18% of pop, more than half in asia and pacific region. Less in the industrialized world. More boys than girls.
The demographic transition of adolescents (3)
Migration (b/w and within countries), Globaliztion (employment oportunities, marginalizes rural youth, clash between tradition and modern values), Education(mandatory education has benefits)
as education rises, what is happening?
More children are enrolled in primary and secondary school. Also: delay in marital age, more out of wedlock birthds, risks in abortions, rise in number of sexual partners
2 or more epidemics interacting synergistically and contributing as a result of their interaction to the excess burden of disease
Is adolescent health research often done with syndemics?
No, more reasearch is on single behaviors. Need to look at smoking and drinking, drinking and high risk sex etc, not just one variable at a time
4 leading causes of adolescent death
injuries, maternal mortality, AIDS and infectious disease
M or F more likely to die in adolescence?
Males are 2-4X more likely to die in adolescence
maternal mortality in adolescents is often due to what?
40-50% are from abortion complications. Ritual genital mutilation also increases maternal death
9 principles of health programming for adolescents:
recognize the diversity of the youth age group, involve young people, make health services appealing to youth, address gender inequality, address needs of boys, design comprehensive programs, consider all important benefits, address the many non-health factors that influence adolescent health and address underlying risk and protective factors.