Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 92
Filtrar
1.
Lancet Glob Health ; 9(4): e409-e417, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33662320

RESUMEN

BACKGROUND: The global health community is devoting considerable attention to adolescents and young people, but risk of death in this population is poorly measured. We aimed to reconstruct global, regional, and national mortality trends for youths aged 15-24 years between 1990 and 2019. METHODS: In this systematic analysis, we used all publicly available data on mortality in the age group 15-24 years for 195 countries, as compiled by the UN Inter-agency Group for Child Mortality Estimation. We used nationally representative vital registration data, estimated the completeness of death registration, and extracted mortality rates from surveys with sibling histories, household deaths reported in censuses, and sample registration systems. We used a Bayesian B-spline bias-reduction model to generate trends in 10q15, the probability that an adolescent aged 15 years would die before reaching age 25 years. This model treats observations of the 10q15 probability as the product of the actual risk of death and an error multiplier that varies depending on the data source. The main outcome that we assessed was the levels of and trends in youth mortality and the global and regional mortality rates from 1990 to 2019. FINDINGS: Globally, the probability of an individual dying between age 15 years and 24 years was 11·2 deaths (90% uncertainty interval [UI] 10·7-12·5) per 1000 youths aged 15 in 2019, which is about 2·5 times less than infant mortality (28·2 deaths [27·2-30·0] by age 1 year per 1000 live births) but is higher than the risk of dying from age 1 to 5 (9·7 deaths [9·1-11·1] per 1000 children aged 1 year). The probability of dying between age 15 years and 24 years declined by 1·4% per year (90% UI 1·1-1·8) between 1990 and 2019, from 17·1 deaths (16·5-18·9) per 1000 in 1990; by contrast with this total decrease of 34% (27-41), under-5 mortality declined by 59% (56-61) in this period. The annual number of deaths declined from 1·7 million (90% UI 1·7-1·9) in 1990 to 1·4 million (1·3-1·5) in 2019. In sub-Saharan Africa, the number of deaths increased by 20·8% from 1990 to 2019. Although 18·3% of the population aged 15-24 years were living in sub-Saharan Africa in 2019, the region accounted for 37·9% (90% UI 34·8-41·9) of all worldwide deaths in youth. INTERPRETATION: It is urgent to accelerate progress in reducing youth mortality. Efforts are particularly needed in sub-Saharan Africa, where the burden of mortality is increasingly concentrated. In the future, a growing number of countries will see youth mortality exceeding under-5 mortality if current trends continue. FUNDING: UN Children's Fund, Bill & Melinda Gates Foundation, United States Agency for International Development.


Asunto(s)
Salud del Adolescente/tendencias , Salud Global/tendencias , Modelos Estadísticos , Mortalidad/tendencias , Adolescente , Salud del Adolescente/estadística & datos numéricos , Teorema de Bayes , Bases de Datos Factuales/estadística & datos numéricos , Geografía , Salud Global/estadística & datos numéricos , Humanos , Organización Mundial de la Salud , Adulto Joven
4.
Artículo en Inglés | MEDLINE | ID: mdl-33207689

RESUMEN

The psychological impact of the COVID-19 pandemic has been widely discussed during the past few months, with scholars expressing concern about its potential debilitating consequences on youth mental health. Hence, this research aimed to provide a systematic review of the evidence on the COVID-19 pandemic's impact on youth mental health. We conducted a mixed methods integrated review to identify any empirical study that focused on young people ≤ 18 years old. Eight databases were systematically searched to identify studies of any type of research design. The selection procedure followed the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. The protocol of this systematic review was registered with PROSPERO (protocol ID: CRD4202019375). Twelve studies deemed eligible for data extraction (n = 12,262). The findings show that COVID-19 has an impact on youth mental health and is particularly associated with depression and anxiety in adolescent cohorts. The quality appraisal indicated that all studies were of low or moderate methodological quality. The COVID-19 pandemic is affecting young people's lives, and thus generating robust research evidence to inform policy decisions is essential. Hence, the methodological quality of future research should be drastically improved.


Asunto(s)
Infecciones por Coronavirus/psicología , Salud Mental , Neumonía Viral/psicología , Adolescente , Salud del Adolescente/tendencias , Ansiedad/epidemiología , Betacoronavirus , Niño , Salud del Niño/tendencias , Depresión/epidemiología , Humanos , Salud Mental/tendencias , Evaluación de Resultado en la Atención de Salud , Pandemias
5.
Rev Paul Pediatr ; 39: e2020267, 2020.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-33146295

RESUMEN

OBJECTIVE: Social isolation is currently identified as the best way to prevent the infection by the new coronavirus. However, for some social groups, such as children and adolescents, this measure carries a contradiction: the home, which should be the safest place for them, is also a frequent environment of a sad aggravation: domestic violence. This study aims to evaluate the notifications of interpersonal/self-inflicted violence available in the Information System for Notifiable Diseases in the State of Santa Catarina (southern Brazil), for the juvenile age group, before and during the new coronavirus pandemics. METHODS: Cross-sectional, descriptive study of violence against children and adolescents (from 0 to 19 years) notified by health professionals by completing and entering the occurrence in the Information System for Notifiable Diseases of the State of Santa Catarina in 11 weeks in which the social isolation measure was instituted as mandatory, comparing with the same period before this measure. RESULTS: During the study period, 136 municipalities in Santa Catarina made 1,851 notifications. There was a decrease of 55.3% of them in the isolation period, and the difficulties encountered in seeking protection and assistance institutions were listed. CONCLUSIONS: The society needs to be aware of possible cases of violence in the children and adolescent population. It is important to provide accessible, effective, and safe ways for complaints and notifications, as well as a quick response to the cases, aiming at protecting victims and minimizing damages to prevent the perpetuation of the violence.


