NEW YORK (Reuters Health) – Not many adolescents with type 1 diabetes mellitus (T1DM) in Australia have confidential visits with their doctors as guidelines recommend, new research suggests.While guidelines emphasize the benefits of seeing young people alone for confidential consultations, parental involvement is known to contribute to better diabetes control in young people with T1DM, and parents may feel conflicted about allowing their children to have more independence in the health setting, the authors write online February 10 in Journal of Adolescent Health.
News and Events
A recent paper Balancing Parental Involvement With Adolescent Friendly Health Care in Teenagers With Diabetes: Are We Getting It Right? was published in the Journal of Adolescent Health.
This paper discusses how the rates of confidential care for adolescents in chronic illness outpatient settings are low. Parents also feel conflicted about confidential care for adolescents in this setting. Understanding how to attend to both parent and adolescent perspectives is an important clinical and research opportunity.
One Quarter of the world’s population are adolescents. Over the last 18 months there have been increasing numbers of academic publications recognizing the importance of adolescent issues, and now there is to be a Lancet Commission in Adolescent Health in partnership with the University of Melbourne, University College London, London School for Hygiene and Tropical Medicine, and Columbia University.
www.thelancet.com Vol 383 February 1, 2014 385
Click here to read the Article
Warmest congratulations to Professor Daniel Le Grange who has just been awarded the Academy of Eating Disorder’s Leadership Award for Research for 2014.
The Academy for Eating Disorders is a global professional association committed to leadership in eating disorders research, education, treatment and prevention. Their Leadership Award for Research honours an individual who has used research to develop new knowledge about eating disorders that has had a measureable impact on the field.
Given the contribution that Prof Le Grange has made to Family Based Treatment for adolescent eating disorders, he is a most worthy recipient, who we are honoured to work with. Thanks to a grant from the Baker Foundation, Professor Le Grange spends part of the year at the Centre for Adolescent Health in a research leadership role (Professorial Fellow) within the RCH Eating Disorder Program (The University of Melbourne). His core academic appointment is at The University of Chicago, where he is Professor of Psychiatry and Behavioral Neuroscience in the Department of Psychiatry, and Director of the Eating Disorders Program at The University of Chicago.
The Centre for Adolescent Health recently farewelled Ms Elham Khoori, a senior midwife from Gorgan, Iran who has a special interest in adolescent reproductive and sexual health.
Accompanied by her husband, a reproductive biologist, and their two sons, Ms Khoori spent 6 months at the Centre for Adolescent Health and at the Murdoch Childrens Research Institute as part of her doctoral training at Tehran University of Medical Sciences, School of Nursing and Midwifery. The topic of her doctoral thesis is ‘Health Concerns of Iranian Adolescents: A Mixed Methods Study”, which is a school based study that focuses on the concerns of Iranian young people, including aspects of their sexual and reproductive health. In addition to her research experiences, Ms Khoori was also able to learn about different Australian models of clinical services for adolescents in both primary care and specialist settings.
Prior to her departure, Ms Khoori presented some of her research findings to the clinical and research groups of the Centre for Adolescent Health, which were met with much interest. She also presented her finding to the Department of General Practice at The University of Melbourne.
We wish her well on her return home
Congratulations to the Director of the Centre for Adolescent Health, Professor Susan Sawyer, who has just published Australia’s first textbook on ‘Youth Health and Adolescent Medicine’, edited with colleagues Dr Melissa Kang, Associate Professor Rachel Skinner, Associate Professor Lena Sanci.
“The editors are excited that this field has come of age in Australia to the extent that a textbook is both needed and can be born of the enormous breadth and depth of expertise that resides among our colleagues”, she said.
The book is in 4 parts:
- Adolescents and young people
- Clinical approaches and youth friendly care
- Common and important health issues in adolescence
- Complex, challenging and ill-defined disorders in adolescence.
