study described in this paper takes a participatory and positive approach to improving adolescent reproductive health in a rural and urban community in Nepal. It shows that adolescent girls in these communities have dreams and aspirations for a better future and that adults acknowledge and support these ideals. However, social norms and institutions are restrictive, especially for girls, who are often unable to realise their hopes for continuing education, finding better-paid work or delaying marriage and childbearing, and this directly impacts reproductive outcomes. Insight into the broader context of adolescent girls' lives provides a valuable framework for designing positive programmatic actions which take as their entry point the disjuncture between girls' aspirations and realities. Interventions begun in these communities include youth clubs for safe social interaction and literacy classes; training of peer educators to teach life-skills, including for married adolescents; forums for parents, teachers and health service providers to discuss their own concerns and those of adolescents; and work with the community to design programmes that will contribute to greater financial independence and employment opportunities for adolescents. PMID:11468851
Safont-Mottay, Claire; Mouisset-Lacan, Nicole
Confusion was brought both in the way knowledge is available and in the status of communication with others by Internet. The socialization of adolescents moves on a way of exchanges through media; short and frequent ties enabling them to establish their independence towards their family. The numerical culture fails to encounter the meaning of school facts. What are the effects of adolescents’ home Internet usage on homework ? We state the hypothesis that Internet modify the relation to knowle...
Calderon, Susana J.; Mallory, Caroline
Despite improvements in prevention, oral diseases are a problem among adolescents, linked to poor health outcomes and poor school performance. Little is known about adolescent oral health behavior. This systematic review describes factors that influence oral health behavior in adolescents. Inclusion criteria for the literature search were American…
Dewinter, J.; Vermeiren, R.; Vanwesenbeeck, I.; van Nieuwenhuizen, Ch.
Abstract Parent report and adolescent self-report data on lifetime sexual experience in adolescents with ASD were compared in 43 parent-adolescent dyads. Parents tended to underestimate the lifetime sexual experience of their sons, particularly solo sexual experiences such as masturbation and experi
Dewinter, J.; Vermeiren, R.; Vanwesenbeeck, Wilhelmina; van Nieuwenhuizen, C.
Parent report and adolescent self-report data on lifetime sexual experience in adolescents with ASD were compared in 43 parent-adolescent dyads. Parents tended to underestimate the lifetime sexual experience of their sons, particularly solo sexual experiences such as masturbation and experience with
Dewinter, J.; Vermeiren, R.; Vanwesenbeeck, I.; Van Nieuwenhuizen, Ch.
Parent report and adolescent self-report data on lifetime sexual experience in adolescents with ASD were compared in 43 parent-adolescent dyads. Parents tended to underestimate the lifetime sexual experience of their sons, particularly solo sexual experiences such as masturbation and experience with orgasm. Parental underestimation and unawareness…
Smith, Chad E.; Massey-Stokes, Marilyn; Lieberth, Ann
Adolescent health and health literacy are critical health topics recognized in Healthy People 2020. Evidence indicates that adolescents who are d/Deaf have unique health-related needs, yet health communication efforts have not reached them. Despite the Internet's exponential growth and the growth of online health information-seeking behavior among…
Sarah E Wiehe
Full Text Available BACKGROUND: Various forms of community disorder are associated with health outcomes but little is known about how dynamic context where an adolescent spends time relates to her health-related behaviors. OBJECTIVE: Assess whether exposure to contexts associated with crime (as a marker of community disorder correlates with self-reported health-related behaviors among adolescent girls. METHODS: Girls (N = 52, aged 14-17, were recruited from a single geographic urban area and monitored for 1 week using a GPS-enabled cell phone. Adolescents completed an audio computer-assisted self-administered interview survey on substance use (cigarette, alcohol, or marijuana use and sexual intercourse in the last 30 days. In addition to recorded home and school address, phones transmitted location data every 5 minutes (path points. Using ArcGIS, we defined community disorder as aggregated point-level Unified Crime Report data within a 200-meter Euclidian buffer from home, school and each path point. Using Stata, we analyzed how exposures to areas of higher crime prevalence differed among girls who reported each behavior or not. RESULTS: Participants lived and spent time in areas with variable crime prevalence within 200 meters of their home, school and path points. Significant differences in exposure occurred based on home location among girls who reported any substance use or not (p 0.04 and sexual intercourse or not (p 0.01. Differences in exposure by school and path points were only significant among girls reporting any substance use or not (p 0.03 and 0.02, respectively. Exposure also varied by school/non-school day as well as time of day. CONCLUSIONS: Adolescent travel patterns are not random. Furthermore, the crime context where an adolescent spends time relates to her health-related behavior. These data may guide policy relating to crime control and inform time- and space-specific interventions to improve adolescent health.
Full Text Available Health literacy refers to personal competencies for the access to, understanding of, appraisal of and application of health information in order to make sound decisions in everyday life. The aim of this study was to develop and evaluate the psychometric properties of an instrument for the measurement of health literacy among adolescents (the Health Literacy Measure for Adolescents-HELMA.This study was made up of two phases, qualitative and quantitative, which were carried out in 2012-2014 in Tehran, Iran. In the qualitative part of the study, in-depth interviews with 67 adolescents aged 15-18 were carried out in 4 high schools to generate the initial item pool for the survey. The content validity of the items was then assessed by an expert panel review (n = 13 and face validity was assessed by interviewing adolescents (n = 16. In the quantitative part of the study, in order to describe the psychometric properties of the scale, validity, reliability (internal consistency and test-retest and factor analysis were assessed.An item pool made up of 104 items was generated at the qualitative stage. After content validity was considered, this decreased to 47 items. In the quantitative stage, 582 adolescents aged 15-18 participated in the study with a mean age of 16.2 years. 51.2% of participants were females. In principal component factor analysis, 8 factors were loaded, which accounted for 53.37% of the variance observed. Reliability has been approved by α = 0.93 and the test-retest of the scale at two-week intervals indicated an appropriate stability for the scale (ICC = 0.93. The final questionnaire was approved with 44 items split into eight sections. The sections were titled: gain access to, reading, understanding, appraise, use, communication, self-efficacy and numeracy.The Health Literacy Measure for Adolescents (HELMA is a valid and reliable tool for the measurement of the health literacy of adolescents aged 15-18 and can be used to evaluate
Kenny, Rachel; Dooley, Barbara; Fitzgerald, Amanda
Mobile applications or 'apps' have significant potential for use in mental health interventions with adolescents. However, there is a lack of research exploring end users' needs from such technologies. The aim of this study was to explore adolescents' needs and concerns in relation to mental health mobile apps. Five focus groups were conducted with young people aged 15-16 years (N = 34, 60% male). Participants were asked about their views in relation to the use of mental health mobile technologies and were asked to give their responses to a mental health app prototype. Participants identified (1) safety, (2) engagement, (3) functionality, (4) social interaction, (5) awareness, (6) accessibility, (7) gender and (8) young people in control as important factors. Understanding end users' needs and concerns in relation to this topic will inform the future development of youth-oriented mental health apps that are acceptable to young people. PMID:25385165
Duberg, Anna; Möller, Margareta; Sunvinsson, Helena
Adolescent girls today suffer from internalizing problems such as somatic symptoms and mental health problems at higher rates compared to those of previous decades, and effective interventions are warranted. The aim of this study was to explore the experiences of participating in an 8-month dance intervention. This qualitative study was embedded in a randomized controlled trial of a dance intervention for adolescent girls with internalizing problems. A total of 112 girls aged 13–18 were inclu...
Nourian, Manijeh; Shahbolaghi, Farahnaz Mohammadi; Tabrizi, Kian Nourozi; Rassouli, Maryam; Biglarrian, Akbar
Background: Resilience is one of the main factors affecting human health, and perceiving its meaning for high-risk adolescents is of particular importance in initiating preventive measures and providing resilience care.Objectives: This qualitative study was conducted to explain the meaning of resilience in the lived experiences of Iranian adolescents living in governmental residential care facilities.Materials and methods: This study was conducted using the hermeneutic phenomenological method...
David-Ferdon, Corinne; Hertz, Marci Feldman
Adolescents' access to and use of new media technology (e.g., cell phone, personal data assistant, computer for Internet access) are on the rise, and this explosion of technology brings with it potential benefits and risks. Attention is growing about the risk of adolescents to become victims of aggression perpetrated by peers with new technology. In September 2006, the Centers for Disease Control and Prevention convened a panel of experts in technology and youth aggression to examine this specific risk. This special issue of the Journal of Adolescent Health presents the data and recommendations for future directions discussed at the meeting. The articles in the Journal support the argument that electronic aggression is an emerging public health problem in need of additional prevalence and etiological research to support the development and evaluation of effective prevention programs. PMID:18047940
Völkl-Kernstock, Sabine; Huemer, Julia; Jandl-Jager, Elisabeth; Abensberg-Traun, Marihan; Marecek, Sonja; Pellegrini, Elisabeth; Plattner, Belinda; Skala, Katrin
The experience of cumulative childhood adversities, such as exposure to domestic violence or abuse by caregivers, has been described as risk factor for poor mental health outcomes in adolescence and adulthood. We performed an investigation of experience of violence in all patients aged 6 to 20 years who had consulted the Department of Child and Adolescent Psychiatry, Medical University of Vienna, as outpatients during the period of one year. We were using the Childhood Trauma Interview (CTI) in order to obtain information on the kind of violence. Seventy-five percent of all patients had reported experiences of violence. These youth were significantly more often involved in acts of school violence, thus a significant correlation between experience of domestic violence and violence at school could be revealed. The results of our study emphasize the need for interventions preventing violence both in domestic and in school environments. PMID:26487648
Wegner, R E
Children and adolescents increasingly show health-related problems which may not be considered as diseases to be treated but nevertheless severely affect academic performance and social behaviour. Regarding the consequences, e.g. from the PISA study, the significance of health problems and their negative impact on academic success are still not sufficiently taken into account. The tasks of paediatric public health services include: (1) health promotion in schools and kindergartens, (2) preventive and other medical checkups in kindergartens and schools to detect the individual needs of children and adolescents for support, (3) reducing the risk of long-term damage in handicapped or retarded children and adolescents by seeking out these children where necessary, and (4) advising the political decision makers by reporting on the population's health and social situation. The main aim is to provide children with special needs with what they need in order to prevent them, especially those whose parents cannot ensure this support themselves, developing a deeper disturbance, or to make sure that these young people are able to participate in social life and to integrate into society in spite of health problems or handicaps. To achieve these goals and to improve the health of children and adolescents, a community-based paediatric public health service has to cooperate with other institutions such as youth authorities, social welfare, education authorities, schools and other local institutions with an input into the health of children and adolescents. PMID:16179986
Jensen, Bente; Jensen, B. B.
The publication presents for the first time selected data from a survey of the attitudes of 13 to 15 year olds in Denmark. The survey indicates that the adolescents know that health is inequitably distributed. In addition. they strongly believe that everyone should have the sam opportunities to m...... Research Programme for Environmental and Helath Education at The Danish University of Education will explore these perpectives further....
Full Text Available The aim of this study was to determine the risky health behaviors and to raise the awareness of adolescents (attending high school education about prevention of risky behaviors and solutions by the effect of module-based training courses (about reproductive health and birth control, sexually transmitted infections, harmful habits, psychosocial behavior. Being planned as cross-sectional, this study was performed between September 2013-June 2014 in three states and a private high school in Zonguldak and conducted with a group of students aged between 14 and 19.926 students have participated before the training and 534 students have participated after training. It was seen that the mean scores of ‘The Adolescent Risk-Taking Questionnaire', ‘The Adolescent's Attitudes Towards Violence Scale' and ‘taking risk about social status', ‘traffic', ‘subtance use' subscales have decreased after the risk prevention trainings. The means scores of ‘Adolescent Coping with Problems Scale', ‘Nutrition Behaviour Scale' and ‘Nutrition Attitude Scale' have raised. Hence, the scores of domains reflecting adolescent health perception such as hygiene, sleep and exercise have raised while the scores of somatic symptoms domain, such as abdominal pain, headache, and fatigue have been failed. Consequently, it was determined that the training courses about risky health behaviours were effective in preventing risky health behaviors and creating positive health perceptions of adolescents.
Brey, Rebecca A.; Clark, Susan E.; Wantz, Molly S.
The second National Health Education Standard states the importance of student demonstration of the ability to access valid health information and services. The teaching technique presented in this article provides an opportunity for children and adolescents to develop their health literacy and advocacy skills by contributing to a class resource…
National Center on Addiction and Substance Abuse at Columbia University, 2011
This report finds that adolescent smoking, drinking, misusing prescription drugs and using illegal drugs is, by any measure, a public health problem of epidemic proportion, presenting clear and present danger to millions of America's teenagers and severe and expensive long-range consequences for the entire population. This report is a wake-up call…
Kristjansson, Alfgeir Logi; Sigfusdottir, Inga Dora; Allegrante, John P.; Helgason, Asgeir R.
Objectives: To examine the association between health behavior indicators, school contentment, and academic achievement. Methods: Structural equation modeling with 5810 adolescents. Results: Our model explained 36% of the variance in academic achievement and 24% in school contentment. BMI and sedentary lifestyle were negatively related to school…
Copeland-Linder, Nikeea; Lambert, Sharon F.; Chen, Yi-Fu; Ialongo, Nicholas S.
This study examined the longitudinal association between contextual stress and health risk behaviors and the role of protective factors in a community epidemiologically-defined sample of urban African American adolescents (N = 500; 46.4% female). Structural equation modeling was used to create a latent variable measuring contextual stress…
Sabia, Joseph J.
This study examines whether offering sex education to young teenagers affects several measures of adolescent sexual behavior and health: virginity status, contraceptive use, frequency of intercourse, likelihood of pregnancy, and probability of contracting a sexually transmitted disease. Using data from the National Longitudinal Study of Adolescent…
Chen, Mei-Yen; Wang, Edward K; Yang, Rea-Jane; Liou, Yiing-Mei
The purpose of this study was to assess the psychometric properties of a newly devised instrument, the Adolescent Health Promotion scale (AHP), a 40-item Likert-type self-report instrument used to detect unhealthy lifestyles in adolescents. Content validity was considered to be supported based on the findings of previous studies and the observations of a panel of 14 content experts. This study examined the construct validity and reliability of the instrument. The psychometric properties of the AHP, including item analysis, factor analysis, and reliability measures, were assessed based on the responses of 1,128 Taiwanese adolescents. Kaiser-Meyer-Olkin (KMO) measures and Bartlett's sphericity test showed that the samples met the criteria for factor analysis. Factor analysis yielded a six-factor instrument that explained 51.14% of the variance in the 40 items. The six factors were social support, life appreciation, health responsibility, nutritional behaviors, exercise behaviors, and stress management. The Cronbach alpha reliability coefficient for the total scale was 0.932, and alpha coefficients for the subscales ranged from 0.75 to 0.88. The results of this study indicate that the AHP has good construct validity and reliability in Taiwanese and that its use by school health nurses to assess adolescent health promotion programs is warranted. PMID:12588427
Sought to determine how adolescents' (N=156) health-seeking behaviors, which include self-management and information-seeking behaviors, differ according to age, race, socioeconomic status, gender, and religion. Findings confirmed gender as a differentiating variable for performance of information-seeking behavior and found positive health…
Andersen, Johan Hviid; Labriola, Merete; Lund, Thomas;
) deteriorated slightly in adolescents (-0.24; 95% CI = -0.28 to -0.19) across all socioeconomic status (SES) groups and depressive symptoms increased (0.64; 95% CI = 0.52 to 0.75). High household income was protective for decrease in SRH (0.62; 0.43 - 0.91). Negative life-style changes were associated with...... poorer SRH and more depressive symptoms. Conclusions: Self-rated health and depressive symptoms changed to the worse among Danish adolescents from age 15 to 18 years. Negative changes in several lifestyle factors were found to accompany the deterioration of health. This result stresses the intrinsic......While the existence of social inequality in health in childhood as well as among adults is well established, research of mechanisms underlying this inequality is still sparse. The study aim was to report on the development of self-rated health and depressive symptoms from age 15 to18 years in a...
Mendolia, Silvia; Walker, Ian
This paper investigates the relationship between personality traits and health behaviours in adolescence using a large and recent cohort study. In particular, we investigate the impact of locus of control, self-esteem and work ethics at ages 15-16 years on the incidence of health behaviours such as alcohol consumption, cannabis and other drug use, unprotected and early sexual activity and sports and physical activity. We use matching methods to control for a very rich set of adolescent and family characteristics, and we find that personality traits do affect health behaviours. In particular, individuals with external locus of control, low self-esteem or with low levels of work ethics seem more likely in engage in risky health behaviours. PMID:24677274
Bussard, Dewi; Harf, Aurélie; Sibeoni, Jordan; Radjack, Rahmeth; Benoit, Jean Pierre; Moro, Marie Rose
While today's society places considerable importance on schooling and performances, school absenteeism is currently very high. One of the causes is anxiety-based school refusal. This phenomenon affects the adolescent but also has an impact on their family. Exploring the experience of the parents of teenagers presenting anxiety-based school refusal enables these families to be given better support. PMID:26381070
Sheeber, Lisa B.; Allen, Nicholas B.; Leve, Craig; Davis, Betsy; Shortt, Joann Wu; Katz, Lynn Fainsilber
Background: Depression is often characterized as a disorder of affect regulation. However, research focused on delineating the key dimensions of affective experience (other than valence) that are abnormal in depressive disorder has been scarce, especially in child and adolescent samples. As definitions of affect regulation center around processes…
Kuther, Tara L.; McDonald, Erin
There has been a great deal of debate over the influence of Barbie dolls on girls' developing self-concept and body image. Two qualitative studies were conducted to gather information about early adolescents' experiences with, and perspectives on, the controversial toy. In Study 1, focus groups with twenty 6th-grade girls suggested that they have…
Hamel, Andrea Elizabeth
Although adolescent dating has been associated with mental health problems, little is known about the association between dating and eating disorders. This study addressed the hypothesis that previous sexual experience and the quality of adolescents’ romantic relationships play a role in the association between dating and symptoms of eating disorders and depression. Participants included 75 girls, aged 12-19 (25 with an eating disorder, 25 with a depressive disorder, and 25 healthy controls)....
Doornwaard, Suzan M; ter Bogt, Tom F M; Reitz, Ellen; van den Eijnden, Regina J J M
Research on the role of sex-related Internet use in adolescents' sexual development has often isolated the Internet and online behaviors from other, offline influencing factors in adolescents' lives, such as processes in the peer domain. The aim of this study was to test an integrative model explaining how receptive (i.e., use of sexually explicit Internet material [SEIM]) and interactive (i.e., use of social networking sites [SNS]) sex-related online behaviors interrelate with perceived peer norms in predicting adolescents' experience with sexual behavior. Structural equation modeling on longitudinal data from 1,132 Dutch adolescents (M(age) T1 = 13.95; range 11-17; 52.7% boys) demonstrated concurrent, direct, and indirect effects between sex-related online behaviors, perceived peer norms, and experience with sexual behavior. SEIM use (among boys) and SNS use (among boys and girls) predicted increases in adolescents' perceptions of peer approval of sexual behavior and/or in their estimates of the numbers of sexually active peers. These perceptions, in turn, predicted increases in adolescents' level of experience with sexual behavior at the end of the study. Boys' SNS use also directly predicted increased levels of experience with sexual behavior. These findings highlight the need for multisystemic research and intervention development to promote adolescents' sexual health. PMID:26086606
Suzan M Doornwaard
Full Text Available Research on the role of sex-related Internet use in adolescents' sexual development has often isolated the Internet and online behaviors from other, offline influencing factors in adolescents' lives, such as processes in the peer domain. The aim of this study was to test an integrative model explaining how receptive (i.e., use of sexually explicit Internet material [SEIM] and interactive (i.e., use of social networking sites [SNS] sex-related online behaviors interrelate with perceived peer norms in predicting adolescents' experience with sexual behavior. Structural equation modeling on longitudinal data from 1,132 Dutch adolescents (M(age T1 = 13.95; range 11-17; 52.7% boys demonstrated concurrent, direct, and indirect effects between sex-related online behaviors, perceived peer norms, and experience with sexual behavior. SEIM use (among boys and SNS use (among boys and girls predicted increases in adolescents' perceptions of peer approval of sexual behavior and/or in their estimates of the numbers of sexually active peers. These perceptions, in turn, predicted increases in adolescents' level of experience with sexual behavior at the end of the study. Boys' SNS use also directly predicted increased levels of experience with sexual behavior. These findings highlight the need for multisystemic research and intervention development to promote adolescents' sexual health.
Conchar, Lauren; Bantjes, Jason; Swartz, Leslie; Derman, Wayne
Participation in regular physical activity promotes physical health and psychosocial well-being. Interventions are thus needed to promote physical activity, particularly among groups of individuals, such as persons with disability, who are marginalised from physical activity. This study explored the experiences of a group of South African adolescents with cerebral palsy. In-depth semi-structured interviews were conducted with 15 adolescents with cerebral palsy. The results provided insight into a range of factors that promote and hinder participation in physical activity among adolescents with cerebral palsy in resource-scarce environments. PMID:24607923
Hodgkinson, Stacy; Beers, Lee; Southammakosane, Cathy; Lewin, Amy
Adolescent parenthood is associated with a range of adverse outcomes for young mothers, including mental health problems such as depression, substance abuse, and posttraumatic stress disorder. Teen mothers are also more likely to be impoverished and reside in communities and families that are socially and economically disadvantaged. These circumstances can adversely affect maternal mental health, parenting, and behavior outcomes for their children. In this report, we provide an overview of th...
Willcockson, Irmi; Shankar, Prabhu R.V.; Cynthia L. Phelps; Johnson, Craig W.
This project designed, developed, implemented and evaluated the effectiveness of an interactive, multi-media website designed to encourage adolescents to consider careers in mental health. This Web-based learning environment features biographies of mental health scientists. Evaluation is conducted in a systematic, structured way using cognitive achievement, usability (ease of use), and affective scales (e.g., fun to use) as outcome measures.
Tse, Carrie KW; Bridges, Susan M; Srinivasan, Divya Parthasarathy; Cheng, Brenda SS
Background While health literacy has gained notice on a global stage, the initial focus on seeking associations with medical conditions may have overlooked its impact across generations. Adolescent health literacy, specifically in dentistry, is an underexplored area despite the significance of this formative stage on an individual’s approach to healthy lifestyles and behaviors. Objective The aim is to conduct a pilot study to evaluate the efficacy of three major social media outlets - Twitter...
Compan, E; Moreno, J.; Ruiz, M; Pascual, E.
Study objectives: (1) To describe the union and life cycle of family rituals, such as specific habits of sharing daily meals, special events or other family activities, and (2) to analyse the relation between the practice of family rituals and the use by adolescents of mental health related ambulatory care services. Design: A cross sectional study. Setting: A public mental health care outpatient clinic, secondary educational centres and Alicante University (School of Social Workers and Nursin...
Hansen, Claus D.; Andersen, Johan Hviid
This study examines the impact of a wide range of health measures on school performance at the end of compulsory school (9 years of school). The key questions raised are whether different health problems lowers school performance contributing to a health selection process that could lead to lower...... health and school performance....
Full Text Available : Adolescence is a time when the body prepares itself for the nutritional demands of pregnancy, lactation and heavy workloads that girls will soon experience. Good nutrition is essential for good health, physical growth and development, body composition and mental development In recent years, the incidence of adolescent pregnancy and childbirth is increasing due to the early onset of puberty, the declining age of menarche and early sexual activity. They need to earn to cope with the future demands of life. Nutritional needs during adolescence are increased because of the increased growth rate and changes in the body composition associated with puberty. The dramatic increase in energy and nutrient requirements coincides with other factors that may affect adolescents’ food choices and nutrient intake and thus nutritional status. National and population based surveys have found that adolescents often fail to meet dietary recommendations for over all nutritional status and for specific nutrient intakes. Nutritional requirements in relation to body size are more during adolescence. In a country like India with varying social customs and common beliefs against females there is a high prevalence of malnutrition amongst girls. Adolescents are tomorrow’s adult population and their health and well-being are crucial. Yet, interest in adolescents’ health is relatively recent and a focus on nutrition is even more recent. Nutrition influences growth and development throughout infancy, childhood and adolescence; it is, however, during the period of adolescence that nutrient needs are the greatest. A questionnaire-based study was undertaken in Jaipur city of Rajasthan with 500 respondents divided equally between government schools and private schools populations. Adolescent girl is subjected to more physical and mental challenges on a day –to-day basis due to ever increasing pressure of modernization. Hence they have to work hard physically as well as
Melnyk, Bernadette M.; Jacobson, Diana; Kelly, Stephanie; O'Haver, Judith; Small, Leigh; Mays, Mary Z.
Background: Obesity and mental health disorders are 2 major public health problems in American adolescents, with prevalence even higher in Hispanic teens. Despite the rapidly increasing incidence and adverse health outcomes associated with overweight and mental health problems, very few intervention studies have been conducted with adolescents to…
Full Text Available Abstract Background Maternal health services have a potentially critical role in the improvement of reproductive health. In order to get a better understanding of adolescent mothers'needs we compared health seeking practices of first time adolescent and adult mothers during pregnancy and early motherhood in Wakiso district, Uganda. Methods This was a cross-sectional study conducted between May and August, 2007 in Wakiso district. A total of 762 women (442 adolescents and 320 adult were interviewed using a structured questionnaire. We calculated odds ratios with their 95% CI for antenatal and postnatal health care seeking, stigmatisation and violence experienced from parents comparing adolescents to adult first time mothers. STATA V.8 was used for data analysis. Results Adolescent mothers were significantly more disadvantaged in terms of health care seeking for reproductive health services and faced more challenges during pregnancy and early motherhood compared to adult mothers. Adolescent mothers were more likely to have dropped out of school due to pregnancy (OR = 3.61, 95% CI: 2.40–5.44, less likely to earn a salary (OR = 0.43, 95%CI: 0.24–0.76, and more likely to attend antenatal care visits less than four times compared to adult mothers (OR = 1.52, 95%CI: 1.12–2.07. Adolescents were also more likely to experience violence from parents (OR = 2.07, 95%CI: 1.39–3.08 and to be stigmatized by the community (CI = 1.58, 95%CI: 1.09–2.59. In early motherhood, adolescent mothers were less likely to seek for second and third vaccine doses for their infants [Polio2 (OR = 0.73, 95% CI: 0.55–0.98, Polio3 (OR = 0.70: 95% CI: 0.51–0.95, DPT2 (OR = 0.71, 95% CI: 0.53–0.96, DPT3 (OR = 0.68, 95% CI: 0.50–0.92] compared to adult mothers. These results are compelling and call for urgent adolescent focused interventions. Conclusion Adolescents showed poorer health care seeking behaviour for themselves and their children, and experienced
Funtikova, Anna N; Navarro, Estanislau; Bawaked, Rowaedh Ahmed; Fíto, Montserrat; Schröder, Helmut
The manifestation of cardiovascular risk factors, such as hypertension, diabetes, and particularly obesity begins in children and adolescents, with deleterious effects for cardiometabolic health at adulthood. Although the impact of diet on cardiovascular risk factors has been studied extensively in adults, showing that their cardiometabolic health is strongly lifestyle-dependent, less is known about this impact in children and adolescents. In particular, little is known about the relationship between their dietary patterns, especially when derived a posteriori, and cardiovascular risk. An adverse association of cardiovascular health and increased intake of sodium, saturated fat, meat, fast food and soft drinks has been reported in this population. In contrast, vitamin D, fiber, mono-and poly-unsaturated fatty acids, dairy, fruits and vegetables were positively linked to cardiovascular health.The aim of this review was to summarize current epidemiological and experimental evidence on the impact of nutrients, foods, and dietary pattern on cardiometabolic health in children and adolescents. A comprehensive review of the literature available in English and related to diet and cardiometabolic health in this population was undertaken via the electronic databases PubMed, Cochrane Library, and Medline. PMID:26574072
Russell, Sushila; Subramanian, Balakrishnan; Russell, Paul Swamidhas Sudhakar
Background In developing countries, primary health care facilities, such as adolescent health clinics, are frequently the first contact for an adolescent with a health professional for a myriad of health problems including mental health issues. Psychopathology is prevalent among adolescents, and causes significant educational, occupational and social impairment. The presence of psychopathology with impairment requires the development of treatment models to address both of these components. We...
