Adolescent Health Concerns, Problems, and Patterns of Utilization in a Triethnic Urban Population

PEDIATRICS ◽  
1977 ◽  
Vol 60 (2) ◽  
pp. 157-164 ◽  
Author(s):  
Guy S. Parcel ◽  
Philip R. Nader ◽  
Michael P. Meyer

All aspects of health (concerns, perceived adequacy of knowledge, problems, sources of care, and utilization of health care resources) were significantly influenced by the ethnic background, grade level, or sex of the 3,255 high school students surveyed in an urban triethnic community of 65,000. Variation in needs was not consistent for any one ethnic group, sex, or age group. The highest ranked concerns and problems were school, drugs, sex, getting along with parents and adults, acne, depression, and overweight. Ninety-one percent reported they often or sometimes worry about their health. Sources of medical care were family physician (56.8%) and hospital emergency room (15.9%). Reported visits in the past year were none (27.5%); one (24.1%); two to three (32.2%); and four or more (14.7%). In analyzing responses according to sex, grade, and ethnic background, several implications are apparent: (1) many of the concerns and problems identified require educational as well as health care services; (2) the diverse perceived health needs of an entire high school population indicate that the traditional one-semester general health course for all is grossly inadequate; and (3) students' concerns and problems are not limited to the areas of drugs, venereal disease, and unwanted pregnancy. The study is presented as a model for the needs assessment phase of planning and delivering adolescent health care and health education services for a community.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1942.2-1943
Author(s):  
G. Pimentel ◽  
A. Marques ◽  
R. Ferreira ◽  
E. Mateus ◽  
A. Pais

Background:International studies have shown that the awareness and knowledge of the general population about rheumatic and musculoskeletal diseases (RMDs) is poor. This is even lower in the young population, which are also affected by these disease but do not have as much awareness campaigns as adult community. Their professors and primary health care professionals may also play here also a key role, promoting early detection of signs and interpretations of symptoms, thus avoiding late health care referrals and diagnosis. (Vlieland, 2016).Objectives:To assess the knowledge of high school Portuguese students about the RMDs and raise awareness for RMDs in young people, their professors, vigilants, and primary care nurses, within the school environment.Methods:A 1-hour educational session about RMDs was planned (with the inputs from members of the Portuguese EULAR Associations) and performed during school activities. The educational session started with a knowledge questionnaire about RMDs in a paper sheet (9 questions; Graph 1), repeated in the end. An interactive session, using slides, interactive questions (Sli.do®), and practical demonstrations to simulate RMD symptoms (e.g. stiffness and functional limitations) was then lead by a rheumatology nurse, with the testimony from a young patient representative. A primary care nurse assisted in order to be engaged and promote future sessions (“autonomously”). Change in knowledge was assessed with Wilcoxon-test and awareness was documented with “word clouds” (using Sli.do®).Results:A total of 75 students participated in four sessions (mode=16 years). Half of students (52%) had never heard about RMDs. Knowledge increased significantly in all questions (p<0.001; Graph 1). Figures 1 and 2 document the most common words representing what defines a RMD and what are the main symptoms, respectively.Conclusion:Our results confirm that awareness and knowledge about RMDs are very low high school students. The single and educational session was very well received by all students, and the the knowledge increased. Post-educational feedback was that students especially liked the testimony of a peer. Other sessions are taking place in primary schools.References:[1]Vlieland, T. P., et al. RMD Open, 2016;2:e000337. doi:10.1136/rmdopen- 2016-000337Acknowledgments:To European League Against Rheumatism for the founding provided through the campaign “Don’t Delay, Connect Today”.Disclosure of Interests:None declared


2019 ◽  
pp. 105984051986736
Author(s):  
Chelsea J. Aeschbach ◽  
William B. Burrough ◽  
Amy B. Olejniczak ◽  
Erica R. Koepsel

Many factors impact an adolescent’s willingness to appropriately use health-care services and intent to begin the health-care transition process. Published literature continues to show that the way adolescents experience and utilize health-care services is ineffective and has long-term impacts on individuals and systems. Building upon the success of an existing peer-to-peer workshop, a Toolkit was created to provide school-based health professionals the information and resources needed to deliver pertinent information to high school students in one lesson. Of 416 students, over two thirds reported that they plan to be more involved in their health care (69.8%), advocate for themselves in health-care settings (68.0%), talk openly and honestly with health-care providers (71.9%), and learn more about managing their own health care (68.6%). Integrating this information into existing health curricula provided a broader reach with minimal work and promising results that could improve overall health-care transition efforts.


1999 ◽  
Vol 84 (2) ◽  
pp. 407-408
Author(s):  
Frances C. Lawrence ◽  
E. Barry Moser ◽  
Sherry T. Broussard ◽  
Michael W. Collier

86 high school students considering entering a health care profession indicated that they would not likely choose to work in a nursing home even though they found them in general to be more pleasant than expected.


