chapter 8 Flashcards

adolescents, young adults, and adults

1
Q

adolescents age range?

A

10-19

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2
Q

young adults age range?

A

20-24

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3
Q

adults age range?

A

25-64

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4
Q

what age range is considered the most productive?

A

15-64 years

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5
Q

how do lifestyle and health behavior affect later years?

A

they shape health for later years

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6
Q

what challenges are faced during adolescence?

A
  • transition from childhood to adulthood
  • psychological changes
  • hormonal changes
  • physical maturation
  • opportunities to engage in risky behaviors
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7
Q

what changes do young adults experience?

A

complete physical growth and life changes

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8
Q

what is a consequence of increased freedom for young adults?

A

access to health-compromising situations

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9
Q

what fraction of the U.S. population was adolescents and young adults in 2010?

A

over 1/5

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10
Q

what living arrangement statistic was reported in 2010?

A

25% (1/4) of all children lived in single-parent families

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11
Q

in the future, what will happen to the proportion of adolescents and young adults?

A

it will decrease, but the number of adolescents will increase

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12
Q

why are these cohorts (adolescents, young adults, and adults) so important to community health?

A

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

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13
Q

examples of events that occur during the most productive years of one’s life?

A
  • completion of formal education
  • marriage
  • starting a family
  • earn their greatest amount of wealth
  • find and develop their career
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14
Q

why are adolescents and young adults considered important by society?

A

they are the future of the nation

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15
Q

what kinds of changes do YA face?

A
  • physical
  • emotional
  • educational
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16
Q

why is the period of adolescence and young adulthood a critical one, in terms of health?

A
  • 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
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17
Q

examples of health-compromising substances and experiences

A
  • smoking
  • alcohol
  • drugs
  • sexual risk-taking
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18
Q

examples of health-enhancing experiences

A
  • regularly scheduled exercise
  • healthful diets
  • opportunities to engage in behaviors and experiences that benefit their communities
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19
Q

what is the life course approach?

A

the concept that health status and environmental exposures in the early part of one’s life will impact their adult health status

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20
Q

why is the life course approach important?

A

it helps explain how every stage of a person’s life impacts the individual’s long-term health

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21
Q

what are the 4 variables that are most important to community health for adolescents and YA?

A
  • number of young people
  • their living arrangements
  • their employment status
  • their access to health care
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22
Q

what are children living in single-parent families more likely to experience?

A
  • economic disadvantages
  • negative impacts on emotional, cognitive, and social well-being
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23
Q

what gender has a higher mortality rate?

A

males

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24
Q

what contributes to the reductions in youth labor-force participation?

A
  • increased school attendance
  • enrollment in high school, college, and summer school
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25
Q

what percentage of the overall labor force is composed of the youth labor force?

A

13%

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26
Q

why is employment status important to community and public health?

A

most health insurance (access to health care) is connected to employment status

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27
Q

what have studies shown about YA and their access to health care and use of the ER?

A

they have less access to health care and tend to use emergency rooms for care more than adolescents

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28
Q

what 4 major areas stand out when looking at the health profile of adolescents and YA?

A
  • mortality
  • morbidity from specific infectious diseases
  • health behavior and lifestyle
  • protective factors
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29
Q

what was occurred with the death rate for adolescents and YA?

A

it was declined significantly

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30
Q

what can the decline in death rates for adolescents and YA be attributed to?

A
  • advances in medicine
  • injury and disease prevention
  • behavior changes
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31
Q

leading causes of death for young people overall?

A
  1. unintentional injuries (41%)
  2. homicide (17%)
  3. suicide (15%)
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32
Q

what is a major contributing factor for deaths caused by motor vehicle-related injuries?

A

alcohol

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33
Q

what is a significant racial disparity in homicide rates?

A

black males have 4x higher rates than hispanics and 10x higher rates than other populations

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34
Q

why have certain communicable diseases been significantly reduced or eradicated?

A
  • medical advances
  • knowledge regarding immunizations
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35
Q

what percentage of new STIs are acquired by adolescents and YA?

A

50% (1/2)

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36
Q

what are the most common STIs among adolescents?

A

HIV, HPV, chlamydia

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37
Q

what does the CDC Youth Risk Behavior Surveillance System monitor?