Maryane Oliveira-Campos; Marília Lavocart Nunes; Fátima Carvalho Madeira; Maria Goreth Santos; Silvia Reise Bregmann; Deborah Carvalho Malta; Luana Giatti; Sandhi Maria Barreto
OBJECTIVE: This study describes the sexual behavior among students who participated in the National Adolescent School-based Health Survey (PeNSE) 2012 and investigates whether social inequalities, the use of psychoactive substances and the dissemination of information on sexual and reproductive health in school are associated with differences in behavior. METHODOLOGY: The response variable was the sexual behavior described in three categories (never had sexual intercourse, had protected ...
T Peens; M. Poggenpoel
Adolescents are currently being more and more exposed to the expectations of parents, educators, health-workers/helpers and policy makers to meet the demands of society and conform to it. The perception arises that adults are not able to let the adolescent take responsibility for the HOW of his own life story, despite all the expectations and demands. Under the influence of the post-modernistic approach to science and the narrative therapy it appears that each person is an expert of his own l...
Duke, Naomi Nichele; Borowsky, Iris Wagman
Violence involvement is a leading cause of morbidity and mortality among adolescents. This review provides a summary of the burden of adolescent violence and violence-related behavior, risk, and protective factors for violence outcomes. The importance of screening for violence involvement in the primary care setting and examples of online resources to support providers in advocating, assessing, and intervening on behalf of youth are also reviewed. The article draws attention to bullying and dating/relationship violence, not as new forms of violence-related behavior, but as behaviors with health outcomes that have recently received increased attention. PMID:25124212
Full Text Available The aim of this study was to assess the relation between the experience of being alone and identity processes analysing the mediation role of adolescents’ age and gender. The Ego Identity Process Questionnaire – EIPQ (Balistrieri, Busch-Rossnagel, & Geisinger, 1995 and the Louvain Loneliness Questionnaire for Children and Adolescents – LLCA (Marcoen, Goossens, & Caes, 1987 were administered to 181 high school adolescents and 141 university students, classed as late adolescents. Data revealed that, both in the interpersonal and ideological domains, exploration was positively related both with affinity for aloneness and with peer and parent-related loneliness, while in the interpersonal domains commitment was negatively related to these dimensions. Moreover, exploration was associated with a positive attitude to being alone, but not with peer-related loneliness in older individuals. Results supported the hypothesis proposed by Buchholz (1997, who defined “alonetime”, or the time spent in solitude, as an opportunity for exploration.
Full Text Available OBJECTIVE: Reliable and valid instruments are essential for understanding health-promoting behaviors in adolescents. This study analyzed the psychometric properties of the Portuguese version of the Adolescent Lifestyle Profile (ALP.METHODS: A linguistic and cultural translation of the ALP was conducted with 236 adolescents from two different settings: a community (n = 141 and a clinical setting (n = 95. Internal consistency reliability and confirmatory factor analysis were performed.RESULTS: Results showed an adequate fit to data, yielding a 36-item, seven-factor structure (CMIN/DF = 1.667, CFI = 0.807, GFI = 0.822, RMR = 0.051, RMSEA = 0.053, PNFI = 0.575, PCFI = 0.731. The ALP presented a high internal consistency (a = 0.866, with the subscales presenting moderate reliability values (from 0.492 to 0.747. The highest values were in Interpersonal Relations (3.059 ± 0.523 and Positive Life Perspective (2.985 ± 0.588. Some gender differences were found. Findings showed that adolescents from the clinic reported an overall healthier lifestyle than those from the community setting (2.598 ± 0.379 vs. 2.504 ± 0.346; t = 1.976, p = 0.049.CONCLUSION: The ALP Portuguese version is a psychometrically reliable, valid, and useful measurement instrument for assessing health-promoting lifestyles in adolescence. The ALP is cross-culturally validated and can decisively contribute to a better understanding of adolescent health promotion needs. Additional research is needed to evaluate the instrument's predictive validity, as well as its clinical relevance for practice and research.
Meschke, Laurie L.; Peter, Christina R.
Parents play an important role in the promotion of adolescent sexual health, but little is known about parents' attitudes and beliefs in immigrant families. We examine Hmong American parents' attitudes about adolescent sexual health using survey data from 202 parents of adolescents with attention to parental gender differences. Breaking…
Baker, S R; Mat, A; Robinson, P G
Few studies have examined, comprehensively and prospectively, determinants of oral-health-related quality of life. The aim of this study was to examine the relationships between psychosocial factors and oral health status, health perceptions, and quality of life. Measures of symptom and functional status, health perceptions, quality of life, oral health beliefs, and psychological (sense of coherence, self-esteem, health locus of control) and social factors (parents' income and education) were collected from 439 12- and 13-year-olds at baseline and six-month follow-up, together with a clinical examination at baseline. Structural equation modeling indicated that increased levels of caries and more symptoms predicted more functional limitations, and, cross-sectionally, greater functional impact was associated with worse health perceptions, which were linked to lower quality of life. Sense of coherence was the most important psychosocial predictor. These factors are important in understanding how oral health affects young people's daily lives. PMID:20739689
Iram Rizvi, Syeda Fariha; Najam, Najma
Objective: Present study was conducted to explore the relationship between parental psychological abuse toward their children and mental health problems in adolescence. Method: Three hundred participants age range 13-17 years, (57% boys and 43% girls) participated in the study from both public and private high schools of Lahore. Psychological maltreatment experience scale (PMES) and Youth Self-Report(YSR) were used for assessment and diagnosis. Results: Findings revealed that psychological ab...
Mostafa Abdel-Monhem Amr
Full Text Available INTRODUCTION: Increased life expectancy due to recent medical advances has increased the need to understand more fully the quality of life (QoL in patients with sickle cell disease (SCD and factors predicting disease adaptation .The objectives of this study were to assess the impairment of health related quality of life (HRQoL domains in a sample of Saudi Arabian adolescents with SCD. METHODS: A non-probability sample composed of Saudi adolescents with SCD (n=180 aged 14-18 years and comparable age and gender matched healthy controls (n=202. Socio-demographics and disease related data were obtained through personal interview with parents/legal guardians and reviewing patients medical records. Self-administered "Short Form-36" questionnaire was used to assess HRQoL of the included groups. RESULTS: HRQoL showed significant deterioration in adolescents with SCD especially in role physical, general health, and bodily pain domains irrespective of the gender, while female adolescents with SCD demonstrated significant deterioration in emotional wellbeing. Those with SCD-complications showed worse scores along the physical, general health, and emotional wellbeing domains. HRQol scores were negatively associated with increasing age, female gender, rural residence, low family income, presence of disease-related complications and frequent hospital admissions as revealed by multivariate regression analysis. CONCLUSION: Saudi adolescents with SCD experience deterioration along all domains of HRQoL especially the physical. Disease related complications and socio-demographic correlates are significant determinants to worse HRQoL among the included adolescents with SCD.
Full Text Available Most smokers start young. Initiation of cigarette smoking at an earlier age leads to more life-years for tobacco use, makes quitting harder, and increases the risk of serious health consequences. Despite these challenges, research focusing on smoking behavior among adolescent boys in Taiwan is rare. Although the Taiwanese government enacted the Tobacco Hazards Prevention Act in 2009, aimed at prevention and reducing the rate of smoking, the percentage of high school students who smoke has continued to increase. In 2006, 7.5% of adolescent boys engaged in smoking. By 2012 the rate had increased to 24.6%. This paper explores the experiences that contribute to adolescent Taiwanese boys making the decision to smoke. A phenomenological approach to inquiry was used as the philosophical foundations for this study with twelve adolescent boys who engaged in smoking behaviors. Data was gathered through two face-to-face semi-structured interviews and a focus group. Data analysis was performed using Colaizzi’s analysis method. Findings indicated that decisions to begin smoking were motivated by curiosity and as a means of establishing friendships while decisions to continue smoking were linked to the addictive nature of smoking and as a means of coping with stress and passing the time. The findings can be used to inform the prevention of tobacco use and to reduce the high smoking rates among adolescent boys.
Hong, Rei-Mei; Guo, Su-Er; Chen, Mei-Yen
Most smokers start young. Initiation of cigarette smoking at an earlier age leads to more life-years for tobacco use, makes quitting harder, and increases the risk of serious health consequences. Despite these challenges, research focusing on smoking behavior among adolescent boys in Taiwan is rare. Although the Taiwanese government enacted the Tobacco Hazards Prevention Act in 2009, aimed at prevention and reducing the rate of smoking, the percentage of high school students who smoke has continued to increase. In 2006, 7.5% of adolescent boys engaged in smoking. By 2012 the rate had increased to 24.6%. This paper explores the experiences that contribute to adolescent Taiwanese boys making the decision to smoke. A phenomenological approach to inquiry was used as the philosophical foundations for this study with twelve adolescent boys who engaged in smoking behaviors. Data was gathered through two face-to-face semi-structured interviews and a focus group. Data analysis was performed using Colaizzi's analysis method. Findings indicated that decisions to begin smoking were motivated by curiosity and as a means of establishing friendships while decisions to continue smoking were linked to the addictive nature of smoking and as a means of coping with stress and passing the time. The findings can be used to inform the prevention of tobacco use and to reduce the high smoking rates among adolescent boys. PMID:26343695
Maria Cristina Barbaro
Full Text Available OBJECTIVE: evaluate prenatal care for adolescents in health units, in accordance with the attributes of Primary Health Care (PHC guidelines. METHOD: quantitative study conducted with health professionals, using the Primary Care Assessment Tool-Brazil to assess the presence and extent of PHC attributes. RESULTS: for all the participating units, the attribute Access scored =6.6; the attributes Longitudinality, Coordination (integration of care, Coordination (information systems and Integrality scored =6.6, and the Essential Score =6.6. Comparing basic units with family health units, the attribute scores were equally distributed; Accessibility scored =6.6, the others attributes scored =6.6; however, in the basic units, the Essential Score was =6.6 and, in the family health units, =6.6. CONCLUSION: expanding the coverage of family health units and the training of professionals can be considered strategies to qualify health care.
Broadbent, J M; Thomson, W M; Poulton, R
According to theory, health beliefs are related to health behaviors. We investigated whether individuals who hold favorable oral-health-related beliefs over time have better adult oral health than those who do not. Beliefs about the efficacy of water fluoridation, keeping the mouth clean, avoiding sweet foods, visiting the dentist, using dental floss, and using fluoridated toothpaste were assessed in a birth cohort at ages 15, 18, and 26 years. At each age, the majority of participants endorsed the importance of each practice. However, there was also evidence of instability across time. Individuals who held stable favorable dental beliefs from adolescence through adulthood had fewer teeth missing due to caries, less periodontal disease, better oral hygiene, better self-rated oral health, and more restorations. Dental beliefs can change between adolescence and young adulthood, and these changes are related to oral health. In particular, unfavorable dental health beliefs are related to poorer oral health. PMID:16567555
Ford, Carol A
The Society for Adolescent Health and Medicine (SAHM) was created by health professionals committed to identifying and better addressing the health needs of adolescents and young adults, and this work has continued for nearly 50 years. The society initially focused primarily on clinical education, but has evolved to include educational activities providing clinical, research, policy, advocacy, and professional development content. Strategies have included high-quality annual meetings designed to meet the educational needs of its multi-disciplinary membership, publishing an internationally recognized journal, and developing strategic collaborations to advocate for legitimacy of the field and reform in health profession education. Historically, SAHM has been most successful at increasing specialized training in the United States among physicians, and primarily pediatricians, likely driven by the nuances of the development of adolescent medicine in this country. Successes are often linked to strategic collaborations with other professional organizations, and have been facilitated by federally funded initiatives to improve adolescent and young adult health. Recent efforts to improve professional training are focused on the use of technology, and SAHM is also currently exploring strategies to directly reach adolescents, young adults, and their parents. As the society becomes increasingly multidisciplinary and international, members have extraordinary opportunities to learn from each other, build upon lessons learned, and collaborate. Descriptions of the history of SAHM's training-focused efforts, selected highlights, and current priorities will be used to illustrate this long-standing commitment to the training of health professionals. PMID:26115503
markdownabstract__abstract__ A high percentage of adolescents suffer from mental health problems and many health-risk behaviors, such as excessive alcohol consumption, cigarette smoking, and drug (mis)use, are acquired during adolescence. These mental health problems and health-risk behaviors often persist into adulthood, thereby affecting not only current health but also health later in life. Given the adverse short and long term effects of adolescents’ mental health problems and health-risk...
Lincoln, Alisa K; Lazarevic, Vanja; White, Matthew T; Ellis, B Heidi
Refugee adolescents often immigrate to a new society because of experiences of persecution and trauma, which can have profound effects on their mental health. Once they immigrate, many refugees experience stressors related to resettlement and acculturation in the new society. The current study examined relationships among acculturation styles and hassles and the well-being of young refugees as well as the role of gender. Data were collected from 135 young refugees (M age = 15.39, SD = 2.2; 62 % male) from Somalia resettled in the United States The findings from our study indicate that in addition to trauma history, acculturative hassles and acculturation style impact the wellbeing of Somali refugee adolescents. These findings indicate the need to understand both past experiences as well as current challenges. Potential areas for intervention are discussed. PMID:26048358
Van Dijk, Martin L; Savelberg, Hans H. C. M.; Verboon, Peter; Kirschner, Paul A.; de Groot, Renate H. M.
Background The majority of studies investigating associations between physical activity and mental health in adolescents have been cross-sectional in design. Potential associations between physical activity and mental health may be better examined longitudinally as physical activity levels tend to decrease in adolescence. Few studies have investigated these associations longitudinally in adolescents and none by measuring physical activity objectively. Methods A total of 158 Dutch adolescents ...
Robab Latifnejad Roudsari; Mojgan Javadnoori; Marzieh Hasanpour; Seyyed Mohammad Mehdi Hazavehei; Ali Taghipour
Background: Despite clear reasons for necessity of sexual health education for adolescents, it is a contested issue and has faced challenges in most cultures. Providing sexual education for non-married adolescents is culturally unacceptable in most Muslim societies. Objective: This qualitative study addressed socio-cultural challenges to sexual health education for female adolescents in Iran. Materials and Methods: Qualitative data from female adolescents (14-18 yr), mothers, teachers, author...
Yen, Cheng-Fang; Ko, Chih-Hung; Liu, Tai-Ling; Hu, Huei-Fan
This study compared physical child abuse and teacher harassment of bully-victims with other groups and examined their associations with mental health problems in bully-victims. For 6,160 adolescents, experiences of physical child abuse, teacher harassment, peer bullying, and six mental health problem indicators were assessed. Adolescents that had experienced physical child abuse and teacher harassment were more likely to be bully-victims but not neutral or pure victims. Adolescents who reported physical child abuse were more likely to be bully-victims but not pure bullies. Bully-victims that had experienced teacher harassment exhibited more severe depression and insomnia than did those without teacher harassment. Gender had moderating effects on the difference in physical child abuse between bully-victims and neutrals and on the association between physical child abuse and suicidality in bully-victims. Physical child abuse and teacher harassment should be considered when preventive and intervention programs are developed for adolescents. PMID:25300192
Lee, Dong-Yun; Kim, Seo-Hee; Woo, Sook Young; Yoon, Byung-Koo; Choi, DooSeok
Homosexual adolescents may face significant health disparities. We examined health-risk behaviors and health cognition related to homosexual behavior in a representative sample of adolescents.Data were obtained from 129,900 adolescents between 2008 and 2012 over 5 cycles of the Korean Youth Risk Behavior Survey, a national survey of students in grades 7 to 12. Various health-risk behaviors and aspects of health cognition were compared between homosexual and heterosexual adolescents and analyzed with multiple logistic regression models.Compared with heterosexual adolescents (n = 127,594), homosexual adolescents (n = 2306) were more likely to engage in various health-risk behaviors and to have poor health cognition. In multiple logistic regression analysis, not living with parents, alcohol experience (adjusted odds ratio, 1.50; 95% confidence interval, 1.26-1.78 for males and 1.66; 1.33-2.07 for females), smoking experience (1.80; 1.54-2.10 for males and 3.15; 2.61-3.79 for females), and drug experience (3.65; 2.81-4.80 for males and 3.23; 2.35-4.46 for females) were associated with homosexual behavior. Homosexual adolescents were more likely to use adult internet content (2.82; 2.27-3.50 for males and 7.42; 4.19-13.15 for females), and to be depressed (1.21; 1.03-1.43 for males and 1.32; 1.06-1.64 for females). In addition, suicide ideation (1.51; 1.26-1.81 for males and 1.47; 1.16-1.86 for females) and attempts (1.67; 1.37-2.05 for males and 1.65; 1.34-2.03 for females) were significantly more prevalent among homosexual adolescents.Homosexual adolescents report disparities in various aspects of health-risk behavior and health cognition, including use of multiple substances, adult internet content and inappropriate weight loss methods, suicide ideation and attempts, and depressive mood. These factors should be addressed relevantly to develop specific interventions regarding sexual minorities. PMID:27227939
Darmanin Ellul R
Full Text Available Objective: To investigate self-reported health complaints and the use of medicines among adolescents in Malta.Methods: A self-administered questionnaire was used to survey self-reported health complaints, the use and the sources of medicines that had been accessed, during the preceding 3 months among adolescents attending secondary schools in Malta. A stratified random sample design generated a sample size of 514 students. The health complaints and use of medicines that were investigated included ear problems/hay fever/cold/cough, headache, skin problems, sport injuries, indigestion/diarrhoea/constipation, eye problems and menstrual pain (for girls. The use of vitamins and antibiotics was also investigated. Results: A total of 477 students participated in the final data collection. Correct information was submitted by 474 students, (aged 14-16 years, who formed the analytical sample, of which 53.8% were girls. The students reported a mean number of 2.70 (SD = 1.39 out of a total of 7 health complaints and 90.3% reported using at least 1 medicine during the preceding 3 months. The community pharmacy was cited as the most commonly accessed source for most of the medicines that were investigated. A proportion of 24.3% of the students had taken at least 1 medicine without adult guidance during the preceding 3 months. Almost 10% of those who had taken antibiotics, had accessed them from the home medicine cabinet.Conclusion: A high proportion of adolescents in Malta reported the use of medicines to alleviate the symptoms of common health complaints. This result is concordant with previous research carried out in the United Kingdom, Germany, Slovakia and Kuwait. A considerable proportion of students in this study had obtained medicines without adult guidance and accessed antibiotics from the home medicine cabinet. This highlights the importance of carefully designed education programs for adolescents that will integrate information about the proper use
Varshil Mehta; Anusha Bhat
Background: Adolescents are particularly vulnerable to many health issues. Studies in Indian literature have documented low health awareness and many health related issues in adolescents. The aim and objective of the study was to evaluate health awareness and behavior among adolescents studying in a rural school in Maharashtra, India. Methods: A cross-sectional, quantitative, observational questionnaire-based survey was conducted among high school students between 15 to 19 years of age stu...
Despite the fact that adolescence is regarded as a period in life with good health and where severe illness is uncommon, many adolescents struggle with different kinds of health complaints in their daily lives. From a preventive point of view it is crucial to gain insight into the nature of health complaints among children and adolescents, as well as their aetiology. The main purpose of the present thesis is to provide knowledge about the underlying structures in health complai...
Suss, A. L.; Tinkelman, B. K.; Freeman, K; Friedman, S B
Since health-risk behaviors are often encountered in clusters among adolescents, it was hypothesized that adolescents with poor school attendance would be associated with more health-risk behaviors (e.g., substance use, violence) than those who attend school regularly. This study assessed the relationship between poor school attendance and health-risk behaviors, and described health-risk behaviors and self-esteem among adolescents seeking employment. In this cross-sectional study, school atte...
Fegran, Liv; Ludvigsen, Mette Spliid; Aagaard, Hanne;
Introduction: Despite research and implementation of transition models in the last decades, transfer from paediatric to adult care still poses great challenges. Predominantly studies on health care transition have been based on the perspective of experts or health care professionals. Aim: To...... synthesize qualitative studies on how adolescents and young adults with chronic diseases experience transition from paediatric to adult care. Methods: Literature search in major databases covering the years from 1999 to November 2010 was performed. Further forward citation snowballing search was conducted in...
Kim, Jinyoung; Sohn, Aeree
Objectives This study was conducted in order to determine any correlation between experience of harmful shops and adolescent smoking and alcohol drinking in middle and high school students. Methods The survey was conducted using a self-administered questionnaire online via the homepage of the Ministry of Education student Health Information Center; 1888 and 1563 questionnaires were used for middle and high school students, respectively, for a total of 3451 questionnaires in the final analysis. The collected data were processed using SPSS version 21.0 and examined using frequency analysis and hierarchical linear regression. Results In this research, 8.3% of all participants were found to have experienced smoking and 17.0% alcohol drinking. Regarding the types of harmful shops, 81.8% said they had been to a gaming place; 21.2% to a lodging place; 16.0% to a sex and entertainment place; and 6.8% to a harmful sex industry location. Sociodemographic variables had a significant effect on adolescent smoking and alcohol drinking. Regarding environmental variables, a significant difference was observed for living with parents and school location. Among adolescent experience of harmful shops, both smoking and alcohol drinking showed a significant association with harmful sex industry locations. Conclusion National government-level management and supervision on this issue will be necessary to prevent adolescent access to harmful shops, along with more studies exploring methods for implementation of policies with more systematic control of harmful shops. PMID:25180146
Launay, Magali; Demierre, Maria; Jacot-Guillarmod, Martine
Adolescent's sexual health, in particular the risk of unwanted pregnancies and sexually transmitted infections (STIs), is a complex topic that deserves special attention. Confidential care and non-stigmatizing attitude as well as working with sexual health counsellors are strongly recommended. If an adolescent consults with an adult, it is beneficial to proceed stepwise in order to promote patient's autonomy and to build a relationship of trust with both of them. A focused approach of the teenager, adapted to its needs, as well as techniques such as Quick start and bridging, can improve compliance to contraception. Regarding the risk of STIs, primary prevention remains essential. The most effective prevention currently consists in systematic condom use. PMID:27451513
Strasburger, Victor C; Jordan, Amy B; Donnerstein, Ed
Youth spend an average of >7 hours/day using media, and the vast majority of them have access to a bedroom television, computer, the Internet, a video-game console, and a cell phone. In this article we review the most recent research on the effects of media on the health and well-being of children and adolescents. Studies have shown that media can provide information about safe health practices and can foster social connectedness. However, recent evidence raises concerns about media's effects on aggression, sexual behavior, substance use, disordered eating, and academic difficulties. We provide recommendations for parents, practitioners, the media, and policy makers, among others, for ways to increase the benefits and reduce the harm that media can have for the developing child and for adolescents. PMID:20194281
Honeyman, Cheryl; Davison, Jean
Background Adolescent idiopathic scoliosis is a three-dimensional curvature of the spine of unknown cause that occurs in often otherwise fit young people. A complex surgical procedure is required for the most severe curves. Quantitative literature suggests scoliosis surgery improves patients' lives, while qualitative literature focuses on patients' concerns rather than their experience. Aims To explore how adolescents interpret their perioperative experience. Method Six participants, aged 15-18, were interviewed and transcripts were analysed. Findings Four themes were identified: shock, fears and worries; parental interaction; coping; and motivation and positivity. Conclusion Participants were reluctant to share concerns, however those they shared related more to fear of the unknown and lack of control than specific issues such as pain. Participants depended on their parents, especially their mothers, during the perioperative period, and they recognised their parents' stress. Participants coped well, were motivated and had a positive outlook. PMID:27615585
de Assis, Simone Gonçalves; Gomes, Romeu; Pires, Thiago de Oliveira
OBJECTIVE To analyze the relationships between sexual behavior and risk factors to physical and mental health in adolescents. METHODS Study of 3,195 pupils aged 15 to 19 in secondary education, in public and private schools in 10 state capitals in Brazil between 2007 and 2008. Multi-stage (schools and pupils) cluster sampling was used in each city and public and private educational network. All of the students selected completed a questionnaire on the following items: socioeconomic and demogr...
Our aim was to study the relationship of coping strategies choice and anti-vital experiences and the overall emotional well-being in adolescents. In October 2012, we surveyed 145 students of Moscow secondary school (54 boys, 91 girls) aged 12 to 16 years. The survey was conducted by a block of psychodiagnostic methods, testing emotional disadaptation, presence of suicidal thoughts and ways of coping with stressful situations. It was found that 22,8% of the participants reported presence of su...
Choate, Peter W.
Alcoholism and drug addiction have marked impacts on the ability of families to function. Much of the literature has been focused on adult members of a family who present with substance dependency. There is limited research into the effects of adolescent substance dependence on parenting and family functioning; little attention has been paid to the parents’ experience. This qualitative study looks at the parental perspective as they attempted to adapt and cope with substance dependency in the...
Daniel F. Detzner; Zha Blong Xiong
The purpose of this paper is to examine the fathering experiences of Southeast Asian immigrant men who are parenting their adolescent children in the United States. Focus group discussions were conducted with twenty-two Cambodian, Hmong, Lao, and Vietnamese immigrant fathers. The study found that most fathers wanted to become closer to their children and be more involved in their children’s daily activities. Common fathering roles such as the family provider, teacher, supervisor, and discipli...
Full Text Available Fadia S AlBuhairan,1–3 Tina M Olsson3,4 1Department of Pediatrics, King Abdulaziz Medical City, Riyadh, Saudi Arabia; 2King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; 3King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; 4School of Social Work, Lund University, Lund, Sweden Background: Adolescent health is regarded as central to global health goals. Investments made in adolescent health and health services protect the improvements witnessed in child health. Though Saudi Arabia has a large adolescent population, adolescent health-care only began to emerge in recent years, yet widespread uptake has been very limited. Health-care providers are key in addressing and providing the necessary health-care services for adolescents, and so this study was conducted with the aim of identifying opportunities for the advancement of knowledge transfer for adolescent health services in Saudi Arabia. Methods: This Web-based, cross-sectional study was carried out at four hospitals in Saudi Arabia. Physicians and nurses were invited to participate in an online survey addressing their contact with adolescent patients, and training, knowledge, and attitudes towards adolescent health-care. Results: A total of 232 professionals participated. The majority (82.3% reported sometimes or always coming into contact with adolescent patients. Less than half (44%, however, had received any sort of training on adolescent health during their undergraduate or postgraduate education, and only 53.9% reported having adequate knowledge about the health-care needs of adolescents. Nurses perceived themselves as having more knowledge in the health-care needs of adolescents and reported feeling more comfortable in communicating with adolescents as compared with physicians. The majority of participants were interested in gaining further skills and knowledge in adolescent health-care and agreed or strongly agreed that adolescents have
Palisano, Robert J.; Shimmell, Lorie J.; Stewart, Debra; Lawless, John J.; Rosenbaum, Peter L.; Russell, Dianne J.
The purpose of this study was to describe how youth with cerebral palsy experience mobility in their daily lives using a phenomenological approach. The participants were 10 youth with cerebral palsy, 17 to 20 years of age, selected using purposeful sampling with maximum variation strategies. A total of 14 interviews were completed. Transcripts…
Vieira Netto, Moysés Francisco; Deslandes, Suely Ferreira
The Family Health Strategy (FHS) has an acknowledged potential for the promotion of health and the prevention of violence. This is an integrative bibliographic review with the aim of evaluating the performance of FHS professionals in tackling and preventing violence involving adolescents. It is an integrative review of dissertations and theses on healthcare published from 1994 to 2014. The collection of 17 dissertations and 2 doctoral theses reveals that these studies are recent. The FHS professionals acknowledge the vulnerability of adolescents to inflicting and being subject to violence, however the FHS proves ineffective in tackling and preventing such violence. The predominance of the medical technical care model, the deficiencies in Public Health education in professional training and the lack of institutional support are seen as the main obstacles. Many of these professionals are unaware of the files for notification of violence. The existence of family violence and criminal groups were the aspects most mentioned in the territories. The social representation of adolescents as being "problematic" and the lack of ESF actions that promote an increase youth leadership and empowerment were clearly detected. PMID:27166906
Unhealthy behaviors contribute to the development of diseases such as diabetes, cardiovascular disease and psychiatric disorders. Most often these behaviors develop in the teenage years. This thesis addresses the following topics: (1) How do health-related behaviors cluster and affect health in adolescents, (2) how do they affect their school performances and (3) are they improved by a Health Promoting School intervention that applies a Whole School Approach? Firstly, it was studied how healt...
