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Status Of  ADOLESCENTS   Indian Pediatrics Scenario
Teenage: Thirteen To Nineteen <ul><li>The most  crucial stage  of life with  peak intelligence & stamina. </li></ul><ul><l...
Teenage Care Importance By Sheer Number <ul><li>By 2000 AD </li></ul><ul><li>Teenagers is over 1 billion  </li></ul><ul><l...
Family Life Education For Teenagers <ul><li>Teenage nutrition </li></ul><ul><ul><li>For prevention of low birth weight </l...
Low Birth Weight babies Community Risk Factors <ul><li>Socioeconomic status of the family </li></ul><ul><li>Severe anemia ...
Psychosocial Development More realistic  Highly moralistic  Attitudes  Put self limits Risk taking  Behaviour  More select...
Pre-marital Counseling  Before You Have A Baby <ul><li>Ideal age – 20-30 years </li></ul><ul><li>Do not delay the first pr...
Philosophy of   Child Development <ul><li>Reduction of Childhood Disability   </li></ul><ul><li>through  </li></ul><ul><li...
COMPARISON :  MEAN HEIGHT 151.3 19 153.1 146.9 18 157.1 154.6 146.7 151.5 17 155.8 156.5 145.8 151.1 16 155.0 158.5 145.3 ...
COMPARISON :  MEAN WEIGHT   42.9 19 43.1 43.5 18 50.9 42.7 41.7 42.4 17 49.2 43.2 39.9 41.1 16 48.0 41.3 39.6 38.8 15 45.7...
GROWTH STATUS 04.0 0.0 62.0 30.0 19 00.0 0.0 68.2 20.5 18 04.3 0.0 71.0 27.5 17 06.2 1.0 60.8 20.6 16 03.3 1.1 79.2 41.5 1...
DENTAL PROBLEMS 03.5 02.9 Others 14.6 13.5 Malocclusion 05.0 06.2 Bad Breath 20.8 17.3 Caries 11.2 09.4 Gum bleeding 14.2 ...
EYE PROBLEMS 17.3 12.4 Others 02.3 05.3 Long sight 07.7 05.7 Short sight  01.5 01.9 Stye 00.0 00.5 Squint  58.1 53.4 Heada...
EAR PROBLEMS 00.8 00.4 Others 04.2 01.0 Hearing loss 02.3 02.4 Discharge  08.5 02.6 Wax 05.8 06.0 Itching  14.2 15.4 Pain ...
HAIR-FACE PROBLEMS 00.8 00.8 Others  11.5 04.4 Scar 46.2 13.2 Pimples 66.9 45.5 Falling hair 48.8 27.8 Dandruff  36.5 52.9...
SKIN NAIL PROBLEMS 05.4 03.3 Others 14.6 06.1 Sore foot 12.3 04.0 Nail Infection 16.5 06.1 Itching 06.1 00.9 Hirsuitism 25...
MENSTRUAL PROBLEMS 03.1 04.0 Others 21.9 28.3 Discharge 63.5 43.9 Pain 14.2 13.1 Profuse  08.1 09.1 Scanty 14.6 19.5  Irre...
PROBLEMS AT HOME 03.1 00.9 Others 27.7 21.9 Economic 05.4 01.7 Substance abuse 16.5 17.3 Alcoholism 06.5 04.9 Broken home ...
PROBLEMS AT   SCHOOL/COLLEGE/WORK-PLACE   06.2 03.8 Harassment 10.4 06.1 Isolation 05.4 06.7 Partiality 13.4 19.0 Failure ...
CONFIDING IN SOMEONE 03.5 01.1 Others  02.3 00.8 Uncle/Aunt  00.0 00.3 Teacher  45.8 43.9 Friend 14.6 11.3 Sister  28.8 33...
PERSONALITY CHARACTERISTICS 53.8 63.5 Conflict resolving strategy 50.0 70.1 Abundance Mentality 67.3 81.5 Wish well for ot...
