chapter 8 Flashcards
adolescents, young adults, and adults
adolescents age range?
10-19
young adults age range?
20-24
adults age range?
25-64
what age range is considered the most productive?
15-64 years
how do lifestyle and health behavior affect later years?
they shape health for later years
what challenges are faced during adolescence?
- transition from childhood to adulthood
- psychological changes
- hormonal changes
- physical maturation
- opportunities to engage in risky behaviors
what changes do young adults experience?
complete physical growth and life changes
what is a consequence of increased freedom for young adults?
access to health-compromising situations
what fraction of the U.S. population was adolescents and young adults in 2010?
over 1/5
what living arrangement statistic was reported in 2010?
25% (1/4) of all children lived in single-parent families
in the future, what will happen to the proportion of adolescents and young adults?
it will decrease, but the number of adolescents will increase
why are these cohorts (adolescents, young adults, and adults) so important to community health?
viewing these age group profiles enables public health workers to detect the causes of disease, injury, and death for specific priority populations and to propose interventions to reduce those causes
examples of events that occur during the most productive years of one’s life?
- completion of formal education
- marriage
- starting a family
- earn their greatest amount of wealth
- find and develop their career
why are adolescents and young adults considered important by society?
they are the future of the nation
what kinds of changes do YA face?
- physical
- emotional
- educational
why is the period of adolescence and young adulthood a critical one, in terms of health?
- many health-related beliefs, attitudes, and behaviors are adopted and challenged
- access to health-compromising substances and experiences
- opportunities for health-enhancing experiences
- lifestyles are established
examples of health-compromising substances and experiences
- smoking
- alcohol
- drugs
- sexual risk-taking
examples of health-enhancing experiences
- regularly scheduled exercise
- healthful diets
- opportunities to engage in behaviors and experiences that benefit their communities
what is the life course approach?
the concept that health status and environmental exposures in the early part of one’s life will impact their adult health status
why is the life course approach important?
it helps explain how every stage of a person’s life impacts the individual’s long-term health
what are the 4 variables that are most important to community health for adolescents and YA?
- number of young people
- their living arrangements
- their employment status
- their access to health care
what are children living in single-parent families more likely to experience?
- economic disadvantages
- negative impacts on emotional, cognitive, and social well-being
what gender has a higher mortality rate?
males
what contributes to the reductions in youth labor-force participation?
- increased school attendance
- enrollment in high school, college, and summer school
what percentage of the overall labor force is composed of the youth labor force?
13%
why is employment status important to community and public health?
most health insurance (access to health care) is connected to employment status
what have studies shown about YA and their access to health care and use of the ER?
they have less access to health care and tend to use emergency rooms for care more than adolescents
what 4 major areas stand out when looking at the health profile of adolescents and YA?
- mortality
- morbidity from specific infectious diseases
- health behavior and lifestyle
- protective factors
what was occurred with the death rate for adolescents and YA?
it was declined significantly
what can the decline in death rates for adolescents and YA be attributed to?
- advances in medicine
- injury and disease prevention
- behavior changes
leading causes of death for young people overall?
- unintentional injuries (41%)
- homicide (17%)
- suicide (15%)
what is a major contributing factor for deaths caused by motor vehicle-related injuries?
alcohol
what is a significant racial disparity in homicide rates?
black males have 4x higher rates than hispanics and 10x higher rates than other populations
why have certain communicable diseases been significantly reduced or eradicated?
- medical advances
- knowledge regarding immunizations
what percentage of new STIs are acquired by adolescents and YA?
50% (1/2)
what are the most common STIs among adolescents?
HIV, HPV, chlamydia
what does the CDC Youth Risk Behavior Surveillance System monitor?
health behaviors of high school students
smokeless tobacco (or spit tobacco)
includes oral snuff, loose leaf chewing tobacco, plug chewing tobacco, and nasal snuff
intensity
cardiovascular workload measured by heart rate
body mass index (BMI)
the ratio of weight (in kg) to height (in meters, squared)
hypercholesterolemia
high levels of cholesterol in the blood
protective factors
individual or environmental characteristics, conditions, or behaviors that reduce the effects of stressful life events, increase the ability to avoid risks or hazards, and promote social and emotional competence
examples of protective factors
- strong family bonds
- parental engagement in child’s life
- academic success
- conventional norms about drugs + alcohol
- clear parental expectations and consequences
risk factors
individual, familial, or environmental influences that increase the likelihood of negative outcomes for children and an increased risk of engagement in harmful or risky behavior
examples of risk factors
- chaotic home environment
- ineffective parenting
- academic failure
- poor social coping skills
- affiliations with deviant peers
what is the youth risk behavioral surveillance system?
set of state, territorial, tribal, and district surveys
when is the YRBSS conducted?
odd-numbered years
how is the YRBSS helpful?
- it is helpful at the state and local levels
- leads to implementation of programs and policies
behaviors that lead to unintentional injuries
- seat belt use
- bicycle helmet use
- motorcycle helmet use
- riding with a drunk driver
- driving after drinking alcohol
what is a new [behavioral] challenge in terms of unintentional injuries?
texting while driving
behaviors that contribute to violence-related injuries
- carrying a weapon
- physical fighting
- dating violence
- having been forced to have sexual intercourse
- bullying
- suicide ideation and attempts
who is more likely to be a victim of sexual assault?
women