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Adolescent Health: A Public Health Perspective P8616

Adolescent Health: A Public Health Perspective P8616. Bruce Armstrong, D.S.W. Heilbrunn Department of Population & Family Health. Why is it important to invest in adolescents?. 10-19 years olds make up 20% of the world’s population.

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Adolescent Health: A Public Health Perspective P8616

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  1. Adolescent Health: A Public Health PerspectiveP8616 Bruce Armstrong, D.S.W. Heilbrunn Department of Population & Family Health

  2. Why is it important to invest in adolescents?

  3. 10-19 years olds make up 20% of the world’s population

  4. A surge in research activities & expanded definitions of “health” have challenged the view of adolescence as time of optimal health

  5. Behaviors initiated in adolescence can become habits during the adult years

  6. Most adolescent mortality and morbidity due to environmental & behavioral factors that be changed

  7. The personal & public costs are/will be staggering if we don’t do more

  8. The gap between reproductive capacity and attaining independent adult status has lengthened

  9. Adolescents are a “trapped audience”…our last chance for large-scale, institutional interventions to promote health

  10. Adolescence: A time of dramatic changes Cognitive Physical Social Emotional

  11. World State/Country Neighborhood Peers/School/Job/Family Person

  12. How healthy are adolescents? • Mortality? • Morbidity? • Risk behaviors? • Service utilization? • Subjective sense of well-being?

  13. Theories of Behavior Change • Theory of Reasoned Action • Social Cognitive (Learning) Theory • Behavior Modification • Health Belief Model • Transtheoretical (Stages of Change) Model Harlem Health Promotion Center/Center for Community Health and Education

  14. Causal Pathway

  15. Substance Abuse • Youth Risk Behavior Survey • Monitoring the Future • National Household Survey of Drug Abuse • AddHealth • ESPAD

  16. Sexual & Reproductive Health: Current DataSelected Programs

  17. Comprehensive School-Based Health Centers as a Model Primary Health Care Delivery System for Adolescents Center for Population and Family Health Joseph L. Mailman School of Public Health of Columbia University

  18. Bullying • 8% of 14 year old Swedish & Norwegian boys report being bullied at school • 19% (boys) & 23% (girls) in South Carolina report being bullied several times or more in the past month

  19. % of 20-24 year-olds who had had sex before age 17, by country and gender

  20. A Youth Development Paradigm

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