EYE PROBLEMS  ON TESTING 09.6 06.3 Others  75.4 15.0 85.1 08.5 Left Eye  6/6 6/9 08.1 05.8 Others 76.9 01.5 84.3 09.9 Righ...
ACTIVITIES FOR PHYSICAL FITNES 04.4 01.8 Nothing  01.1 01.3 Others  01.1 00.0 Yoga  00.0 01.0 Dance Lesson 08.9 04.3 Home ...
FACE CARE   00.0 00.8 Nothing  00.0 01.0 Others 00.0 00.3 Bleaching  36.7 29.5 Fairness Cream 03.3 01.5 Cold Creams 34.4 3...
HAIR CARE  01.1 00.3 Others  01.1 00.3 Anti-Dandruff Treat 01.1 02.5 Anti-Lice Treatment 34.4 43.5 Shampoo 38.0 39.3 Herba...
SKIN CARE   04.4 00.8 Others  00.0 00.3 Shaving  06.7 05.0 Turmeric  05.6 06.8 Oil Bath  96.7 98.3 Daily bath  16-19 Yrs -...
EYE CARE   00.0 00.3 Nothing  00.0 00.3 Others 00.0 00.5 Eye Shadow 13.3 07.5 Muscara 56.7 71.3 Eye Liner 00.0 02.5 Compan...
CARE FOR EYEBROWS 03.3 02.3 Others  03.3 00.5 Shaving  00.0 00.3 Tweezing 01.1 00.5 Plucking  02.2 00.0 Threading  22.2 29...
TEETH CARE  02.2 00.0 Others 81.1 77.0 Brush  83.3 78.8 Tooth Paste 11.1 10.8 Tooth Powder 05.6 04.3 Salt  02.2 01.5 Neem ...
DYSMENORRHOEA 01.1 00.8 Others  22.2 09.1 Pain radiating  to thighs 38.9 22.9 Back Pain 45.6 22.9 Lower Abdominal Pain 21....
TOLD ABOUT MENSES BEFORE MENARCHE 00.0 00.8 Others 20.0 14.3 Friend 04.4 02.0 Aunt  00.0 00.8 Teacher  06.7 05.5 Sister 14...
GENERALIZED DISCOMFORT DURING MENSUS 05.6 03.5 Others 42.2 16.8 Acne 23.3 12.0 Muscle Cramps 23.3 09.8 Tiredness  05.6 03....
CARE AND HYGIENE DURING MENSES 03.3 00.5 Use of lotion 02.2 01.8 Shaving Genital hair 12.2 04.3 Trimming genital hair 12.2...
ANY VAGINAL DISCHARGE IN THE PREVIOUS MONTH 07.8 17.3 NIL 01.1 01.5 Others  07.8 05.8 Vulval itching/burning 00.0 00.3 Bro...
DISCRIPTION OF SELF 06.7 01.3 Others 08.9 11.5 Feel unwanted  05.6 06.3 Can’t get along with parents 48.9 45.8 Just okay 1...
DESCRIPTION OF FATHER  04.4 03.0 Not applicable 04.4 03.0 Others 13.3 07.5 Obstinate  11.1 09.8 Dominating  17.8 20.8 Shor...
WHEN WOULD YOU JUSTIFY-   TRYING SUICIDE 02.2 11.8 Others  11.1 19.0 Extreme Financial Loss  18.9 20.5 Failed Love Affair ...
DREAMS FOR TOMORROW 01.1 02.3 Nothing  01.1 04.0 Others  04.4 06.3 Social Status  03.3 02.8 Sports/Drama/Films 15.6 08.0 L...
MALNUTRITION  AMONG RURAL INDIAN BOYS   **Ht.for age<90% *Wt.for age <75% 16.7 83.3 18-19 29.4 76.4 17-18 59.5 92.9 16-17 ...
STARVATION & ADOLESCENT   GROWTH–RURAL INDIAN BOYS <ul><li>Stunted and underweight boys were lighter by 4 Kg and shorter b...