Barnes, Di; Parker, Ethna; Wistow, Richard; Dean, Richard; Thomson, Claire
This is a report of the 2006/07 national child health, child and adolescent mental health service (CAMHS) and maternity services mapping exercise. This was the second year that child health and maternity service data was collected and the fifth year that the CAMHS exercise had been carried out. For the first time, data collection in these three areas was combined, underlining their joint aim to contribute to the monitoring of the implementation of the National Service Framework for Children, ...
Physical health investigations, such as blood tests, ECGs, and appropriate radiological tests, are essential in the assessment and management of many patients in inpatient mental health settings. This project took place in a 12-bed adolescent mental health unit in Swindon, UK, where on average at least two-thirds of patients have a diagnosed eating disorder. Multidisciplinary ward rounds provide an appropriate setting for discussion and documentation of physical investigations. Over a two-wee...
Warenius, Linnéa U; Faxelid, Elisabeth A; Chishimba, Petronella N; Musandu, Joyce O; Ong'any, Antony A; Nissen, Eva B-M
Adolescent sexuality is a highly charged moral issue in Kenya and Zambia. Nurse-midwives are the core health care providers of adolescent sexual and reproductive health services but public health facilities are under-utilised by adolescents. The aim of this study was to investigate attitudes among Kenyan and Zambian nurse-midwives (n=820) toward adolescent sexual and reproductive health problems, in order to improve services for adolescents. Data were collected through a questionnaire. Findings revealed that nurse-midwives disapproved of adolescent sexual activity, including masturbation, contraceptive use and abortion, but also had a pragmatic attitude to handling these issues. Those with more education and those who had received continuing education on adolescent sexuality and reproduction showed a tendency towards more youth-friendly attitudes. We suggest that critical thinking around the cultural and moral dimensions of adolescent sexuality should be emphasised in undergraduate training and continuing education, to help nurse-midwives to deal more empathetically with the reality of adolescent sexuality. Those in nursing and other leadership positions could also play an important role in encouraging wider social discussion of these matters. This would create an environment that is more tolerant of adolescent sexuality and that recognises the beneficial public health effect for adolescents of greater access to youth-friendly sexual and reproductive health services. PMID:16713886
The purpose of this study was to examine the psychometric properties of the Italian translation of the Adolescent Dissociative Experiences Scale (A-DES). A sample of 1,806 high-school students between the ages of 13 and 18 years, recruited in 6 Italian cities, completed the A-DES. The A-DES showed high internal consistency, excellent item-to-scale homogeneity, good split-half reliability, and a single-factor structure. The scores of the Italian adolescents were comparable to those found in previous research with the measure. No gender differences were found in mean A-DES scores, but boys and girls showed different patterns of responses on A-DES items. Age differences were also found, with 13- and 18-year-old students scoring higher on the measure than the other participants. A cluster analysis showed that participants could be consistently grouped into 2 clusters of low- and high-dissociative adolescents. This study supports the A-DES as a reliable and valid screening measure for dissociative symptoms in adolescents. PMID:26156626
Ritterman, Miranda Lucia
There is a well-established inverse graded relationship between social class and infant, child, and adult health but this gradient is inconsistent and understudied among adolescents. The empirical inquiry into health inequalities among adolescents is of particular significance because health in adulthood is strongly influenced by early life circumstances. Current research suggests that social stratification, as reflected by adolescent perceived class identity, may be an important determinant...
Utomo, Iwu Dwisetyani; McDonald, Peter
This study examines the changing social and political context of adolescent sexual and reproductive health policy in Indonesia. We describe how, in 2001, Indonesia was on the brink of implementing an adolescent reproductive health policy that was consistent with international agreements to which the Indonesian government was a party. Although the health of young Indonesians was known to be at risk, the opportunity for reform passed quickly with the emergence of a new competing force, Middle Eastern fundamentalist Islam. Faced with the risk of regional separatism and competing politico-religious influences, the Indonesian government retreated to the safety of inaction in this area of policy. In the absence of a supportive and committed political environment that reinforces policy specifically targeted to young people's reproductive health, extremist approaches that involve considerable health risk prevailed. The sexual and reproductive values and behaviors that are emerging among single young people in contemporary Indonesia are conditioned by a political context that allows the conflicting forces of traditional Indonesian values, Westernization, and the strong emerging force of fundamentalist Islam to compete for the allegiance of young people. PMID:19662805
Bao, Lin; Brownlie, E B; Beitchman, Joseph H
Longitudinal research on mental health development beyond adolescence among nonclinical populations is lacking. This study reports on psychiatric disorder trajectories from late adolescence to young adulthood in relation to childhood and adolescent risk factors. Participants were recruited for a prospective longitudinal study tracing a community sample of 5-year-old children with communication disorders and a matched control cohort to age 31. Psychiatric disorders were measured at ages 19, 25, and 31. Known predictors of psychopathology and two school-related factors specifically associated with language disorder (LD) were measured by self-reports and semistructured interviews. The LD cohort was uniquely characterized by a significantly decreasing disorder trajectory in early adulthood. Special education was associated with differential disorder trajectories between LD and control cohorts, whereas maltreatment history, specific learning disorder, family structure, and maternal psychological distress were associated with consistent trajectories between cohorts. From late adolescence to young adulthood, childhood LD was characterized by a developmentally limited course of psychiatric disorder; maltreatment was consistently characterized by an elevated risk of psychiatric disorder regardless of LD history, whereas special education was associated with significantly decreasing risk of psychiatric disorder only in the presence of LD. PMID:26611829
Sivagurunathan, C; Umadevi, R; Rama, R; Gopalakrishnan, S
Adolescence is a phase of rapid growth and development during which physical, physiological and behavioural changes occur. They constitute more than 1.2 billion worldwide, and about 21% of Indian population. Morbidity and mortality occurring in this age group is mostly due to preventable causes. Young and growing children have poor knowledge and lack of awareness about physical and psychological changes that occurs during adolescence and the ill health affecting them. Existing Adolescent health programmes focus on rendering services like immunization, health education for sexual and reproductive health, nutritional education and supplementation, anemia control measures and counseling. Adolescent health programmes are fragmentary at present and there is no comprehensive programme addressing all the needs of adolescents. Access and availability of health care services are severely limited. Lack of accurate information, absence of proper guidance, parent's ignorance, lack of skills and insufficient services from health care delivery system are the major barriers. Interventions should focus on providing psychological and mental health services and behaviour change communication towards leading a healthy lifestyle, restricting advertisement related to junk food products, awareness creation about reproductive and sexual health, educating parents to prevent early marriage, teenage pregnancy and to counsel their children on nutrition and reproductive health. Universal coverage of Adolescent friendly clinics is highly recommended. To be cost effective, all health services addressing adolescent should come under single programme. This review is intended to create awareness among the stakeholders about the importance of strengthening adolescent health services in order to meet their felt needs. PMID:25964884
National Center for Education in Maternal and Child Health, Arlington, VA.
Items in this annotated bibliography deal with the mental health of adolescents and include materials for adolescents, parents, health educators, and health professionals. Resources cited include 11 videotapes and 64 publications dealing with the following topics: (1) teenage suicide; (2) mental illness in the family; (3) coping; (4) teenage…
Aura, Annamari; Sormunen, Marjorita; Tossavainen, Kerttu
Purpose: The purpose of this paper is to identify and describe adolescents' health-related behaviours from a socio-ecological perspective. Socio-ecological factors have been widely shown to be related to health behaviours (smoking, alcohol consumption, physical activity and diet) in adolescence and to affect health. The review integrates evidence…
Begoray, Deborah L.; Banister, Elizabeth M.; Wharf Higgins, Joan; Wilmot, Robin
The commercial media is an influential sociocultural force and transmitter of health information especially for adolescents. Instruction in critical media health literacy, a combination of concepts from critical health literacy and critical media literacy, is a potentially effective means of raising adolescents' awareness about commercial…
Atuyambe, Lynn; Mirembe, Florence; Annika, Johansson; Kirumira, Edward K.; Faxelid, Elisabeth
Purpose: To explore adolescent health seeking behavior during pregnancy and early motherhood in order to contribute to health policy formulation and improved access to health care. This will in long-term have an impact on the reduction of morbidity and mortality among adolescent mothers and their newborns. Methods: This was a qualitative study…
Dodd, Virginia J.; Logan, Henrietta; Brown, Cameron D.; Calderon, Angela; Catalanotto, Frank
Background: An asymmetrical oral disease burden is endured by certain population subgroups, particularly children and adolescents. Reducing oral health disparities requires understanding multiple oral health perspectives, including those of adolescents. This qualitative study explores oral health perceptions and dental care behaviors among rural…
Borges, Guilherme; Benjet, Corina; Medina-Mora, Maria Elena; Orozco, Ricardo; Nock, Matthew
The study examines data from the Mexican Adolescent Mental Health Survey to study the prevalence and risk factors for suicide ideation, plan, and attempt among Mexican adolescents. The results reveal patterns of the risk factors and suggest that intervention should focus on adolescents with mental disorders to effectively prevent suicides.
Marinković Jelena M.
Full Text Available Introduction Children deprived of parental care are a vulnerable population with complex needs and health problems. The aim of our study was to assess health status of this population and compare it with children living in their biological families. Material and methods Our study included 41 adolescents living in foster families (22 boys and 19 girls, mean age 14.66±1.39 and 43 adolescents living in child foster homes (16 boys and 27 girls, mean age 14.99±1.3. The control group consisted of their classmates living with their biological families (45 adolescents, 20 boys and 25 girls, mean age 14.69±1.43. Health status was assessed by analyzing their medical records. Results There were no differences in regard to anthropometric characteristics (body weight, body height, body mass index and prevalence of body deformities in studied groups. Acute bronchitis was significantly more frequent in children living in foster families (41.5% than in other two groups (16.3% - foster homes; 17.8% - biological families. Headaches were significantly more common in groups living in foster families (31.7% and foster homes (25.6% than in children living with their biological families. The same was established for myopia (46.3% - foster families; 32.6% - foster homes; 17.8% - biological families. Conclusion Even though there were no differences in regard to characteristics which are indicators of general health, it is apparent that children deprived of parental care present with particularities of health status. Additional researches are necessary in order to get insight into the causality of these phenomena.
T. S. Pavlova
Full Text Available Our aim was to study the relationship of coping strategies choice and anti-vital experiences and the overall emotional well-being in adolescents. In October 2012, we surveyed 145 students of Moscow secondary school (54 boys, 91 girls aged 12 to 16 years. The survey was conducted by a block of psychodiagnostic methods, testing emotional disadaptation, presence of suicidal thoughts and ways of coping with stressful situations. It was found that 22,8% of the participants reported presence of suicidal thoughts. Specific to adolescents with suicidal attitude were high social and interpersonal anxiety and severity of non-adaptive coping strategies, such as “self-incrimination” and “comparing oneself with the others”.
Sexualidade, reprodução e saúde: experiências de adolescentes que vivem em município do interior de pequeno porte Sexuality, reproduction and health: experiences of adolescent students living in a small city of the interior
Full Text Available O objetivo deste artigo é escrever experiências de adolescentes escolares de ambos os sexos, de um município do interior do Rio de Janeiro, referentes à vida afetivo-sexual, à reprodução e à saúde sexual e reprodutiva. Estudo transversal com 200 adolescentes de escolas públicas de Silva Jardim, de 15 a 19 anos, com aplicação de questionário estruturado. A iniciação sexual das meninas ocorreu entre 15 e 19 anos e dos meninos entre 12 a 14 anos. Eles se iniciaram com parceiros de 12 a 19 anos e elas com parceiros mais velhos. Meninas receberam mais informações sobre relações sexuais do que meninos e conversaram mais com parceiros sobre prevenção de gravidez na ocasião da iniciação sexual. Fontes de informações sobre sexualidade e contracepção são principalmente os pais. A farmácia é o principal local de aquisição de contraceptivos. Informações sobre doenças sexualmente transmissíveis provêm principalmente da escola. A comparação desses resultados com os de outros estudos com adolescentes escolares de grandes centros urbanos e populações que incluem jovens fora da escola evidencia aproximações e distanciamentos entre suas experiências. Fatores relacionados ao contexto sociocultural e institucional de pequenos municípios, diferenciais de gênero e escolaridade ajudam a compreendê-las.This article aims to describe experiences of school adolescents of both sexes, living in a small city in the interior of the State of Rio de Janeiro, concerning affective-sexual life and sexual and reproductive health. A cross-sectional study was conducted with a structured questionnaire among 200 adolescents aged between 15 and 19 from public schools in Silva Jardim,. The girls' sexual initiation occurred between 15 and 19 and boys between 12 and 14. Boys started with partners from 12 to 19 years of age and girls with older partners. Girls received more information about sex than boys and talked more with partners about
Essau, Cecilia A.; Ishikawa, Shin-ichi; Sasagawa, Satoko
The main aim of this study was to compare the frequency of anxiety symptoms among adolescents in Japan and England, and to examine the association between early learning experiences and anxiety symptoms. A total of 299 adolescents (147 from England and 152 from Japan), aged 12 to 17 years were investigated. Results showed that adolescents in…
Trainor, Audrey A.; Carter, Erik W.; Swedeen, Beth; Owens, Laura; Cole, Odessa; Smith, Shane
Although summer represents an opportune time for adolescents to garner employment and community experiences that may further long-term transition goals, little is known about the expectations and needs of adolescents with disabilities during this break in the academic school year. In this article, the authors explore adolescents' perceptions about…
Van Roosmalen, Erica
Examines the role of patriarchy and capitalism in shaping adolescent girls' experiences of sexuality and conceptions of relationships. Analysis of letters to a teen advice column highlights concerns and issues of sexuality, gender identity, and relationships for adolescent girls. Argues that during early adolescence, the power and contradictions…
Byrne, Hollie; Dooley, Barbara; Fitzgerald, Amanda; Dolphin, Louise
The aim of the present research was to examine adolescents' definitions of bullying in a nationally representative sample of adolescents in Ireland. Definitions of bullying were examined according to age, gender, and bullying experiences. A sample of 4358 adolescents aged 12-19 years (M = 14.99 years, SD = 1.63) provided their definitions of…
Adolescent health care providers frequently care for patients who identify as lesbian, gay, bisexual, or transgendered (LGBT), or who may be struggling with or questioning their sexual orientation or gender identity. Whereas these youth have the same health concerns as their non-LGBT peers, LGBT teens may face additional challenges because of the complexity of the coming-out process, as well as societal discrimination and bias against sexual and gender minorities. The Society for Adolescent Health and Medicine encourages adolescent providers and researchers to incorporate the impact of these developmental processes (and understand the impacts of concurrent potential discrimination) when caring for LGBT adolescents. The Society for Adolescent Health and Medicine also encourages providers to help positively influence policy related to LGBT adolescents in schools, the foster care system, and the juvenile justice system, and within the family structure. Consistent with other medical organizations, the Society for Adolescent Health and Medicine rejects the mistaken notion that LGBT orientations are mental disorders, and opposes the use of any type of reparative therapy for LGBT adolescents. PMID:23521897
Fararouei, M; Brown, I J; Akbartabar Toori, M; Estakhrian Haghighi, R; Jafari, J
This study was conducted to examine the association of happiness in adolescent females with leisure time and health related behaviours namely diet, physical activity and first or second hand smoking. Using a self-administered questionnaire, data were collected from 8159 female high school students ages 11-19 years. Multivariate linear regression analysis revealed statistically significant associations between happiness and weight, regular exercise, exposure to second-hand tobacco smoke, daily fruit or vegetable consumption and the way participants spent their leisure time. Happiness was associated with lower BMI, regular physical activity, absence of exposure to second-hand smoke, higher consumption of fruits and vegetables, and spending leisure time with family (all P < 0.005). These exploratory findings suggest that encouraging children and adolescents to adopt healthy behaviours, providing family time and a smoke-free environment may make them not only healthier but also happier. PMID:24215965
Ammentorp, Jette; Jensen, Hanne Irene; Uhrenfeldt, Lisbeth
In recent years, coaching, as a supplement to professional development, has received increased attention, especially in nursing. Still, only little is known about how health professionals experience participating in coaching sessions. The purpose of this pilot study was to describe and analyze...... health professionals' experiences from coaching-what coaching meant to them and how it influenced different aspects of their lives....
Schuster, Mark A.; Eastman, Karen L; Corona, Rosalie
Parents play an important role in the sexual health of their adolescent children. Based on previous research, formative research, and theories of behavioral change, we developed Talking Parents, Healthy Teens, an intervention designed to help parents improve communication with their adolescent children, promote healthy adolescent sexual development, and reduce adolescent sexual risk behaviors. We conduct the parenting program at worksites to facilitate recruitment and retention of participant...
Background In India, due to the high prevalence of child marriage, most adolescent pregnancies occur within marriage. Pregnancy and childbirth complications are among the leading causes of death in girls aged 15 to 19 years. Hence, adolescent pregnancy is a serious health threat to young women in India. Methods The study focuses on the level and trends of adolescent pregnancy rate (per thousand currently married adolescent women) in India in the last two decades, based on cross-sectional data...
Srikala, Bharath; Kishore, Kumar K. V.
Aim: Mental Health Promotion among adolescents in schools using life skills education (LSE) and teachers as life skill educators is a novel idea. Implementation and impact of the NIMHANS model of life skills education program studied. Materials and Methods: The impact of the program is evaluated at the end of 1 year in 605 adolescents from two secondary schools in comparison to 423 age, sex, socioeconomic status-matched adolescents from nearby schools not in the program. Results: The adolesce...
Full Text Available Abstract Background Amount of sleep is an important indicator of health and well-being in children and adolescents. Adequate sleep (AS: adequate sleep is defined as 6–8 hours per night regularly is a critical factor in adolescent health and health-related behaviors. The present study was based on a health promotion project previously conducted on adolescents in Tao-Yuan County, Taiwan. The aim was to examine the relationship between AS during schooldays and excessive body weight, frequency of visiting doctors and health-related behaviors among Taiwanese adolescents. Methods A cross-sectional study design, categorical and multivariate data analyses were used. The hypotheses investigated were: high frequency of AS is positively associated with lack of obesity and less frequent visits to doctors; and high frequency AS is positively associated with health-related behavior. Results A total of 656 boys (53.2% and girls (46.8%, ranging in age from 13–18 years were studied between January and June 2004. Three hundred and fifty seven subjects (54% reported that they slept less than the suggested 6–8 hours on schooldays. A significant negative association was found between low sleep and of the following health-related behaviors: (1 life appreciation; (2 taking responsibility for health; (3 adopting healthy diet; (4 effective stress management; (5 regular exercise; and (6 total AHP score. High frequency AS was associated with low frequencies of obesity after potential confounding factors were controlled. Junior high school adolescents reported significantly higher frequencies of AS than high school participants. Gender, family structure, home location and frequency of television watching or computer use were not significantly associated with AS. Conclusion These findings support the proposition that AS is associated with good health status and high-frequency adoption of health-related behavior. Furthermore, these findings suggest that inadequate
Elvinia Pinilla G
Full Text Available Adolescents face different dilemmas, which may happen tobe not timely solved, pose major risks to health. Objective:To characterize the basic needs and expectations of maleadolescents in Bucaramanga, Colombia, from its perception with respect to services for sexual and reproductive health(SRH. Methodology: qualitative ethnographic study, using astrategy of discussion groups. We used informal discussions,interviews and focal point. Was selected by a conveniencesample of male adolescents in Bucaramanga, 2-6 strata, frompublic and private institutions, and school, between 13 and 18years, with a total of 52 participants and 7 focus groups.Results: Despite the cultural and socioeconomic differences,young people are consistent in their perceptions, needs andexpectations about sexuality and SRH services. The finalanalysis showed four categories: service experiences SSR, SSR ideal services, pornography and sexuality. Conclusions:It is apparent invisibility of the SSR and the perception ofunfavorable, from the experience of those who know her.Nevertheless, adolescents need to consider this type of service.This research leads to reflection on the ignorance of youngboys from their being, their feelings and their wish to be.
Coccia, Catherine; Darling, Carol A; Rehm, Marsha; Cui, Ming; Sathe, Shridhar K
A survey of adolescents aged 15 to 16 years was used to examine the relationship between their perceptions of indulgent parenting and adolescent weight status to overall satisfaction with life, as associated with adolescent perceptions of body image, health and stress. In addition, perceptions of parental indulgence were examined in terms of their association with adolescent eating behaviours and health. The results revealed a paradox related to indulgent parenting, with both positive and negative outcomes for adolescents. Structural equation analyses showed that parental indulgence was not only related to lower stress and higher life satisfaction, but also to unhealthy eating behaviours. Path analysis indicated that both positive and negative eating outcomes for adolescents were related to parental indulgence. This research has many implications for both parent and adolescent health education, focusing on parenting styles, stress and healthy lifestyles. PMID:22281841
O'Sullivan Peter B
Full Text Available Abstract Background There is a high prevalence of mental health problems amongst adolescents. In addition there is a high prevalence of spinal pain in this population. Evidence suggests that these conditions are related. This study sought to extend earlier findings by examining the relationship between mental health problems as measured by the Child Behaviour Check List (CBCL and the experience of back and neck pain in adolescents. Methods One thousand five hundred and eighty participants (mean age 14.1 years from the Western Australian Pregnancy (Raine Study provided cross-sectional spinal pain and CBCL data. Results As predicted, there was a high prevalence of back and neck pain in this cohort. On the whole, females reported more mental health difficulties than males. There were strong relationships between the majority of symptom scales of the CBCL and back and neck pain. Scores on the CBCL were associated with higher odds of comorbid back and neck pain. Conclusions These findings strongly support the need to consider both psychological and pain symptoms when providing assessments and treatment for adolescents. Further research is required to inform causal models.
Full Text Available Background: An earthquake struck Ludian in Yunnan Province (China on 3 August 2014, resulting in 3143 injuries, 617 deaths, and 112 missing persons. Our study aimed at estimating the health status and associated determinants among adolescent survivors after the Ludian earthquake. Methods: A cross-sectional survey of 845 was conducted at the Ludian No. 1 Middle School. Descriptive statistics, t-tests, ANOVA and stepwise linear regression analysis were used for data analysis. Results: The mean scores on the physical component summary (PCS and mental component summary (MCS were 46.23 (SD = 7.10 and 36.34 (SD = 7.09, respectively. Lower PCS scores in the aftermath of an earthquake were associated with being trapped or in danger, being female, being an ethnic minority, injury to self and house damage, while lower MSC scores were associated with fear during the earthquake, Han ethnicity, death in the family, not being involved in the rescue and low household income. Conclusions: In our study, significant associations between demographic, socio-economic, and trauma-related experiences variables and overall physical and mental health of adolescent survivors were presented. The results of this study help expand our knowledge of health status among adolescent survivors after the Ludian earthquake.
Green, Jennifer Greif; McLaughlin, Katie A.; Alegria, Margarita; Costello, E. Jane; Gruber, Michael J.; Hoagwood, Kimberly; Leaf, Philip J.; Olin, Serene; Sampson, Nancy A.; Kessler, Ronald C.
Objective: Although schools are identified as critical for detecting youth mental disorders, little is known about whether the number of mental health providers and types of resources that they offer influence student mental health service use. Such information could inform the development and allocation of appropriate school-based resources to…
Lara, Lúcia A S; Abdo, Carmita H N
Adolescence is characterized by marked changes in the body, psychology, and sexual behavior due to increasing production of hormones. In this review we aimed to assess the effect of age at the time of first sexual intercourse (sexarche) on the health of adolescent girls, and identify factors that might protect against early initiation of sexual relations in girls. The PubMed, Lilacs, and Google Scholar databases were searched for clinical trials, comparative studies, case-control studies, cross-sectional studies, cohort studies, multicenter studies, observational studies, meta-analyses, and systematic reviews published up to December 2014 on this theme. The search terms were: "sexual debut," "coitarche," "sexarche," and "young people," "adolescent," "unplanned pregnancy," "adolescent contraception," and "STDs." Data were extracted from 28 studies and 41 references were used to introduce the theme and to support the discussion. Sexarche has been occurring in increasingly younger girls. A young age at sexarche can lead to subsequent risky sexual behavior. Girls who have sexarche when they are 14 years old or younger are less likely to use contraception on this occasion, take more time before they start using contraception in subsequent sexual relations, are more likely to have several sex partners, have a higher risk for depression, have lower self-esteem and more episodes of repentance, and have a higher risk for a sexually transmitted disease and cervical cancer. Girls with low educational, socioeconomic, and cultural status, little parental monitoring, parental separation, and absence of religiosity tend to experience sexarche at a younger age. Adolescent girls who postpone sexarche until they are 16 years old are physically and psychologically healthier than those who have sexarche at a younger age. This suggests that providing adolescent girls with appropriate education about sexual relations might reduce the negative effect of sexual relations at a young age
Kulyk, O.; Gemert-Pijnen, van J.E.W.C.; David, Silke
Background: Nowadays adolescents primarily use modern, often web-based technology, such as social media and mobile applications to find the answers on all kinds of questions about their health and healthcare services (Kulyk et al., 2013; van Velsen et al., 2013). National program Sense in the Nether
Mesgarani, Mohsen; Hosseinbor, Mohsen; Shafiee, Shahla; Sarkoubi, Roghayeh
Background Today, ensuring people’s health and well-being has become a concern for societies. Health status results from an interaction of an individuals’ various psychological, social, and physical aspects. Objectives This study aims to investigate the relationship of parental mental health and dietary pattern with adolescent mental health. Patients and Methods In this study, 250 high school students in Shiraz were selected using random cluster sampling. The samples were analyzed using the Food Frequency Questionnaire (FFQ) and the General Health Questionnaire (GHQ-28). Results According to the findings, parental mental health explains 22% of the variance in children’s mental health, so that in simultaneous regression, physical dimensions, anxiety, social functioning, and depression predicted 13%, 24%, 11%, and 24% of the variance of criterion variables, respectively. No significant relationship was observed between dietary pattern and adolescent mental health dimensions. There was a significant negative relationship only between depression and vegetable intake. Moreover, fruit (r = 0.15, P < 0.05) and vegetable (r = 0.16, P < 0.05) intake had a significant relationship with parental mental health dimensions. Conclusions Parents’ mental health and their psychological characteristics can be related to children’s mental health and affect their dietary intake patterns. PMID:27218068
Full Text Available Background Today, ensuring people’s health and well-being has become a concern for societies. Health status results from an interaction of an individuals’ various psychological, social, and physical aspects. Objectives This study aims to investigate the relationship of parental mental health and dietary pattern with adolescent mental health. Patients and Methods In this study, 250 high school students in Shiraz were selected using random cluster sampling. The samples were analyzed using the Food Frequency Questionnaire (FFQ and the General Health Questionnaire (GHQ-28. Results According to the findings, parental mental health explains 22% of the variance in children’s mental health, so that in simultaneous regression, physical dimensions, anxiety, social functioning, and depression predicted 13%, 24%, 11%, and 24% of the variance of criterion variables, respectively. No significant relationship was observed between dietary pattern and adolescent mental health dimensions. There was a significant negative relationship only between depression and vegetable intake. Moreover, fruit (r = 0.15, P < 0.05 and vegetable (r = 0.16, P < 0.05 intake had a significant relationship with parental mental health dimensions. Conclusions Parents’ mental health and their psychological characteristics can be related to children’s mental health and affect their dietary intake patterns.