A

health behaviors of high school students

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38
Q

smokeless tobacco (or spit tobacco)

A

includes oral snuff, loose leaf chewing tobacco, plug chewing tobacco, and nasal snuff

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39
Q

intensity

A

cardiovascular workload measured by heart rate

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40
Q

body mass index (BMI)

A

the ratio of weight (in kg) to height (in meters, squared)

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41
Q

hypercholesterolemia

A

high levels of cholesterol in the blood

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42
Q

protective factors

A

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

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43
Q

examples of protective factors

A
  • strong family bonds
  • parental engagement in child’s life
  • academic success
  • conventional norms about drugs + alcohol
  • clear parental expectations and consequences
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44
Q

risk factors

A

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

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45
Q

examples of risk factors

A
  • chaotic home environment
  • ineffective parenting
  • academic failure
  • poor social coping skills
  • affiliations with deviant peers
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46
Q

what is the youth risk behavioral surveillance system?

A

set of state, territorial, tribal, and district surveys

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47
Q

when is the YRBSS conducted?

A

odd-numbered years

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48
Q

how is the YRBSS helpful?

A
  • it is helpful at the state and local levels
  • leads to implementation of programs and policies
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49
Q

behaviors that lead to unintentional injuries

A
  • seat belt use
  • bicycle helmet use
  • motorcycle helmet use
  • riding with a drunk driver
  • driving after drinking alcohol
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50
Q

what is a new [behavioral] challenge in terms of unintentional injuries?

A

texting while driving

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51
Q

behaviors that contribute to violence-related injuries

A
  • carrying a weapon
  • physical fighting
  • dating violence
  • having been forced to have sexual intercourse
  • bullying
  • suicide ideation and attempts
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52
Q

who is more likely to be a victim of sexual assault?

A

women

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53
Q

who is more likely to carry weapons and get into fights?

A

men

54
Q

which race is more likely to smoke?

A

white

55
Q

when is nicotine dependency usually developed by?

A

by the age of 18

56
Q

examples of tobacco use:

A

smokeless tobacco, electronic cigarettes, hookahs, vaping

57
Q

purpose of 1998 lawsuit against tobacco use

A

reduce smoking, especially among young people

58
Q

what was the name of the lawsuit against tobacco use in 1998?

A

1998 Tobacco Master Settlement Agreement (MSA)

59
Q

what is now under the jurisdiction of the FDA?

A

nicotine

60
Q

what was passed in 2009 in relation to tobacco use?

A

Family Smoking Prevention and Control Act

61
Q

what is a major contributor to motor vehicle crashes?

A

alcohol

62
Q

what percentage of high schoolers use alcohol?

A

33%

63
Q

what percentage of high schoolers binge drink?

A

18%

64
Q

what percentage of high schoolers have tried marijuana?

A

40%

65
Q

what other drugs have been used by high schoolers?

A
  • inhalants
  • prescription drugs (abuse of them)
  • cocaine
66
Q

what percentage of high schoolers have engaged in sexual intercourse?

A

42% (>1/3)

67
Q

what do sexual behavior statistics imply the need for?

A

comprehensive sex education prior to high school

68
Q

health risks associated with teen pregnancies

A
  • educational
  • economic
  • psychosocial
69
Q

what percentage of high school students are not physically active?

A

50%

70
Q

what percentage of high schoolers are obese

A

30%

71
Q

what percentage of high schoolers are trying to lose weight?

A

50% (1/2)

72
Q

what are growing concerns among high schoolers?

A
  • physical activity and sedentary behavior
  • overweight and weight control
  • teenage pregnancies
  • STIs
  • unintended pregnancies
  • alcohol and drug use
  • tobacco use
  • violence
  • unintentional injuries
72
Q

what is a contributing factor to unintentional injuries for college students?

A

alcohol

73
Q

what are 2 available data sources regarding health behaviors of college students?

A
  • National College Health Assessment II (NCHA-II)
    -Monitoring the Future
74
Q

what is a particularly prevalent violence issue on college campuses?

A

sexual assault

75
Q

behaviors that contribute to violence on college campuses

A
  • weapons
  • fighting
  • suicide ideation/attempts
76
Q

what does research indicate about tobacco use among college students?

A

more educated = less likely to use tobacco

77
Q

what does research indicate about alcohol use among college students?

A

more educated = more likely to drink

78
Q

what is excessive alcohol intake associated with?

A
  • fatal and nonfatal injuries
  • alcohol poisoning
  • STIS and unintended pregnancies
  • various forms of violence
79
Q

what STIs are most common among persons under 25 years of age?

A
  • gonorrhea
  • chlamydia
80
Q

what 4 major factors is community health affected by?

A
  • physical factors
  • community organizing
  • individual behavior
  • social and cultural factors
81
Q

what 2 of the 4 factors need special attention when dealing with the health problems of the youth population?

A
  • social and cultural factors
  • community organizing
82
Q

optimal cholesterol

A

< 200 mg/dL

83
Q

optimal LDL (bad cholesterol)

A

< 100 mg/dL

84
Q

optimal HDL (good cholesterol)

A

> 60 mg/dL

85
Q

optimal triglycerides

A

< 150 mg/dL

86
Q

what contributes to high triglycerides?

