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Adolescent Health Facts and Figures. Leading Causes of Death Among California’s Youth, 1998. Source: California Department of Health Services, Vital Statistics, 1998. Unintentional Injury. Trends in Motor Vehicle Death Rates Among Youth 15-19, California and U.S.

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Adolescent Health Facts and Figures

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California Adolescent Health Collaborative

Adolescent Health Facts and Figures


California Adolescent Health Collaborative

Leading Causes of Death Among California’s Youth, 1998

Source: California Department of Health Services, Vital Statistics, 1998


California Adolescent Health Collaborative

Unintentional Injury


California Adolescent Health Collaborative

Trends in Motor Vehicle Death Rates Among Youth 15-19, California and U.S.

Source: National Highway Traffic Safety Administration, Fatal Analysis Reporting System, 1989-1998


California Adolescent Health Collaborative

California Unintentional Injury Deaths Among 15-19 year olds, 1998

Source: California Department of Health Services, Vital Statistics, 1998


California Adolescent Health Collaborative

California Motor Vehicle Deaths, by Age & Gender, 1998

Source: National Highway Traffic Safety Administration, Fatal Analysis Reporting System, 1998


California Adolescent Health Collaborative

Regular Seat Belt Use among High School Students

Source: Youth Risk Behavior Survey, 1999. California data unweighted.


California Adolescent Health Collaborative

Intentional Injury


California Adolescent Health Collaborative

California Homicide Deaths among Youth15-19, 1998

Source: California Department of Health Services: Center for Health Statistics, Vital Statistics


California Adolescent Health Collaborative

California Homicide Deaths, by Age and Gender, 1998

Source: National Center for Injury Prevention and Control, California Vital Statistics, 1998


California Adolescent Health Collaborative

Mental Health and Suicide


California Adolescent Health Collaborative

Mental Health

  • Approximately 20% of youth ages 9-17 have some “diagnosable disorder.”

  • 9-13% are afflicted with a “serious emotional disturbance, with substantial functional impairment.”

  • Serious mental health problems in 5-7% of youth 0-17 years old living in California, a range of 460,000 to 644,000 children and youth.


California Adolescent Health Collaborative

California’s Suicide Rates by Age and Gender, 1998

Source: Department of Health Services, Death Records, Department of Finance, 1998


California Adolescent Health Collaborative

Suicide Ideation & Attempts During the Past 12 Months among California High School Students

Source: Youth Risk Behavior Survey, 1999


California Adolescent Health Collaborative

Pregnancy and Sexually Transmitted Infections


California Adolescent Health Collaborative

Chlamydia and Gonorrhea among Adolescents (15-19) by Gender

Source: California Department of Health Services, STD Control Branch, 1985-1999


California Adolescent Health Collaborative

Trends in California 15-19 Birth Rates by Race/Ethnicity

Source: California Department of Health Services, Vital Statistics, 1990-1998


California Adolescent Health Collaborative

Substance Use


California Adolescent Health Collaborative

Alcohol Use by California Students in Grades 7, 9 & 11, 1999-2000

* Binge drinking defined as drinking five drinks in a row in a two-hour period within the past two weeks.

Source: Eighth Biennial California Student Substance Use Survey, 1999-2000


California Adolescent Health Collaborative

Trends in Smoking Prevalence Among California Youth by Race

Source: California Tobacco Survey 1990, 1992-1993; California Youth Tobacco Survey 1994-1999


California Adolescent Health Collaborative

Illicit Drug Use among California Students in Grades 7 & 11

Source: Eighth Biennial California Student Substance Use Survey, 1999-2000


California Adolescent Health Collaborative

Nutrition and Physical Activity


California Adolescent Health Collaborative

Percentage of California Students 12-17 Taking Physical Education in School, 1998

Source: California Teen Eating, Exercise and Nutrition Survey, 1998


California Adolescent Health Collaborative

Adherence to Recommendations of the California Daily Food Guide by students 12-17, 1998

According to the Daily Food Guide, serving amounts should be: fruits and vegetable (boys, 7 servings; girls, 5 servings); 4 servings of whole grains; 3 servings of fat free or 1% milk; 1 serving of beans.

