80 likes | 156 Views
Explore how the family, school, peer group, and digital world impact young people’s health. Learn from studies on drug use, smoking, sexual health, and more. Discover ways to improve health outcomes through these social determinants.
E N D
Young people and health: expanding the idea of social determinants John Coleman University of Oxford
Thinking a bit more broadly • The family • The school • The peer group • The digital world
The family • The Cheltenham study of drug users • Various studies of smoking in young people • Sexual health • International studies showing the more parents talk, the less sexual risk-taking • The FPA and Speakeasy
Where else might the family be influential? • Exercise? • Eating behaviour? • Attendance at primary care? • Transition?
The school • The health-promoting school • Chris Bonell and others “Improving school ethos may reduce substance abuse and teenage pregnancy” • The Gatehouse project in Australia • The Healthy Schools initiative in the UK • Why schools can make a difference
The peer group • It seems obvious, yet very little research has highlighted the role of the peer group. • One exception - studies of smoking • We know from studies of anti-social behaviour that there is a reciprocal influence between behaviour and membership of a peer group • But we know little about how this works where health is concerned • MORE RESEARCH!
The digital world • The positives: access to information, staying in touch with services, highlighting issues on social media (e.g. prostitution) • The negatives: pornography, internet addiction, grooming, cyber-bullying. • Where is the balance? • As health professionals we have to become engaged • But MORE RESEARCH!
Conclusion • All four factors clearly impact on young people’s health • Yet, to a large extent, these factors are not linked to health outcomes and to the delivery of services • An opportunity for some exciting new thinking • Let’s expand the notion of social determinants of health to include some of the things I have discussed this morning.