{"id":3166,"date":"2019-03-13T15:00:56","date_gmt":"2019-03-13T05:00:56","guid":{"rendered":"https:\/\/blogs.rch.org.au\/cah\/?p=3166"},"modified":"2023-08-31T11:46:58","modified_gmt":"2023-08-31T01:46:58","slug":"headline_indicators","status":"publish","type":"post","link":"https:\/\/blogs.rch.org.au\/cah\/2019\/03\/13\/headline_indicators\/","title":{"rendered":"Headline indicators for adolescent health"},"content":{"rendered":"<h2>Global health efforts need to catch up with young people<\/h2>\n<p>Adolescent health globally has worsened over the last 25 years as the positive gains from health efforts have been outpaced by rapid population growth in low-income countries facing the world\u2019s worst health challenges.<\/p>\n<p>There are now 1.8 billion adolescents in the world, up 20 per cent since 1990. But of these, 430 million or 24 per cent, now suffer from iron deficiency (anaemia), an increase of 74 million. And in a health crisis that is uniquely serious across all countries, some 324 million young people are overweight or obese, a number that\u2019s doubled in just 25 years.<\/p>\n<figure id=\"attachment_3173\" aria-describedby=\"caption-attachment-3173\" style=\"width: 450px\" class=\"wp-caption aligncenter\"><a style=\"font-weight: bold;background-color: #ffffff\" href=\"https:\/\/youtu.be\/FWXFRe__mlE\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3173\" src=\"https:\/\/blogs.rch.org.au\/cah\/files\/2019\/03\/PA-600x339.png\" alt=\"\" width=\"450\" height=\"254\" srcset=\"https:\/\/blogs.rch.org.au\/cah\/files\/2019\/03\/PA-600x339.png 600w, https:\/\/blogs.rch.org.au\/cah\/files\/2019\/03\/PA-400x226.png 400w, https:\/\/blogs.rch.org.au\/cah\/files\/2019\/03\/PA.png 681w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/a><figcaption id=\"caption-attachment-3173\" class=\"wp-caption-text\">We need to correct the low level of global resourcing that goes to adolescent health, says Dr Peter Azzopardi. Video: Angus Morgan\/Burnet Institute<\/figcaption><\/figure>\n<p>But while the first ever comprehensive attempt to measure the health and wellbeing of adolescents makes sobering reading, it has given the world a unique roadmap to improving adolescent health.<\/p>\n<p>\u201cFor some countries we have made tremendously good progress in adolescent health, but as a global community we simply haven\u2019t kept pace with the need,\u201d says Dr Peter Azzopardi, who has led the global effort to finally put numbers against global adolescent health indicators.<\/p>\n<p>The results are now published in\u00a0<em><a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(18)32427-9\/fulltext\">The Lancet<\/a>\u00a0<\/em>medical journal.<\/p>\n<p>\u201cFor very good reasons, global health programming and policy has focused on child and maternal health to address high child and maternal mortality. But when it comes to adolescents we have just assumed that they\u2019re relatively healthy. As a result we either haven\u2019t collected the data, or when we have, we haven\u2019t systematically reported on it. But the time really is now for focusing on adolescent health\u201d.<\/p>\n<p>\u201cInvestments in adolescent health can bring a triple dividend \u2013 healthier adolescents now, healthier adults, and a healthier next generation,\u201d says Dr Azzopardi, health researcher at the Burnet Institute, Murdoch Children\u2019s Research Institute and the University of Melbourne.<\/p>\n<p>One of the key insights from the data is that global health efforts need to be better prioritised and targeted.