Source: California Teen Eating, Exercise and Nutrition Survey, 1998


California Adolescent Health Collaborative

Populations with Special Needs


California Adolescent Health Collaborative

Chronic Illness and Disability

Data from the 1994 national health interview survey indicate that approximately 8% of children ages 6 to 18 experience some degree of limitation in their activities due to chronic conditions, and 0.2% experience severe limitations.


California Adolescent Health Collaborative

Homelessness

  • In California, an estimated 20,000 to 25,000 youth are homeless and living on the streets.

  • More than 60% of the youth residing in shelters and transitional living facilities have been abused by their parents, and 20% have experienced violence from other family members.


California Adolescent Health Collaborative

Incarceration

  • In 1998, there were more than 14,000 incarcerated youth in California.

  • More than 50% of all youth entering detention facilities have health-related problems.

  • Greater risk for health problems and health compromising behaviors, including pregnancy, substance abuse, psychotic behavior, depression, suicide attempts, physical/sexual abuse, and trauma.


California Adolescent Health Collaborative

In 1997, only two states and the District of Columbia had higher juvenile incarceration rates than California.

Average U.S. rate, 368

Source: Children Now, “State of Our Children 2000”


California Adolescent Health Collaborative

Foster Care

  • The number of California youth in foster care has almost doubled from approximately 59,000 in 1988 to 108,000 in 1997.

  • This growth is related to the increase of youth in poverty, the increase of youth in single-parent households, and the number of parents abusing drugs and alcohol.

  • Approximately half of all foster youth suffer from chronic conditions.

  • 60-80% are estimated to have moderate to severe mental health problems.


California Adolescent Health Collaborative

Rate of youth in foster care

Source: Children Now, “State of Our Children 2000”


California Adolescent Health Collaborative

Health Services for Teens


California Adolescent Health Collaborative

Health Insurance Coverage

  • 21% of children and youth in California are uninsured compared to 15% nationally.

  • Uninsured youth are 3.5 times as likely as insured youth to go without needed health care, including medical or surgical care, dental care, prescription drugs, eyeglasses, and mental health care.

  • 1 in 4 uninsured youth has no usual health care provider—compared to one out of 25 insured youth who do not have a designated provider.


California Adolescent Health Collaborative

Health Coverage of California’s Children and Youth

Uninsured 21%

Privately-purchased insurance 4%

Employer-based insurance 54%

Medi-Cal 20%

Source: The State of Health Insurance in California, 1999


California Adolescent Health Collaborative

Uninsured California Children and YouthWhere are the gaps?

Source: The State of Health Insurance in California, 1999


California Adolescent Health Collaborative

Health care for California teens is inadequate.

  • Only 47 physicians were board certified in adolescent medicine (as of 8/99).

  • CHDP covers only 2 check-ups for teens 13-20 compared to 8 recommended by national guidelines.

  • 18% of eligible youth 15-20 nationwide receive EPSDT preventive medical screening (compared to 76% eligible infants.)


California Adolescent Health Collaborative

Youth have the lowest rates of health service utilization of any age group.

  • Only 72% of teens see a doctor at least once a year

  • The average length of an adolescent health visit is 15 minutes.

  • 2/3 of youth need mental health treatment but do not receive it.


California Adolescent Health Collaborative

Need for Dental Care Among California Students in 10th Grade

Source: Dental Health Foundation, 1997


California Adolescent Health Collaborative

Protective Factors


California Adolescent Health Collaborative

Proportion of youth who have supportive relationships and opportunities in the home

Source: California Health Kids Survey, Fall 1999


California Adolescent Health Collaborative

Proportion of youth who have supportive relationships and opportunities in school

Source: California Health Kids Survey, Fall 1999


California Adolescent Health Collaborative

Proportion of youth who have supportive relationships and opportunities in the community

Source: California Health Kids Survey, Fall 1999


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