Promoting the healthy development of adolescents

Millstein, S. G.

doi:10.1001/jama.269.11.1413

Cited by 32 publications

(24 citation statements)

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“…The predictive power of each variable per se is weak, as may be expected from a non-sophisticated study like this one. Nevertheless, the aggregated patterns are in agreement with international trends, which show similar results and thus point to generic conditions for resilience during mid-adolescence across cultures (19,20).…”

Section: Discussionsupporting

confidence: 84%

Do adolescents' own intentions regarding healthy behaviours affect outcome? A two-year prospective study

Berg-Kelly¹,

Kullander²

1999

SPAE

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Adolescents' own intentions regarding health behaviours, in addition to their context, are believed to be important for the health habits they chose. This was studied prospectively over a 2-y period. A total of 552 students, 391 aged 13 y and 161 aged 15 y, reported their health and problem behaviours, socioeconomic background and intentions regarding health behaviours through questionnaires in 1991 and in 1993. Outcome dealt with three domains: health habits; acquisition of adult lifestyles; and problem behaviours. The material was analysed for correlations. Significant results were entered into multiple regression stepwise procedures. As expected, already having initiated adult lifestyles or problem behaviours were the most important factors associated with such behaviours 2 y later. Further analyses were then limited to those students who had not started such lifestyles, in order to determine what factors kept them from doing so in a 2-y span. Key predictors for healthy behaviours were adolescents' own decisions not to engage in adult lifestyles or risky behaviours, family processes consistent with support and school satisfaction. Association with peer groups where smoking and drinking were commonplace predicted less optimal behaviours. Gender or socioeconomic factors were not predictive. The results support a comprehensive approach to health promotion during adolescence.

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Section: Discussionsupporting

confidence: 84%

Do adolescents' own intentions regarding healthy behaviours affect outcome? A two-year prospective study

Berg-Kelly¹,

Kullander²

1999

SPAE

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“…Yet we currently have little research examining health issues from the perspective of the adolescent [1].…”

mentioning

confidence: 99%

Do Young People's Illness Beliefs Affect Healthcare? A Systematic Review

Haller

Sanci

Sawyer

et al. 2008

Journal of Adolescent Health

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“…The socio-cultural environment of the country is an important factor, influencing the implementation of strategies related to strengthening the sexual and reproductive health of young people (18,19), and previous surveys in Lithuania have shown that health care providers avoid ensuring adequate confidentiality guarantees to teenagers, justifying such behaviour as being in accordance with prevailing attitudes in the population at large (17). Nevertheless, the results of this survey show the opposite: more than half (57.5%) of the participants recognized the confidentiality of adolescent sexual and reproductive health care as an especially significant aspect of health care.…”

Section: Discussionmentioning

confidence: 99%

Attitude of Lithuanian Residents to Confidentiality of Adolescent Sexual and Reproductive Health Care

Jaruševičienė

Lazarus²,

Zaborskis³

2011

Cent Eur J Public Health

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SUMMARYObjective: To assess the attitudes of Lithuanian residents towards the protection of confidentiality in the sexual and reproductive health care of adolescents.Material and methods: A public opinion survey was performed in August 2005. A random sample, taking into account age, sex, education, employment, family status, place of residence of 1,054 Lithuanian residents aged 16-74 was interviewed in their households. The topics dealt with in the 23-item questionnaire concerned attitudes towards confidentiality in adolescents' sexual and reproductive health care as well as towards sexual and reproductive health promotion for them.Results: More than half (58%) of the respondents believed that confidentiality is an important issue in case of sexual and reproductive health services that address adolescents. Although only 12% of Lithuanians were ready to agree with the legalization of the right to confidentiality in health care for those younger than 16, at least one-third of the respondents stated that physicians have to protect confidential counselling for 14-15-year-old adolescents on inter alia contraception, pregnancy and sexually transmitted infections. Forty-two percent of the respondents gave top priority to the legal initiative focused on improvement of confidentiality protection. Other promising strategies selected by Lithuanian residents included the development of policies concerning confidentiality protection for minor patients, assuring the privacy of consultations and protecting the medical record keeping system.Conclusions: The Lithuanian residents surveyed had a positive attitude towards confidential sexual and reproductive health care for adolescents. They stated that guarantees of confidentiality should depend on the reason for the consultation and the age of the patient. The most promising initiatives for the improved protection of confidentiality include strengthening legislation and improving organizational procedures in health care settings.

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Promoting the healthy development of adolescents

Cited by 32 publications

References 0 publications

Do adolescents' own intentions regarding healthy behaviours affect outcome? A two-year prospective study

Do adolescents' own intentions regarding healthy behaviours affect outcome? A two-year prospective study

Do Young People's Illness Beliefs Affect Healthcare? A Systematic Review

Attitude of Lithuanian Residents to Confidentiality of Adolescent Sexual and Reproductive Health Care

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