Rai, Rajesh Kumar; Singh, Prashant Kumar; Singh, Lucky; Kumar, Chandan
Despite high rates of early childbearing, maternal mortality, and under-five mortality, little is known about factors that affect access of teenage mothers to maternal and child health (MCH) services in Niger. This paper explores potential factors associated with the utilization of MCH care services by adolescent mothers. Using the third wave of the Niger demographic and health survey (NDHS) 2006, we estimate three multivariate logistic regression models to assess individual characteristics associated with the utilization of antenatal care (ANC) and safe delivery care services among adolescent women, as well as full immunization received by children born to adolescent mothers. The analytical sample includes 934 adolescent mothers out of 1,835 respondents aged 15-19, and within this group, 493 mother-child dyads for children aged 12-59 months. Possessing any level of education was found associated with the increased use of all three selected MCH services, while urban residence and higher income were associated with the increased use of two of three MCH services studied. Higher birth order plus a birth interval more than 2 years for the most recent birth appeared associated with the lower probability of antenatal care visits and safe delivery care. This study finds that women who attended at least four ANC visits were more likely to experience safe delivery care, and the children whose mothers had safe delivery care were more likely to receive full immunization. Therefore, an effective program should be designed to promote a continuum of MCH care with special attention to adolescent women who are uneducated, poor and residing in rural areas. PMID:23737107
Beusterien Kathleen M; Yeung Jean-Ezra; Pang Francis; Brazier John
Abstract Objective Obtain utilities (preferences) for a generalizable set of health states experienced by older children and adolescents who receive therapy for chronic health conditions. Methods A health state classification system, the Adolescent Health Utility Measure (AHUM), was developed based on generic health status measures and input from children with Hunter syndrome and their caregivers. The AHUM contains six dimensions with 4–7 severity levels: self-care, pain, mobility, strenuous ...
Das, Palas; Pal, Ranabir; Pal, Shrayan
Introduction: Psychosomatic health of adolescent girls at crossroads of childhood and mature adulthood, may lead to various health problems in future. Objective: To determine the improvement in the knowledge and attitude on health among adolescent girl students of Kolkata after the health education intervention. Materials and Methods: This ‘Health Education Intervention Study’ was conducted in October and November 2006, in three senior secondary schools of North Kolkata. The Simple Random Sam...
Shin, Sunny Hyucksun; Miller, Daniel P.
Objectives: We sought to explore the association between childhood maltreatment (e.g., neglect, physical and sexual abuse) and longitudinal growth trajectories of body mass index (BMI) from adolescence to young adulthood. Methods: We used latent curve modeling to examine data from the National Longitudinal Study of Adolescent Health (N = 8,471),…
Bryant, Carol A; Mayer, Alyssa B; McDermott, Robert J; Panzera, Anthony D; Trainor, John K
Social marketing applies some of the same principles used in commercial marketing for the analysis, planning, execution, and evaluation of programs designed to motivate voluntary behavioral change. It relies on consumer research for understanding the people they hope to change, including their values, aspirations, fears, lifestyle, and factors that motivate and deter them from adopting desired behaviors. Social marketing has been applied in public health settings since the 1980s for promoting such behaviors as safer sex, hypertension and cholesterol control, reduced occurrence of alcohol-impaired driving, improved utilization of public health prevention and screening services, and enactment of better school nutrition policies in schools. Although most evidence for social marketing's utility comes from interventions directed at adult audiences, its application with adolescents may help to address issues that have been challenging or unresponsive to health behavior change specialists. This article describes the basic tenets of social marketing as a behavior change process, identifies its previously successful applications with adolescent audience segments, and offers both lessons learned and projected future applications that employ emerging communication technologies. PMID:22423457
Tummala-Narra, Pratyusha; Deshpande, Anita; Kaur, Jasleen
Despite the significant growth in the South Asian population in the United States over the past 2 decades, the experiences of South Asian adolescents have remained largely invisible. Guided by a socioecological perspective (American Psychological Association, 2012; García Coll & Marks, 2012), this study examined South Asian adolescents' experiences of acculturative stress and approaches to coping with this stress across home and school contexts. A semistructured interview was completed by 16 participants (9 girls, 7 boys; ages 14-18 years) from different South Asian backgrounds, attending an urban public high school in the Northeastern part of the United States. Conventional content analysis was used to analyze the interview data, and revealed 4 broad categories or domains related to participants' experiences as young South Asians in the U.S. These domains include the following: (a) Connection to family, community, and heritage; (b) Challenges to acculturation; (c) Stress accompanying the navigation across cultural contexts; and (d) Coping and resilience. Participants' narratives reflect acculturative stress experienced in home and school contexts which can inhibit psychological well-being and bicultural identity development. The findings have important implications for culturally informed research, intervention, and policy. (PsycINFO Database Record PMID:26765547
Jouriles, Ernest N.; Garrido, Edward; Rosenfield, David; McDonald, Renee
Objective: This research examined links between adolescents' experiences of psychological and physical relationship aggression and their psychological distress. Experiences of psychological and physical aggression were expected to correlate positively with symptoms of psychological distress, but experiences of psychological aggression were…
Richardson, Sharise T; Franklin, Ashley L; Rome, Ellen S; Simms-Cendan, Judith S
Urogenital schistosomiasis affects millions of women in sub-Saharan Africa. Infection by the causative organism, Schistosoma hematobium, commonly occurs during childhood and adolescence and can lead to anemia from hematuria, inflammation on the cervix which can increase risk of HIV transmission, and pelvic infection leading to infertility. Fortunately treatment is not costly, but early diagnosis is important to reduce long-term morbidity. Our objective is to review the epidemiology, pathophysiology, and diagnosis of urogenital schistosomiasis as well as treatment to improve the reproductive health of girls where this infection is endemic. PMID:26173381
Susanne Börner; Juan Carlos Torrico Albino; Luz María Nieto Caraveo; Ana Cristina Cubillas Tejeda
The objective of this study was to explore Mexican adolescents' perceptions of environmental health risks in contaminated urban areas, and to test the environmental photography technique as a research tool for engaging adolescents in community-based health research. The study was conducted with 74 adolescents from two communities in the city of San Luis Potosi, Mexico. Participants were provided with disposable cameras and asked to take photographs of elements and situations which they believ...
LI, WH; Chui, MM; Chan, PS; Chung, JO
Aims. To evaluate the underlying factor structure of the Chinese version of General Health Questionnaire-12 using exploratory and confirmatory factor analyses in Chinese adolescents and find out which factor model proposed by previous empirical research is the best-fit model. Background. The 12-item General Health Questionnaire has been extensively used with adolescents in the West. Yet, it has not been used with adolescents in a Hong Kong Chinese context. Design. A cross-sectional study was ...
Saewyc, Elizabeth M.
The decade between 1998 and 2008 saw rapid increases in research on adolescent sexual orientation development and related health issues, both in quantity and in quality of studies. While much of the research originated in North America, studies from other countries also contributed to emerging understanding of developmental trajectories and social influences on the health of sexual minority adolescents. This paper reviews the body of research from the past decade on adolescent sexual orientat...
Kim, Jong Yeon
Objectives This study was performed to consider the association between Internet using time for non-educational purposes and adolescent health, and to examine how health status differs between Internet users and non-users. Methods We analyzed 2009 data from the Korea Adolescent Risk Behavior Web-Based Survey, conducted on a nationally representative sample of students in grades 7 to 12. A total of 75 066 adolescents were categorized into four groups according to their Internet using time excl...
Research consistently reported that adolescents experienced high levels of exposure to community violence in the their life. There is a trend that adolescents in several cities in Indonesia exposed to violence in the community. The community violence among adolescents also affects their mental health problems. However, there are limited number of studies looking at the prevalence and association between exposure to community violence and mental health in developing countries such as Indonesia...
Full Text Available Adolescent girls today suffer from internalizing problems such as somatic symptoms and mental health problems at higher rates compared to those of previous decades, and effective interventions are warranted. The aim of this study was to explore the experiences of participating in an 8-month dance intervention. This qualitative study was embedded in a randomized controlled trial of a dance intervention for adolescent girls with internalizing problems. A total of 112 girls aged 13–18 were included in the study. The dance intervention group comprised 59 girls, 24 of whom were strategically chosen to be interviewed. Data were analyzed using qualitative content analysis with an inductive approach. The experiences of the dance intervention resulted in five generic categories: (1 An Oasis from Stress, which represents the fundamental basis of the intervention; (2 Supportive Togetherness, the setting; (3 Enjoyment and Empowerment, the immediate effect; (4 Finding Acceptance and Trust in Own Ability, the outcome; and (5 Dance as Emotional Expression, the use of the intervention. One main category emerged, Finding Embodied Self-Trust That Opens New Doors, which emphasizes the increased trust in the self and the ability to approach life with a sense of freedom and openness. The central understanding of the adolescent girls’ experiences was that the dance intervention enriched and gave access to personal resources. With the non-judgmental atmosphere and supportive togetherness as a safe platform, the enjoyment and empowerment in dancing gave rise to acceptance, trust in ability, and emotional expression. Taken together, this increased self-trust and they discovered a new ability to “claim space.” Findings from this study may provide practical information on designing future interventions for adolescent girls with internalizing problems.
Duberg, Anna; Möller, Margareta; Sunvisson, Helena
Adolescent girls today suffer from internalizing problems such as somatic symptoms and mental health problems at higher rates compared to those of previous decades, and effective interventions are warranted. The aim of this study was to explore the experiences of participating in an 8-month dance intervention. This qualitative study was embedded in a randomized controlled trial of a dance intervention for adolescent girls with internalizing problems. A total of 112 girls aged 13–18 were included in the study. The dance intervention group comprised 59 girls, 24 of whom were strategically chosen to be interviewed. Data were analyzed using qualitative content analysis with an inductive approach. The experiences of the dance intervention resulted in five generic categories: (1) An Oasis from Stress, which represents the fundamental basis of the intervention; (2) Supportive Togetherness, the setting; (3) Enjoyment and Empowerment, the immediate effect; (4) Finding Acceptance and Trust in Own Ability, the outcome; and (5) Dance as Emotional Expression, the use of the intervention. One main category emerged, Finding Embodied Self-Trust That Opens New Doors, which emphasizes the increased trust in the self and the ability to approach life with a sense of freedom and openness. The central understanding of the adolescent girls’ experiences was that the dance intervention enriched and gave access to personal resources. With the non-judgmental atmosphere and supportive togetherness as a safe platform, the enjoyment and empowerment in dancing gave rise to acceptance, trust in ability, and emotional expression. Taken together, this increased self-trust and they discovered a new ability to “claim space.” Findings from this study may provide practical information on designing future interventions for adolescent girls with internalizing problems. PMID:27416014
Duberg, Anna; Möller, Margareta; Sunvisson, Helena
Adolescent girls today suffer from internalizing problems such as somatic symptoms and mental health problems at higher rates compared to those of previous decades, and effective interventions are warranted. The aim of this study was to explore the experiences of participating in an 8-month dance intervention. This qualitative study was embedded in a randomized controlled trial of a dance intervention for adolescent girls with internalizing problems. A total of 112 girls aged 13-18 were included in the study. The dance intervention group comprised 59 girls, 24 of whom were strategically chosen to be interviewed. Data were analyzed using qualitative content analysis with an inductive approach. The experiences of the dance intervention resulted in five generic categories: (1) An Oasis from Stress, which represents the fundamental basis of the intervention; (2) Supportive Togetherness, the setting; (3) Enjoyment and Empowerment, the immediate effect; (4) Finding Acceptance and Trust in Own Ability, the outcome; and (5) Dance as Emotional Expression, the use of the intervention. One main category emerged, Finding Embodied Self-Trust That Opens New Doors, which emphasizes the increased trust in the self and the ability to approach life with a sense of freedom and openness. The central understanding of the adolescent girls' experiences was that the dance intervention enriched and gave access to personal resources. With the non-judgmental atmosphere and supportive togetherness as a safe platform, the enjoyment and empowerment in dancing gave rise to acceptance, trust in ability, and emotional expression. Taken together, this increased self-trust and they discovered a new ability to "claim space." Findings from this study may provide practical information on designing future interventions for adolescent girls with internalizing problems. PMID:27416014
Kelleher, I.; Devlin, N.; Wigman, J. T. W.; Kehoe, A.; Murtagh, A.; Fitzpatrick, C.; Cannon, M.
Background Recent community-based research has suggested that psychotic experiences act as markers of severity of psychopathology. There has, however, been a lack of clinic-based research. We wished to investigate, in a clinical sample of adolescents referred to a state-funded mental health service,
Full Text Available Background: Adolescence is a period when physical, psychological and social maturity is achieved. Therefore, reproductive health in adolescence is of great importance.Aims: This study was performed to determine the effects of training for reproductive health and behavior on knowledge of reproductive health and reproductive behavior in adolescents.Methodology: This is a semi-experimental study and included 700 adolescent from the city of Sanlıurfa, Turkey. The participants were selected from volunteers and aged 15-24 years. A questionnaire composed of questions about demographic features and reproductive health and behavior. The dependent variables tested were mean scores of the participants on reproductive health, breast self-examination of the female participants, testicular self-examination and use of condoms by the male participants. The independent variable tested was training for reproductive health. T-test was used to analyze data about dependent groups and Chi-square test (McNemar was used to compare between two dependent groups.Results: The mean age of the participants was 18.80 ± 2.82 years and 51.0% of the participants secondary school graduates. The total score of the participants on knowledge of reproductive health increased from 6.48 before training to 15.80 after training, with a significant difference (p=0.000. While the percentage of the female participants performing breast self-examination was 22.9% before training, it increased to 71.2% after training, with a significant difference (p=0.000. However, the percentage of the male participants performing testicular self-examination only rose from 14.7% to 29.4% (p=0.000. The use of condoms by the male participants increased from 12.2% to 18.3%, with a significant difference (p=0.000.Conclusion: Training for reproductive health did not only increase knowledge of reproductive health but also promote reproductive health behavior. It can be recommended that nurses should
... behavioral difficulty and have received nonmedication mental health services in the past 6 months. Figure 1. Adolescents ... received both school and nonschool nonmedication mental health services. Approximately 21% of adolescents received school services only, ...
Vannelli, Alberto; Buongiorno, Massimo; Battaglia, Luigi; Poiasina, Elia; Boati, Paolo; Mario, Rampa; Leo, Ermanno
The healthcare reform, introduced in Italy in 1992, has completely changed the structure of the national healthcare system (NHS) , including the introduction of the concept of "business firm" applied to public health service providers. The aim of this study was to outline the history of healthcare "firms" (azienda sanitaria) and evaluate the impact of this change on the NHS in terms of health expenditure, and corporate effectiveness and efficiency. Self regulation and correction are the abilities to which the success of healthcare companies can be attributed. The benefits of creating healthcare firms include preventing those problems associated with healthcare models based on the principles of the private insurance type model and preferring instead a cost-effectiveness approach. PMID:20010982
Newman, Kathy; Harrison, Lynda; Dashiff, Carol; Davies, Susan
Research over the past 20 years suggests that the quality of the parent-adolescent relationship significantly affects the development of risk behaviors in adolescent health. The purpose of this paper is to present a review of studies published between 1996-2007 that address specific relationships between parenting styles and six priority adolescent risk behaviors. The review supports the substantial influence of parenting style on adolescent development. Adolescents raised in authoritative households consistently demonstrate higher protective and fewer risk behaviors than adolescents from non-authoritative families. There is also considerable evidence to show that parenting styles and behaviors related to warmth, communication and disciplinary practices predict important mediators, including academic achievement and psychosocial adjustment. Careful examination of parenting style patterns in diverse populations, particularly with respect to physical activity and unintentional injury, will be a critical next step in the development of efficacious, culturally tailored adolescent health promotion interventions. PMID:18392544
Full Text Available Background: Resilience is one of the main factors affecting human health, and perceiving its meaning for high-risk adolescents is of particular importance in initiating preventive measures and providing resilience care. Objectives: This qualitative study was conducted to explain the meaning of resilience in the lived experiences of Iranian adolescents living in governmental residential care facilities. Materials and methods: This study was conducted using the hermeneutic phenomenological method. Semi-structured interviews were conducted with eight adolescents aged 13–17 living in governmental residential care facilities of Tehran province affiliated to the Welfare Organization of Iran who articulated their experiences of resilience. Sampling lasted from May 2014 to July 2015 and continued until new themes were no longer emerging. The researchers analyzed the verbatim transcripts using Van Manen's six-step method of phenomenology. Results: The themes obtained in this study included “going through life's hardships,” “aspiring for achievement,” “self-protection,” “self-reliance,” and “spirituality.” Conclusion: Our study indicates that the meaning of resilience coexists with self-reliance in adolescents’ lived experiences. Adolescents look forward to a better future. They always trust God in the face of difficulties and experience resilience by keeping themselves physically and mentally away from difficulties. Adverse and bitter experiences of the past positively affected their positive view on life and its difficulties and also their resilience. The five themes that emerged from the findings describe the results in detail. The findings of this study enable nurses, health administrators, and healthcare providers working with adolescents to help this vulnerable group cope better with their stressful life conditions and improve their health through increasing their capacity for resilience.
Spein, Anna Rita; Pedersen, Cecilia Petrine; Silviken, Anne Cathrine; Melhus, Marita; Kvernmo, Siv Eli; Bjerregaard, Peter
Self-rated health (SRH) and associated risk and protective correlates were investigated among two indigenous adolescent populations, Greenlandic Inuit and Norwegian Sami.......Self-rated health (SRH) and associated risk and protective correlates were investigated among two indigenous adolescent populations, Greenlandic Inuit and Norwegian Sami....
Burns, John R.; Rapee, Ronald M.
This study examined the mental health literacy of a group of adolescents, with particular reference to their ability to recognize symptoms of depression in their peers. Respondents were 202 Australian adolescents (122 males, 80 females) aged 15-17 years. Their mental health literacy was examined through a questionnaire that presented them with…
Background: Co-occurring mental health disorders are widespread among substance using adolescents. Severity of victimization may be an important factor in explaining co-occurrence of mental health problems among adolescents with substance misuse problems. Purpose: The purpose of this study was to evaluate whether severe victimization experiences…
Daniel Romer; Michael Rich
The articles in this thematic issue suggest both opportunities and hazards for the health and development of adolescents in the digital age. We place these concerns in the context of improving health for young people in the US and elsewhere, and suggest that based on evidence uncovered to date, increasing digital connection may be having no less favorable than adverse effect on adolescents.
Hassiotis, A.; Turk, J.
Background: Little research has been conducted on the mental health needs of adolescents with intellectual disability, despite the severity and rates of such needs being high throughout childhood and in adulthood. We have investigated the prevalence and predictors of mental health needs and service use in adolescents with intellectual…
Georgiades, Katholiki; Boyle, Michael H.
Background: This study examines the longitudinal associations between adolescent tobacco and cannabis use and young adult functioning. Methods: Data for analysis come from the Ontario Child Health Study (OCHS), a prospective study of child health, psychiatric disorder and adolescent substance use in a general population sample that began in 1983,…
Brown, Larry K.; Hadley, Wendy; Stewart, Angela; Lescano, Celia; Whiteley, Laura; Donenberg, Geri; DiClemente, Ralph
Objective: To examine the relationship between psychiatric disorders and sexual behaviors among adolescents receiving mental health treatment. Adolescents in mental health treatment have been found to have higher rates of HIV risk behavior than their peers, but data concerning the relationship between psychopathology and risk are inconsistent and…
Reijneveld, S.A.; de Boer, J.B.; Bean, T.; Korfker, D.G.
We assessed the effects of a stringent reception policy on the mental health of unaccompanied adolescent asylum seekers by comparing the mental health of adolescents in a restricted campus reception setting and in a setting offering more autonomy (numbers [response rates]: 69 [93%] and 53 [69%], res
Jaruseviciene, Lina; Lazarus, Jeff; Zaborskis, Apolinaras
To assess the attitudes of Lithuanian residents towards the protection of confidentiality in the sexual and reproductive health care of adolescents.......To assess the attitudes of Lithuanian residents towards the protection of confidentiality in the sexual and reproductive health care of adolescents....
Pitel, Lukas y; Geckova, Andrea Madarasova; Reijneveld, Sijmen A.; van Dijk, Jitse P.
BACKGROUND: Many studies of adolescent health-related behaviors have assessed the effects of gender and parental socioeconomic position (SEP) but not their mutual modification. We investigated socioeconomic differences in health-related behaviors among Slovak adolescents and the potential modificati
Walcott, Christy M.; Music, Ajlana
Extensive research suggests that adolescence is a critical developmental period, especially when it comes to factors that influence mental health problems. Systematic efforts to promote adolescent help-seeking are essential for improving long-term mental health outcomes. Defined as a "behavior of actively seeking help from other people,"…
Lund, Crick; Boyce, Gerard; Flisher, Alan J.; Kafaar, Zuhayr; Dawes, Andrew
Background: Children and adolescents with mental health problems have poor service cover in low- and middle-income countries. Little is known about the resources that would be required to provide child and adolescent mental health services (CAMHS) in these countries. The purpose of this study was to calculate the human resources and associated…
Day, Crispin; Michelson, Daniel; Hassan, Imren
OBJECTIVES. Dissatisfaction with services has been associated with poorer child mental health outcomes, early treatment termination as well as disagreements over the nature of mental health difficulties, reasons for referral and therapy goals. The development of straightforward, reliable, and accurate methods of eliciting service users' views is essential within child and adolescent mental health care. This paper describes the development of the child and adolescent service experience (ChASE), a tool to measure children and young people's service experience DESIGN. The study comprises a non-experimental, cross-sectional design. METHODS. Participants were 132 mental health service users aged 8-18 years. Participants and their main carer completed the ChASE, Parent Satisfaction Questionnaire (PSQ) (Stallard, 1996) and Strengths and Difficulties (SDQ) Impact Supplement. Clinicians completed the SDQ Impact Supplement and provided clinical activity data. A sub-sample of participants completed the ChASE on a second occasion, 6 weeks after the completion of the first questionnaire. RESULTS. Scrutiny of ChASE data indicated high levels of completion. Principal axis factoring identified three factors within the ChASE: Relationship, Privacy, and Session Activity. The ChASE has good internal consistency and test-retest reliability. Significant correlations were found between the ChASE and carer satisfaction, service use, and youth clinical outcomes. CONCLUSIONS. The ChASE is a short, psychometrically robust tool for routine measurement of children, and young people's experience of mental health services, which users can complete easily. The results underline the importance of alliance factors to children and young people and their association with clinical improvement as well as the potential for the ChASE to be used a measure of children's therapeutic progress and alliance. PMID:22003953
Gisele Nepomuceno de Andrade
Full Text Available Objective: Understanding the experiences of health professionals in primary care with the Child Health Booklet in child health care. Method: A qualitative study with a phenomenological approach, in which participated nurses and doctors from six teams of the Family Health Strategy (FHS in Belo Horizonte, MG. In total, were carried out 12 non-directive interviews, using two guiding questions. Results: A comprehensive analysis of the speeches enabled the construction of three categories that signal the experiences of the professionals with the booklet. The experiments revealed difficulties arising from the limitations of knowledge about the instrument; incomplete filling out of the booklet by many professionals that care for children; the daily confrontations of the process and the organization of work teams; disinterest of families with the instrument. Conclusion: The research points possible and necessary ways to improve the use of booklets as an instrument of full child health surveillance.
Keyes, Corey L M
A continuous assessment and a categorical diagnosis of the presence of mental health, described as flourishing, and the absence of mental health, characterized as languishing, are proposed and applied to data from the second wave of the Child Development Supplement (CDS-II) of the Panel Study of Income Dynamics (PSID), in which a comprehensive set of subjective well-being items were administered to a sample of 1,234 youth ages 12-18. Flourishing was the most prevalent diagnosis among youth ages 12-14; moderate mental health was the most prevalent diagnosis among youth ages 15-18. Depressive symptoms decreased as mental health increased. Prevalence of conduct problems (arrested, skipped school, alcohol use, cigarette smoking, and marijuana use) also decreased and measures of psychosocial functioning (global self-concept, self-determination, closeness to others, and school integration) increased as mental health increased. Findings suggest the importance of positive mental health in future research on adolescent development. PMID:16981819
Full Text Available Objective: To assess the level of knowledge of the adolescent girls regarding reproductive health issues.Materials and methods: A cross sectional descriptive type of study was carried out among 150unmarried adolescent girls of Vashantek slum in Dhaka city by face to face interview using a semistructuredquestionnaire from January to June 2008.Results: The mean age of the respondents were 16.4±2.9 years ranging from 10-19 years. Out of 150respondents, 130 had history of menstruation and their median age of menarche was 13 years. Thecorrect knowledge was high among the adolescent having secondary level of education than the SSCand above or primary level of education and the difference was statistically significant (p<0.05. Aboutthree-fourths of the respondents had sufficient knowledge about hygienic menstrual practice. Majority ofthe girls could mention the legal age of marriage. Regarding the demerits of early marriage, majoritymentioned some of the demerits but not all. Three-fifths of the respondents had no knowledge onimportance of family planning and regarding the methods of family planning, majority of them had noknowledge. Majority of the respondents heard the disease AIDS but regarding the knowledge oncausative agent half of them had no knowledge. More than two-fifths had no knowledge on mode oftransmission of AIDS. It was also found that majority of the respondents had no knowledge on symptomsof AIDS and three-fifths had no knowledge on prevention of AIDS.Conclusion: So formal, informal and special educational program may be taken to educate theadolescent girls on reproductive health issues and government should be more concerned about this.
War, Firdous Ahmad; Ved, Rifat Saroosh; Paul, Mohammad Altaf
The primary purpose of this paper was to compare the epidemiology of mental health problems and self-esteem of conflict hit adolescents living in charitable seminaries with their counterparts brought up in natural homes. Substantive body of the literature illustrates the emotional and behavioral issues experienced by these adolescents. In this study, 27 adolescents from a charitable Muslim seminary and 30 adolescents from a regular school were recruited. Self-report measures and clinical interview were used to measure mental health and self-esteem. The findings indicate that adolescents in institution setting may not be having mental health and self-esteem-related issues when compared to adolescents living in intact by parent homes. While the authors acknowledge the limitations of the study, these findings need further research to examine the causes for these differences. PMID:25930059
Zaborskis, Apolinaras; Lenciauskiene, Ilona
Aim: To compare health behavior patterns of adolescents in Lithuania with health behavior of adolescents in European Union (EU) in 2001/2002. Methods: The study was carried out in conformity with the methodology of Health Behavior in School-aged Children: a World Health Organization cross-national study. Three country representative samples of schoolchildren, aged 11, 13, and 15, were surveyed in 25 EU countries and regions in 2001/2002 school year. The study instrument was a standardized ...
Wong, Charlene A.; Merchant, Raina M.; Moreno, Megan A.
We focus on the potential of social media related to the health of adolescent and young adults, who are nearly ubiquitous social media users but difficult to engage with their health and relatively low healthcare utilizers. Opportunities to better engage adolescents and young adults through social media exist in healthcare delivery, health education and health policy. However, challenges remain for harnessing social media, including making a clear value proposition and developing evidence-bas...