WAYS FRIENDS COULD INFLUENCE   You To Do Things Against Wish? 01.1 00.3 Others  00.0 00.8 For  peer gr.acceptance 34.4 35....
DESCRIPTION OF MOTHER 00.0 01.3 Others  10.0 04.3 Obstinate  04.4 02.5 Dominating  31.1 13.5 Short tempered 34.0 21.5 Worr...
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Status Of Adolescents In Indian Pediatrics Scenario

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Transcript of "Status Of Adolescents In Indian Pediatrics Scenario"

  1. 1. Status Of ADOLESCENTS Indian Pediatrics Scenario
  2. 2. Teenage: Thirteen To Nineteen <ul><li>The most crucial stage of life with peak intelligence & stamina. </li></ul><ul><li>Time for: </li></ul><ul><ul><ul><li>achievement </li></ul></ul></ul><ul><ul><ul><li>deciding professions </li></ul></ul></ul><ul><ul><ul><li>Developing personality </li></ul></ul></ul><ul><ul><ul><li>Emotional instability </li></ul></ul></ul><ul><li>Wishing only good for others, but often end up doing bad, due to </li></ul><ul><ul><ul><li>lack of self-control . </li></ul></ul></ul><ul><ul><ul><li>Lots of societal, parental and peer pressure </li></ul></ul></ul>
  3. 3. Teenage Care Importance By Sheer Number <ul><li>By 2000 AD </li></ul><ul><li>Teenagers is over 1 billion </li></ul><ul><li>World over -1 out of every 5 person </li></ul><ul><li>Developing -1 out of every 4 person </li></ul><ul><li>Developed -1 out of every 7 person </li></ul>
  4. 4. Family Life Education For Teenagers <ul><li>Teenage nutrition </li></ul><ul><ul><li>For prevention of low birth weight </li></ul></ul><ul><li>Personal hygiene </li></ul><ul><ul><li>For better reproductive health </li></ul></ul><ul><li>Teenage counseling </li></ul><ul><ul><li>For achieving better adjustment in life </li></ul></ul><ul><li>Sexually Transmitted Diseases. </li></ul><ul><ul><li>HIV/AIDS & Substance abuse awareness </li></ul></ul><ul><ul><li>for responsible sexual behavior </li></ul></ul>
  5. 5. Low Birth Weight babies Community Risk Factors <ul><li>Socioeconomic status of the family </li></ul><ul><li>Severe anemia in pregnancy </li></ul><ul><li>Non Pregnant weight of mother </li></ul><ul><li>Non Pregnant height of mother </li></ul>
  6. 6. Psychosocial Development More realistic Highly moralistic Attitudes Put self limits Risk taking Behaviour More selective All important Friends / Peers Acceptance Concern Puberty Changes Reacceptance Rebellious With parents Young Adult Teenage
  7. 7. Pre-marital Counseling Before You Have A Baby <ul><li>Ideal age – 20-30 years </li></ul><ul><li>Do not delay the first pregnancy </li></ul><ul><li>Medical & Gynecological check-up </li></ul><ul><li>Rule out sexually transmitted diseases </li></ul><ul><li>Avoid drugs during second half of menstrual cycle </li></ul>
  8. 8. Philosophy of Child Development <ul><li>Reduction of Childhood Disability </li></ul><ul><li>through </li></ul><ul><li>Reduction of Low Birth Weight Babies through </li></ul><ul><li>Reduction of Teenage Girls’ Under nutrition </li></ul>
  9. 9. COMPARISON : MEAN HEIGHT 151.3 19 153.1 146.9 18 157.1 154.6 146.7 151.5 17 155.8 156.5 145.8 151.1 16 155.0 158.5 145.3 149.6 15 153.6 149.1 142.8 147.5 14 151.4 150.1 140.7 143.9 13 Aff.Indian CDC BIHAR ICMR Age
  10. 10. COMPARISON : MEAN WEIGHT 42.9 19 43.1 43.5 18 50.9 42.7 41.7 42.4 17 49.2 43.2 39.9 41.1 16 48.0 41.3 39.6 38.8 15 45.7 37.8 38.1 36.8 14 42.6 35.6 33.8 33.3 13 Aff.Indian CDC Bihar ICMR Age
  11. 11. GROWTH STATUS 04.0 0.0 62.0 30.0 19 00.0 0.0 68.2 20.5 18 04.3 0.0 71.0 27.5 17 06.2 1.0 60.8 20.6 16 03.3 1.1 79.2 41.5 15 06.0 0.2 86.8 56.7 14 19.1 8.8 91.2 76.7 13 <145cm (%) < 140cm (%) <45 Kg (%) <40Kg (%) Age Yrs.