Three of the 4 editors are based at the Centre (Professor Sawyer) or trained at the Centre for Adolescent Health (Rachel Skinner and Lena Sanci). Many current and past Centre staff and students contributed chapters, including John Toumbourou, Craig Olsson, Ian Williams, Bill Hallam, Sonia Grover, Michele Yeo, Yvonne Bonomo, Mick Creati, Kathy Rowe, Andrew Court and Andrew Kennedy.
While spanning both population health and clinical perspectives, it will be most relevant for practicing clinicians, including doctors, nurses, psychologists, social workers, allied health professionals and students form a wide range of disciplines.
The book can be ordered from IP communications and costs $80.
Congratulations to Carolyn Coffey on the completion of her PhD.
One of the major health risks for young people to emerge in recent decades relates to illicit drug use with cannabis being the most commonly used in Australia. Yet there has been remarkably little work undertaken into quantifying the health risk associated with cannabis. This thesis is a narrative based on twelve papers published in international peer reviewed journals arising from the Victorian Adolescent Health Cohort Study, which have contributed to our understanding of the natural history of adolescent cannabis use and the adverse consequences that may arise from its use in adolescence and young adulthood. Dr Coffey was intimately involved with this ongoing population-based cohort study which commenced in 1992 with 2000 fourteen-year-olds who were interviewed periodically until they were aged 29 years in 2010. This unique data set allowed her to track the transitions in behaviour through adolescence into adulthood and the longer term impact of cannabis use measured. The overall conclusion must be that cannabis use in adolescence is not harmless and, for some, has quite grave consequences in adulthood. The findings have already done much to shift community attitudes and policy responses.
My PhD thesis examined the effect of peer influence on the development of adolescent alcohol use. Peer influence is one of the most salient and consistent predictors for drinking behaviour among young people. It is important to understand the relative contribution of the processes of peer influence (whereby adolescents transition to alcohol use in the presence of alcohol-using peers) and peer selection (whereby those using alcohol initially in the absence of alcohol-using friends then subsequently seek out drinking peers) so that appropriate prevention strategies can be applied at different stages in adolescence. Using cross-national, prospective data from state-representative samples of students in Grades 5, 7 and 9 in Victoria, Australia and Washington State, USA from the International Youth DevelopmentStudy, I used Latent Transition Analysis to identify a range of transition groups with adolescents moving in and out of their latent peer classes over time and explored predictors associated with these transitions. The findings provide the firmest estimates to date of the prevalence of peer influenced alcohol use transitions and demonstrate age and country variations.
Merel and Nadia, two child psychology students from the Netherlands spent eight weeks doing a student placement within two of our research projects. They were at the Centre for Adolescent Health to write their bachelor’s thesis.
They told us “It was a great experience being here. It was a pleasure to see how the Murdoch Childrens Research Institute and Royal Children’s Hospital research teams operate. All the co-workers are interested in each other’s project. It was a wonderful experience being here and to meet all the nice staff! We learned a lot about what research is and it was great to see how the staff worked together and were very helpful to each other. We loved our internship at the Centre for Adolescent Health and to see the brand new hospital with all the child friendly facilities. It is amazing that everything is just there in one hospital. We had a great time!”
- The PhD thesis examined the effect of peer influence on the development of adolescent alcohol use. Peer influence is one of the most salient and consistent predictors for drinking behaviour among young people.
- It is important to understand the relative contribution of the processes of peer influence (whereby adolescents transition to alcohol use in the presence of alcohol-using peers) and peer selection (whereby those using alcohol initially in the absence of alcohol-using friends then subsequently seek out drinking peers) so that appropriate prevention strategies can be applied at different stages in adolescence.
- Using cross-national, prospective data from state-representative samples of students in Grades 5, 7 and 9 in Victoria, Australia and Washington State, USA from the International Youth Development Study, Latent Transition Analysis was used to identify a range of transition groups with adolescents moving in and out of their latent peer classes over time and explored predictors associated with these transitions.
- The findings provide the firmest estimates to date of the prevalence of peer influenced alcohol use transitions and demonstrate age and country variations.