Adolescent health

Órla Walsh, Alf John Nicholson
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Abstract

Adolescence is a unique developmental period when young people experience pivotal biological, psychological, social and cognitive changes as they transition from child to adulthood. Although mortality rates among young people are considered to be relatively low, the rate at which mortality is falling among adolescents does not mirror the significant declines seen in other age groups.

Research in adolescent neurocognitive development has shown a high degree of plasticity that may be particularly sensitive to experiences and environments. Adolescence represents a significant opportunity for many youths to feel empowered and learn important life skills. Adolescents are often simultaneously exploring new experiences and potentially engaging in risk behaviors that can significantly interfere with their health trajectories.

Adolescents are also uniquely vulnerable to relational, cultural, and other environmental factors that contribute to health. Notably, the top two causes of death, unintentional injury and suicide, are influenced by the social networks, systems and environments where young people live and therefore could be prevented with effective interventions and services.

Important contributors to morbidity among adolescents include substance use, sexually transmitted infections (STIs), mental illness (e.g. eating disorders), non-communicable diseases (e.g. obesity), and other chronic issues (e.g. chronic fatigue syndrome) which impact their quality of life.

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青少年健康
青春期是一个独特的发展时期,年轻人在从儿童过渡到成年的过程中经历了关键的生理、心理、社会和认知变化。虽然人们认为年轻人的死亡率相对较低,但青少年死亡率下降的速度并没有反映出其他年龄组死亡率的显著下降。对青少年神经认知发展的研究表明,青少年具有高度的可塑性,可能对经历和环境特别敏感。对许多年轻人来说,青春期是获得权力和学习重要生活技能的重要机会。青少年往往在探索新体验的同时,也可能从事可能严重干扰其健康轨迹的危险行为。青少年还特别容易受到影响健康的关系、文化和其他环境因素的影响。值得注意的是,意外伤害和自杀这两大死亡原因受到青年人生活的社会网络、系统和环境的影响,因此可以通过有效的干预措施和服务加以预防。造成青少年发病的重要因素包括药物使用、性传播感染、精神疾病(如饮食失调)、非传染性疾病(如肥胖)和其他影响其生活质量的慢性问题(如慢性疲劳综合症)。
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