Kim, Harris Hyun-Soo
Research on the social determinants of health suggests that interpersonal networks play a critical role in facilitating individual mental and physical well-being. Prior studies also indicate that ecological or contextual factors contribute to positive health outcomes. This study extends prior research by examining the factors associated with adolescent health in an Asian context. Based on the multilevel analysis of the Korean Youth Panel Survey (2006 & 2007), a longitudinal project funded by the Korean government, it investigates some of the key variables related to the mental health of Korean students. Much of previous research focuses on the functions of social capital. This study contributes to the social epidemiology literature by investigating the possible downside of network ties. Specifically, it asks whether having delinquent friends is associated with negative mental health experiences. In addition, little research has been conducted concerning the associations between adolescent health outcomes and school characteristics. This study moves in that direction by examining the relationship between mental well-being of students and a variety of school related variables (e.g., subjective attitude toward school and quality of relationship with peers and teachers). Hierarchical linear modeling shows that, among the social capital control variables, being properly integrated into the family and frequent peer interaction significantly add to mental health. At the individual (student) level only, ties to delinquent friends are negatively associated with mental health, while at both individual and contextual levels, school characteristics are positively related to adolescent subjective well-being. PMID:25960374
Anderson, Ian; Maliqi, Blerta; Axelson, Henrik; Ostergren, Mikael
Most low- and middle-income countries face financing pressures if they are to adequately address the recommendations of the Global Strategy for Women's, Children's and Adolescent's Health. Negotiations between government ministries of health and finance are a key determinant of the level and effectiveness of public expenditure in the health sector. Yet ministries of health in low- and middle-income countries do not always have a good record in obtaining additional resources from key decision-making institutions. This is despite the strong evidence about the affordability and cost-effectiveness of many public health interventions and of the economic returns of investing in health. This article sets out 10 attributes of effective budget requests that can address the analytical needs and perspectives of ministries of finance and other financial decision-makers. We developed the list based on accepted economic principles, a literature review and a workshop in June 2015 involving government officials and other key stakeholders from low- and middle-income countries. The aim is to support ministries of health to present a more strategic and compelling plan for investments in the health of women, children and adolescents. PMID:27274599
Anderson, Halie; Liebe, Sarah; Bien, Matt
Global health has become an increasingly important part of medical education. This paper outlines the global medicine experiences of two students at Sanford School of Medicine of The University of South Dakota. Their stories highlight the global need for improved health care, the potential impact that such opportunities have on education and future practice, and the many opportunities available in international medicine. PMID:23189410
Colarossi, Lisa G.; Eccles, Jacquelynne S.
Examines the differential effects of parent, teacher, and peer social support on depression and self-esteem of 217 adolescents. Results indicate that female adolescents perceived significantly more support from friends than male adolescents did, whereas male adolescents perceived significantly more support from fathers. Self-esteem was…
Richter, M; Körholz, D
Innumerable studies have shown that socioeconomic inequalities have a serious impact on mortality and morbidity. Disease and premature mortality are thus embodied expressions of the conditions under which we live and work. The increasing discussion of adolescence as an independent stage of life has generated a growth of interest in the social determinants of young people's health. The review outlines that a large part of the prevailing diseases in adolescence are strongly influenced by social, economic and political determinants and analyses which determinants and mechanisms are responsible that social inequalities get under the skin and cause adverse health. Paediatrics offers a central interdisciplinary link between the natural and social sciences to better understand how we biologically incorporate our lived experience and thus create social patterns of health and illness not only in societies but also between societies. Such research could contribute to further sensitise clinical and therapeutic practice on the social determinants of health and to integrate them in daily routine processes, such as anamnesis and therapy. PMID:26070053
Mmari, Kristin; Blum, Robert; Sonenstein, Freya; Marshall, Beth; Brahmbhatt, Heena; Venables, Emily; Delany-Moretlwe, Sinead; Lou, Chaohua; Gao, Ershang; Acharya, Rajib; Jejeebhoy, Shireen; Sangowawa, Adesola
The Well-being of Adolescents in Vulnerable Environments (WAVE) is a global study of young people living in disadvantaged urban communities from Baltimore, MD, Johannesburg, South Africa, Shanghai, China, New Delhi, India and Ibadan, Nigeria. WAVE was launched in the summer of 2011 to: 1) explore adolescents' perceived health and their top health challenges; and 2) describe the factors that adolescents perceive to be related to their health and health care utilization. Researchers in each site conducted in-depth interviews among adolescents; community mapping and focus groups among adolescents; a Photovoice methodology, in which adolescents were trained in photography and took photos of the meaning of 'health' in their communities; and key informant interviews among adults who work with young people. A total 529 participants from across the sites were included in the analysis. Findings from the study showed that gender played a large role with regards to what adolescents considered as their top health challenges. Among females, sexual and reproductive health problems were primary health challenges, whereas among males, tobacco, drug, and alcohol consumption was of highest concern, which often resulted into acts of violence. Personal safety was also a top concern among males and females from Baltimore and Johannesburg, and among females in New Delhi and Ibadan. Factors perceived to influence health the most were the physical environment, which was characterized by inadequate sanitation and over-crowded buildings, and the social environment, which varied in influence by gender and site. Regardless of the study site, adolescents did not consider physical health as a top priority and very few felt the need to seek health care services. This study highlights the need to focus on underlying structural and social factors for promoting health and well-being among adolescents in disadvantaged urban environments. PMID:24581070
It is estimated that 20% of children experience psychological problems at any one time. 1 Child and adolescent mental health services (CAMHS) in Ireland are under-resourced. Recent economic downturn has hindered the possibility of increased funding to alleviative these deficits. It is now imperative that mental health professionals create innovative and cost effective solutions to promote positive mental health. Recent literature has focused on the benefits of self delivered parenting programmes, with minimal costs incurred. 2,3 Based on the developing evidence supporting self directed approaches, the Lucena Foundation has initiated a series of parent information evenings. These evenings are offered on a monthly basis, and are free to attend. To date 1,538 parents have attended. Feedback from parents has been very positive with 80.5% of them finding them useful or very useful.
Montgomery, Marilyn J.; Sorell, Gwendolyn T.
Examines male and female adolescents and their experience of "being in love." Qualitative analyses suggest that early and middle adolescents are actively reasoning about the nature and meaning of romantic feelings and experiences. Discusses results from standpoint of psychosocial-development theory. (Author/JDM)
Kretschmer, Tina; Pike, Alison
Using a sibling design, this study examined the association between adolescents' friendship experiences and their aspirations for self-acceptance, affiliation, and financial success. We hypothesized that adolescent siblings would differ in their aspirations and that unique experiences in friendships would be associated with these differences.…
Boyer, Glenda J.
The purpose of this qualitative study was to describe how family members experience the phenomenon of adolescent pregnancy and parenting in the family unit, over time, and to examine the meanings family members attach to the experience. The participants were six nuclear families (20 individuals) of six adolescent mothers who had previously…
Tuval-Mashiach, Rivka; Walsh, Sophie; Harel, Shirley; Shulman, Shmuel
Findings of this study, conducted on 142 adolescents (67 ninth graders and 75 eleventh graders), show that romantic experiences among adolescents are manifested in different forms: romantic fantasies, cross-gender friendships, and sustained interactions with a romantic partner. These three forms of experience are manifested differently across age…
Full Text Available Traumatic experiences in Serbia in the last two decades have caused significant psychological consequences in children and adolescents. The aim of this study was to investigate the relationship between depressive symptoms, exposure to aggression and delinquency proneness among high school and elementary school students in Belgrade, Serbia. The participants were 899 students (51.8% were female with no prior treatment for psychological problems, with a mean age of 16.70±1.95. All used instruments were taken from the modified Social and Health Assessment (SAHA. Our findings show that delinquent behavior or exposure to delinquency was significantly related to depressive symptoms. The strongest predictors of depression were variables concerning legal consequences, affiliation with delinquent peers, victimization by community violence and peer victimization. This study confirmed a strong correlation between depression and exposure to violence. Identifying adolescents with depressive symptoms is important for prevention of serious mental health consequences.
Greene, Jeffery P; Dawson, Rachel
Adolescents are less motivated to seek medical care for various reasons. Within the military health care system, access barriers, although less encountered, can still be a burden not only to the adolescent, but also the school system. This article describes the development of a school-based health center within a school district on a military installation. The school clinic was created by adolescent medicine specialists to maximize access to care. Students of adolescent age utilized the clinic for evaluation of acute and chronic conditions, preventative services, preparticipation evaluation, and other general complaints. After receiving signed consent forms, 30% of students were eligible for health care. There was minimal cost to initiate the service. Development of school-based health center programs at other military installations could potentially improve the status of the military health system during a time of high stress among military dependents. PMID:27612351
Boisvert, Stéphanie; Poulin, François
The present study identifies and describes romantic relationship patterns from adolescence to adulthood and examines their associations with family and peer experiences in early adolescence. In a 13-year longitudinal study, 281 youth (58 % girls) identified all their romantic partners each year from the ages of 16-24. Dimensions of family relationships (family cohesion, parent-child conflict) and peer relationships (peer likeability, social withdrawal, close friendships, other-sex friendships) were assessed at age 12. Latent class analyses brought out five distinct romantic relationship patterns and significant associations were found with family and peer relationships in early adolescence. These five romantic relationship patterns appeared to follow a continuum of romantic involvement, with romantic relationship patterns situated a both ends of this continuum (later involvement pattern and intense involvement pattern) being associated with more interpersonal experiences in early adolescence. PMID:26857403
Swenson, Rebecca R; Houck, Christopher D; Barker, David; Zeanah, Paula D; Brown, Larry K
Given increased sexual risk-taking among youth with mental health problems, this study sought to understand the developmental trajectory of sexual self-esteem (SSE) among this vulnerable population and how it is impacted by sexual experiences. Participants were 185 adolescents who attended therapeutic/alternative schools in southern New England. Changes in five domains of SSE identified by Zeanah and Schwarz (1996) were examined across adolescents who either: 1) were sexually active at baseline, 2) transitioned to activity during the study, and 3) remained inexperienced at follow-up. In support of the hypothesis that changes in SSE precede onset of experience, youth who transitioned reported higher baseline scores in the Skills domain than those who remained inexperienced. SSE was subsequently impacted by sexual activity, with differences in several domains found at baseline and follow-up across level of experience. Changes in SSE following sexual experience depended, in part, on the percentage of casual partners teens reported. PMID:21726896
Andrew, Gracy; Patel, Vikram; Ramakrishna, Jayashree
If health services for adolescents are to be successfully integrated into the existing health care system, they will need to reach out to meet the needs that adolescents themselves perceive as salient. This paper describes a study aiming to elicit the needs of adolescents in higher secondary schools in Goa, India, in 1999-2000. The objective was to generate information which could guide the development of adolescent-friendly health services by integrating the health needs identified by adolescents themselves. The study began with free-listing, followed by focus group discussions and in-depth interviews to elicit areas of concern. Then, a survey of 811 students with a self-report questionnaire was carried out. The findings demonstrate that there is clearly an unmet need for information about sexual and reproductive health, but also a large, unmet need for psychosocial support for health issues ranging from violence in schools to poor relationships with parents, stress-related health complaints and educational difficulties, which are often perceived by adolescents to be of primary importance. Integrating these issues into programmes is likely to be an essential element in developing health services and programmes which can reach out to the majority of adolescents in school settings in India. PMID:12800709
Galloway, Leanne Lyndsey
Aims: Friendship plays an important and central role in adolescent life. This thesis was conducted in two parts to address two broad aims relating to friendship in adolescence. The first aim was to establish what is currently known about the impact of perfectionism on adolescent interpersonal relationships. Specifically, it was of interest to determine whether perfectionism exerts a negative influence on adolescent friendships. The second aim was to explore the friendship exper...
Ashby, Bethany; Ranadive, Nikhil; Alaniz, Veronica; St John-Larkin, Celeste; Scott, Stephen
Purpose Mental health issues in perinatal adolescents are well documented and studies have shown high rates of depressive disorders among this population. Treatment is challenging because pregnant adolescents are poorly adherent with mental health services. We describe a novel integrated mental health care program for pregnant and parenting adolescent mothers and their children. Methods The Colorado Adolescent Maternity Program (CAMP) is a comprehensive, multidisciplinary teen pregnancy and parenting medical home program serving an ethnically diverse and low socioeconomic status population in the Denver metro area. We describe the Healthy Expectations Adolescent Response Team (HEART), an embedded mental health care program focused on improving identification of mental health symptoms and increasing rates mental health treatment in adolescent mothers. Results From January 1, 2011-January 16 2014, 894 pregnant adolescents were enrolled in CAMP and 885 patients were screened for mental health issues. Prior to HEART's inception, 20 % of patients were identified as having mood symptoms in the postpartum period. Successful referrals to community mental health facilities occurred in only 5 % of identified patients. Following the creation of HEART, 41 % of patients were identified as needing mental health services. Nearly half of the identified patients (47 %) engaged in mental health treatment with the psychologist. Demographic factors including age, parity, ethnicity, and parent and partner involvement did not have a significant impact on treatment engagement. Trauma history was associated with lower treatment engagement. Conclusion Our findings suggest that an embedded mental health program in an adolescent obstetric and pediatric medical home is successful in improving identification and engagement in mental health treatment. Key components of the program include universal screening, intensive social work and case management involvement, and ready access to onsite
Full Text Available Aims: From the developmental perspectives children acquire and widen their perceptions of health as they mature and grow up. The main purpose of this study was to describe health through the eyes of adolescents in immigrant Ethiopian families living in Finland.Methods: Ten boys and five girls participated. The adolescents’ ages ranged from 12 to17. Theme interviews were used in data collection. Snowball sampling technique was used. Consent was obtained from the adolescents and adolescents’ parents. Inductive content analysis technique was used to analyse the data.Results: Adolescents indicated that health is the wellbeing of all dimensions that make us intact and complete. Adolescents believed relaxation, physical activity, good hygiene, good social relationship, avoiding consumption of poison substances, green nature, hygienic environment and peace are health supportive elements. On the contrary adolescents said insufficient resting, violent behaviors, difficulty, irritation, being inactive physically, addiction to alcohol and smoking, eating fatty food, not respecting meal time and use of drugs are health damaging behaviors. Adolescents consumed soft drink and alcohol frequently ,were physical inactive, practiced unhealthy eating habits, felt lazy to go and grab food from food store, faced financial difficulty to pay for Gym and healthy food that threatened their health. Adolescents used sport, socialization, moderate alcohol intake, avoid eating unhealthy food and smoking as their strategies to enhance their health.Conclusions: Adolescents were able to identify unhealthy lifestyles and healthy lifestyles. However adolescents were engaged in healthy and unhealthy lifestyles simultaneously. Thus family, school, neighbours and health care workers should work together and vigilant in assessing and removing factors that prevent adolescents from adopting healthy lifestyles.
Full Text Available
Background: Oral health behaviour is essential for planning & evaluation of oral health promotion programmes. This study was conducted to assess the oral health behaviour among adolescents aged between 11 to 19 years in Kannur district, Kerala state in India, including their inter-dental cleaning habits.
Methods: 512 school children aged 11 to 1 9 years, studying from 6th to 12th standards formed the study subjects.
Results: 52.5% were females and remaining were males. 40.8% were Hindus. Brushing of teeth twice daily was practiced by 75% of students. A significant association was found between the correct brushing technique and male gender as well as students in upper primary school compared to high school and higher secondary school education level. The prevalence of inter-dental cleaning habit was observed to be 58%. 76.3% of males and 58.9% of females used coconut leaf toothpicks for inter-dental cleaning. Multivariate analysis revealed age, religion and positive attitude towards inter-dental cleaning as significant factors associated with the practice of inter-dental cleaning.
Conclusions: There was a statistically significant association between gender, age, class of study and recommended method of tooth brushing. More than half of the study subjects practiced inter-dental cleaning and the materials used were locally and easily available those are not recommended by oral health professionals. Multivariate analysis shows age, religion and attitude were the factors significantly associated with regular practice of inter-dental cleaning. Oral health professionals can plan, propose and implement school oral health promotion activities as part of building up oral health promoting school.
Kelleher, Ian; Devlin, Nina; Wigman, Johanna Tw; Kehoe, Anne; Murtagh, Aileen; Fitzpatrick, Carol; Cannon, Mary
BACKGROUND: Recent community-based research has suggested that psychotic experiences act as markers of severity of psychopathology. There has, however, been a lack of clinic-based research. We wished to investigate, in a clinical sample of adolescents referred to a state-funded mental health service, the prevalence of (attenuated or frank) psychotic experiences and the relationship with (i) affective, anxiety and behavioural disorders, (ii) multimorbid psychopathology, (iii) global functionin...
Tchicherin, L P; Schepin, V O; Sogiyainen, A A
The article analyzes the dynamics of main health indicators of youth adolescents aged 15-18 years from the point of view of readiness to serve in the armed forces of the Russian Federation. The actual aspects of organization of medical examination of conscripts are considered. The ten years dynamics of indicators of morbidity of adolescents aged 15-17 years of Moscow oblast was studied in comparison with the data from the Central federal okrug and Russia in general. The activity of medical organizations and medical personnel is studied The main resources of enhancement and implementation in the territories of measures within the framework of the governmental Concept of federal program of training of citizen for military service up to 2020 are identified. The practice recommendations are developed concerning the optimization medical support of youth training for military service, intersectorial integration, enhancement of the role of pediatric service first of all the children polyclinics in the field of effective implementation of tasks of recruitment of army with healthy contingent. PMID:24027841
Full Text Available OBJECTIVE: This study describes the sexual behavior among students who participated in the National Adolescent School-based Health Survey (PeNSE 2012 and investigates whether social inequalities, the use of psychoactive substances and the dissemination of information on sexual and reproductive health in school are associated with differences in behavior. METHODOLOGY: The response variable was the sexual behavior described in three categories (never had sexual intercourse, had protected sexual intercourse, had unprotected sexual intercourse. The explanatory variables were grouped into socio- demographic characteristics, substance use and information on sexual and reproductive health in school. Variables associated with the conduct and unprotected sex were identified through multinomial logistic regression, using "never had sexual intercourse" as a reference. RESULTS: Over nearly a quarter of the adolescents have had sexual intercourse in life, being more frequent among boys. About 25% did not use a condom in the last intercourse. Low maternal education and work increased the chance of risky sexual behavior. Any chance of protected and unprotected sex increased with the number of psychoactive substances used. Among those who don't receive guidance on the prevention of pregnancy in school, the chance to have sexual intercourse increased, with the largest magnitude for unprotected sex (OR = 1.41 and OR = 1.87 . CONCLUSION: The information on preventing pregnancy and STD/AIDS need to be disseminated before the 9th grade. Social inequalities negatively affect risky sexual behavior. Substance use is strongly associated with unprotected sex. Information on the prevention of pregnancy and STD/AIDS need to be disseminated early.
Hemmati, Mohammad Ali; Shokoohi, Hamid; Masoumi, Mehdi; Khateri, Shahriar; Soroush, Mohammadreza; MODIRIAN, EHSAN; Poor Zamany Nejat Kermany, Mahtab; HOSSEINI, Maryam; Mousavi, Batool
Background To describe the mental health status of 78 child and adolescent survivors of post-war landmine explosions. Methods Child and adolescent survivors of landmine explosions who were younger than 18 years old at the time of the study were identified and enrolled in this study. The mental health status of the participants was assessed by general health assessment and psychiatric examinations. Psychiatric assessment and diagnosis were undertaken using the Diagnostic and Statistical Manual...
AGHAMOLAEI, TEAMUR; Tavafian, Sedigheh Sadat
Background Health promotion for adolescents has become a research priority worldwide and life at school offers a good opportunity to establish health promoting behavior among this age group. Objectives This study aimed to investigate health behaviors of a sample of adolescents in Bandar Abbas, Iran. Materials and Methods Totally, 410 students including 204 males and 206 females studying in grades 9 to 12 and aged between 15–18 years old were studied. The instruments used to collect data were ...
Daniel F. Detzner
Full Text Available The purpose of this paper is to examine the fathering experiences of Southeast Asian immigrant men who are parenting their adolescent children in the United States. Focus group discussions were conducted with twenty-two Cambodian, Hmong, Lao, and Vietnamese immigrant fathers. The study found that most fathers wanted to become closer to their children and be more involved in their children’s daily activities. Common fathering roles such as the family provider, teacher, supervisor, and disciplinarian also emerged from the analyses. Parent educators, social service providers, policy makers, and practitioners who work with Southeast Asian families should understand the complex and critical roles of fathers and includethem when designing, developing, and delivering programs and services for families.
Sivagurunathan, C; Umadevi, R.; R Rama; Gopalakrishnan, S.
Adolescence is a phase of rapid growth and development during which physical, physiological and behavioural changes occur. They constitute more than 1.2 billion worldwide, and about 21% of Indian population. Morbidity and mortality occurring in this age group is mostly due to preventable causes. Young and growing children have poor knowledge and lack of awareness about physical and psychological changes that occurs during adolescence and the ill health affecting them. Existing Adolescent heal...
Mohamadian, Hashem; Ghannaee Arani, Mohammad
Objectives Physical activity behavior begins to decline during adolescence and continues to decrease throughout young adulthood. This study aims to explain factors that influence physical activity behavior in a sample of female adolescents using a health promotion model framework. Methods This cross-sectional survey was used to explore physical activity behavior among a sample of female adolescents. Participants completed measures of physical activity, perceived self-efficacy, self-esteem, so...
There has recently been an intense debate about the increased rate of bipolar disorders (BPD) in children and adolescents observed in clinical settings. Thus, there is great interest in child and adolescent symptoms of hypomania and whether these symptoms subsequently will develop into BPD. More knowledge about early signs could give insight into the development of the disorder. There are also concerns that hypomanic symptoms in adolescence indicate excess risk of other health conditions. It ...
Hops, Hyman; Ozechowski, Timothy J.; Waldron, Holly B.; Davis, Betsy; Turner, Charles W.; Brody, Janet L.; Barrera, Manuel
Adolescents who abuse substances are more likely to engage in health-risking sexual behavior (HRSB) and are at particularly high risk for HIV/AIDS. Thus, substance abuse treatment presents a prime opportunity to target HIV-risk behaviors. The present study evaluated a one-session HIV-risk intervention embedded in a controlled clinical trial for drug-abusing adolescents. The trial was conducted in New Mexico and Oregon with Hispanic and Anglo adolescents. Youths were randomly assigned to indiv...
David Martínez Gómez; Veiga, Oscar L; Belén Zapatera; Verónica Cabanas-Sánchez; Sonia Gomez-Martinez; David Martinez-Hernández; Ascensión Marcos
The aims of the present study were: (i) describe patterns of sedentary behavior in Spanish adolescents; and (ii) determine the proportion of adolescents that do not meet the public health recommendations for sedentary behavior. This study comprised 1,724 Spanish adolescents (882 girls), aged 13 to 16 years. Patterns of sedentary behavior (TV viewing, use of computer games, console games and surfing the Internet) were assessed using the HELENA sedentary behavior questionnaire. The total propor...
Conti-Ramsden, G; Botting, N
Objective: This study examined the emotional health of adolescents with and without specific language impairment (SLI). Method: One hundred and thirty-nine adolescents with a history of SLI (15;10 years) and a peer group of 124 adolescents with normal language development (NLD) (15;11 years) participated, who were in their final year of compulsory schooling. The risk of emotional difficulties was assessed using the Moods and Feelings Questionnaire (MFQ) and the Child Manifest Anxiety Sc...
Ilie, Gabriela; Mann, Robert E.; Boak, Angela; Adlaf, Edward M.; Hamilton, Hayley; Asbridge, Mark; Rehm, Jürgen; Cusimano, Michael D.
Objective Our knowledge on the adverse correlates of traumatic brain injuries (TBI), including non-hospitalized cases, among adolescents is limited to case studies. We report lifetime TBI and adverse mental health and conduct behaviours associated with TBI among adolescents from a population-based sample in Ontario. Method and Findings Data were derived from 4,685 surveys administered to adolescents in grades 7 through 12 as part of the 2011 population-based cross-sectional Ontario Student Dr...
Rassart, Jessica; Luyckx, Koen; Goossens, Eva; Apers, Silke; Klimstra, Theo; Moons, Philip
The present study investigated how the Big Five personality traits were related to quality of life and perceived health in adolescents with congenital heart disease (CHD). Adolescents with CHD were selected from the database of pediatric and congenital cardiology of the University Hospitals Leuven. A total of 366 adolescents (15-20 years) participated; 364 were matched on sex and age with community controls. Adolescents’ personality was assessed using the Quick Big Five, quality of life was m...
Howard, Jo; Friend, Denise; Parker, Trish; Streker, Garry
This study explores the use of the short messaging service (SMS) to support parents who experience violence from their adolescent. The parents participated in the Inner South Community Health Service (ISCHS) Who's the Boss program, an 8-week parent psycho-educational program for parents abused by their adolescents. An ISCHS counsellor, Andrew Compton, was interested in exploring the benefits of SMS technology and how text messages could be used to support women who had experienced family violence. We decided to pilot the use of SMS with group participants of Who's the Boss who were interested in this 'value-added' strategy. This pilot used SMS technology to reinforce behavioural strategies that had been learnt in the groups to support parents in self-care. The project involved 19 consumers (through focus groups) to design the SMS messages that would most benefit them, decide how often and when they would be sent and evaluate their usefulness in supporting them to take a stand against their adolescent's abuse and violence in the home. Safety concerns were also explored with all participants before the commencement of the project. The project findings demonstrated that SMS messages were useful and supported parents to make changes and address their adolescent's abuse and violence. The use of SMS has applicability to a range of therapeutic programs including parenting programs, anxiety and depression programs and family violence programs. An extensive risk assessment must be undertaken ifthe use of SMS is to be considered to support women who have left violent partners to ascertain the safety of women and the likelihood that their partners may have access to their mobile phones. Women with violent partners are most at risk at the point of, or immediately following, separation and the use of SMS may in fact severely compromise the safety of these women. For this reason, SMS may not be appropriate in the support of women who have experienced family violence where there
Nkansah-Amankra, Stephen; Walker, Ashley Dawn
Objective: Self-rated health (SRH) has become a key organizing construct for assessing multiple dimensions of populations' physical and psychosocial health functioning. However, it is unclear how adolescents' subjective self assessment of health reflects health risk exposures, co-occurring health risks (problem behaviours) and other pre-existing…
van Reeuwijk, Miranda; Nahar, Papreen
This article explores the mismatch that exists between what unmarried adolescents in Bangladesh experience, want and need in regard to their sexuality and what they receive from their society, which negatively impacts on their understanding of sexuality and their well-being. The findings provide a picture of Bangladeshi adolescents' (12-18 years) sexual feelings, experiences, behaviours, anxieties and concerns - in particular in relation to desire, pleasure, sexual power, masturbation, virginity, romantic love and dating, and arranged marriage - and how socio-sexual norms and taboos influence these. Curiosity of boys and girls about sex was driven by a need and desire to know and understand, but also because it was exciting to read about and talk about sex. Young people are not just passive recipients of adult norms and messages around sexuality, but agents who actively construe meanings and navigate between what is expected from them and what they want, need and feel themselves. Adolescents have a need for information and support - long before they ever have sex. We call for a positive, rights-based approach to sexuality education for adolescents and a focus beyond health outcomes alone to support adolescents and young people to make sense of the multiplicity of messages they encounter and reduce unnecessary feelings of guilt and anxiety. PMID:23684189
Stratton, Kelcey Jane; Edwards, Alexis Christine; Overstreet, Cassie; Richardson, Lisa; Tran, Trinh Luong; Trung, Lam Tu; Tam, Nguyen Thanh; Tuan, Tran; Buoi, La Thi; Ha, Tran Thu; Thach, Tran Duc; Amstadter, Ananda Beth
Little is known about risk factors for adolescent mental health in Vietnam. The present study investigated the relationship between caretaker mental health and adolescent mental health in a cross-sectional Vietnamese sample. Primary caretakers completed measures of their own mental distress and general health status using the Self-Reporting Questionnaire-20 (SRQ-20) as well as reports of adolescent mental health using the parent version of the Strengths and Difficulties Questionnaire (SDQ). M...
Full Text Available Introduction: While the influence of type 1 diabetes mellitus (T1DM on periodontal health is well established, results of previous studies regarding the association of this metabolic disease and caries experience are rather inconsistent. The aim of this study was to assess the differences between caries status of healthy and adolescents with T1DM, as well as to determine the differences in caries experience among diabetic patients in relation to their metabolic control.Methods: Assessment of caries status was performed using the DMFT index (decayed, missing, and filled teeth. The study group (Diabetic included 60 patients diagnosed with T1DM, aged 12-18 years, from Sarajevo Canton. This group was divided into two sub-groups: a sub-group Diabetic-W consisted of 30 patients with well-controlled glycaemia, while a subgroup Diabetic-P comprised of 30 patients with poorer glycemic control. The control group consisted of 30 age-matched metabolically healthy individuals.Results: The T1DM adolescents had a significantly higher (p < 0.01 mean DMFT score than the healthy subjects, 11.49 and 6.19 respectively. Statistically, the diabetic group had also significantly higher values of the D and M components. Concerning the metabolic control, mean DMFT score in the Diabetic-W subgroup was lower (10.57 than in the Diabetic-P subgroup (12.39, however the difference was not statistically significant.Conclusions: The results demonstrate that the T1DM patients have a higher caries experience, regardless of the degree of metabolic control. The level of untreated dental decay and missing teeth components among the diabetic adolescents indicates irregular dental attendance.
