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George Patton: HBSC Beyond Europe and North America
George Patton: HBSC Beyond Europe and North America
George Patton: HBSC Beyond Europe and North America
George Patton: HBSC Beyond Europe and North America
George Patton: HBSC Beyond Europe and North America
George Patton: HBSC Beyond Europe and North America
George Patton: HBSC Beyond Europe and North America
George Patton: HBSC Beyond Europe and North America
George Patton: HBSC Beyond Europe and North America
George Patton: HBSC Beyond Europe and North America
George Patton: HBSC Beyond Europe and North America
George Patton: HBSC Beyond Europe and North America
George Patton: HBSC Beyond Europe and North America
George Patton: HBSC Beyond Europe and North America
George Patton: HBSC Beyond Europe and North America
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George Patton: HBSC Beyond Europe and North America

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  • 1. Emerging Global Perspectives on the Health and Development of Adolescents George Patton Professor of Adolescent Health Research, University of Melbourne HBSC: Beyond Europe and North America
  • 2. Young people on the global agenda
  • 3. Public health opportunities 1 Changing understandings • adolescent development • adolescent health 2 Changing agendas
  • 4. Evo-devo of adolescence: High income countries 10 years 20 years Industrial revolution Agricultural settlement Mid 20th Century Age at menarche Hunter gatherers Adapted from Gluckman Present Day Age at parenthood Adolescence
  • 5. Evo-devo of adolescence: Low & middle income countries 10 years 20 years Industrial revolution Agricultural settlement Mid 20th Century Age at menarche Hunter gatherers Adapted from Gluckman Present Day Age at parenthood Adolescence
  • 6. Nine in ten adolescents live in LMIC * Source: Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, World Population Prospects Missing data <21% ≥21% to <24% ≥24% to <27% ≥27% to <30% ≥30% to <33% ≥33%
  • 7. The Lancet Framework
  • 8. How do 2.6 million young people die each year? Male deaths aged 10-24 52% 21% 27% Female deaths aged 10-24 15% 30% 22% 33% Injuries NCDs Infectious Maternal More than sexual and reproductive health Patton et al Lancet 2009
  • 9. Traffic Injury Deaths (100,000/year) in males 20-24 years: selected countries (high income yellow) Deaths/100,000/yr
  • 10. Overweight in females13-15 yrs % % Global health changes: NCD agenda & adolescents
  • 11. Changing agendas
  • 12. A triple burden in many LMICs –Diseases of poverty –Injury –Risk states for NCDs
  • 13. Youth health data weak –7/25 Lancet indicators have >50% coverage* Particularly Neglected –mental health, substance use –social context –health care delivery and prevention –younger adolescents – socially marginalised adolescents
  • 14. Easier Wins (relatively) • Agreement on core indicators • Harmonisation across surveys • Country level reports Worthwhile challenges Better integration into global data systems • Indicator development work • Extending/complementing current systems Where to from here?

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