2020 ◽  
Vol 10 (2) ◽  
pp. 117-126
Author(s):  
Iram Barida Maisya ◽  
Siti Masitoh

Abstract Background: Indonesia ranks third as the highest number of phornographic users. Pornography has many negative effects for adolescents such as the number of adolescents who engage in deviant behavior, the increasing number of adolescents who are sexually active, will also increase cases of unwanted pregnancy, abortion and brain damage. Objective: To determine the degree of pornographic exposure among junior and high school students in Jakarta and Banten Method: This research was conducted in DKI Jakarta and Banten on 1340 junior and senior high school students with cross sectional design. This study used an early detection instrument of pornographic content developed by the Education and Culture Policy Research Center Team, Ministry of Education and Culture in 2017 that has been validated. Result: The majority of adolescents (94.5%) have been exposed to pornographic content in grade 1 category, 3,7% in grade 2, and 0,1% in grade 3. Adolescents who were exposed in grade 1 were more likely to be girls (96.7%), but more boys were exposed to grade 2 (6.7%) and grade 3 (0.2%). More students from junior high school were exposed in grade 1 (95.1%), but more students from senior high school were exposed in grade 2 (4%), and grade 3 (0.1%). Conclusion: Most students have been exposed to pornographic content and intervention was needed according to the degree of exposure. Key words: early detection, pornography adiction, pornography Abstrak Latar belakang: Indonesia menduduki peringkat ketiga sebagai negara dengan jumlah pengakses pornografi terbanyak. Pornografi memberikan banyak dampak negatif bagi remaja seperti banyaknya remaja yang melakukan perilaku menyimpang, meningkatnya jumlah remaja yang berperilaku seksual aktif, juga akan meningkatkan kasus kehamilan tidak diinginkan (KTD), tindakan aborsi, dan kerusakan otak. Tujuan: Mengetahui gambaran derajat keterpaparan konten pornografi pada siswa SMP/MTs dan SMA/MA di DKI Jakarta dan Banten. Metode: Penelitian ini dilakukan di DKI Jakarta dan Banten pada 1340 siswa SMP/MTs dan SMA/MA dengan desain cross-sectional. Penelitian ini menggunakan instrumen deteksi dini konten pornografi yang dikembangkan oleh Tim Pusat Penelitian Kebijakan Pendidikan dan Kebudayaan, Kementerian Pendidikan dan Kebudayaan pada tahun 2017 yang sudah diuji validitas dan reliabilitasnya. Hasil: Sebagian besar siswa sudah terpapar pornografi derajat 1 (94,5%), ada 3,7 persen siswa yang terpapar derajat 2, dan 0,1 persen yang terpapar derajat 3. Remaja yang terpapar derajat 1 lebih banyak pada perempuan (96,7%), tetapi laki-laki justru lebih banyak yang terpapar pornografi derajat 2 (6,7%) dan derajat 3 (0,2%). Siswa SMP/MTs lebih banyak yang terpapar pornografi derajat 1 (96,1%), dan siswa SMA/MA lebih banyak yang terpapar derajat 2 (4%), dan derajat 3 (0,1%). Kesimpulan: Sebagian besar siswa sudah terpapar materi pornografi dan diperlukan intervensi sesuai dengan derajat keterpaparannya.   Kata kunci: deteksi dini, adiksi pornografi, pornografi


Author(s):  
Yuni Dewi Safrida ◽  
Gerry Silaban ◽  
Ns. Selamat Ginting

Source of information obtained teenagers about reproduction health is pushed the behavior of the teenagers to know more about sexual problem. In line with the era of globalization, information and technology, there is a big change in the sexual behavior of teenagers. Unwanted pregnancy, unsafe abortions and an increase in cases of sexually transmitted infections, which is a problem in teenagers reproduction health in Indonesia. The results of research in the program of Muda Berkarya conducted by Yayasan Kita (2005), teenagers of Sabang and some other town in the province of Aceh are likely to be further involved in unsafe sexual behavior. The purpose of this survey study with cross sectional study design is to examine the relationship of reproduction health resources (role of media, role of parents, role of peers) on the sexual behavior of high school students in Sabang. The population of this study are 607 high school students and 113 of them were selected through univariate  proporsional hypothesis test to be the samples for this study and bivariate (Chi square test) with significance level α <0,05 and level of confidence of 95%. The results using Chi square test shows  that significant variables related to sexual behavior are: the role of the media (p = 0.018) role of parents (p = 0.043) and the role of peers (p = 0.014). All of these variables have been associated with sexual behavior. It is suggested that the Department of Health to improve the implementation of outreach programs Teenagers Reproduction Health. With the counseling of students to better understand and care for reproduction health. The Department of Education to improve reproductive health education curriculum, so that students are better able to keep the negative sexual behavior and pornography so that negative interactions can be avoided.


PRiMER ◽  
2019 ◽  
Vol 3 ◽  
Author(s):  
Hope H. Bauer ◽  
Carter B. Anderson ◽  
Kelly Hirko ◽  
Andrea Wendling

Introduction: Despite rural origin being a strong predictor of rural practice for health care professionals, rural students face educational barriers and are underrepresented in medical schools. The aim of this study was to identify rural high school students’ perceived barriers to college and health-related careers and compare whether perceptions were similar based on gender, socioeconomic status (SES), and parental education. Methods: We performed a cross-sectional survey of all high school students from one rural Michigan community. The survey included 13 multiple-choice and 5 short-answer questions. We compared results using χ2 analysis and logistic regression. Free-text answers were grouped thematically and analyzed for patterns. Results: Survey response rate was 97.1% (506/521); 45.3% (229/506) of students were contemplating health care careers. Rural females were more likely to plan on college (females 83.9%, males 75.6%, P=0.03) and to contemplate a health care career (females 64.1%, males 25.2%, P&lt;0.01). Students of lower SES and those who would be first-generation college students were less likely to plan on college (SES: low 76.8%, high 84.7%, P=.04; parental college: yes 84.4%, no 72.0%, P&lt;0.01), although they were equally likely as other students to consider a health care career. Gender and parental education were significant independent predictors of plans for college; female gender was the only significant predictor for health care interest. The most frequently reported barrier to post-high school education was financial, and for health care training, it was academic success. Conclusions: Rural students are interested in health-related careers. Addressing perceived academic and financial barriers for students from high-need rural communities may inform targeted interventions to increase the rural health care workforce.


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