Gurpreet Singh Chhabra
Full Text Available Objective: To study the prevalence of psychosocial problems in male adolescents and find out various factors contributing to psycho-social ill health. Methods: 500 adolescents were interviewed using a pre-tested structured questionnaire to elicit the information about the psychosocial problems including depression, suicidal thoughts and suicidal attempts. Association of academic performance, family problems, psychological problems and substance abuse was also included. Results: More than one third (39.6% adolescents were having psychological problems. These problems were significantly higher in middle adolescence (14-16 years, large extended families (> 8 members and lower socioeconomic status. Residence had no significant relation to psychological problems in the adolescents. On correlation, these adolescents with psychological problems were having significantly more academic problems, family disputes, domestic violence, lesser number of close friends and greater substance abuse. Conclusion: Considering that male adolescents from large families with lesser education and lower income had higher prevalence of psychosocial problems, it is essential for health care planners to design comprehensive family and health education programs for the adolescents. The family support, teacher student rapport and peer group communication should be strengthened to counteract unsafe behaviours in the adolescents.
Huang, Jui-Yen; Wang, Kuan-Yuan; Ringel-Kulka, Tamar
Life satisfaction correlates with adolescent risk taking behavior and their outcomes in adulthood. Despite the fast rise in numbers of Asian adolescents in the U.S., the predictors of their life satisfaction are not well understood. This study examined the relationship between several demographic and contextual factors and global life satisfaction among this population. Data were derived from the National Longitudinal Study of Adolescent Health (Add Health), a nationally representative probability sample of US adolescents. Bivariate and multivariable logistic regression was conducted to evaluate hypothesized predictors of global life satisfaction of Asian American adolescents. All analyses were conducted using STATA version 11. After exclusion of cases with missing values, 1021 Asian American adolescents were studied. Self- rated health, self-esteem, perceived neighborhood quality, parental support and peer support were significantly and positively related to better global life satisfaction. However, after controlling for other factors, only self-esteem (adjusted odds ratio [aOR]: 4.76; 95% confidence interval [CI]: 2.86-8.33) and perceived peer support (aOR: 2.76; 95% CI: 1.33-5.76) significantly predicted higher life satisfaction. Peer support and adolescents' self-concept are strongly correlated with Asian American adolescents' subjective well-being. To promote the wellness of this population, culturally sensitive strategies in developing peer relationship and healthy self-concept may be effective. More studies are needed for subgroup comparison of various ethnicities among Asian American adolescents. PMID:25992312
Zhu, Qianqian; Gao, Ersheng; Cheng, Yan; Chuang, Yi-Li; Zabin, Laurie S; Emerson, Mark R; Lou, Chaohua
This study explores the association of child sexual abuse (CSA) with subsequent health risk behaviors among a cross-section of 4354 adolescents and young adults surveyed in urban and rural Taipei. Descriptive analysis and logistic regressions were employed. The overall proportion of CSA was 5.15%, with more females (6.14%) than males (4.16%) likely to experience CSA. CSA was differently associated with multiple adverse health outcomes, after adjusting other factors, such as age, residence, economic status, education, employment status, and household instability. Both males and females with CSA experience were more likely to report drinking, gambling, and suicidal ideation compared with those who had no history of CSA. However, the significant association between CSA and smoking, fighting, and suicidal attempt was not observed among females. Effective interventions are needed to reduce CSA and its adverse effects on adolescent well-being. PMID:25720535
Menstrual disturbances are common during adolescence, especially within the first 1-3 years after menarche, and are often explained by immaturity of the hypothalamic-pituitary-gonadal axis. However, little is known about the underlying mechanisms, long-term medical consequences and other reproductive health issues in teenagers. The general aim of this thesis was to investigate aspects of reproductive health in adolescent girls and boys visiting a youth clinic. Endocrine ...
van der Jagt-Jelsma, W.; de Vries-Schot, M. R.; de Jong, Rint; Hartman, C. A.; Verhulst, F. C.; Klip, H.; van Deurzen, P. A. M.; Buitelaar, J. K.
Background: This study investigated the association between the religiosity of parents and pre-adolescents, and pre-adolescents' psychiatric problems. Method: In a clinic-referred cohort of 543 pre-adolescents at least once referred to a mental health outpatient clinic mental health problems were as
Jagt-Jelsma, W. van der; Vries-Schot, M.R. de; Jong, R. de; Hartman, C.A.; Verhulst, F.C.; Klip, H.; Deurzen, P.A. van; Buitelaar, J.
BACKGROUND: This study investigated the association between the religiosity of parents and pre-adolescents, and pre-adolescents' psychiatric problems. METHOD: In a clinic-referred cohort of 543 pre-adolescents at least once referred to a mental health outpatient clinic mental health problems were as
Full Text Available Objective: The aim of the present paper was to analyze factors affecting distal and proximal health behavior within a biopsychosocial model for examining their interactions and associations with respect to health. Methods: Path analysis was based on the nationwide, cross-sectional German Health Interview and Examination Survey for Children and Adolescents (2003 to 2006. The data was collected from 4,529 participants with an average age of 9.45 years (SD = 4.01. Socio-demographic data, psychosocial factors and health behavior were assessed via questionnaire. Participants also underwent physical fitness tests and a medical examination. Results: Over the five levels of the model analyzed with socioeconomic status, immigration background, and rural-urban differences on the first level; physical activity of relatives and peers, intrinsic motivation, and quality of life on the second level; eating patterns, sedentary behavior, and physical activity on the third level; physical fitness and objective health on the fourth level; and health complaints and subjective health on the fifth level; direct, moderation, and mediation effects could be shown. Conclusions: Several distal and proximal factors are needed to take account of the multivariate complexity of health: e.g., immigration background affected health behaviors only indirectly and the effect of physical activity on objective health was mediated by physical fitness.
Kuo, Sally I-Chun; Updegraff, Kimberly A; Zeiders, Katharine H; McHale, Susan M; Umaña-Taylor, Adriana J; De Jesús, Sue A Rodríguez
Late adolescence is a period of substantial risk for unhealthy sleep patterns. This study investigated the contextual correlates and health and adjustment implications of sleep patterns among Mexican American youth (N = 246; 51% female). We focused on Mexican American youth because they represent a large and rapidly increasing subgroup of the US population that is at higher risk for health and adjustment problems; this higher risk may be explained, in part, by sleep patterns. Using data from seven phone diary interviews conducted when youth averaged 18 years of age, we assessed average nighttime sleep duration and night-to-night variability in sleep duration. Guided by socio-ecological models, we first examined how experiences in the family context (time spent and quality of relationships with parents, parents' familism values) and in extra-familial contexts (school, work, peers) were related to sleep duration and variability. The findings revealed that time spent in school, work, and with peers linked to less sleep. Further, conflict with mothers was related to greater sleep variability. Next, we tested the implications of sleep in late adolescence for health (perceived physical health, body mass index) and adjustment (depressive symptoms, risky behaviors) in young adulthood. These findings indicated that more sleep variability predicted relative decreases in health and increases in risky behaviors, and shorter sleep duration predicted relative decreases in poorer perceived health for males. The discussion highlights the significance of the transition to young adulthood as a target for sleep research and the importance of studying sleep within its socio-cultural context. PMID:25047598
Paek, Hye-Jin; Reber, Bryan H.; Lariscy, Ruthann W.
This study proposes a health socialization model and applies it to examine direct, relative and mediating roles of interpersonal and media health socialization agents in predicting adolescent self-reported health literacy. We conducted a paper-and-pencil survey among 452 seventh graders in rural and urban school districts. Our regression analysis…
Although emotional and behavioural problems are relatively common in children and adolescents, they are rarely brought to the attention of general practitioners (GPs) or mental health professionals. The main aim of this study was to investigate the process of help-seeking for child and adolescent ps
Brady, Sonya S.; Donenberg, Geri R.
Objective: This study examined two potential mechanisms linking violence exposure and health risk behavior among adolescents in psychiatric care: sensation seeking and coping with stress through escape behavior. Method: Male (59%) and female adolescents (N = 251), ages 12 to 19 years, from diverse ethnic backgrounds (61% African American, 19%…
Cummings, Janet R.; Druss, Benjamin G.
Objective: Little is known about racial/ethnic differences in the receipt of treatment for major depression in adolescents. This study examined differences in mental health service use in non-Hispanic white, black, Hispanic, and Asian adolescents who experienced an episode of major depression. Method: Five years of data (2004-2008) were pooled…
Brown, Jane D.; Bobkowski, Piotr S.
The past decade's research on the use and effects of older (television, music, movies, magazines) and newer media (the Internet, cell phones, social networking) on adolescents' health and well-being is reviewed. A portrait of patterns of use of the media is provided and then the predictors and effects of those patterns on adolescents' mental…
Ruffolo, Mary C.; Sarri, Rosemary; Goodkind, Sara
This study examines risk and protective factors for delinquent, diverted, and high-risk adolescent girls to inform the development of effective mental health prevention and intervention programs. Delinquent, diverted, and high-risk adolescent girls (N = 159) involved or at risk of involvement with the juvenile justice system, who were receiving…
Ellis, B. Heidi; MacDonald, Helen Z.; Lincoln, Alisa K.; Cabral, Howard J.
The primary purpose of this study was to examine relations between trauma exposure, post-resettlement stressors, perceived discrimination, and mental health symptoms in Somali adolescent refugees resettled in the U.S. Participants were English-speaking Somali adolescent refugees between the ages of 11 and 20 (N = 135) who had resettled in the U.S.…
Kirana, Paraskevi-Sofia; Nakopoulou, Evangelia; Akrita, Ioanna; Papaharitou, Stamatis
The aim of the study was to explore the attitudes and views of Greek parents concerning the provision of sex education to adolescents, as well as the opinion and the involvement of school health promoters in sex education. A questionnaire containing 20 items was constructed and administered to 93 parents of adolescents who participated in parents'…
Byers, E. Sandra; Sears, Heather A.
This study distinguished two groups of mothers who have not communicated with their young adolescents about sexual health based on their intentions of having these discussions. We also compared these 2 groups to mothers who have had such communications. Overall, 29% of mothers had engaged in sexual discussions with their adolescent in some detail…
Gupta, Niodita; Chandak, Aastha; Gilson, Glen; Pelster, Aja Kneip; Schober, Daniel J.; Goldsworthy, Richard; Baldwin, Kathleen; Fortenberry, J. Dennis; Fisher, Christopher
Youth development professionals (YDPs) working at community-based organizations are in a unique position to interact with the adolescents because they are neither parents/guardians nor teachers. The objectives of this study were to explore qualitatively what sexual health issues adolescents discuss with YDPs and to describe those issues using the…
Farbstein, Ilana; Mansbach-Kleinfeld, Ivonne; Levinson, Daphna; Goodman, Robert; Levav, Itzhak; Vograft, Itzik; Kanaaneh, Rasim; Ponizovsky, Alexander M.; Brent, David A.; Apter, Alan
Background: The development of epidemiological instruments has enabled the assessment of mental disorders in youth in countries that plan policy according to evidence-based principles. The Israel Survey of Mental Health among Adolescents (ISMEHA) was conducted in 2004-2005 in a representative sample of 957 adolescents aged 14-17 and their mothers.…
Guilamo-Ramos, Vincent; Goldberg, Vincent; Lee, Jane; McCarthy, Katherine; Leavitt, Sarah
Latinos are the largest and fastest growing minority youth group in the United States. Currently, Latino adolescents experience higher rates of teen pregnancy compared to any other racial or ethnic group and have disproportionately high levels of sexually transmitted infections and HIV. Latino teens are also affected by a number of social problems such as school dropout, poverty, depression and limited access to healthcare, which contributes to disparities in reproductive health outcomes for ...
BackgroundIn Norway and other western countries many young people experience labour market integration problems, as demonstrated by high rates of unemployment, sickness, disability and welfare dependence. Factors leading to such problems are complex and not well understood. In particular, there is a knowledge gap in how these problems are related to adolescent health and vulnerability, as such knowledge is needed for the understanding of mechanisms leading to non-inclusion or exclusion from w...
Dimitrinka Jordanova Peshevska; Marija Raleva; Izabela Filov; Dinesh Sethi; Tamara Jordanova; Kadri HazdiHamza; Fimka Tozija; Vesna Damchevska Ilievska
OBJECTIVES: One of the main objectives of this paper is to analyze the associations between physical abuse and neglect and health risk behaviours among young adolescents in the country. METHOD: A representative sample consisted of total 1277 students (58.6% female and 41.6%), aged 18 and above. About 664 of them are in last (fourth) year of secondary school and 613 respondents are first- and second-year university students. The data were obtained using Adverse Childhood Experiences Study ...
Jara Rascón, José; Alonso Sandoica, Esmeralda
In public health services, the interest in sexuality seems to turning from traditional topics such as potential treatments for male erectile dysfunction, psychosomatic disorders, the control of premature ejaculation and contraception. Instead, an increasingly prominent role is being given to prevention strategies carried out by means of campaigns or through sexual health programme sin schools. The different teaching strategies that underlie these programmes, which in many cases lack social consensus but are often promoted by international organizations such as WHO or UNESCO, reveal not only divergent ethical conceptions and worldviews on the meaning of sexuality, but also conflicting starting points, means and goals, focusing either on barrier-contraceptive methods or on sexual abstinence and personal responsibility. There is therefore a pressing need to understand the scientific evidence underlying each educational approach and the ethical postulates of each pedagogical proposal. This paper presents an outline of a six-point adolescent sexuality education program, which is respectful of individuals' ethical convictions. Given that few works on preventive medicine issues include an ethical evaluation of the steps followed in their development, this article also proposes a systematic evaluation of strategies for sexual health in the community that is developed through four steps verifying the following aspects: 1) the accuracy of information, 2) the level of evidence, 3) efficiency and 4) non-maleficence about the target population of each health program. The methodology used in these sexual health programs is another aspect that will verify their ethical consistence or, conversely, their absence of ethical values. We emphasize the duty of designers of programme for children not to carry then out against the will of their parents or tutors, and not conceal sensitive and relevant information. PMID:21692555
Rassart, Jessica; Luyckx, Koen; Goossens, Eva; Apers, Silke; Moons, Philip
The present study examined associations between parenting and perceived health in adolescents with congenital heart disease (CHD) using a longitudinal trajectory approach. Adolescents with CHD were selected from the database of pediatric and congenital cardiology of the University Hospitals Leuven. A total of 429 adolescents (M age = 16 at T1) participated in the present study, comprising four measurement waves spanning approximately 3 years. Latent class growth analysis was used to identify trajectory classes of parenting and perceived health. Whereas adolescents from democratic households reported the most favorable health outcomes, adolescents from authoritarian, overprotective, and psychologically controlling families (all characterized by relatively high levels of psychological control) showed an increased risk for poor perceived health over time. Hence, the present study found substantial developmental associations between parenting and perceived health in adolescents with CHD. Future research should investigate whether working on the parent-adolescent relationship can foster patients' health. PMID:24819301
Toscano Sharyl E
Full Text Available Abstract Background This paper describes the nature and characteristics of the dating relationships of adolescent females, including any of their experiences of abuse. Methods A grounded theory approach was used with 22 theoretically sampled female adolescents ages 15–18. Results Several important themes emerged: Seven stages of dating consistently described the relationships of female adolescents. A circle consisting of two interacting same sex peer groups provided structure for each teen as they navigated the dating course. The circle was the central factor affecting a female adolescent's potential for risk or harm in dating relationships. Teens defined abuse as an act where the intention is to hurt. Having once succumbed to sexual pressure, teens felt unable to refuse sex in subsequent situations. Conclusion An awareness of both the stages of dating and the dynamics of the circle will assist health care providers to plan and implement interventions in the female adolescent population. Study findings on factors and influences that support non-abusive versus abusive relationship might help identify female teens at risk and/or support interventions aimed at preventing dating violence.
Masten, Carrie L.; Eisenberger, Naomi I.; Pfeifer, Jennifer H.; Dapretto, Mirella
Neuroimaging studies with adults have begun to reveal the neural bases of empathy; however, this research has focused on empathy for physical pain, rather than empathy for negative social experiences. Moreover, this work has not examined adolescents who may frequently witness and empathize with others who experience negative social experiences like peer rejection. Here, we examined neural activity among early adolescents observing social exclusion compared to observing inclusion, and how this...
Ellis, Addie Lucille; Geller, Kathy D.
This narrative study is based on stories told by African American adolescents experiencing homelessness. It offers insights into their lived experiences and describes the challenges faced in negotiating the urban education system. African American youth are disproportionately represented in the adolescent homeless demographic. "Unheard and…
Bru, Lene; Solholm, Roar; Idsoe, Thormod
Cognitive-behavioral therapy (CBT) has been documented to be effective in treating depression in adolescence, but there is great variability in the clinical outcome of CBT trials. This may in part be due to variations in the content of, and emphasis on different CBT components. Moreover, little is known about adolescents' subjective experiences of…
Dixon, Andrea L.; Scheidegger, Corey; McWhirter, J. Jeffries
Individuals who perceive that they matter to others are likely to experience lower anxiety and depression levels. The effects of young adolescents' perceived mattering on their anxiety and depression levels were examined. Results indicated that female adolescents reported lower anxiety levels but greater depression levels than did male…
Computer use is a widespread leisure activity for adolescents. Leisure contexts, such as Internet cafes, constitute specific social environments for computer use and may hold significant educational potential. This article reports a phenomenological study of adolescents' experiences of educational computer use at Internet cafes in Turkey. The…
Kan, Marni L.; McHale, Susan M.
This study used a person-oriented approach to examine links between adolescents' experiences with parents and peers. Cluster analysis classified 361, White, working- and middle-class youth (mean age = 12.16 years) based on mothers' and fathers' reports of parental acceptance and adolescents' reports of perceived peer competence. Three patterns…
Moksnes, Unni Karin
Adolescence is a developmental period characterized by multiple changes in virtually every aspect of an individual’s life, calling for new psychological adaptations. Exposure to different stressors caused by these changes represents a central and normal part of the process of growth and development during adolescence. However, experience of cumulative and simultaneous negative stressors remains central as a potential threat to the well-being and healthy development during adolescence. Meanwhi...
Omar Al Omari
Full Text Available The qualitative research method of interpretive phenomenological analysis was used to explore the lived experience of 14 Jordanian adolescents with haematological malignancies. They were admitted to two hospitals in Jordan and were interviewed for this study twice during the first six months after receiving their diagnosis. The results of this study revealed three themes: (1 Being in hospital, (2 The changing self, and (3 Fearing the unknown. When the participants were hospitalised due to their illness they were removed from their families and friends and prevented from engaging in their normal daily routine. Participants also reported receiving limited emotional and psychological support from health team members during hospitalisation. From the onset of cancer treatments, the bio-psychosocial side effects of the chemotherapy became one of the most distressing factors for participants affecting all aspects of their life and generated uncertainty about their future. The findings add to existing understanding of the lived experiences of cancer patients and in particular Jordanian adolescents. They provide a valuable insight for clinicians into improvements in service delivery to this group of patients.
Noel, Melanie; Groenewald, Cornelius B; Beals-Erickson, Sarah E; Gebert, J Thomas; Palermo, Tonya M
Chronic pain in childhood and adolescence has been shown to heighten the risk for depressive and anxiety disorders in specific samples in adulthood; however, little is known about the association between a wider variety of chronic pains and internalizing mental health disorders. Using nationally representative data, the objectives of this study were to establish prevalence rates of internalizing mental health disorders (anxiety and depressive disorders) among cohorts with or without adolescent chronic pain, and to examine whether chronic pain in adolescence is associated with lifetime history of internalizing mental health disorders reported in adulthood. Data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) was used (N = 14,790). Individuals who had chronic pain in adolescence subsequently reported higher rates of lifetime anxiety disorders (21.1% vs 12.4%) and depressive disorders (24.5% vs 14.1%) in adulthood as compared with individuals without a history of adolescent chronic pain. Multivariate logistic regression confirmed that chronic pain in adolescence was associated with an increased likelihood of lifetime history of anxiety disorders (odds ratio: 1.33; 95% confidence interval: 1.09-1.63, P = 0.005) and depressive disorders (odds ratio: 1.38; confidence interval: 1.16-1.64, P < 0.001) reported in adulthood. Future research is needed to examine neurobiological and psychological mechanisms underlying these comorbidities. PMID:26901806
Peter W. Choate
Full Text Available Alcoholism and drug addiction have marked impacts on the ability of families to function. Much of the literature has been focused on adult members of a family who present with substance dependency. There is limited research into the effects of adolescent substance dependence on parenting and family functioning; little attention has been paid to the parents’ experience. This qualitative study looks at the parental perspective as they attempted to adapt and cope with substance dependency in their teenage children. The research looks into family life and adds to family functioning knowledge when the identified client is a youth as opposed to an adult family member. Thirty-one adult caregivers of 21 teenagers were interviewed, resulting in eight significant themes: (1 finding out about the substance dependence problem; (2 experiences as the problems escalated; (3 looking for explanations other than substance dependence; (4 connecting to the parent’s own history; (5 trying to cope; (6 challenges of getting help; (7 impact on siblings; and (8 choosing long-term rehabilitation. Implications of this research for clinical practice are discussed.
Choate, Peter W
Alcoholism and drug addiction have marked impacts on the ability of families to function. Much of the literature has been focused on adult members of a family who present with substance dependency. There is limited research into the effects of adolescent substance dependence on parenting and family functioning; little attention has been paid to the parents' experience. This qualitative study looks at the parental perspective as they attempted to adapt and cope with substance dependency in their teenage children. The research looks into family life and adds to family functioning knowledge when the identified client is a youth as opposed to an adult family member. Thirty-one adult caregivers of 21 teenagers were interviewed, resulting in eight significant themes: (1) finding out about the substance dependence problem; (2) experiences as the problems escalated; (3) looking for explanations other than substance dependence; (4) connecting to the parent's own history; (5) trying to cope; (6) challenges of getting help; (7) impact on siblings; and (8) choosing long-term rehabilitation. Implications of this research for clinical practice are discussed. PMID:26529024
Full Text Available Many unhealthy behaviors are created during adolescence and follow the individual into adulthood. In addition, health behaviors often occur in clusters as those who are inactive are more likely to eat unhealthy food and smoke. This makes the early foundation of healthy behaviors vital. The aim was to describe and develop an understanding of adolescents’ awareness and experiences concerning health promotion. Data was collected using focus groups with a total of 28 seventh graders and was analysed with latent qualitative content analysis. One main theme was identified; being competent, ambivalent and creative at the same time. The following three subthemes also emerged: being a digital native for better and for worse, knowing what is healthy, and sometimes doing it, and considering change and having ideas of how change could be supported. The main theme elucidates how the majority of students were informed and able but they did not always prioritize their health. The concept of health promotion relies upon the engagement of the individual; however, although the students had clear ideas about how they would like to change their own behaviors, they felt a need for support. Interestingly, the students were able to make several suggestions about the kind of support that would make a difference to their adoption to more healthy modes of living. They suggested information and communication technology (ICT, for example encouraging text messages (SMS, and social support, for example parents setting rules and peers inspiring them to adhere to a healthy behavior. The knowledge gained from this study echoes our view of inclusion and this could be helpful for those who encounter the challenge of promoting health among adolescents.
Nelson, Lance R; Stupiansky, Nathan W; Ott, Mary A
While adults are assumed to have the capacity to consent to medical research, and young children to have no capacity, adolescents' capacity to consent is not well described. Adapting the MacArthur Competence Assessment Tool for Clinical Research (MacCAT-CR), we describe adolescents' capacity to consent to medical research and factors influencing that capacity. Our pilot study included a community-based sample of 30 adolescents, 14 to 21 years of age, who completed the MacCAT-CR after undergoing a simulated informed consent process. We found that adolescents' capacity to consent to research was associated with age, health literacy, and family affluence. These findings suggest that investigators and institutional review boards should be aware that factors other than age may influence capacity to consent, and, for modifiable factors, such as health literacy, consent processes for medical research with adolescents can be modified. PMID:27009303
Sandeepkumar R Chauhan, Arohi P Dalal, Aparajita A Shukla
Full Text Available Background: Numerous health and information needs of adolescents remain ignored due to constraints at different levels of health care system. One of the effective measures can be strengthening Anganwadis to meet these needs, so that better health and health seeking behavior can be expected. So, the study was carried out with objectives to assess baseline knowledge and practices of AFHS in Anganwadi workers (AWWs, to impart skill-based training to AWWs, to evaluate improvement in knowledge and skills of AWWs at appropriate interval, to assess health status and KAP of Adolescent girls (AGs of Anganwadis. Methods: Pre-Intervention, a questionnaire was filled up to evaluate knowledge regarding AFHS of 111 AWWs. Training (lecture on importance of Adolescent health to all 111 AWWs was imparted. Evaluation after 1 & 6 months with same questionnaire was done. Intensive skill-based training to 8 AWWs at their respective Anganwadis was given. General health check-up of AGs of these Anganwadis initially by trainers and then by AWWs was carried out. Improvement in skills was evaluated by observation. Results: Mean age of AWWs was 39.04+7.815years. Mean work-experience was 8.57+8.93years. Mean score pre-intervention, post-intervention-1 month & post-intervention-6 months were 21.68, 34.12 & 36.33 (Total 56 respectively. (ANOVA-test:F=116.32,p<0.0001. 81.69% girls were undernourished, 57.04% showed pallor. Health seeking behavior was poor. Satisfactory improvement was observed in AWWs regarding health check-up of AGs. Communication skills also improved in form of better history taking regarding menstruation, diet and effective health education. Conclusion: Pre-induction & regular skill-based training of AWWs, regular meetings & focused-group discussions with AGs and their mothers are recommended.
Vodiena, Gabriel Nsakala; Coppieters, Yves; Lapika, Bruno Dimonfu; Kalambayi, Patrick Kayembe; Gomis, Dominique; Piette, Danielle
Adolescents and young people have specific concerns about issues related to sexual and reproductive health. The purpose of this study, conducted in an urban setting of the DRC, was to identify the needs and perceptions of adolescents and young people in the area of sexual and reproductive health with a view to informing policy. This paper presents the results of a qualitative study using focus groups conducted in three cities of the DRC (Kinshasa, Goma and Matadi). The study focused on adolescents and young people of both sexes and from different social classes from the following age groups: 10-14, 15-19 and 20-24. Among the female participants, the results highlight the need for information on the menstrual cycle and sexual experiences, while the male participants identified masturbation and sexual performance as their main concern. The study also found that emotional relationships and sexuality can help to solve sentimental and material problems not usually addressed within the family. The participants also emphasized the need for sex education, although they insisted on the importance of confidentiality. The results also suggest that adolescents and young people prefer to communicate with medical personnel, religious leaders, and teachers rather than their parents. The media were found to be the main source of information about sexual and reproductive health. However, there also appears to be a need for interpersonal communication. In addition, the results indicate that health services are considered a secondary option after self-medication and traditional treatments, which are seen as more accessible. In the DRC, programs targeting adolescents and young people have been developed to meet current needs and improve provision. PMID:23472982
Stadler, C.; Feifel, J.; Rohrmann, S; Vermeiren, R.R.J.M.; Poustka, F.
The aim of this study was to investigate the frequency and effects of peer-victimization on mental health problems among adolescents. Parental and school support were assumed as protective factors that might interact with one another in acting as buffers for adolescents against the risk of peer-victimization. Besides these protective factors, age and gender were additionally considered as moderating factors. The Social and Health Assessment survey was conducted among 986 students aged 11-18 y...
