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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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    1. California Adolescent Health Collaborative Adolescent Health Facts and Figures

    2. California Adolescent Health Collaborative Leading Causes of Death Among California’s Youth, 1998 Source: California Department of Health Services, Vital Statistics, 1998

    3. California Adolescent Health Collaborative Unintentional Injury

    4. 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

    5. California Adolescent Health Collaborative California Unintentional Injury Deaths Among 15-19 year olds, 1998 Source: California Department of Health Services, Vital Statistics, 1998

    6. California Adolescent Health Collaborative California Motor Vehicle Deaths, by Age & Gender, 1998 Source: National Highway Traffic Safety Administration, Fatal Analysis Reporting System, 1998

    7. California Adolescent Health Collaborative Regular Seat Belt Use among High School Students Source: Youth Risk Behavior Survey, 1999. California data unweighted.

    8. California Adolescent Health Collaborative Intentional Injury

    9. California Adolescent Health Collaborative California Homicide Deaths among Youth15-19, 1998 Source: California Department of Health Services: Center for Health Statistics, Vital Statistics

    10. California Adolescent Health Collaborative California Homicide Deaths, by Age and Gender, 1998 Source: National Center for Injury Prevention and Control, California Vital Statistics, 1998

    11. California Adolescent Health Collaborative Mental Health and Suicide

    12. 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.

    13. California Adolescent Health Collaborative California’s Suicide Rates by Age and Gender, 1998 Source: Department of Health Services, Death Records, Department of Finance, 1998

    14. California Adolescent Health Collaborative Suicide Ideation & Attempts During the Past 12 Months among California High School Students Source: Youth Risk Behavior Survey, 1999

    15. California Adolescent Health Collaborative Pregnancy and Sexually Transmitted Infections

    16. California Adolescent Health Collaborative Chlamydia and Gonorrhea among Adolescents (15-19) by Gender Source: California Department of Health Services, STD Control Branch, 1985-1999

    17. California Adolescent Health Collaborative Trends in California 15-19 Birth Rates by Race/Ethnicity Source: California Department of Health Services, Vital Statistics, 1990-1998

    18. California Adolescent Health Collaborative Substance Use

    19. 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

    20. 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

    21. California Adolescent Health Collaborative Illicit Drug Use among California Students in Grades 7 & 11 Source: Eighth Biennial California Student Substance Use Survey, 1999-2000

    22. California Adolescent Health Collaborative Nutrition and Physical Activity

    23. 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

    24. 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

    25. California Adolescent Health Collaborative Populations with Special Needs

    26. 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.

    27. 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.

    28. 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.

    29. 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”

    30. 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.

    31. California Adolescent Health Collaborative Rate of youth in foster care Source: Children Now, “State of Our Children 2000”

    32. California Adolescent Health Collaborative Health Services for Teens

    33. 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.

    34. 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

    35. California Adolescent Health Collaborative Uninsured California Children and YouthWhere are the gaps? Source: The State of Health Insurance in California, 1999

    36. 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.)

    37. 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.

    38. California Adolescent Health Collaborative Need for Dental Care Among California Students in 10th Grade Source: Dental Health Foundation, 1997

    39. California Adolescent Health Collaborative Protective Factors

    40. California Adolescent Health Collaborative Proportion of youth who have supportive relationships and opportunities in the home Source: California Health Kids Survey, Fall 1999

    41. California Adolescent Health Collaborative Proportion of youth who have supportive relationships and opportunities in school Source: California Health Kids Survey, Fall 1999

    42. California Adolescent Health Collaborative Proportion of youth who have supportive relationships and opportunities in the community Source: California Health Kids Survey, Fall 1999