Adolescent Health Risk Behavior PART 1
 
“ The children now love luxury; they have bad manners, contempt for authority; they allow disrespect for elders and love chatter in place of exercise. Children now are tyrants, not the servants of their households. They no longer rise when elders enter the room. They contradict their parents, chatter before company, gobble up dainties at the table, cross their legs, and tyrannize their teachers.”   Socrates
 
 
Leading causes of death US population, 15-19 years, 1999 Rank   Cause   # deaths   % of total 1st   unintentional injury    6,688   48.5   2nd  homicide  2,903   15.2 3rd  suicide  1,615   11.7 4th  malignancy    745   5.4 5th  heart disease   463   3.4 Ref: CDC - NCHS
Motor vehicle crash fatalities 42,000 Americans killed in MVCs in 1999, including  5586 teenagers  and 2055 children driver inexperience speeding non-use of safety belts -  14.1%  rarely or never wear seat belts  [YRBS 2001] driving older vehicles alcohol use
 
Alcohol and Adolescent Mortality “ Postmortem studies show that  45% - 50%  of adolescent victims of violent death had been drinking alcohol before their death.” motor vehicle crashes: driver, passenger, pedestrian, motorcycle, ATV, PWC, snowmobiles unintentional injury: drowning, fire, falls homicide suicide Ref:  J Stud Alcohol  1985;46:228-231
 
Scope of the Problem Prevalence of alcohol use:  “ Had 5 or more drinks in a row in the last 2 weeks.”   8th grade: 13% 10th grade: 25% 12th grade: 30% Source: Monitoring the Future Study: 2001 data
Alcohol:  Binge Drinking
Scope of the Problem Drinking and driving: Rode Drove 9th grade:  30%   7% 10th grade:  31%   10% 11th grade:  29%   17% 12th grade:  33%   22% Source: CDC 2001 Youth Risk Behavior Survey
Scope of the Problem Sexual risk behavior: “ Alcohol or drug use at last sexual intercourse, among students currently sexually active.” male female 9th grade: 25% 24% 10th grade: 21% 36% 11th grade: 18% 31% 12th grade: 20% 32% Source: CDC 2001 Youth Risk Behavior Survey
 
Cigarettes
Smokeless  Tobacco
 
 
 
Obesity Trends* Among U.S. Adults  BRFSS, 1991, 1995 and 2000 (*BMI    30, or ~ 30 lbs overweight for 5’4” woman) Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.   1991 1995 2000 No Data  < 10%  10%-14%  15-19%   20%
Behaviors associated with weight control male  female exercised to lose weight 51% 68% ate less food to lose weight 28% 59% fasting  >  24 hr to lose weight   8% 19% took diet pills, powders, liquids   6% 13% vomited or took laxatives   3%   8%   Source: CDC 2001 Youth Risk Behavior Survey
 
 
 
Functional domains in adolescence individual family/home peer group  school employment sociocultural

ADOLESCENT HEALTH RISK BEHAVIOR

  • 1.
    Adolescent Health RiskBehavior PART 1
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    “ The childrennow love luxury; they have bad manners, contempt for authority; they allow disrespect for elders and love chatter in place of exercise. Children now are tyrants, not the servants of their households. They no longer rise when elders enter the room. They contradict their parents, chatter before company, gobble up dainties at the table, cross their legs, and tyrannize their teachers.” Socrates
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    Leading causes ofdeath US population, 15-19 years, 1999 Rank Cause # deaths % of total 1st unintentional injury 6,688 48.5 2nd homicide 2,903 15.2 3rd suicide 1,615 11.7 4th malignancy 745 5.4 5th heart disease 463 3.4 Ref: CDC - NCHS
  • 7.
    Motor vehicle crashfatalities 42,000 Americans killed in MVCs in 1999, including 5586 teenagers and 2055 children driver inexperience speeding non-use of safety belts - 14.1% rarely or never wear seat belts [YRBS 2001] driving older vehicles alcohol use
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    Alcohol and AdolescentMortality “ Postmortem studies show that 45% - 50% of adolescent victims of violent death had been drinking alcohol before their death.” motor vehicle crashes: driver, passenger, pedestrian, motorcycle, ATV, PWC, snowmobiles unintentional injury: drowning, fire, falls homicide suicide Ref: J Stud Alcohol 1985;46:228-231
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    Scope of theProblem Prevalence of alcohol use: “ Had 5 or more drinks in a row in the last 2 weeks.” 8th grade: 13% 10th grade: 25% 12th grade: 30% Source: Monitoring the Future Study: 2001 data
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    Scope of theProblem Drinking and driving: Rode Drove 9th grade: 30% 7% 10th grade: 31% 10% 11th grade: 29% 17% 12th grade: 33% 22% Source: CDC 2001 Youth Risk Behavior Survey
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    Scope of theProblem Sexual risk behavior: “ Alcohol or drug use at last sexual intercourse, among students currently sexually active.” male female 9th grade: 25% 24% 10th grade: 21% 36% 11th grade: 18% 31% 12th grade: 20% 32% Source: CDC 2001 Youth Risk Behavior Survey
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    Obesity Trends* AmongU.S. Adults BRFSS, 1991, 1995 and 2000 (*BMI  30, or ~ 30 lbs overweight for 5’4” woman) Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10. 1991 1995 2000 No Data < 10% 10%-14% 15-19%  20%
  • 22.
    Behaviors associated withweight control male female exercised to lose weight 51% 68% ate less food to lose weight 28% 59% fasting > 24 hr to lose weight 8% 19% took diet pills, powders, liquids 6% 13% vomited or took laxatives 3% 8% Source: CDC 2001 Youth Risk Behavior Survey
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    Functional domains inadolescence individual family/home peer group school employment sociocultural