Mendolia, Silvia; Walker, Ian
This paper investigates the relationship between personality traits in adolescence and health behaviours using a large and recent cohort study. In particular, we investigate the impact of locus of control, self-esteem and conscientiousness at age 15-16, on the incidence of health behaviours such as: alcohol consumption; cannabis and other drug use; unprotected and early sexual activity; and sports and physical activity. We use matching methods to control for a very rich set of adolescent and ...
A bulk of studies have focused on systematically catalogued risk and protective factors (e.g., parental monitoring, peer, neighborhood support) in terms of adolescent mental health status concerning resilience; however, they did not display any improvement regarding adolescent mental health, particularly in school-based interventions. Therefore, I suggested that whether other emerging factors (e.g., nutrition, physical activity) could be beneficial to promote effective school-based interventi...
The Bachelor woks deal with the quality of life in adolescent with regard to health, leisure, movement and media in Prachatice. In the theoretical part I am mapping pubescents as personality. Movement, health and leisure activities, which are typical for adolescent period. Physical and psychological traits teenager. Characterize leisure generally with a specific use in an pubescents. I also deal with youth, sport, inactivity. Environment which acts on the teen. I deal with the main character ...
D. Martínez-Gómez; O. L. Veiga; S. Gómez-Martínez; Zapatera, B.; Martínez-Hernández, D.; M.ª E. Calle; Marcos, A.
Introduction: New paradigms based on the multifactorial etiology of chronic diseases and behavioral outcomes suggest that a combination of health behaviors may have more impact on the outcome of interest than any single factor. Objective: To examine the independent and combined influence of four health behaviors on school performance in Spanish adolescents. Methods: A total of 1825 Spanish adolescents reported their grades in Language and Literature (LL) and Math. Body mass index, family stru...
Valdicleibe Lira de Amorim
Full Text Available Adolescence is expressed by biopsychosocial development, delimited by the age group of 10 to 19 years old that, in general, initiates with corporal changes of puberty and finishes with social, professional and economic insertion. The adolescents possess health necessities that are produced in the scope of the society, defining and changing themselves from the interaction with its several economic, institutional, political, ethical, cultural and physical ambient components. This study had as its objective to analyze the education practices aimed at adolescent heath promotion, by means of documental research in nursing publications, in the period of 1999 to 2005, emphasizing empirical studies and experience reports involving group formation; and to identify the main theoretical and methodological procedures in education actions adopted in these studies. The results disclosed that only six articles, in which the nurses had affirmed to base their education practice with adolescents on theoretic referential, had valued the active participation of the adolescents, the critical reflection, the creativity and formal and not formal knowledge aiming at reaching transformation in their relations. Thus, we infer that there is a restrict number of publications on the subject, considering the high vulnerability and dependence of this age group regarding its sexuality and exposure to conflict situations.
Full Text Available Background. Despite the frequency of traumatic or stressful events experienced by refugee children and adolescents prior to migration and following resettlement, the majority do not experience mental health problems emphasising the critical nature of resilience. While a host of factors deemed to be protective of mental health in young refugees have been identified, there has been little research exploring the role of resilience as a distinct psychological construct. This study aimed to explore the nature of psychological resilience in refugee adolescents and the relationship between resilience and depression, other emotional and behavioural problems, and mental health service uptake. Method. One hundred and seventy multiethnic refugee adolescents aged 13–17 from South Australia were administered a survey comprising the Connor-Davidson Resilience Scale (CD-RISC, Children’s Depression Inventory (CDI, and Strengths and Difficulties Questionnaire (SDQ. Results. Females tended to have higher resilience, as did those adolescents who had been living in Australia longer. Adolescents suffering from depressive symptoms or other emotional or behavioural problems had lower resilience. There was little evidence of an association between resilience scores and exposure to trauma or service utilisation. Discussion. Fostering resilience may be critical to efforts to prevent or reduce mental health problems in refugee adolescents.
Balmer, D H; Gikundi, E; Billingsley, M C; Kihuho, F G; Kimani, M; Wang'ondu, J; Njoroge, H
This study investigated the experiences and knowledge of adolescents in Nairobi, Kenya to understand how the decisions they make affect their health. Data were gathered from a sample of 216 youths aged 12-22 years (equally divided between males and females) who lived in lower socioeconomic areas. The youth met in groups of 12 over a period of 6 months. An equal number of groups were all male, all female, and mixed. The educational distribution of the participants varied according to age and was normal for Nairobi. Each group met with a qualified counselor who facilitated discussion. The minutes of the group meetings provided qualitative data. During the first 6 weeks of meetings, the facilitators led the groups through a series of exercises to create an atmosphere in which the youth felt free to express themselves. During the 20-week second stage, an open agenda was used, and the facilitators restricted their role to clarifying issues and resolving conflicts. The topics, which were ranked according to the percentage of time they consumed, included (in order) emerging sexuality, drugs, alcohol, pregnancy, rape (many of the girls were victims and some of the boys were perpetuators), suicide, marriage, religion, abortion, sexually transmitted diseases/AIDS, parents, contraceptives, money, masturbation, lying, politics, language, and leisure/sports. Values expressed in order of importance were parental love, education, honesty, employment, religion, money, personal freedom, friendship, beauty, marriage, and politics. Coping strategies were use of drugs, stealing, masturbation, alcohol, providing sex for favors, noncooperation, lying, secret language, clubs, silence, religion, and exercise/sports. It is concluded that social changes in developing countries have exacerbated the ambiguity experienced by adolescents and that a comprehensive review of adolescents is necessary in order to improve their health. PMID:9215508
Glass, J. Scott; Benshoff, James M.
A study examined the effects of participation in a low-element challenge course on younger adolescents' perceptions of group cohesion. Pre- and post-tests of group cohesion were administered to 167 North Carolina adolescents aged 11-14. Participants perceived an increase in group cohesion after the daylong program, regardless of their age, race,…
Delisle, Tony T.; Werch, Chudley E.; Wong, Alvin H.; Bian, Hui; Weiler, Robert
Background: While studies have determined the importance of physical activity in advancing health outcomes, relatively few have explored the relationship between exercise and various health behaviors of adolescents. The purpose of this study is to examine the relationship between frequency and intensity of physical activity and both health risk…
Full Text Available Abstract Background Recent research shows the possibility that the link between parental employment status and children's health can be affected by different cultural or societal settings. The aim of this study was to explore whether the effect of father's and mother's employment status on several aspects of adolescents' health differs between Slovakia and the Netherlands. Methods Two data sets were used: 2616 Slovak adolescents (mean age 14.9 and 2054 Dutch adolescents (mean age 16.3. Self-rated health, GHQ-12, long-term well-being and Rosenberg self-esteem scale were used to assess the health of adolescents. Parental employment status was classified into the following categories: employed, unemployed, disabled, housewife (among mothers only. Logistic regression analyses were done separately for males and females. Results Results indicate that having an unemployed father negatively influences self-rated health and long-term well-being of Slovak male adolescents, but has no effect on the health of Dutch adolescents. Secondly, having a disabled father has a negative effect on the psychological well-being of Dutch males and the self-rated health of females, but does not influence the health of Slovak adolescents. Thirdly, having a mother who is disabled, unemployed or a housewife has a negative effect on the self-esteem of Slovak adolescents. Fourthly, Dutch males whose mother was a housewife had worse long-term well-being than those with an unemployed mother, whereas Dutch females whose mother was a housewife reported better psychological well-being than those with an employed mother. Conclusion To conclude briefly our results, father's unemployment seems to be a better predictor of health for Slovak adolescents, father's disablement of health for Dutch ones. Mother's employment status seemed to be important for the self-esteem of Slovak adolescents and mother as a housewife for the health of Dutch ones. This suggests that the link between
Full Text Available Abstract Background Violence among adolescents has untoward psycho-social and physical health effects among this age group. Most of the literature on this topic has been from high-income nations, and little information has come from middle- and low-income nations. This study was done to assess the relationship between physical fighting and bullying victimization among Venezuelan school-going adolescents in Barinas. Method We used data from the 2003 Global School-Based Health Survey conducted among in-school adolescents in Barinas, Venezuela. We estimated the prevalence of bullying victimization and physical fighting. We also conducted Logistic regression analysis to assess the association between a selected list of explanatory variables and physical fighting. We hypothesized that there would be a dose-response relationship between physical fighting and number of times the adolescent reported being a bullied in the past 30 days. Results A total of 2,249 adolescent students participated in the survey. However data on sex (gender were available for only 2,229 respondents, of whom 31.2 (47.4% males and 17.0% females reported having been involved in a physical fight in the last 12 months. Some 31.5% (37.0% males and 27.0% females reported having been bullied in the past 30 days. There was a dose-response relationship between bullying victimization and physical fighting (p-trend < 0.001. Compared to subjects who were not bullied, those who reported being bullied were more likely to engage in physical fighting after controlling for age, sex, substance use (smoking, alcohol drinking or drug use, and parental supervision. Conclusion Physical fighting and bullying victimization experience is common among in-school adolescents in Barinas, Venezuela. The fact that victims of bullying were more likely to have engaged in physical fighting may be evidence supporting the notion that "violence begets more violence".
Wharf Higgins, Joan; Begoray, Deborah; MacDonald, Marjorie
With the rising concern over chronic health conditions and their prevention and management, health literacy is emerging as an important public health issue. As with the development of other forms of literacy, the ability for students to be able to access, understand, evaluate and communicate health information is a skill best developed during their years of public schooling. Health education curricula offer one approach to develop health literacy, yet little is known about its influence on neither students nor their experiences within an educational context. In this article, we describe our experience applying a social ecological model to investigating the implementation of a health education curriculum in four high schools in British Columbia, Canada. We used the model to guide a conceptual understanding of health literacy, develop research questions, select data collection strategies, and interpret the findings. Reflections and recommendations for using the model are offered. PMID:19838790
Full Text Available Adolescence is a period in which all the habits and behaviour like high risk behaviour, substance abuse and eating habits develop that have lifelong impact. In India, programmes have been launched to address all the problems faced during adolescent period, still then adolescents are facing problems. In this review the problems faced by Indian adolescents were highlighted from the past 14 years’ studies. The studies were searched from 2001 to 2015 from Pub Med, Google scholar and other community medicine and public health related journals. The problems included were sexual health and teenage pregnancy, problems related to menstruation, illicit drugs, tobacco and alcohol use. Anaemia, eating problems, obesity, behavioural problems and oral health among adolescent were also reviewed. Nineteen abstracts and 52 full texts were available. Sexual health knowledge among adolescent varies from 41% to poor. Knowledge about sexually transmitted diseases and sexuality is less. Prevalence of dysmenorrhoea varies from 67.2% to 56.15% among adolescent girls. Prevalence of tobacco use varies from 25.1 to 12%. Prevalence of obesity varies from 3.4% to 0.35% and overweight varies from 5.5% to 5.84%. Prevalence of anaemia varies from 29% to 41.1%. Adolescents are facing depressive problems, physical fights, worry and loneliness. Prevalence of depression varies from 18.4% to 13.3%. Prevalence of dental problems varies from 18.2 to 41%. The review revealed that adolescents in India are facing problems of sexually transmitted infections, dysmenorrhea, tobacco and alcohol use, depression, physical fights, worry, loneliness and oral health problems. This needs a participation of family, community and government to resolve the issue.
Piko, Bettina F; Skultéti, Dóra; Luszczynska, Aleksandra; Gibbons, Frederick X
Adolescent health behaviours are influenced by a variety of social factors, including social orientations, such as social comparison or competitiveness. The main goal of the present study was to investigate the role that these social orientations might play in health behaviours (both health-impairing and health-promoting). Data were collected from high school students (N = 548; ages 14-20 years; 39.9% males) in two counties of the Southern Plain Region of Hungary. The self-administered questionnaires contained items on sociodemographics, such as age, sex, parental schooling, and socioeconomic status (SES) self-assessment; school achievement, health behaviours, competitiveness and social comparison. Multiple regression analyses suggest that those who scored higher on competitiveness engaged in more substance use, a pattern that was not present for health-promoting behaviours. Social comparison, however, was associated with lower levels of substance use. In addition, in relation to health-impairing behaviours, both competitiveness and social comparison interacted with sex; both social orientation variables proved to be more important for boys. Social comparison also contributed to health-promoting behaviours among boys. Findings support the idea that the role of social orientations, such as competitiveness and social comparison, can be quite different depending on sex and the nature of the health behaviour. While competitiveness may act as a risk factor for substance use among boys, social comparison may act as a protection. It appears that social orientations play less of a role in girls' health-related behaviours. More focus is needed on gender differences in influences on adolescents' health-related behaviours. Les comportements de santé des adolescents sont influencés par une variété de facteurs sociaux, incluant les orientations sociales telles que la comparaison sociale ou la compétitivité. Le but principal de la présente étude était d'examiner le r
Ahmad, NoorAni; MuhdYusoff, Fadhli; Ratnasingam, Selva; Mohamed, Fauziah; Nasir, Nazrila Hairizan; MohdSallehuddin, Syafinaz; MahadirNaidu, Balkish; Ismail, Rohana; Aris, Tahir
Studying trends in mental health morbidity will guide the planning of future interventions for mental and public health services. To assess the trends in mental health problems among children and adolescents aged 5 through 15 years in Malaysia from 1996 to 2011, data from the children's mental health component of three population-based surveys was analysed using a two-stage stratified sampling design. Mental health problems were assessed using the Reporting Questionnaire for Children. The pre...
The main recommendations on health promotion and formation of healthy lifestyles, hygiene education of children and adolescents, formulated in the concept of the European Regional Bureau of World Health Organization are considersed. Low efficiency of clinical and preventive strategies in medicine, which is almost exhausted its resources requires the development of new health-preserving strategies. We have proposed health-defining technology at school, which includes an assessment of health st...
Masoe AV; Blinkhorn AS; Taylor J; Blinkhorn FA
Angela V Masoe,1 Anthony S Blinkhorn,2 Jane Taylor,1 Fiona A Blinkhorn1 1School of Health Sciences, Faculty of Health and Medicine, Oral Health, University of Newcastle, Ourimbah, NSW, Australia; 2Department of Population Oral Health, Faculty of Dentistry, University of Sydney, Westmead, NSW, Australia Background: Many adolescents are at risk of dental caries and periodontal disease, which may be controlled through health education and clinical preventive interventions provided by oral healt...
Frančišković, T.; MoroI. Torić, Lj.; Urlić, I.; Rončević-Gr'eta, I.; Tić-Bačić, T.
Traumatic experience has overall far reaching consequences on personality. In particular, it has significant impact on teenagers that are just approaching the phase of solving their identity problems. This research examines the relation of traumatic experience and attitude towards the future in two groups of adolescents. The first group consists of 20 adolescents-refugees from the East Slavonia that were settled in Rijeka area with their parents during the last six years. The s...
Johansen, Anette; Rasmussen, Søren; Madsen, Mette
the mother's socioeconomic status and the included health behaviour measurements; however, adolescents from the lower socioeconomic groups had a higher risk of unhealthy dietary habits and adolescents whose mothers were unemployed had a significantly lower risk of drinking alcohol weekly versus all other...... adolescents. Not living with both biological parents, focusing on friends, and not being very academically proficient were associated with an increased risk of harmful health behaviour. Health behaviour varied substantially between school classes, especially for daily smoking, weekly alcohol consumption......, and use of hashish and other euphoriants. Circumstances in the school class more profoundly influenced risk behaviour among adolescents (smoking, alcohol consumption, and use of hashish or other euphoriants) than their dietary habits (eating breakfast, frequent intake of fruit and vegetables, and frequent...
Context: Adolescent health is a relatively new focus area of India’s National health program. However, little evidence is available for the existing problems especially in adolescent slum population. A study was planned to explore the problems of adolescent pertaining to sexuality, physical health, tobacco and alcohol use in slums of Urban Meerut, and create evidence base for informed planning and decision making by the local health authorities. Aims: To study the adolescent health in the slums of Meerut City, India. Settings and Design: Entire slums of Urban Meerut, cross-sectional study. Materials and Methods: Study was done in the slums of Meerut city, in Northern India. WHO 30 cluster sampling technique was used. Thirty slums were selected from the list of all the slums of Meerut, 210 adolescents were selected with 7 adolescents from each slum. Statistical Analysis: Proportions and Chi-square test. Results: More than one third of the (36.7%) adolescents reported to have a current health problem, however only half of these sought medical help for treatment. Tweleve percent of adolescents reported history of alcohol or tobacoo use. Nine percent adolescents complained of stressful atmosphere at home. About 10% adolescents in the surveyed population gave history of sexual activity, but only one third of them had used condom during their last sexual intercourse. Conclusion: This study reflects the high morbidity and poor treatment seeking behaviour among adolescents in urban slums. A significant proportion of adolescents indulge in high risk sexual behavior, tobacco and alcohol use. There were significant gender differences with regards to treatment seeking behaviour, sexual behaviour, tobacco and alcohol use. The gender nuances must be taken into account while planning interventions for this section of population. PMID:25302222
Coffey, Carolyn; Patton, George C
The Victorian Adolescent Health Cohort Study (VAHCS) is a long-term Australian cohort study that has documented cannabis use in young Australians from the mid-teens to the mid-30s. The study findings have described the natural history of early cannabis use, remission, and escalation and the social and mental health consequences of different patterns of use. The adverse consequences of cannabis use are most clear-cut in heavy early adolescent users. These consequences include educational failure, persisting mental health problems, and progression to other substance use. For later onset and occasional users, the risks are lower and appear to entail modest elevations in risk for other drug use compared with never users. With growing evidence of health consequences, there is a strong case for actions around early heavy adolescent users. Prevention of early use, identification and treatment of early heavy users, and harm reduction through diversion of early heavy users away from the custodial justice system into health care are all priority responses. PMID:27254840
Almirall, Daniel; Chronis-Tuscano, Andrea
The treatment or prevention of child and adolescent mental health (CAMH) disorders often requires an individualized, sequential approach to intervention, whereby treatments (or prevention efforts) are adapted over time based on the youth's evolving status (e.g., early response, adherence). Adaptive interventions are intended to provide a replicable guide for the provision of individualized sequences of interventions in actual clinical practice. Recently, there has been great interest in the development of adaptive intervenions by investigators working in CAMH. The development of such replicable, real-world, individualized sequences of decision rules to guide the treatment or prevention of CAMH disorders represents an important "next step" in interventions research. The primary purpose of this special issue is to showcase some recent work on the science of adaptive interventions in CAMH. In this overview article, we review why individualized sequences of interventions are needed in CAMH, provide an introduction to adaptive interventions, briefly describe each of the articles included in this special issue, and describe some exciting areas of ongoing and future research. A hopeful outcome of this special issue is that it encourages other researchers in CAMH to pursue creative and significant research on adaptive interventions. PMID:27310565
The influence of adolescents' exposure to sexual health content of mass media in their sexual health behaviour in Nigeria is still not clear. Data were gathered through a survey conducted among adolescents aged 12-19 years in Lagos metropolis between November 2009 and February 2010. A multistage sampling strategy was adopted in selecting respondents. Logistic regression technique was utilised in the analysis. The results indicate that the respondents were most frequently exposed to TV (male = 92.2; female = 94.9) and radio (male = 88.2; female = 91.7) media. The odds ratios indicate that sexual health content of mass media significantly predicted condom use, multiple sexual relationship, sexual intercourse and self reported occurrence of abortion in the study sample. The findings imply that positive media sexual health content is likely to promote sexual health among adolescents but negative contents can put adolescents' sexual health in danger. In addition, safe sex can be advanced among adolescents if the media provide accurate information on sexuality, emphasising the dangers of risky sexual practices. Finally, this study posits that accurate portrayal of sexuality in the media would contribute immensely to improving public health in the metropolis. PMID:24069761
Emily Joy Callander
Full Text Available This paper assesses whether attaining a higher education improves the chances of employment in adulthood amongst those who had a chronic health condition in adolescence. Using longitudinal analysis of twelve waves of the nationally representative Household Income and Labour Dynamics in Australia Survey, conducted between 2001 and 2012, a cohort of adolescents aged 15 to 21 in Wave 1 were followed through to age 24 (n=624. The results show that those who did have a chronic health condition during adolescence were2.4 times more likely to not be employed at age 24 compared to those who did not have a chronic health condition (95% CI: 1.4 – 4.4, p=0.0024. The results were adjusted for age, sex, education attainment at age 24, health status at age 24 and household income poverty status at age 24. Amongst those who did have a chronic health condition during adolescence there was no significant difference in the likelihood of being employed for those with a Year 12 and below (p=0.1087 level of education attainment or those with a Diploma, Certificate III or IV (p=0.6366 compared to those with a university degree. Education attainment was not shown to mitigate the impact of having a chronic health condition during adolescence on adult employment outcomes. Keywords: employment; chronic health conditions; poverty; living standards; longitudinal.
Cinar, Ayse Basak; Murtomaa, Heikki; Tseveenjav, Battsetseg
Interest is growing on conceptualizing dental disease aetiology under the life-course approach. The aim of this study was to assess the association of dental caries experience with the major components of life-course approach, health- and behavioral capital, among Turkish and Finnish pre-adolesce...
Andersen, Johan Hviid; Hansen, Claus D.
decrease in self-rated health from age 15 to 18 years. Conclusions Self-rated health, the number of depressive symptoms and levels of perceived stress changed to the worse among Danish adolescents from age 15 to 18 years. Changes in physical exercise were found to contribute to the deterioration of......Background While the existence of social inequality in health in childhood as well as amongst adults is well established, research of mechanisms underlying this inequality is still sparse. This study reports on the development of self-rated health, perceived stress and depressive symptoms from age...... 15 to 18 years in a cohort study of Danish adolescents. The aim was to study predictors for health change among children with different social background. Methods Information from a birth cohort study of all adolescents born in 1989 (n = 3058) living in Ringkoebing County, Denmark was collected from...
Adolescent medicine across the globe is practiced within a variety of healthcare models, with the shared vision of the promotion of optimal health outcomes for adolescents. In the past decade, there has been a call for transformation in how health professionals are trained, with recommendations that there be adoption of a global outlook, a multiprofessional perspective and a systems approach that considers the connections between education and health systems. Many individuals and groups are now examining how best to accomplish this educational reform. There are tensions between the call for globally accepted standards of education models and practice (a one-size fits all approach) and the need to promote the ability for education practices to be interpreted and transformed to best suit local contexts. This paper discusses some of the key considerations for 'importing' training program models for adolescent health and medicine, including the importance of cultural alignment and the utilization of best evidence and practice in health professions education. PMID:26115497
Gobina, Inese; Välimaa, Raili; Tynjälä, Jorma; Villberg, Jari; Villerusa, Anita; Iannotti, Ronald J; Godeau, Emmanuelle; Gabhainn, Saoirse Nic; Andersen, Anette; Holstein, Bjørn E
BACKGROUND: Medicine use among children and young people is under-researched. Studies that investigated cross-national patterns in adolescents' medicine use practice are rare. This study aims to investigate adolescents' medicine use for corresponding health complaints in Europe and USA. METHODS...... the frequency of medicine use, age, gender and country of residence, on the likelihood of medicine use was assessed using multilevel multivariate logistic regression, with separate analyses for boys and girls. RESULTS: Both health complaints and medicine use were common among adolescents. Medicine use...... was strongly associated with the frequency of health complaints. The prevalence of both medicine use and health complaints was higher among girls than boys. Boys and girls with weekly health complaints were both similarly likely to report elevated rates of medicine use. CONCLUSIONS: The findings...
Atuyambe, Lynn M.; Kibira, Simon P. S.; Bukenya, Justine; Muhumuza, Christine; Apolot, Rebecca R; Mulogo, Edgar
Introduction Adolescents are frequently reluctant to seek sexual and reproductive health services (SRH). In Uganda, adolescent health and development is constrained by translation of the relevant policies to practice. Recent studies done in central Uganda have shown that there is need for a critical assessment of adolescent friendly services (AFS) to gain insights on current practice and inform future interventions. This study aimed to assess the sexual reproductive health needs of the adoles...
A shortened version of the Parental Bonding Instrument, used in a sample of Norwegian adolescents, aged 15-19, indicated that adolescents' perceptions of mothers' and fathers' care and control/overprotection were related to measures of both depression/anxiety and delinquency. Scores may indicate risks in a broad range of psychosocial problems.…
This study examined the parental styles and psychosocial adjustment of adolescents and the relationship between them in gifted as compared to nongifted Arab adolescents. Five scales --The Parental Authority Questionnaire, Child Attitude Toward Parents. Lipsitt's Self-Concept Scale for Children, Rosenberg Self-Esteem Scale, and The Psychological…
Karin A A De Ridder
Full Text Available BACKGROUND: High school dropout is of major concern in the western world. Our aims were to estimate the risk of school dropout in adolescents following chronic somatic disease, somatic symptoms, psychological distress, concentration difficulties, insomnia or overweight and to assess to which extent the family contributes to the association between health and school dropout. METHODS: A population of 8950 school-attending adolescents (13-21 years rated their health in the Young-HUNT 1 Study (90% response rate in 1995-1997. High school dropout or completion, was defined with the Norwegian National Education Database in the calendar year the participant turned 24 years old. Parental socioeconomic status was defined by using linkages to the National Education Database, the National Insurance Administration and the HUNT2 Survey. We used logistic regression to estimate odds ratios and risk differences of high school dropout, both in the whole population and among siblings within families differentially exposed to health problems. RESULTS: All explored health dimensions were strongly associated with high school dropout. In models adjusted for parental socioeconomic status, the risk differences of school dropout according to health exposures varied between 3.6% (95% CI 1.7 to 5.5 for having ≥ 1 somatic disease versus none and 11.7% (6.3 to 17.0 for being obese versus normal weight. The results from the analyses comparing differentially exposed siblings, confirmed these results with the exception of weaker associations for somatic diseases and psychological distress. School dropout was strongly clustered within families (family level conditional intraclass correlation 0.42. CONCLUSIONS: Adolescent health problems are markers for high school dropout, independent of parental socioeconomic status. Although school dropout it strongly related to family-level factors, also siblings with poor health have reduced opportunity to complete high school compared to
Full Text Available Abstract Background Adolescents with intellectual disability often have poor health and healthcare. This is partly as a consequence of poor communication and recall difficulties, and the possible loss of specialised paediatric services. Methods/Design A cluster randomised trial was conducted with adolescents with intellectual disability to investigate a health intervention package to enhance interactions among adolescents with intellectual disability, their parents/carers, and general practitioners (GPs. The trial took place in Queensland, Australia, between February 2007 and September 2010. The intervention package was designed to improve communication with health professionals and families’ organisation of health information, and to increase clinical activities beneficial to improved health outcomes. It consisted of the Comprehensive Health Assessment Program (CHAP, a one-off health check, and the Ask Health Diary, designed for on-going use. Participants were drawn from Special Education Schools and Special Education Units. The education component of the intervention was delivered as part of the school curriculum. Educators were surveyed at baseline and followed-up four months later. Carers were surveyed at baseline and after 26 months. Evidence of health promotion, disease prevention and case-finding activities were extracted from GPs clinical records. Qualitative interviews of educators occurred after completion of the educational component of the intervention and with adolescents and carers after the CHAP. Discussion Adolescents with intellectual disability have difficulty obtaining many health services and often find it difficult to become empowered to improve and protect their health. The health intervention package proposed may aid them by augmenting communication, improving documentation of health encounters, and improving access to, and quality of, GP care. Recruitment strategies to consider for future studies in this population
Full Text Available BACKGROUND: In order to achieve Millennium Development Goals 4, 5 and 6, it is essential to address adolescents' health. OBJECTIVE: To estimate the additional resources required to scale up adolescent friendly health service interventions with the objective to reduce mortality and morbidity among individuals aged 10 to 19 years in 74 low- and middle- income countries. METHODS: A costing model was developed to estimate the financial resources needed to scale-up delivery of a set of interventions including contraception, maternity care, management of sexually transmitted infections, HIV testing and counseling, safe abortion services, HIV harm reduction, HIV care and treatment and care of injuries due to intimate partner physical and sexual violence. Financial costs were estimated for each intervention, country and year using a bottom-up ingredients approach, defining costs at different levels of delivery (i.e., community, health centre, and hospital level. Programme activity costs to improve quality of care were also estimated, including activities undertaken at national-, district- and facility level in order to improve adolescents' use of health services (i.e., to render health services adolescent friendly. RESULTS: Costs of achieving universal coverage are estimated at an additional US$ 15.41 billion for the period 2011-2015, increasing from US$ 1.86 billion in 2011 to US$ 4,31 billion in 2015. This corresponds to approximately US$ 1.02 per adolescent in 2011, increasing to 4.70 in 2015. On average, for all 74 countries, an annual additional expenditure per capita ranging from of US$ 0.38 in 2011 to US$ 0.82 in 2015, would be required to support the scale-up of key adolescent friendly health services. CONCLUSION: The estimated costs show a substantial investment gap and are indicative of the additional investments required to scale up health service delivery to adolescents towards universal coverage by 2015.
