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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 l.jpg

California Adolescent Health Collaborative

Adolescent Health Facts and Figures


Leading causes of death among california s youth 1998 l.jpg

California Adolescent Health Collaborative

Leading Causes of Death Among California’s Youth, 1998

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



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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


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California Adolescent Health Collaborative

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

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


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California Adolescent Health Collaborative

California Motor Vehicle Deaths, by Age & Gender, 1998

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


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California Adolescent Health Collaborative

Regular Seat Belt Use among High School Students

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



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California Adolescent Health Collaborative

California Homicide Deaths among Youth15-19, 1998

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


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California Adolescent Health Collaborative

California Homicide Deaths, by Age and Gender, 1998

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



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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.


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California Adolescent Health Collaborative

California’s Suicide Rates by Age and Gender, 1998

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


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California Adolescent Health Collaborative

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

Source: Youth Risk Behavior Survey, 1999


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California Adolescent Health Collaborative

Pregnancy and Sexually Transmitted Infections


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California Adolescent Health Collaborative

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

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


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California Adolescent Health Collaborative

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

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



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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


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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


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California Adolescent Health Collaborative

Illicit Drug Use among California Students in Grades 7 & 11

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


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California Adolescent Health Collaborative

Nutrition and Physical Activity


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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


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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


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California Adolescent Health Collaborative

Populations with Special Needs


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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.


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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.


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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.


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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”


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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.


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California Adolescent Health Collaborative

Rate of youth in foster care

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



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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.


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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


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California Adolescent Health Collaborative

Uninsured California Children and YouthWhere are the gaps?

Source: The State of Health Insurance in California, 1999


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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.)


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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.


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California Adolescent Health Collaborative

Need for Dental Care Among California Students in 10th Grade

Source: Dental Health Foundation, 1997



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California Adolescent Health Collaborative

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

Source: California Health Kids Survey, Fall 1999


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California Adolescent Health Collaborative

Proportion of youth who have supportive relationships and opportunities in school

Source: California Health Kids Survey, Fall 1999


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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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