Adolescent Health 4 Health of the world's adolescents: a synthesis of internationally comparable data

被引：315

作者：

Patton, George C. ^{[1
,2
]}

Coffey, Carolyn

Cappa, Claudia ^{[4
]}

Currie, Dorothy ^{[5
]}

Riley, Leanne ^{[6
]}

Gore, Fiona ^{[7
]}

Degenhardt, Louisa ^{[3
,9
]}

Richardson, Dominic ^{[10
]}

Astone, Nan ^{[11
]}

Sangowawa, Adesola O. ^{[12
]}

Mokdad, Ali ^{[13
]}

Ferguson, Jane ^{[8
]}

机构：

[1] Royal Childrens Hosp, Ctr Adolescent Hlth, Murdoch Childrens Res Inst, Parkville, Vic 3052, Australia

[2] Univ Melbourne, Dept Paediat, Parkville, Vic 3052, Australia

[3] Univ Melbourne, Sch Populat Hlth, Ctr Hlth Policy Programs & Econ, Parkville, Vic 3052, Australia

[4] UNICEF, Stat & Monitoring Sect, New York, NY USA

[5] Univ St Andrews, Child & Adolescent Hlth Res Unit, St Andrews KY16 9AJ, Fife, Scotland

[6] WHO, Noncommunicable Dis Prevent & Hlth Promot Dept, CH-1211 Geneva, Switzerland

[7] WHO, Dept Hlth Stat & Informat Syst, CH-1211 Geneva, Switzerland

[8] WHO, Dept Maternal Newborn Child & Adolescent Hlth, CH-1211 Geneva, Switzerland

[9] Univ New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW, Australia

[10] Org Econ Cooperat & Dev, Social Policy Div, Paris, France

[11] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Populat Family & Reprod Hlth, Baltimore, MA USA

[12] Univ Coll Hosp, Inst Child Hlth, Ibadan, Oyo State, Nigeria

[13] Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98195 USA

来源：

LANCET | 2012年 / 379卷 / 9826期

基金：

英国医学研究理事会;

关键词：

DETECTING MAJOR DEPRESSION; GLOBAL PUBLIC-HEALTH; YOUNG-PEOPLE; SYSTEMATIC ANALYSIS; REGIONAL BURDEN; RISK-FACTORS; STATISTICS; MORTALITY; POLICY; PREVENTION;

D O I：

10.1016/S0140-6736(12)60203-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Adolescence and young adulthood off er opportunities for health gains both through prevention and early clinical intervention. Yet development of health information systems to support this work has been weak and so far lagged behind those for early childhood and adulthood. With falls in the number of deaths in earlier childhood in many countries and a shifting emphasis to non-communicable disease risks, injuries, and mental health, there are good reasons to assess the present sources of health information for young people. We derive indicators from the conceptual framework for the Series on adolescent health and assess the available data to describe them. We selected indicators for their public health importance and their coverage of major health outcomes in young people, health risk behaviours and states, risk and protective factors, social role transitions relevant to health, and health service inputs. We then specify definitions that maximise international comparability. Even with this optimisation of data usage, only seven of the 25 indicators, covered at least 50% of the world's adolescents. The worst adolescent health profiles are in sub-Saharan Africa, with persisting high mortality from maternal and infectious causes. Risks for non-communicable diseases are spreading rapidly, with the highest rates of tobacco use and overweight, and lowest rates of physical activity, predominantly in adolescents living in low-income and middle-income countries. Even for present global health agendas, such as HIV infection and maternal mortality, data sources are incomplete for adolescents. We propose a series of steps that include better coordination and use of data collected across countries, greater harmonisation of school-based surveys, further development of strategies for socially marginalised youth, targeted research into the validity and use of these health indicators, advocating for adolescent-health information within new global health initiatives, and a recommendation that every country produce a regular report on the health of its adolescents.

引用

页码：1665 / 1675

页数：11

共 80 条

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