<\/p>\n<figure class=\"full-width anim-reveal\">\n<figure style=\"width: 449px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"\" src=\"https:\/\/res-4.cloudinary.com\/the-university-of-melbourne\/image\/upload\/s--2DXcyHRO--\/c_limit,f_auto,q_75,w_892\/v1\/pursuit-uploads\/df6\/3cf\/627\/df63cf627b6c497be3b472ee4d5b519adf1d75452b88ece505c88ecc9f1d.jpg\" alt=\"\" width=\"449\" height=\"253\" \/><figcaption class=\"wp-caption-text\">Health programs have tended to focus on child and maternal health. Picture: Maria Teneva\/Unsplash<\/figcaption><\/figure>\n<p>The report shows that in wealthier countries the emphasis needs to be on addressing adolescent health risks like substance use, binge drinking and obesity, but in low income countries a key priority still needs to be on improving the social determinants of health like education, access to contraception and tackling high rates of child marriages and teen pregnancies.<\/figure>\n<p>\u201cThis is really important to understand because it is the wealthier countries that have largely set the adolescent health agenda and their focus has been on health risks.<\/p>\n<p>\u201cBut the data is telling us that we need to broaden our lens and improve the social determinants of health in these other countries, as well as respond to the disease burden and injury.\u201d<\/p>\n<p>Back in 2016\u00a0<a href=\"https:\/\/www.thelancet.com\/commissions\/adolescent-health-and-wellbeing\"><em>The Lancet<\/em>\u00a0Commission<\/a>\u00a0set out 12 indicators of global adolescent health (for 10 to 24 year-olds) covering health outcomes, risks and social determinants. They were:<\/p>\n<ul>\n<li>Health Outcomes: Communicable diseases, non-communicable diseases, injuries<\/li>\n<li>Health Risks: Anaemia, tobacco smoking, alcohol binge drinking and overweight and obesity<\/li>\n<li>Determinants: Child marriage, adolescent pregnancies, access to contraception, secondary school completion, and access to employment, education or training<\/li>\n<\/ul>\n<p>This latest report has now put the numbers on those indicators.<\/p>\n<figure class=\"full-width anim-reveal\">\n<p><figure style=\"width: 450px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"\" src=\"https:\/\/res-1.cloudinary.com\/the-university-of-melbourne\/image\/upload\/s--dvaitnHg--\/c_limit,f_auto,q_75,w_892\/v1\/pursuit-uploads\/746\/98f\/8df\/74698f8df34ce6d34c1fcdc6cfb07ca92191242c3b100c69a6c8597a70af.jpg\" alt=\"\" width=\"450\" height=\"300\" \/><figcaption class=\"wp-caption-text\">The data on adolescents presents a map of where and how to take action, with the health focus varying across countries. Picture: Getty Images<\/figcaption><\/figure><figcaption><\/figcaption>A key challenge for the researchers was finding data that was comparable across countries and filling in the gaps in information. To deal with this\u00a0<em>The Lancet <\/em>researchers used modelled data to harmonise available information and fill in the gaps, creating a consistent global picture for the first time.<\/figure>\n<p>The results allowed the researchers to group countries into three groups &#8211; each with a distinct adolescent health profile.<\/p>\n<p>The first group (typically including high and middle-income countries like the US, China and Australia) were countries where the adolescent health burden is predominantly comprised of non-communicable diseases.<\/p>\n<p>The second group of countries were those where, in addition to non-communicable diseases, adolescents faced high rates of injury and included countries like Russia, Brazil and Kazakhstan.<\/p>\n<p>Finally there are the countries where in addition to these health issues, adolescents faced high rates of communicable, maternal and nutritional disease. These countries are mainly sub-Saharan Africa, India, Pakistan and parts of South East Asia and the Pacific.<\/p>\n<p>\u201cThis is a useful way to break up the world because it can better guide the sorts of health programs needed in each country group,\u201d says Dr Azzopardi.