  12. 12. DENTAL PROBLEMS 03.5 02.9 Others 14.6 13.5 Malocclusion 05.0 06.2 Bad Breath 20.8 17.3 Caries 11.2 09.4 Gum bleeding 14.2 11.7 Pain 45.8 40.6 YES 16-19 Yrs - % 13-15 Yrs - % Problem
  13. 13. EYE PROBLEMS 17.3 12.4 Others 02.3 05.3 Long sight 07.7 05.7 Short sight 01.5 01.9 Stye 00.0 00.5 Squint 58.1 53.4 Headache 65.8 62.5 YES 16-19 Yrs - % 13-15 Yrs - % Problems
  14. 14. EAR PROBLEMS 00.8 00.4 Others 04.2 01.0 Hearing loss 02.3 02.4 Discharge 08.5 02.6 Wax 05.8 06.0 Itching 14.2 15.4 Pain 25.4 25.3 YES 16-19 Yrs - % 13-15 Yrs - % Problems
  15. 15. HAIR-FACE PROBLEMS 00.8 00.8 Others 11.5 04.4 Scar 46.2 13.2 Pimples 66.9 45.5 Falling hair 48.8 27.8 Dandruff 36.5 52.9 Lice 88.5 78.6 YES 16-19 Yrs - % 13-15 Yrs - % Problems
  16. 16. SKIN NAIL PROBLEMS 05.4 03.3 Others 14.6 06.1 Sore foot 12.3 04.0 Nail Infection 16.5 06.1 Itching 06.1 00.9 Hirsuitism 25.0 21.7 White patch 55.0 32.0 YES 16-19 Yrs -% 13-15 Yrs - % Problems
  17. 17. MENSTRUAL PROBLEMS 03.1 04.0 Others 21.9 28.3 Discharge 63.5 43.9 Pain 14.2 13.1 Profuse 08.1 09.1 Scanty 14.6 19.5 Irregular 76.5 67.1 YES 16-19 Yrs-% 13-15 Yrs-% Problems
  18. 18. PROBLEMS AT HOME 03.1 00.9 Others 27.7 21.9 Economic 05.4 01.7 Substance abuse 16.5 17.3 Alcoholism 06.5 04.9 Broken home 22.7 15.9 Unhappy 48.8 42.1 YES 16-19 Yrs - % 13-15 Yrs - % Problems
  19. 19. PROBLEMS AT SCHOOL/COLLEGE/WORK-PLACE 06.2 03.8 Harassment 10.4 06.1 Isolation 05.4 06.7 Partiality 13.4 19.0 Failure 43.1 32.5 YES 16-19 Yrs -% 13-15 Yrs - % Problems
  20. 20. CONFIDING IN SOMEONE 03.5 01.1 Others 02.3 00.8 Uncle/Aunt 00.0 00.3 Teacher 45.8 43.9 Friend 14.6 11.3 Sister 28.8 33.7 Mother 83.1 83.3 YES 16-19 Yrs -% 13-15 Yrs -% Problems
  21. 21. PERSONALITY CHARACTERISTICS 53.8 63.5 Conflict resolving strategy 50.0 70.1 Abundance Mentality 67.3 81.5 Wish well for others 58.5 75.9 Giving Type 16-19 Yrs-% 13-15 Yrs-% Personality
  22. 22. EYE PROBLEMS ON TESTING 09.6 06.3 Others 75.4 15.0 85.1 08.5 Left Eye 6/6 6/9 08.1 05.8 Others 76.9 01.5 84.3 09.9 Right Eye 6/6 6/9 16-19 Yrs - % 13-15 Yrs - % Distant vision
  23. 23. ACTIVITIES FOR PHYSICAL FITNES 04.4 01.8 Nothing 01.1 01.3 Others 01.1 00.0 Yoga 00.0 01.0 Dance Lesson 08.9 04.3 Home Exercise 02.2 07.5 Sports/Games 88.9 89.8 Home activities 16-19 Yrs -% 13-15 Yrs - % Activities
