Adolescent Health and Healthy China 2030: A Review

Abstract

This article explores differences between the current health status of adolescents and the targets set in Healthy China 2030 (HC2030). Methods: Global and domestic policies and strategies relating to adolescent health were reviewed. Data from the Global Burden of Disease Study (1990e2016) and the Chinese National Survey on Students' Constitution and Health (1985e2014) were used to analyze time trends and geographical distributions of health indicators for adolescents aged 10e19 years in China. Results: The Chinese government has released many health policies over the past 3 decades. In this context, there has been a major decline in all-cause mortality and stunting. However, gaps between the current health status of adolescents and the targets set in HC2030 were numerous. The prevalence of obesity and poor vision increased rapidly, and few adolescents meet the physical activity and fitness targets set in HC2030. Urban/rural differences were marked for some indicators such as obesity, whereas for other indicators (e.g., stunting), there remained notable differences across provinces. Conclusions: Many long-standing health problems of adolescents have improved, but new problems related to noncommunicable disease risks have emerged and should be a prominent focus for policy action under HC2030.

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“…However, China now faces more challenging problems it shares with resource-rich countries including cardiovascular disease, chronic respiratory diseases, cancer, diabetes, and obesity. A recent series of publications [70][71][72][73] highlight achieving health equity should be China's foremost health goal. The current challenges include incomplete health insurance coverage, uneven health care access, mixed health care quality, escalating costs, and high risk of unsustainable expenditures on health care.…”

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The Health and Well-Being of Adolescents in China: The Past, Present, and Future

“…With this issue of the Journal of Adolescent Health, we bring you a landmark supplement highlighting the progress that has been made to improve the health and well-being of adolescents in China, where there are some unique opportunities to focus on young people in novel ways [1]. Six original articles in this supplement review the historical mortality of young people in China [2]; highlight the current status of adolescent health, including those young people who are most marginalized [3e5]; and point to the future, as systems are being developed now that will monitor health status and improve healthcare delivery systems [6,7].…”

“…The supplement's final 2 papers build on the previous 4 and pave the way for future of improvements in adolescent healthcare in China [6,7]. Dong et al [6] explore the differences between the current health status of adolescents and the targets that have been set by the China 2030 initiative.…”

“…The supplement's final 2 papers build on the previous 4 and pave the way for future of improvements in adolescent healthcare in China [6,7]. Dong et al [6] explore the differences between the current health status of adolescents and the targets that have been set by the China 2030 initiative. Two data sourcesdthe Global Burden of Disease Study (1990e2016) and the Chinese National Survey on Students' Constitution and www.jahonline.org Health (1985e2014)dwere used to analyze time trends of health indicators for adolescents (10e19 years) in China.…”