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Adolescent health

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Adolescent health

Adolescent health, or youth health, is the range of approaches to preventing, detecting or treating young people's health and well-being.

The term adolescent and young people are often used interchangeably, as are the terms Adolescent Health and Youth Health. Young people's health is often complex and requires a comprehensive, biopsychosocial approach.

Because adolescence represents a life stage of increasing psychosocial independence, but one of limited legal and social rights (for those who have not reached the legal age of adulthood where they reside), adolescent health exists at the intersection of many forces often outside of the control of individual young people. Some young people might have a history of adverse childhood experiences (ACEs), or may be actively living in or experiencing the situations described as ACEs. The Adverse Childhood Experiences Study suggests that ACEs are common, and are predictive of adverse physical health outcomes (ischemic heart disease, cancer, chronic lung disease) in adults.

Social, cultural and environmental factors are all important areas of focus in adolescent health. Young people have specific health problems and developmental needs that differ from those of children or adults: The causes of ill-health in adolescents are mostly psychosocial rather than biological. Young people often engage in health risk behaviours that reflect the processes of adolescent development: experimentation and exploration, including using drugs and alcohol, sexual behaviour, and other risk taking that affect their physical and mental health. Adolescent health also encompasses children's and young people's sexual and reproductive health (SRH).

The World Health Organization describes the leading health-related problems in the age group 10 – 19 years to include:


Young people often lack awareness of the risks of harm associated with certain behaviours, or may overestimate the risks of some behaviours while underestimating the risks of others. They may be in the process of developing protective skills and behaviors, or may lack knowledge about how and where to seek help for their health concerns. By intervening at this early life stage, many chronic conditions later in life can be prevented.

In addition to intervention on young people's knowledge around the risks of health-related behaviors, it is crucial to acknowledge that adolescents under the legal age of majority are often occupying an idiosyncratic legal, economic, and social state, where their rights to access confidential medical services, or to consent to preventative medical care is highly dependent on the laws and practices of where they reside. For example, in the US,  the legal rights of minors to consent to screening and treatment for sexually transmitted infections (STIs) varies on a state by state level, and the right to confidential access to these services varies as well. In a majority of US states, a minor may legally consent to testing and treatment starting at age 12 or 14, but 18 US states allow a physician to inform a minor's parents that their child has requested or has received STI screening or treatment if the physician deems it in the patient's best interests. At the same time, adolescents as an age group do not have the same economic power as adults, and may be unable to pay for or transport themselves to medical screening or treatment, whether for physical or behavioral health issues. An emphasis on individual risk behaviors may obfuscate the role of institutional barriers to performing protective health behaviors.

Evidence-based practices include harm reduction and health promotion to intervene early in the life course and illness trajectory. Adoption of unhealthy behaviors are evident particularly during life stages involving transition such as the commencement of university where physical inactivity, sedentary activity and poor dietary habits prevail. Youth health is founded on collaborative approaches that address social justice. Youth development approaches include youth empowerment and youth participation. Their aim is to promote youth rights, youth voice and youth engagement.

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