Lecture 35. Youth Flashcards
what is considered youth and adolescent population?
youth- 10-24 yo
adolescents- 10-19 yo
NZ stats
- highest proportion of 10-24 yo
- highest aldolescent mortality rate compared to other OECD countries
Current situation
-1/6 th of the world’s population- adolescents
highest ever young population historically
-most ~ 86 % live in LMIC
triple dividend
- Benefits for adolescents now
- Benefits for their future adult lives
- Benefits for their children
What is the leading cause of DALYS among 10-24 yo?
Mental health & substance use has been the highest ranked from 1990-2016
DALYs causes trends in 10-24 yo
- communicable diseases going down apart from HIV
- injuries are going up
What is the leading cause of death in 10-24 yo?
Injuries:
- Transport injuries
- Self-harm and violence
Death causes trend
- injuries going up
- communicable diseases going down apart from HIV
What is the leading cause of DALYs in NZ?
Mental health and substance use
What is the leading cause of death in NZ?
self harm and violence( injury)
transport injuries
estimated 5 causes of adolescent DALYs across countries:
high income: mental health, road traffic injuries, 1 nutritional cause
African LMIC: predominantly communicable diseases, HIV/AIDS + nutritional
South-East Asia: mental health, nutritional, road injury
The top 5 causes vary!
youth2000
NZ national youth health surveys
2001, 2007, 2012, 2019
cross-sectional study: a random sample of secondary students
anonymous, self-reported, online
questions in English and Maori
Across all surveys:
92% prevalence of good to excellent health
each student had an equal chance of being invited to complete the survey if they were at school
-represents students in 2ndary school
who are not represented in the Youth2000 survey?
- students not at school on the day
- students who do not go to school regularly
- students who do not go to school at all
- they are the ones most likely to have more health issues!
- could miss the proportion of students who have greater health needs
These youth, compared with survey participants, are likely to be:
- at higher risk of
• adverse health outcomes
• unmet health needs
• socio-economical disadvantage
- fewer positive connections with
supportive networks (e.g., school)
poverty trends based on Youth2000 survey:
-the proportion of students whose parents worry often about not having enough money to buy food is increasing
- big % of students whose parents worry about not having money to pay the bills
- increasing socio-economic hardships
Substance use trends based on Youth2000 survey
-smoking, marijuana use, and alcohol use are decreasing amongst school children
Vaping has emerged as a new issue
• 12% reported vaping monthly
• 8% vaping weekly (more common among higher-income communities)
the issue with prevalence of substance use in more deprived children
-even though the trends emerge in high income first( eg vaping)
children from low-income families have fewer resources to quit-> prolonged use
Experiences in difficulties accessing healthcare from Youth2000:
- Māori, Pasifika and Asian students
- Students from more deprived neighborhoods
- Students living with a disability or chronic health conditions
- Students who were worried about drinking or had tried to cut down
(concerned about drinking)
inverse care law
The availability of good medical
[or social] care tends to vary
inversely with the need for it in
the population served.
due to the political interests to serve the majority needs
Emotional wellbeing trends from Youth2000
- overall most students show good emotional wellbeing
- declines in wellbeing, especially among females
Symptoms of depression Youth2000
• Most students do not have significant symptoms of depression
• Sharp increases in proportions of students with depressive
symptoms since 2012
-clinically significant symptoms
Symptoms of depression using inequity lens
- Significant ethnic disparity for Maori
- Gap is widening particularly for females
Symptoms of depression: rainbow youth
- Decline in wellbeing for Rainbow Young People
- High and increasing symptoms of depression since 2012
who shows the worse wellbeing?
Rainbow young people with disability/ chronic health conditions:
• High symptoms of depression
• Low wellbeing
trend with depressive symptoms, factors
having 2 or more minorities, marginalised ethnicities, or identities increases the risk of depressive symptoms