Comparison of 79 normally hearing and 42 hearing-impaired adolescents found no differences regarding the intensity of their remembered positive experiences. Hearing-impaired subjects reported more positive interpersonal experiences, rarely experienced positive experiences "with self," and showed less desire for transpersonal commitment, even with…
Davidson, Leslie L; Grigorenko, Elena L; Boivin, Michael J; Rapa, Elizabeth; Stein, Alan
Globally, there is a crucial need to prioritize research directed at reducing neurological, mental health and substance-use disorders in adolescence, which is a pivotal age for the development of self-control and regulation. In adolescence, behaviour optimally advances towards adaptive long-term goals and suppresses conflicting maladaptive short-lived urges to balance impulsivity, exploration and defiance, while establishing effective societal participation. When self-control fails to develop, violence, injury and neurological, mental health and substance-use disorders can result, further challenging the development of self-regulation and impeding the transition to a productive adulthood. Adolescent outcomes, positive and negative, arise from both a life-course perspective and within a socioecological framework. Little is known about the emergence of self-control and regulation in adolescents in low- and middle-income countries where enormous environmental threats are more common (for example, poverty, war, local conflicts, sex trafficking and slavery, early marriage and/or pregnancy, and the absence of adequate access to education) than in high-income countries and can threaten optimal neurodevelopment. Research must develop or adapt appropriate assessments of adolescent ability and disability, social inclusion and exclusion, normative development, and neurological, mental health and substance-use disorders. Socioecological challenges in low- and middle-income countries require innovative strategies to prevent mental health, neurological and substance-use disorders and develop effective interventions for adolescents at risk, especially those already living with these disorders and the consequent disability. PMID:26580322
Full Text Available Background: Little is known about the actual impact of the schooling experience on adolescents with specific learning disability (SpLD. Aims: To analyze the recollections of adolescents with SpLD who were undergoing education in regular mainstream schools. Settings And Design: Prospective interview-based study conducted in our clinic. Materials And Methods: Adolescents′ responses to a semi-structured interview were audio-taped, transcribed verbatim and interpreted by content analysis. The number of participants was determined by ′saturation sampling,′ resulting in a total of 30 adolescents. Results: Twelve (40% adolescents had ′overall′ neutral recollections, 9 (30% had ′overall′ positive recollections and 9 (30% had ′overall′ negative recollections about having SpLD during their schooling. Fourteen (46.7% adolescents stated ′getting provisions′ as good features, whereas 7 (23.3% stated ′feeling different from classmates′ and 6 (20% stated ′being teased by classmates about their disability′ as bad features of having SpLD. Nineteen (63.3% adolescents remembered classroom teachers being supportive, while 7 (23.3% remembered being insulted by them. Of the 21 adolescents who had undergone remedial education, only 10 (47.6% acknowledged that it had benefited them. Twenty-one (70% adolescents stated that availing provisions helped in getting better marks in examinations. Ten (33.3% adolescents had negative recollections about their parents′ behavior in relation to their disability. Twenty (66.7% adolescents wanted changes in their school to help students with SpLD. Conclusion: Improving the knowledge of classroom teachers, classmates and family members about SpLD and about the rationale of provisions will help reduce the unpleasant experiences students with SpLD undergo during their schooling years.
Gontijo, Daniela Tavares; de Sena e Vasconcelos, Anna Carolina; Monteiro, Rosana Juliet Silva; Facundes, Vera Lúcia Dutra; Trajano, Maria de Fátima Cordeiro; de Lima, Luciane Soares
Occupational therapy can contribute to sexual and reproductive health through health education. The purpose of this study was to describe an occupational therapy intervention aimed at sexual and reproductive health promotion in adolescents. Fifty-eight adolescents were involved in the study, before, during and after the interventions. Educative activities such as puzzles, storytelling, mime and board games were used, which occupational therapy faculty and students had constructed. The games were employed as mediators for gaining knowledge in sexual and reproductive health. Outcome was measured using a questionnaire, audio recordings and field diaries. The data were analysed by descriptive statistics and thematic content analysis. The results showed the adolescents' increased knowledge of sexual and reproductive health information immediately after the intervention. The thematic analysis was grouped into three categories: the adolescents' initial expectations regarding the project, reflections on the process experienced during the interventions and use of educational games by occupational therapists. The importance of rapport and dialogue was highlighted in the construction of interventions based on participatory methods. The absence of a longitudinal follow-up is a limitation in this study. Further research is important to systematically assess sexual health promotion strategies in adolescence. PMID:26174484
Jörg, Frederike; Visser, Ellen; Ormel, Johan; Reijneveld, Sijmen A; Hartman, Catharina A; Oldehinkel, Albertine J
The aim of the study was to estimate the proportion of adolescents with and without a psychiatric diagnosis receiving specialist mental health care and investigate their problem levels as well as utilization of other types of mental health care to detect possible over- and undertreatment. Care utilization data were linked to psychiatric diagnostic data of 2230 adolescents participating in the TRAILS cohort study, who were assessed biannually starting at age 11. Psychiatric diagnoses were established at the fourth wave by the Composite International Diagnostic Interview. Self-, parent- and teacher-reported emotional and behavioral problems and self-reported mental health care use were assessed at all four waves. Of all diagnosed adolescents, 35.3 % received specialist mental health care. This rate increased to 54.5 % when three or more disorders were diagnosed. Almost a third (28.5 %) of specialist care users had no psychiatric diagnosis; teachers gave them relatively high ratings on attention and impulsivity subscales. Diagnosed adolescents without specialist mental health care also reported low rates of other care use. We found no indication of overtreatment. Half of the adolescents with three or more disorders do not receive specialist mental health care nor any other type of care, which might indicate unmet needs. PMID:26275772
Mirabito, D M
This study utilizes available clinical information from client records to explore patterns of termination from mental health treatment among adolescents at an urban outpatient mental health center. The analysis focuses on how and why adolescents terminate from treatment and identifies variables associated with "acknowledged" and "unacknowledged" terminations. Findings indicate that termination was acknowledged infrequently, often a brief process that occurred almost as frequently by telephone as in the context of treatment. Contrary to "practice wisdom" concerning treatment termination, adolescents who "dropped out" without a "clinical process" reported considerably more engagement in treatment than those who acknowledged the termination of treatment. Recommendations for a more "open door" policy and a more flexible practice with adolescents are discussed. PMID:11837364
Sleep is a key element, both physiologically and psychologically, in adolescent development. The prevalence of sleep disorders in western countries is important, as with age the sleep-wake cycle of adolescents becomes irregular and delayed in relation with later sleep onset and waking time resulting in rhythm desynchronization. A large number of adolescents sleep for 7-8h instead of 9-10h per night, which can lead to a cumulative sleep debt with fatigue, behavioral problems and poor academic achievement. The effect of electronic media use (such as television, mobile phone, computer, and electronic gaming) on sleep has been the object of several international studies, though pubertal changes may also impact adolescent sleep. Adolescents and their parents should be educated by professionals, including physicians and nurses, on the key role of sleep in adolescent well being and quality of life. A number of basic rules are proposed to improve sleep in adolescents. The permanent social jet lag experienced by a number of adolescents should be considered as a matter of public health. PMID:23542542
Memarzia, Jessica; St Clair, Michelle C.; Owens, Matt; Goodyer, Ian M.; Dunn, Valerie J.
Background UK service structure necessitates a transition out of youth services at a time of increased risk for the development and onset of mental disorders. Little is currently known about the mental health and psychosocial outcomes of leaving services at this time. The aim of this study was to determine predictors of mental health and social adjustment in adolescents leaving mental health or social care services. Methods A cohort (n?=?53) of 17 year olds were interviewed and ass...
Full Text Available Abstract Background Little is known about the health and social profile of adolescents and adults with Asperger syndrome (AS living in the community. We conducted a study to describe the living, employment and psycho-social situation of a community sample of forty two adults and adolescents with AS, and to describe these indivdiuals' experiences of accessing health services and taking medication. Findings Most respondents (including those over eighteen years of age lived at home with their parents. Most had trouble reading and responding to other people's feelings, and coping with unexpected changes. Difficulties with life skills, such as cleaning, washing and hygiene were prevalent. The majority of respondents were socially isolated and a large minority had been sexually or financially exploited. Almost all respondents had been bullied. Mental health problems such as anxiety or depression were common. 30% of respondents said that they regularly became violent and hit other people and 15% had attempted suicide. More positively, the majority of respondents felt that they could access health services if they had a health problem. Conclusions The results of this study suggest a relatively poor social and health profile for many people with Asperger syndrome living in the community, with high levels of social problems and social exclusion, and difficulties managing day to day tasks such as washing and cleaning; these findings support the results of other studies that have examined psycho-social functioning in this group.
Full Text Available The problem of using psychosomatic approach for correction the behavior of adolescents with character's accentuations was considered. The author's program of recreational and health activities for adolescents was grounded and offered, taking into account the level of social adaptation and psychological features of character. The researches were conducted on the basis of secondary schools № 5, 7, 11 of the Romny town, Sumy region with 12-16 years old teens (n=412, including 218 girls and 194 boys. It is determined that psychosomatic approach in health and recreation program provides for the development and planning means and methods that influence not only on the level of somatic and physical health, but also on the structure of adolescents' personality. It is recommended the author's program, that consists of three stages and solved the three groups of problems: health, training and educational, was developed and inculcated in an educational process.
Jaruseviciene, Lina; Lazarus, Jeff; Zaborskis, Apolinaras
AIM: We surveyed Lithuanian general practitioners' (GPs) views on the importance of confidentiality for adolescents and on their practices in informing parents about sexual and reproductive health consultations with this age group. METHODS: In this cross-sectional study, a 41-item questionnaire...... only protects the right to confidentiality for patients who are 18 or older. CONCLUSIONS: Our findings indicate that Lithuanian GPs frequently violate adolescents' right to confidential health services. The study highlights the need for a comprehensive strategy to strengthen the confidentiality...... of sexual and reproductive health services for this group in Lithuanian primary care....
G. Minatto; E.L. Petroski; D.A.S. Silva
Objective: To identify the health-related physical fitness profile of Brazilian adolescents (10–17 years) living in a small town of German colonization and to describe the prevalence of those with low levels of physical fitness according to sex and age. Method: This is a school-based cross-sectional epidemiological study conducted with all adolescents (10–17 years) enrolled in five public schools of São Bonifácio, Brazil. The study included 277 adolescents (145 boys and 132 girls). The FIT...
De Anda, D; Becerra, R M; Fielder, E
An ethnographic study of 32 Mexican-American and 17 white adolescents (mean age 15 years), all of whom were pregnant or had been pregnant in the recent past, revealed both similarities and differences in the life experiences of these 2 groups. Only 8 (25%) Mexican-Americans and 3 (18%) had families of origin that were presently intact. Most significant was the finding that 16 (50%) of the Mexican-American respondents and 14 (82%) of whites experienced parental loss--through death, divorce, or desertion--in their early childhoods. There was a tendency among the respondents in both groups to enter puberty earlier than their peers (mean age of menarche of 11 years for both groups), without having received any information from a parent about the physical changes involved. The adolescence of the respondents was marked by a stormy relationship with parents; only 4 (13%) Mexican-American and 2 (12%) white adolescents reported a close, positive relationship with their mothers prior to their pregnancy. Parent-adolescent conflicts in the Mexican-American sample tended to focus around choice of friends, while white adolescents reported a greater variety of areas of conflict, including home responsibilities and curfews. White respondents were considerably more sexually experienced and active than their Mexican-American counterparts. In fact, 16 (50%) of the Mexican-Americans had dated no one other than the father of their baby prior to pregnancy and there was a low frequency of sexual intercourse in the sample as a whole. In contrast, white youth reported multiple sexual partners and a higher frequency of sexual relations. While preliminary, these findings have potential value for identifying risk factors for adolescent pregnancy. PMID:12316818
Martha J. Decker; Berglas, Nancy F; Brindis, Claire D
Through considerable efforts and investments of resources, adolescent pregnancy and birth rates in the United States have decreased significantly over the past two decades. Nonetheless, large disparities persist for many populations of youth. Reducing unintended adolescent pregnancies is considered a “winnable public health battle,” but one that will require innovative thinking and continued persistence. This paper reviews the recent research literature and innovative programmatic efforts to ...
Ali, Mir M.; Debra S. Dwyer; Vanner, Elizabeth A; Alexander Lopez
In this paper we create indices of resilience to identify adolescents at risk of smoking, drinking alcohol, and using illegal drugs. Using data from the National Longitudinal Study of Adolescent Health, three manifestations of resilience were identified: overall-resilience, self/family-resilience, and self-resilience. Our analysis reveals that the overall-resilient were less likely to engage in risky behaviors. The self/family resilient were more likely to engage in risky behaviors, but consu...
Thombs Brett D; Roseman Michelle; Kloda Lorie A
Abstract Background Depression is an important cause of disability among children and adolescents. Depression screening is one possible method for managing depression, and screening programs have been initiated in some school and medical settings. However, in 2005, the Canadian Task Force on Preventive Health Care and the United Kingdom National Institute of Clinical Excellence did not recommend depression screening among children and adolescents. By contrast, in 2009, the United States Preve...
Full Text Available Over 50% of young people have dated by age 15. While romantic relationship concerns are a major reason for adolescent help-seeking from counselling services, we have a limited understanding of what types of relationship issues are most strongly related to mental health issues and suicide risk. This paper used records of 4019 counselling sessions with adolescents (10–18 years seeking help from a national youth counselling service for a romantic relationship concern to: (i explore what types and stage (pre, during, post of romantic concerns adolescents seek help for; (ii how they are associated with mental health problems, self-harm and suicide risk; and (iii whether these associations differ by age and gender. In line with developmental-contextual theory, results suggest that concerns about the initiation of relationships are common in early adolescence, while concerns about maintaining and repairing relationships increase with age. Relationship breakups were the most common concern for both male and female adolescents and for all age groups (early, mid, late adolescence. Data relating to a range of mental health issues were available for approximately half of the sample. Post-relationship concerns (including breakups were also more likely than pre- or during-relationship concerns to be associated with concurrent mental health issues (36.8%, self-harm (22.6% and suicide (9.9%. Results draw on a staged developmental theory of adolescent romantic relationships to provide a comprehensive assessment of relationship stressors, highlighting post-relationship as a particularly vulnerable time for all stages of adolescence. These findings contribute to the development of targeted intervention and support programs.
Renwick Shamin; Nunes Paula; Maharaj Rohan G
Abstract Background The aim of this paper was to review and summarize research on prevalence of health risk behaviours, their outcomes as well as risk and protective factors among adolescents in the English-speaking Caribbean. Methods Searching of online databases and the World Wide Web as well as hand searching of the West Indian Medical Journal were conducted. Papers on research done on adolescents aged 10 – 19 years old and published during the period 1980 – 2005 were included. Results Nin...
Price, Megan; Hides, Leanne; Cockshaw, Wendell; Staneva, Aleksandra A; Stoyanov, Stoyan R
Over 50% of young people have dated by age 15. While romantic relationship concerns are a major reason for adolescent help-seeking from counselling services, we have a limited understanding of what types of relationship issues are most strongly related to mental health issues and suicide risk. This paper used records of 4019 counselling sessions with adolescents (10-18 years) seeking help from a national youth counselling service for a romantic relationship concern to: (i) explore what types and stage (pre, during, post) of romantic concerns adolescents seek help for; (ii) how they are associated with mental health problems, self-harm and suicide risk; and (iii) whether these associations differ by age and gender. In line with developmental-contextual theory, results suggest that concerns about the initiation of relationships are common in early adolescence, while concerns about maintaining and repairing relationships increase with age. Relationship breakups were the most common concern for both male and female adolescents and for all age groups (early, mid, late adolescence). Data relating to a range of mental health issues were available for approximately half of the sample. Post-relationship concerns (including breakups) were also more likely than pre- or during-relationship concerns to be associated with concurrent mental health issues (36.8%), self-harm (22.6%) and suicide (9.9%). Results draw on a staged developmental theory of adolescent romantic relationships to provide a comprehensive assessment of relationship stressors, highlighting post-relationship as a particularly vulnerable time for all stages of adolescence. These findings contribute to the development of targeted intervention and support programs. PMID:27164149
The aims of the thesis were to study relationships between the effects of online gaming and gambling and negative social consequences and ill health among adolescents and to determine whether gaming and gambling activities occur together. The papers in this thesis used epidemiological methods to obtain self-report information from Swedish adolescents aged 13–18 years. Time spent in online gaming was associated with negative social consequences, and this relationship was explained by online ga...
Ciarrochi, Joseph; Heaven, Patrick C. L.; Skinner, Timothy
Longitudinal research on the links between intelligence and health behaviors among adolescents is rare. We report longitudinal data in which we assessed the relationships between intelligence as assessed in Grade 7 and consequential health outcomes in Grade 11. The mean age of respondents (N = 420; 188 males, 232 females) was 12.30 years (SD =…
H. Birungi; F. Obare; A. van der Kwaak; J.H. Namwebya
CONTEXT: Given the health risks of HIV/AIDS and the risks of teenage pregnancy in general, pregnant HIV-positive adolescents in Kenya need maternal health care services that account for their HIV status. However, research on their access to and use of these services is scant. METHODS: To examine mat
Richards, Jennifer; Mousseau, Alicia
Background: Sacred Beginnings is a community-based participatory research project that examines the effectiveness of a culturally appropriate preconception health educational intervention developed by tribal community members and elders. The primary goal is to increase knowledge of preconception health and its benefits among adolescent females and…
Salonna, Ferdinand; Geckova, Andrea Madarasova; Zezula, Ivan; Sleskova, Maria; Groothoff, Johan W.; Reijneveld, Sijmen A.; van Dijk, Jitse P.
Social support is assumed to be a protective social determinant of health. The aim of this cross-sectional study was to explore whether social support from the father, mother and friends mediates or moderates the association between socioeconomic position and self-rated health among adolescents. The
Flores, Elena; Tschann, Jeanne M.; Dimas, Juanita M.; Pasch, Lauri A.; de Groat, Cynthia L.
Utilizing the concept of race-based traumatic stress, this study tested whether posttraumatic stress symptoms explain the process by which perceived discrimination is related to health risk behaviors among Mexican American adolescents. One hundred ten participants were recruited from a large health maintenance organization in Northern California.…
McCarthy, John; Bruno, Michelle; Fernandes, Teresa E.
The prevalence of depression increases markedly during adolescence, yet many youth are not receiving the support that they need. One factor that has been speculated as contributing to low rates of care is a lack of mental health literacy about depression and viable sources of support. This pilot study focused on mental health literacy as it…
Scull, Tracy Marie; Malik, Christina V.; Kupersmidt, Janis Beth
As states are moving toward comprehensive sexual health education, educators require engaging and effective curricula. This pre-post study (N = 64) examined the feasibility of a comprehensive, media literacy education program for influencing adolescents' sexual health and media literacy outcomes. After the program, participants were more…
Harris, Brett; Shaw, Benjamin; Lawson, Hal; Sherman, Barry
Background: Adolescent substance use is associated with chronic health conditions, accidents, injury, and school-related problems, including dropping out. Schools have the potential to provide students with substance use prevention and intervention services, albeit with confidentiality challenges. School-based health centers (SBHCs) provide…
Lieberman, Debra A.
This study examined whether video games could be effective health education and therapeutic interventions for children and adolescents with diabetes. KIDZ Health Software developed a game about diabetes self-management, and tested its effectiveness for children with diabetes. The Packy and Marlon Super Nintendo video game promotes fun,…
Rosenberg, Harriet J.; Jankowski, Mary K.; Sengupta, Anjana; Wolfe, Rosemarie S.; Wolford, George L., II; Rosenberg, Stanley D.
In this study we examined self-reported suicide attempts and their relationship to other health risk factors in a community sample of 16,644 adolescents. Fifteen percent endorsed suicide attempts (10% single; 5% multiple attempts). We hypothesized that multiple attempters would show higher prevalence of comorbid health risks than single or…
Full Text Available Background: When developing intervention research, it is important to explore issues from the community perspective. Interventions that promote adolescent health in South Africa are urgently needed, and Project Ntshembo (‘hope’ aims to improve the health of young women and their offspring in the Agincourt sub-district of rural northeast South Africa, actively using stakeholder involvement throughout the research process. Objective: This study aimed to determine adolescent health priorities according to key stakeholders, to align stakeholder and researcher priorities, and to form a stakeholder forum, which would be active throughout the intervention. Design: Thirty-two stakeholders were purposefully identified as community members interested in the health of adolescents. An adapted Delphi incorporating face-to-face discussions, as well as participatory visualisation, was used in a series of three workshops. Consensus was determined through non-parametric analysis. Results: Stakeholders and researchers agreed that peer pressure and lack of information, or having information but not acting on it, were the root causes of adolescent health problems. Pregnancy, HIV, school dropout, alcohol and drug abuse, not accessing health services, and unhealthy lifestyle (leading to obesity were identified as priority adolescent health issues. A diagram was developed showing how these eight priorities relate to one another, which was useful in the development of the intervention. A stakeholder forum was founded, comprising 12 of the stakeholders involved in the stakeholder involvement process. Conclusions: The process brought researchers and stakeholders to consensus on the most important health issues facing adolescents, and a stakeholder forum was developed within which to address the issues. Stakeholder involvement as part of a research engagement strategy can be of mutual benefit to the researchers and the community in which the research is taking place.
Physical health investigations, such as blood tests, ECGs, and appropriate radiological tests, are essential in the assessment and management of many patients in inpatient mental health settings. This project took place in a 12-bed adolescent mental health unit in Swindon, UK, where on average at least two-thirds of patients have a diagnosed eating disorder. Multidisciplinary ward rounds provide an appropriate setting for discussion and documentation of physical investigations. Over a two-week period, 22 electronic ward round entries were audited for any documentation of five common investigations - blood tests, ECG, MRI head, DEXA, and ovarian ultrasound. Blood tests were documented in 2/22 (9.1%), ECG, MRI head, DEXA, and ovarian ultrasound were documented in 0/22 (0%). Modifications were made to an electronic ward round template, to include headings for each of these investigations, with free-text boxes as well as drop-down boxes for the radiological tests. Following this, re-audit of 22 ward round entries over a two-week period showed documentation had hugely improved - blood tests were documented in 21/22 (95.5%), with ECG, MRI head, DEXA, and pelvis US all documented in 22/22 (100%). A further audit a month later showed these results were largely sustained. In conclusion, use of a simple, structured ward round template can hugely improve documentation of important physical investigations within mental health settings. PMID:26734411
Spring, Elizabeth L.
This study examined how parents experienced their first child's transition to adolescence. A multiple-case qualitative research design was chosen to examine parents' experiences. Family systems theory and family stress and coping theory provided a theoretical starting point. Participants were recruited who had adolescents between ages 13 and 16 and saw their family as normally stressed, indicated in part by an absence of court involvement, substance abuse issues, school failure, and partic...
Taubner Svenja; Curth Christian
The aim of the study was to examine whether mentalization serves as a protective factor against aggressive behavior in adolescence in the context of early traumatization. We present data from a non-clinical sample of adolescents from Germany (n=97) and calculate a mediation model to test the link between early traumatic experiences and aggressive behavior with mentalizing skills as a mediator. Mentalization was assessed with the Reflective Functioning Scale on the Adult-Attachment-Inter...
David Y C Huang; Lanza, H. Isabella; Anglin, M. Douglas
This study examined longitudinal associations of prenatal exposures as well as childhood familial experiences with obesity status from ages 10 to 18. Hierarchical generalized linear modeling (HGLM) was applied to examine 5,156 adolescents from the child sample of the 1979 National Longitudinal Survey of Youth (NLSY79). Higher maternal weight, maternal smoking during pregnancy, lower maternal education, and lack of infant breastfeeding were contributors to elevated adolescent obesity risk in e...
Bhatta, Madhav P.; Jefferis, Eric; Kavadas, Angela; Alemagno, Sonia A; Shaffer-King, Peggy
Purpose The purpose of this study was to assess the influence of multiple adverse life experiences (sexual abuse, homelessness, running away, and substance abuse in the family) on suicide ideation and suicide attempt among adolescents at an urban juvenile detention facility in the United States. Materials and Methods The study sample included a total of 3,156 adolescents processed at a juvenile detention facility in an urban area in Ohio between 2003 and 2007. The participants, interacting an...
The adolescent developmental phase has encouraged many research studies as a result of the diversity and dynamics of this period of life. This phase is characterised by a range of challenges on an intrapersonal level, in family life, peer group settings and school settings. Various studies confirm that every aspect of adolescent development is influenced by experiences at school. Secondary school (Grades 8 to 12) is also considered to be a critical time for creating healthy and cohesive socie...
Coley, Rebekah Levine; Bachman, Heather J.; Votruba-Drzal, Elizabeth; Lohman, Brenda J.; LiGrining, Christine P.
Using a representative sample of over 900 low-income urban families from the Three-City Study, analyses assessed whether maternal human capital characteristics moderate relationships between mothers' welfare and employment experiences and young adolescents' well-being. Results indicate synergistic effects whereby greater maternal education and literacy skills enhanced positive links between mothers' new or sustained employment and improvements in adolescent cognitive and psychosocial function...
Sentse, Miranda; Laird, Robert D.
This study focused on support and conflict in parent-child relationships and dyadic friendships as predictors of behavior problems in early adolescence (n=182; M age=12.9 years, 51% female, 45% African American, 74% two-parent homes). Support and conflict in one relationship context were hypothesized to moderate the effects of experiences in the other relationship context. Adolescent-reported antisocial behavior was low when either parent-child relationships or friendships were low in conflic...
Tahereh Ziaian; Helena de Anstiss; Georgia Antoniou; Peter Baghurst; Michael Sawyer
Background. Despite the frequency of traumatic or stressful events experienced by refugee children and adolescents prior to migration and following resettlement, the majority do not experience mental health problems emphasising the critical nature of resilience. While a host of factors deemed to be protective of mental health in young refugees have been identified, there has been little research exploring the role of resilience as a distinct psychological construct. This study aimed to explor...
How parents give meaning to the problems of adolescents diagnosed with mental disorders and receiving treatment is likely related to important outcomes including parental well-being and commitment to treatment, as well as their own behaviors and reactions to their child. The aim of this cross-sectional, mixed-method study of 70 parents of adolescents receiving wraparound mental health services is to examine: (1) how parents conceptualize their child's MH problems; (2) factors related to parents' conceptualization of youths' problems using medical model terms; and (3) associations between parents' problem conceptualization and their emotional or coping responses to their child having psychiatric problem(s). Content analysis indicated that 54.3% of parents definitively conceptualized adolescents' problems using psychiatric terms, 37.1% reported uncertainty about the nature of their child's problems, and 8.6% gave alternative, non-psychiatric explanations for their child's problems. We found significant relationships between parents' problem conceptualization and their attitudes and experience with MH treatment, demographics, as well as with adolescents' clinical characteristics. Parents who conceptualized problems using psychiatric terminology were more likely to express sadness and pessimism relative to other parents, though there were no differences in expressions of worry, guilt, pragmatism and optimism by problem conceptualization. PMID:19847647