Building the foundations for sustainable development: a case for global investment in the capabilities of adolescents

Sheehan, Peter; Sweeny, Kim; Rasmussen, Bruce; Wils, Annababette; Frıedman, Howard S.; Mahon, Jacqueline; Patton, George C.; Sawyer, Susan Μ; Howard, Evan M.; Symons, John; Stenberg, Karin; Chalasani, Satvika; Maharaj, Neelam; Reavley, Nicola; Shi, Hui; Fridman, Masha; Welsh, Alison; Nsofor, Emeka; Laski, Laura

doi:10.1016/s0140-6736(17)30872-3

Cited by 205 publications

(187 citation statements)

References 53 publications

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“…The potential demographic dividend from a large healthy and educated adolescent cohort entering the workforce has already captured policy attention 25 . We have largely overlooked the Box 1 illustration of the benefits of delaying early marriage for the next generation A recent investment case of adolescents showed that the promotion of education for girls and delaying marriage produced an almost sixfold increase in benefits across the course of life compared to costs 15 . That analysis excluded the intergenerational benefits for their children.…”

Section: Adolescence and The Next Generationmentioning

confidence: 99%

“…In contrast to the recognition of the significance of adolescence for later adult health, its relevance for the next generation has received less attention 15 . This is surprising, given that adolescents are the next generation to become a parent and we have known for decades that preconception maternal nutrition (for example, folate deficiency) 16 and infectious diseases 17,18 affect the early life health and development of offspring.…”

mentioning

confidence: 99%

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Adolescence and the next generation

Patton

Olsson

Skirbekk

et al. 2018

Nature

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288

228

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Adolescent growth and social development shape the early development of offspring from preconception through to the post-partum period through distinct processes in males and females. At a time of great change in the forces shaping adolescence, including the timing of parenthood, investments in today’s adolescents, the largest cohort in human history, will yield great dividends for future generations.

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Section: Adolescence and The Next Generationmentioning

confidence: 99%

mentioning

confidence: 99%

Adolescence and the next generation

Patton

Olsson

Skirbekk

et al. 2018

Nature

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288

228

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“…The health and well-being of adolescents is an important global priority. 1 Adolescence is a time of great change. Childhood behaviors are substantially modified, often leading to new patterns of dietary choices and physical activity that may persist into adulthood.…”

Section: Introductionmentioning

confidence: 99%

Impact of school and work status on diet and physical activity in rural Guatemalan adolescent girls: a qualitative study

Kurschner¹,

Madrigal

Chacón

et al. 2019

Annals of the New York Academy of Sciences

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In low-and middle-income countries, gender norms and access to energy-dense, nutrient-poor foods are wellstudied determinants of food and physical activity choices for adolescent girls. However, most work has been done in urban and school settings. In many settings, a large proportion of the adolescent population is rural or not enrolled in school. We conducted in-depth interviews with 20 adolescent girls (ages 15-19) in Tecpán, Guatemala, a rural, largely indigenous Maya community. Interviews were coded and themes analyzed for insights into eating habits, food choices, and physical activity. Twelve participants were enrolled in school and eight were employed and not in school. Girls enrolled in school had more disrupted eating schedules and consumed more energy-dense, nutrientpoor foods. Girls not enrolled in school had fewer opportunities for physical activity and were more sedentary. To our knowledge, this study is the first in a low-and middle-income country to consider diet and physical activity of adolescent girls enrolled and not enrolled in school. Key implications include (1) the need to reduce exposure to nutrient-poor foods and promote healthy eating schedules in schools, and (2) the need to create community-based opportunities for the activity for girls no longer enrolled in school.

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“…Globally, adolescent medicine (AM) is increasingly recognized as critical to promoting health for adolescents, in part due to the high burden of communicable disease, high risk of accidental death, and risky pregnancy in this age group. [1][2][3] Behaviors that begin in adolescence, such as tobacco use, drug abuse, physical inactivity, and unsafe sexual practices, are linked to almost two-thirds of premature deaths and one-third of the total disease burden in adulthood. [1][2][3] Adolescents are susceptible to inherent risks, and many face private struggles with few places to turn for support.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] Behaviors that begin in adolescence, such as tobacco use, drug abuse, physical inactivity, and unsafe sexual practices, are linked to almost two-thirds of premature deaths and one-third of the total disease burden in adulthood. [1][2][3] Adolescents are susceptible to inherent risks, and many face private struggles with few places to turn for support. Whereas specialized courses in AM remain rare across the globe, health care professionals in low-and middle-income countries (LMICs) can be trained in the nuances of AM and can enhance access to care for adolescents.…”

Section: Introductionmentioning

confidence: 99%

Educational Curricula and Programs in Adolescent Medicine for Health Workers in Low- and Middle-Income Countries: A Scoping Review

Brown

Pfeffer

Kitaka

2019

Journal of Graduate Medical Education

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Background Adolescent medicine (AM) has been increasingly recognized as critically important to the health of individuals during their transition to adulthood. On a global scale, AM is often underprioritized and underfunded. In low-and middle-income countries (LMICs), education and AM training is developing, and AM physicians often are from general medicine backgrounds.Objective The objective of our scoping review was to identify existing training curricula and educational tools designed to teach AM skills to health care workers in LMICs. MethodsWe followed PRISMA guidelines for scoping reviews for article identification and inclusion. Online databases, including MEDLINE, Embase, CINAHL, and Scopus, were used to identify papers. We included studies that took place in a LMIC, were available in English, and described any of the following: published educational curricula in AM, education-based intervention for HCWs that focused on AM, or a training opportunity in AM located in a LMIC.Results Our review includes 14 publications: 5 published curricula and 9 articles describing educational interventions or training opportunities in AM in LMICs. Curricula were relatively consistent in the topics included, although they varied in implementation and teaching strategies. The scholarly articles described educational materials and identified a number of innovative strategies for training programs.Conclusions Our review found existing high-quality AM curricula designed for LMICs. However, there is limited published data on their implementation and utilization. There is a continued need for funding and implementation of education in AM in resourceconstrained settings.

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Building the foundations for sustainable development: a case for global investment in the capabilities of adolescents

Cited by 205 publications

References 53 publications

Adolescence and the next generation

Adolescence and the next generation

Impact of school and work status on diet and physical activity in rural Guatemalan adolescent girls: a qualitative study

Educational Curricula and Programs in Adolescent Medicine for Health Workers in Low- and Middle-Income Countries: A Scoping Review

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