  24. 24. FACE CARE 00.0 00.8 Nothing 00.0 01.0 Others 00.0 00.3 Bleaching 36.7 29.5 Fairness Cream 03.3 01.5 Cold Creams 34.4 37.5 Turmeric 96.7 95.8 Powder 16-19 Yrs - % 13-15 Yrs - % Type of care
  25. 25. HAIR CARE 01.1 00.3 Others 01.1 00.3 Anti-Dandruff Treat 01.1 02.5 Anti-Lice Treatment 34.4 43.5 Shampoo 38.0 39.3 Herbal Shampoo 64.4 65.8 Soap 97.8 96.5 Oil 16-19 Yrs -% 13-15 Yrs -% Type of care
  26. 26. SKIN CARE 04.4 00.8 Others 00.0 00.3 Shaving 06.7 05.0 Turmeric 05.6 06.8 Oil Bath 96.7 98.3 Daily bath 16-19 Yrs -% 13-15 Yrs - % Type of Care
  27. 27. EYE CARE 00.0 00.3 Nothing 00.0 00.3 Others 00.0 00.5 Eye Shadow 13.3 07.5 Muscara 56.7 71.3 Eye Liner 00.0 02.5 Company Kajal 38.9 25.3 Home made Kajal 16-19 Yrs-% 13-15 Yrs-% Type of Care
  28. 28. CARE FOR EYEBROWS 03.3 02.3 Others 03.3 00.5 Shaving 00.0 00.3 Tweezing 01.1 00.5 Plucking 02.2 00.0 Threading 22.2 29.0 Kajal 72.2 71.0 None 16-19 Yrs-% 13-15 Yrs-% Type of Care
  29. 29. TEETH CARE 02.2 00.0 Others 81.1 77.0 Brush 83.3 78.8 Tooth Paste 11.1 10.8 Tooth Powder 05.6 04.3 Salt 02.2 01.5 Neem Twigs 38.9 47.0 Umikkari 16-19 Yrs - % 13-15 Yrs - % Type of Care
  30. 30. DYSMENORRHOEA 01.1 00.8 Others 22.2 09.1 Pain radiating to thighs 38.9 22.9 Back Pain 45.6 22.9 Lower Abdominal Pain 21.1 08.2 Nausea or vomiting 38.9 26.3 Abdominal discomfort 17.8 37.2 None 16-19 Yrs-% 13-15 Yrs-% Type
  31. 31. TOLD ABOUT MENSES BEFORE MENARCHE 00.0 00.8 Others 20.0 14.3 Friend 04.4 02.0 Aunt 00.0 00.8 Teacher 06.7 05.5 Sister 14.4 17.5 Mother 57.8 57.0 None 16-19 Yrs-% 13-15 Yrs-% Person
  32. 32. GENERALIZED DISCOMFORT DURING MENSUS 05.6 03.5 Others 42.2 16.8 Acne 23.3 12.0 Muscle Cramps 23.3 09.8 Tiredness 05.6 03.3 Breast engorgement 10.0 03.5 Breast pain 38.9 49.0 None 16-19 Yrs % 13-15 Yrs % Type
  33. 33. CARE AND HYGIENE DURING MENSES 03.3 00.5 Use of lotion 02.2 01.8 Shaving Genital hair 12.2 04.3 Trimming genital hair 12.2 07.8 Sanitary napkin 96.7 78.8 Cloth/Cotton 90.0 78.5 Daily Bath 16-19 Yrs % 13-15 Yrs % Type of Care
  34. 34. ANY VAGINAL DISCHARGE IN THE PREVIOUS MONTH 07.8 17.3 NIL 01.1 01.5 Others 07.8 05.8 Vulval itching/burning 00.0 00.3 Brownish blood stained 07.8 04.0 Yellow stained cloth 01.1 00.5 Greenish watery 15.6 10.3 Thick curdy white 68.9 62.2 Normal pearly white 16-19 Yrs-% 13-15 Yrs-% Type