A

sugar, alcohol, excessive calorie intake

87
Q

hypertension

A

blood pressure of 140/90 mmHg or higher

88
Q

when is hypertension considered severe?

A

when the blood pressure is over 120/80 mmHg

89
Q

what condition is known as the “silent killer”

A

hypertension

90
Q

how can hypertension be prevented?

A
  • low sodium diet
  • exercise
91
Q

what is atherosclerosis often called?

A

coronary artery disease

92
Q

artherosclerosis

A
  • thickening + hardening of arteries
  • plaque buildup and deposit on the arteries
93
Q

what is the single greatest killer?

A

coronary heart disease (heart attack)

94
Q

coronary heart disease (heart attack)

A
  • area of the heart suffers permanent damage, normal blood supply is blocked
  • lifesaving support is critical
95
Q

define cancer

A

a large group of diseases characterized by the uncontrolled growth and spread of abnormal cells

96
Q

benign tumors

A

can obstruct organs but are non-cancerous

97
Q

malignant tumors

A

produce mutant cells and spread to organs; are cancerous

98
Q

in what age group is cancer the leading cause of death?

A

44-64

99
Q

2nd leading cause of death in the U.S.

A

cancer

100
Q

what should saturated fat be limited to?

A

less than 10% of diet/total daily calorie intake

101
Q

give examples of foods high in saturated fat

A
  • palm oil
  • coconut oil
  • butter
  • cheese
  • bacon
  • pork
  • yogurt
102
Q

what causes cancer?

A
  • lifestyle
  • genetics
  • occupational + environmental risks
  • reproductive + hormonal factors
  • alcohol
  • smoking
  • chemicals in foods
  • infectious disease
103
Q

leading causes of cancer deaths in men

A
  1. lung
  2. prostate
  3. colon-rectal
104
Q

leading causes of cancer deaths in women

A
  1. lung
  2. breast
  3. colon-rectal
105
Q

how can breast cancer be prevented?

A
  • reducing alcohol
  • having a diet low in fats
106
Q

lung cancer

A
  • leading cause of cancer deaths
  • smoking is responsible for 90% of cases
107
Q

how can breast cancer be found?

A

self-exams and mammograms

108
Q

where is breast cancer more common?

A

developed nations

109
Q

what are most symptoms of prostate cancer associated with?

A

issues with urination

110
Q

how do chances of having prostate cancer increase?

A
  • aging
  • if a father or brother has it
111
Q

how can prostate cancer be prevented?

A

having a diet high in fruits and vegetables (especially lycopene)

112
Q

symptoms of colon cancer

A
  • rectal bleeding
  • blood in the stool
  • changes in bowel habits
113
Q

how can colon cancer be found/diagnosed?

A

colonoscopy

114
Q

risk factors for colon cancer

A
  • over 50 years old
  • obesity
  • family history
115
Q

how can colon cancer be prevented?

A
  • exercise
  • diet high in fruits + vegetables
  • eating more fiber
  • avoiding red meat
116
Q

arrhythmias

A
  • irregularities in heart rhythm
  • not all are life threatening
117
Q

how can arrhythmias be triggered?

A

excessive caffeine and nicotine intake

118
Q

tachycardia

A

when the heart beats faster than normal (>100 bpm)

119
Q

bradycardia

A

when the heart beats abnormally slower (<60 bpm)

120
Q

stroke (or CV accident)

A

when blood supply to the brain is interrupted

121
Q

symptoms of strokes

A
  • drooping face on one side
  • weakness or paralysis of one arm (monoparesis or monoplegia)
  • slurred speech
122
Q

aneurysm

A
  • a bulge that hemorrhages
  • can cause a stroke
123
Q

alcohol prevention efforts

A
  • comprehensive health education
  • should include components outside the classroom
  • increase in protective factors
  • prevention programs
124
Q

what portion of the U.S. population do adults represent?

A

1/2

125
Q

what years were baby boomers born in?

A

1946-1964

126
Q

mortality of adults

A
  • mainly from chronic diseases
  • results from unhealthy behaviors + poor lifestyle choices
127
Q

what has led to a decline in the death rate for adults?

A

lifestyle improvements and public health advances

128
Q

define ideal cardiovascular health

A

absence of clinical indicators of CVD and the presence of the following behavioral and health factor metrics:
- not smoking
- recommended physical activity
- a healthy diet pattern
- a healthy weight

129
Q

why have age-adjusted mortality rates for CVD dropped over the past 60 years?

A
  • public health efforts related to smoking cessation
  • increased physical activity
  • nutrition