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<ul><li>Contributing to the Health and Success of Youth…  </li></ul><ul><li>Through Tools and Training to Positively Chang...
Health Disparities <ul><li>Contributing Factors: </li></ul><ul><li>Poverty  </li></ul><ul><li>Environmental threats  </li>...
CDC Reported Leading Causes of Death Among Persons Aged 10-24 Years in the U.S., 2005
<ul><li>Unintentional injuries and violence </li></ul><ul><li>Tobacco use </li></ul><ul><li>Alcohol and other drug use </l...
Snapshot of RAAPS Adolescent Risk Data
<ul><li>RAAPS was born at the  University of Michigan  out of research and practical need </li></ul><ul><li>RAAPS was buil...
<ul><li>(**Actual questions can be viewed at: www.raaps.org) </li></ul><ul><li>Total Surveys Completed by Youth  </li></ul...
RAAPS Q1. In the past 12 months, have you tried to lose weight by (described)…..? Average cost per patient can extend >$10...
RAAPS Q2. Do you eat some fruits and vegetables everyday?  Direct & Indirect Costs U.S. $33.4 Billion
RAAPS Q6. During the past month, have you been threatened, teased, or hurt by someone (bullying behaviors described)….?  B...
RAAPS Q7. Has anyone ever abused you (physical, emotional, sexual described)…?  Medical Costs U.S. $5.4 Billion
RAAPS Q8. Have you ever carried a weapon (described) to protect yourself? Medical Costs U.S. $3 Billion
RAAPS Q9. In the past 3 months, have you smoked cigarettes or any other form of tobacco (described)…?  Direct Medicaid Cos...
RAAPS Q11. In the past 3 months, have you drunk any alcohol (described)….? Medical Costs U.S. $18 Billion
RAAPS Q12. In the past 12 months, have you smoked marijuana, used other street drugs, (described….)?  Direct & Indirect Co...
RAAPS Q14. Have you ever had any kind of sex (described)?
RAAPS Q17. Do you have questions about (sexual health topics described)….?  Associated Costs U.S. STI: $14.7 Billion, HIV:...
RAAPS Q18. During the past month, did you often feel very sad (described)….?  Direct & Indirect Costs U.S. $26.1 Billion
RAAPS Q20. In the past 12 months, have you (self harm/suicide behaviors described)….?  Self Inflicted Injuries U.S. $1 Bil...
RAAPS Q21. Do you have at least one adult in your life that you can talk to….?
<ul><li>Higher risk behaviors in  all  categories (21 RAAPS questions) than privately insured adolescents </li></ul><ul><l...
<ul><li>Implications for Medicaid adolescent population health </li></ul><ul><li>Where do we go from here? </li></ul>Discu...
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Adolescent Risk Behavior Disparities

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Preliminary review of RAAPS risk assessment data shows disparities in risk behaviors between privately insured teens and those with state funded insurance or no insurance

Published in: Health & Medicine
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Adolescent Risk Behavior Disparities

  1. 1. <ul><li>Contributing to the Health and Success of Youth… </li></ul><ul><li>Through Tools and Training to Positively Change Lives </li></ul>
  2. 2. Health Disparities <ul><li>Contributing Factors: </li></ul><ul><li>Poverty </li></ul><ul><li>Environmental threats </li></ul><ul><li>Access to health care </li></ul><ul><li>Individual and behavioral risk factors </li></ul><ul><li>Educational inequalities </li></ul>
  3. 3. CDC Reported Leading Causes of Death Among Persons Aged 10-24 Years in the U.S., 2005
  4. 4. <ul><li>Unintentional injuries and violence </li></ul><ul><li>Tobacco use </li></ul><ul><li>Alcohol and other drug use </li></ul><ul><li>Sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases, including HIV infection </li></ul><ul><li>Poor dietary behaviors </li></ul><ul><li>Physical inactivity </li></ul>CDC Identified Six Categories of Adolescent Behavior that Contribute to Leading Causes of Morbidity, Mortality, Academic and Social Problems
  5. 5. Snapshot of RAAPS Adolescent Risk Data
  6. 6. <ul><li>RAAPS was born at the University of Michigan out of research and practical need </li></ul><ul><li>RAAPS was built by software professionals and uses a structured, secured database meeting regulatory compliance requirements </li></ul><ul><li>All questions have been scientifically validated </li></ul><ul><li>Youth were involved in the development of the assessment </li></ul>
  7. 7. <ul><li>(**Actual questions can be viewed at: www.raaps.org) </li></ul><ul><li>Total Surveys Completed by Youth </li></ul><ul><li>11-20 years: 6425: </li></ul><ul><li>Privately Insured: 2178 (34%) </li></ul><ul><li>State Funded Insurance (Medicaid): 3218 (50%) </li></ul><ul><li>No Insurance: 735 (11%) </li></ul><ul><li>Other: 294 (5%) </li></ul>Snapshot of RAAPS Data: 2010-2011
  8. 8. RAAPS Q1. In the past 12 months, have you tried to lose weight by (described)…..? Average cost per patient can extend >$100,000
  9. 9. RAAPS Q2. Do you eat some fruits and vegetables everyday? Direct & Indirect Costs U.S. $33.4 Billion
  10. 10. RAAPS Q6. During the past month, have you been threatened, teased, or hurt by someone (bullying behaviors described)….? Bullying is associated with poor physical health 3 years after experienced
  11. 11. RAAPS Q7. Has anyone ever abused you (physical, emotional, sexual described)…? Medical Costs U.S. $5.4 Billion
  12. 12. RAAPS Q8. Have you ever carried a weapon (described) to protect yourself? Medical Costs U.S. $3 Billion
  13. 13. RAAPS Q9. In the past 3 months, have you smoked cigarettes or any other form of tobacco (described)…? Direct Medicaid Costs U.S. $30.9 Billion
  14. 14. RAAPS Q11. In the past 3 months, have you drunk any alcohol (described)….? Medical Costs U.S. $18 Billion
  15. 15. RAAPS Q12. In the past 12 months, have you smoked marijuana, used other street drugs, (described….)? Direct & Indirect Costs U.S. $86.1 Billion
  16. 16. RAAPS Q14. Have you ever had any kind of sex (described)?
  17. 17. RAAPS Q17. Do you have questions about (sexual health topics described)….? Associated Costs U.S. STI: $14.7 Billion, HIV: $3 Billion
  18. 18. RAAPS Q18. During the past month, did you often feel very sad (described)….? Direct & Indirect Costs U.S. $26.1 Billion
  19. 19. RAAPS Q20. In the past 12 months, have you (self harm/suicide behaviors described)….? Self Inflicted Injuries U.S. $1 Billion
  20. 20. RAAPS Q21. Do you have at least one adult in your life that you can talk to….?
  21. 21. <ul><li>Higher risk behaviors in all categories (21 RAAPS questions) than privately insured adolescents </li></ul><ul><li>40% + higher in: </li></ul><ul><ul><li>Unsafe diet practices </li></ul></ul><ul><ul><li>Not eating fruits and vegetables </li></ul></ul><ul><ul><li>Reports of being bullied </li></ul></ul><ul><ul><li>Carrying weapons for protection </li></ul></ul><ul><ul><li>Using cigarettes, marijuana or other illegal drugs, and use of prescription/non-prescription drugs to get high </li></ul></ul><ul><ul><li>Questions about sexual behaviors </li></ul></ul><ul><ul><li>Depressive feelings </li></ul></ul>Adolescents with Medicaid
  22. 22. <ul><li>Implications for Medicaid adolescent population health </li></ul><ul><li>Where do we go from here? </li></ul>Discussion

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