  35. 35. DISCRIPTION OF SELF 06.7 01.3 Others 08.9 11.5 Feel unwanted 05.6 06.3 Can’t get along with parents 48.9 45.8 Just okay 18.9 20.3 Comfortable 13.3 10.0 Lot of self respect 28.9 27.8 Confident 16-19 Yrs % 13-15 Yrs %
  36. 36. DESCRIPTION OF FATHER 04.4 03.0 Not applicable 04.4 03.0 Others 13.3 07.5 Obstinate 11.1 09.8 Dominating 17.8 20.8 Short tempered 10.0 16.8 Worried/Tensed 31.1 38.0 Soft/Accommodative 38.9 54.5 Caring/Protective 16-19 Yrs % 13-15 Yrs %
  37. 37. WHEN WOULD YOU JUSTIFY- TRYING SUICIDE 02.2 11.8 Others 11.1 19.0 Extreme Financial Loss 18.9 20.5 Failed Love Affair 18.9 13.0 To defeat parents 06.7 13.0 To prove innocence 46.7 39.3 Unwed pregnancy/Rape 22.2 13.5 Under no circumstances 16-19 Yrs-% 13-15 Yrs-%
  38. 38. DREAMS FOR TOMORROW 01.1 02.3 Nothing 01.1 04.0 Others 04.4 06.3 Social Status 03.3 02.8 Sports/Drama/Films 15.6 08.0 Lovable Children 45.6 32.0 Dependable Husband 50.0 76.5 Job/Financial security 38.9 82.0 Home/Sweet Home 16-19 Yrs-% 13-15 Yrs-%
  39. 39. MALNUTRITION AMONG RURAL INDIAN BOYS **Ht.for age<90% *Wt.for age <75% 16.7 83.3 18-19 29.4 76.4 17-18 59.5 92.9 16-17 60.7 86.7 15-16 60.3 89.7 14-15 55.4 89.6 13-14 Stunted** % Under Wt.* % Age in years
  40. 40. STARVATION & ADOLESCENT GROWTH–RURAL INDIAN BOYS <ul><li>Stunted and underweight boys were lighter by 4 Kg and shorter by 8 cm.at 10 years of age and 12 Kg and 10 cm.by adulthood </li></ul><ul><li>Normal and malnourished children from the same rural community show wide differences in their adolescent growth performance. </li></ul><ul><li>Nutritional deprivation thus seems to effect almost all growth parameters and adult size. </li></ul>
  41. 41. WAYS FRIENDS COULD INFLUENCE You To Do Things Against Wish? 01.1 00.3 Others 00.0 00.8 For peer gr.acceptance 34.4 35.8 Dislike hurting friend 06.7 04.5 Black Mail 03.3 08.5 Cheating 05.6 19.8 Narrating Stories 41.1 41.0 NO WAY 16-19 Yrs-% 13-15 Yrs-% `
  42. 42. DESCRIPTION OF MOTHER 00.0 01.3 Others 10.0 04.3 Obstinate 04.4 02.5 Dominating 31.1 13.5 Short tempered 34.0 21.5 Worried/Tensed 31.1 36.0 Soft/Accommodative 53.3 68.0 Caring/Protective 16-19 Yrs % 13-15 Yrs %
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