<\/p>\n<figure class=\"full-width anim-reveal\">\n<p><figure style=\"width: 450px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"\" src=\"https:\/\/res-1.cloudinary.com\/the-university-of-melbourne\/image\/upload\/s--NmopsAGq--\/c_limit,f_auto,q_75,w_892\/v1\/pursuit-uploads\/08b\/5b4\/612\/08b5b4612f13c7944ec9ad90f2be5e4513518c7acbc8688dbcbd641c9b61.jpg\" alt=\"\" width=\"450\" height=\"289\" \/><figcaption class=\"wp-caption-text\">Obesity among adolescents remains a world wide health challenge. Picture: Shutterstock<\/figcaption><\/figure><figcaption><\/figcaption><\/figure>\n<p>In measuring health outcomes the researchers used disability-adjusted life years per 100,000 people (DALYs), which is an estimate of healthy life years lost to a condition.<\/p>\n<p>For example, among US adolescents only 500 DALYs per 100,000 are lost to communicable, maternal and nutritional diseases, but the non-communicable disease burden is about 9,500 per 100,000.<\/p>\n<p>In India, lost DALYs to communicable diseases is much larger at around 5,000 DALYs per 100,000, while the loss from non-communicable diseases remains high at around 8,000 DALYs per 100,000.<\/p>\n<p>The health risks of both countries are also very different. Rates of anaemia among adolescents are much larger in India at 54 per cent among females and 37 per cent among males, compared with just seven per cent and 2.3 per cent respectively in the US. But in the US about 44 per cent of adolescents are overweight or obese compared with just 10.5 per cent in India.<\/p>\n<p>Similarly, in the US the proportion of 15 to 19-year-olds binge drinking at least once in the last 12 months is 33 per cent among males and 13 per cent among females, compared with India where rates of binge drinking are just three per cent and one per cent respectively.<\/p>\n<p>\u201cBy taking a broad look at adolescent health and wellbeing, including the outcomes and the factors driving them, we can guide health intervention in a truly integrated way,\u201d says Dr Azzopardi.<\/p>\n<figure class=\"full-width anim-reveal\">\n<p><figure style=\"width: 450px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"\" src=\"https:\/\/res-5.cloudinary.com\/the-university-of-melbourne\/image\/upload\/s--1t2n8EIB--\/c_limit,f_auto,q_75,w_892\/v1\/pursuit-uploads\/5e4\/86f\/ca6\/5e486fca61c31dc1f6dfb1a41e2eb6a69031063b04b8fe35dcd719482403.jpg\" alt=\"\" width=\"450\" height=\"300\" \/><figcaption class=\"wp-caption-text\">Health systems and agencies need to better engage with adolescents. Picture: Getty Images<\/figcaption><\/figure><figcaption><\/figcaption><\/figure>\n<p>Dr Azzopardi hopes the indicators will be a platform for improving data collection and analysis across the world to better inform health policies, both internationally and in-country.<\/p>\n<p>But he says improved data will depend on better engaging with adolescents, including exploring new ways of collecting data through digital platforms.<\/p>\n<p>\u201cOur usual way of collecting data from health systems and household level surveys isn\u2019t going to cut it with adolescents. We need make better use of technology and digital platforms, because that\u2019s where young people are.\u201d<\/p>\n<p>\u201cAnd we need to remember that if we want a prosperous and secure world we need to ensure the health of our adolescents because it is healthy adolescents that drive socio-economic development.<\/p>\n<p>\u201cIf we don\u2019t invest in young people we are setting ourselves up for instability and insecurity.\u201d<\/p>\n<hr \/>\n<p>This article was first published on\u00a0<a href=\"https:\/\/pursuit.unimelb.edu.au\/\">Pursuit<\/a>. Read the\u00a0<a href=\"https:\/\/pursuit.unimelb.edu.au\/articles\/global-health-efforts-need-to-catch-up-with-young-people\">original article<\/a> by Andrew Trounson.<\/p>\n<p>&nbsp;<\/p>\n<h2>Media<\/h2>\n<p><a href=\"https:\/\/www.bbc.co.uk\/sounds\/play\/p073c1rx\">Are today\u2019s teenagers a lost generation?