Emerging Global Perspectives on the
Health and Development of Adolescents
George Patton
Professor of Adolescent Health
Res...
Young people on the global agenda
Public health opportunities
1 Changing understandings
• adolescent development
• adolescent health
2 Changing agendas
Evo-devo of adolescence:
High income countries
10 years
20 years
Industrial
revolution
Agricultural
settlement
Mid 20th
Ce...
Evo-devo of adolescence:
Low & middle income countries
10 years
20 years
Industrial
revolution
Agricultural
settlement
Mid...
Nine in ten adolescents live in LMIC
* Source: Population Division of the Department of Economic and Social Affairs of the...
The Lancet
Framework
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%...
Traffic Injury Deaths (100,000/year) in males
20-24 years: selected countries (high income yellow)
Deaths/100,000/yr
Overweight in females13-15 yrs
%
%
Global health changes: NCD agenda & adolescents
Changing
agendas
A triple burden in many LMICs
–Diseases of poverty
–Injury
–Risk states for NCDs
Youth health data weak
–7/25 Lancet indicators have >50% coverage*
Particularly Neglected
–mental health, substance use
–s...
Easier Wins (relatively)
• Agreement on core indicators
• Harmonisation across surveys
• Country level reports
Worthwhile ...
George Patton: HBSC Beyond Europe and North America
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George Patton: HBSC Beyond Europe and North America

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George Patton: HBSC Beyond Europe and North America

  1. 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. 2. Young people on the global agenda
  3. 3. Public health opportunities 1 Changing understandings • adolescent development • adolescent health 2 Changing agendas
  4. 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. 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. 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. 7. The Lancet Framework
  8. 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. 9. Traffic Injury Deaths (100,000/year) in males 20-24 years: selected countries (high income yellow) Deaths/100,000/yr
  10. 10. Overweight in females13-15 yrs % % Global health changes: NCD agenda & adolescents
  11. 11. Changing agendas
  12. 12. A triple burden in many LMICs –Diseases of poverty –Injury –Risk states for NCDs
  13. 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. 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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