Adolescent Health and Medicine

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Dr. Kumar Gaurav Gupta
MD (Pediatrics)
Resident


Dr. V N Tripathi
HOD (Pediatrics)
GSVM Medical College Kanpur

Article Submitted by

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gauravgsvm@yahoo.co.in

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via E-mail

Post Date -

 10th, October, 06

Submission Category -

Doctor's Article

Adolescent medicine

Adolescent marks the transition from childhood to adulthood. It is the time of dramatic physical and psychological changes. During the adolescent period the status of individual is vague and there is confusion regarding the role they are expected to play. Adolescence is a time of exploration and experimentation. Adolescents represent a positive force in society, now and for the future. They face dangers more complex than previous generations faced, and often with less support. The development needs of adolescents are a matter for the whole of civil society. Health services play a specific role in preventing health problems and responding to them. Many changes are needed in order for health services to become adolescent friendly.

"Adolescence 
for some a time of play,
for some a time of work,
for most a period of optimism,
but
for some a time of dashed hopes."

Who are adolescents:

The World Health Organization had defined adolescence as the age group of 10-19 years. Approximately 1/5th of the world’s population consists of adolescents and with more than 4/5th in the developing countries. In our country there are an estimated 200 million adolescents, comprising one-fifth of the total population.

Adolescence is a journey from the world of the child to the world of the adult. It is a time of physical and emotional change as the body matures and the mind becomes more questioning and independent. Adolescents are no longer children, but not yet adults, and this period of change is full of paradox. Adolescents can seem old beyond their years, but need adult support. They can put themselves at risk without thinking through the consequences; display optimism and curiosity, quickly followed by dismay and depression. Biologically, they can become mothers and fathers, without being ready for the responsibility. They feel a growing sense of independence, but depend on adults for their material needs.

Types of Adolescents:

Adolescence has been arbitrarily divided into three periods.

1. EARLY ADOLESCENCE

In girls, it extends from 11-13 years and in boys from 12-14 years of age. It starts with the onset of puberty and the adolescent becomes more concerned with developing  body.

2. MIDDLE ADOLESCENCE

In boys, it is observed over 14-17 years of age while in girls from 13.16 years of age. During this phase of development they have major conflicts regarding and explore their ability to attract opposite sex.

3. LATE ADOLESCENCE

In males, it ranges from 17-20 years of age and in females from 16-20 years. By now body image and gender role definition is secured.

 

More on This Article

Why pay attention to the health of adolescents?

Adolescents are generally believed to be healthy because death rates for this age group are lower than for children or for elderly people. However, death rates are an extreme measure of health status and tell only part of the story. There are many interrelated reasons why we need to pay attention to the health of adolescents: for this age group, for later life and for the next generation.

  • To reduce death and disease in adolescents now: An estimated 1.7 million young people aged from 10 to 19 die each year — mainly from accidents, violence, pregnancy related problems or illnesses that are either preventable or treatable. Many more develop chronic illness that damage their chances of personal fulfillment.

  • To reduce the burden of disease in later life: Malnutrition in childhood and in adolescence can cause lifelong health problems, while failure to care for the health needs of young pregnant women can damage their own health and that of their babies. This is the age when sexual habits and decisions about risk and protection are formed. Some of the highest infection rates for sexually transmitted infections are in adolescents. The HIV/AIDS pandemic alone is sufficient reason to look anew at how health services address the needs of adolescents. Many diseases of late middle age, such as lung cancer, bronchitis and heart disease, are strongly associated with a smoking habit that begins in adolescence.

  • To invest in health — today and tomorrow: Today’s adolescents are tomorrow’s parents, teachers and community leaders. What they learn they will teach to their own children. Adolescence is a period of curiosity, when young people are receptive to information about themselves and their bodies, and when they begin to take an active part in decision making.

  • To deliver on human rights: The Convention on the Rights of the Child (CRC) says that young people have a right to life, development, and (Article 24) “the highest attainable standard of health and to facilities for the treatment of illness and rehabilitation of health.

  • To protect human capital: In some societies two out of three adolescents are involved in productive work, while many young women below the age of 20 are already mothers. If they are no longer able to fulfill these roles because of injury, illness or psychological damage, the cost is primarily a human one, but there is also a cost to society.

 

Known Health Problems Of Adolescents

Though adolescents are considered healthier in terms of physical disease, they have many problems different from other age groups and particular to this age group. The problems, which are considered present in adolescents by doctors and health care personal, can be broadly described as follows:

Physical growth and Nutrition:

Adolescence is an intense phase of physical and mental metamorphosis, second only to first two years of life.35% of weight and 11-18% of height of an adult acquired in this period. Adequate supply of nutrition is thus a must for rapid growth and development.

The major work in this field was carried out in 11 developing countries under the coordination of international council for research for women (ICRW). Adolescent anemia was identified as the largest nutritional problem prevalence range from 32% in Cameroon to 55% in India. The estimated prevalence of anemia in adolescents among the thirty-two studies from developing countries was 27%, compared to 6% in developed countries. Stunting was highly prevalent in nine of the (ICRW) studies, ranging from 27%in Guatemala to 65% in Philippines.

Undernutrition was highly prevalent ranging from 55% in India to 36% in Nepal . a study adolescent school girls in India showed 60.3% as undernourished. Anemia being most common (20%) followed by PEM , vit-B complex and vit-A deficiencies.

 

References

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