<\/a> | BBC Radio<\/p>\n<p class=\"c-story-header__headline\"><a href=\"https:\/\/www.radionz.co.nz\/international\/programmes\/datelinepacific\/audio\/2018686383\/large-unmet-needs-for-pacific-adolescents-study-finds\">Large unmet needs for Pacific adolescents, study finds<\/a> | Radio New Zealand<\/p>\n<p><a href=\"https:\/\/indianexpress.com\/article\/cities\/pune\/one-in-five-adolescents-in-the-world-overweight-in-2016-lancet-report-5623673\/\">One in five adolescents in the world overweight in 2016: Lancet report<\/a> | <em>The Indian <\/em>Express<\/p>\n<p class=\"Article-headline Headline Headline--article\"><a href=\"https:\/\/www.thetimes.co.uk\/article\/teenage-irish-girls-are-among-world-s-biggest-binge-drinkers-02bkm5tsk\">Irish teenage girls are among world\u2019s biggest binge drinkers<\/a> | The Times<\/p>\n<p><a href=\"https:\/\/medicine.utoronto.ca\/news\/university-toronto-medical-student-helps-document-decline-global-adolescent-health\">University of Toronto Medical Student Helps Document Decline in Global Adolescent Health<\/a> | University of Toronto, Faculty of Medicine<\/p>\n<p><a href=\"https:\/\/www.mailman.columbia.edu\/public-health-now\/news\/health-inequality-threatens-more-adolescents-worldwide-ever\">Health Inequality Threatens More Adolescents Worldwide Than Ever Before<\/a> | Columbia, Mailman school of Public Health<\/p>\n<p><a href=\"http:\/\/www.dpa-international.com\/topic\/study-world-adolescents-face-growing-inequalities-dire-190313-99-353704\">Study: World&#8217;s adolescents face growing inequalities, dire health<\/a>\u00a0| Deutsche Presse Agentur<\/p>\n<hr \/>\n<h3>Additional projects utiising indicators to monitor and quantify adolescent health needs<\/h3>\n<ul>\n<li class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/adolescentsourfuture.com\/the-global-collective-for-indigenous-adolescent-health-evidence-based-action\/\">Global Collective for Indigenous Adolescent Health and Evidence-Based Action<\/a><\/li>\n<li><a href=\"https:\/\/adolescentsourfuture.com\/resources\/adolescent-research-briefs\/\">Adolescent research briefs<\/a><\/li>\n<li><a href=\"https:\/\/adolescentsourfuture.com\/cre-in-global-adolescent-health\/\">Centre of Research Excellence for Driving Global Investment in Adolescent Health<\/a><\/li>\n<li class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/adolescentsourfuture.com\/2024-lancet-commission\/\">A Second Lancet Commission on Adolescent Health and Wellbeing\u200b<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Adolescents around the world have been overlooked by the global health agenda, but for the first time we now have the data to make a difference.<\/p>\n","protected":false},"author":156,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5270],"tags":[],"class_list":["post-3166","post","type-post","status-publish","format-standard","hentry","category-research"],"acf":[],"_links":{"self":[{"href":"https:\/\/blogs.rch.org.au\/cah\/wp-json\/wp\/v2\/posts\/3166","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.rch.org.au\/cah\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.rch.org.au\/cah\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/cah\/wp-json\/wp\/v2\/users\/156"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/cah\/wp-json\/wp\/v2\/comments?post=3166"}],"version-history":[{"count":7,"href":"https:\/\/blogs.rch.org.au\/cah\/wp-json\/wp\/v2\/posts\/3166\/revisions"}],"predecessor-version":[{"id":3169,"href":"https:\/\/blogs.rch.org.au\/cah\/wp-json\/wp\/v2\/posts\/3166\/revisions\/3169"}],"wp:attachment":[{"href":"https:\/\/blogs.rch.org.au\/cah\/wp-json\/wp\/v2\/media?parent=3166"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/cah\/wp-json\/wp\/v2\/categories?post=3166"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/cah\/wp-json\/wp\/v2\/tags?post=3166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}