Asunto(s)
Maltrato a los Niños , Bienestar del Niño , Infecciones por Coronavirus/epidemiología , Violencia Doméstica , Neumonía Viral/epidemiología , Adolescente , Salud del Adolescente/tendencias , Betacoronavirus , Brasil/epidemiología , Niño , Maltrato a los Niños/prevención & control , Maltrato a los Niños/estadística & datos numéricos , Salud del Niño/tendencias , Estudios Transversales , Recolección de Datos/métodos , Recolección de Datos/estadística & datos numéricos , Violencia Doméstica/prevención & control , Violencia Doméstica/tendencias , Femenino , Humanos , Masculino , Evaluación de Necesidades , Pandemias
7.
Pediatrics ; 145(Suppl 2): S186-S194, 2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-32358210

RESUMEN

As avid users of technology, adolescents are a key demographic to engage when designing and developing technology applications for health. There are multiple opportunities for improving adolescent health, from promoting preventive behaviors to providing guidance for adolescents with chronic illness in supporting treatment adherence and transition to adult health care systems. This article will provide a brief overview of current technologies and then highlight new technologies being used specifically for adolescent health, such as artificial intelligence, virtual and augmented reality, and machine learning. Because there is paucity of evidence in this field, we will make recommendations for future research.


Asunto(s)
Salud del Adolescente , Desarrollo Industrial , Adolescente , Salud del Adolescente/tendencias , Servicios de Salud del Adolescente/tendencias , Inteligencia Artificial/tendencias , Realidad Aumentada , Prestación de Atención de Salud/tendencias , Predicción , Promoción de la Salud/tendencias , Humanos , Desarrollo Industrial/tendencias , Aprendizaje Automático/tendencias , Investigación/tendencias , Estados Unidos , Realidad Virtual
8.
Pediatrics ; 145(5)2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-32345685

RESUMEN

OBJECTIVES: In this study, we evaluate the efficacy of Families Talking Together (FTT), a triadic intervention to reduce adolescent sexual risk behavior. METHODS: Adolescents aged 11 to 14 and their female caregivers were recruited from a pediatric clinic; 900 families were enrolled; 84 declined. Families were randomly assigned to FTT or 1 of 2 control conditions. The FTT triadic intervention consisted of a 45-minute face-to-face session for mothers, health care provider endorsement of intervention content, printed materials for families, and a booster call for mothers. The primary outcomes were ever having had vaginal intercourse, sexual debut within the past 12 months, and condom use at last sexual intercourse. Assessments occurred at baseline, 3 months post baseline, and 12 months post baseline. RESULTS: Of enrolled families, 73.4% identified as Hispanic, 20.4% as African American, and 6.2% as mixed race. Mean maternal age was 38.8 years, and mean adolescent grade was seventh grade. At the 12-month follow-up, 5.2% of adolescents in the experimental group reported having had sexual intercourse, compared with 18% of adolescents in the control groups (P < .05). In the experimental group, 4.7% of adolescents reported sexual debut within the past 12 months, compared with 14.7% of adolescents in the control group (P < .05). In the experimental group, 74.2% of sexually active adolescents indicated using a condom at last sexual intercourse, compared with 49.1% of adolescents in the control group (P < .05). CONCLUSIONS: This research suggests that the FTT triadic intervention is efficacious in delaying sexual debut and reducing sexual risk behavior among adolescents.


Asunto(s)
Conducta del Adolescente/psicología , Salud del Adolescente/tendencias , Relaciones Padres-Hijo , Conducta de Reducción del Riesgo , Sexo Seguro/psicología , Salud Sexual/tendencias , Adolescente , Conducta del Adolescente/fisiología , Adulto , Anciano , Niño , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Sexo Seguro/fisiología , Adulto Joven
9.
Sex Reprod Health Matters ; 28(1): 1741495, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32254004

RESUMEN

This commentary is in response to a paper published in the Lancet entitled: "Progress in adolescent health and well-being: tracking 12 headline indicators for 195 countries and territories, 1990-2016" (Peter Azzopardi et al, 2019). We agree with the authors' overall conclusions that although there has been progress in some health outcomes, health risks and social determinants, the situation has worsened in other areas. Other important messages emerge from studying the data with an adolescent sexual and reproductive health and rights (ASRHR) lens. First, notable - albeit uneven - progress in all the ASRHR indicators has occurred in multi-burden countries. Second, while we cannot assign a cause-effect relationship, it is reasonable to suggest that in addition to secular trends, deliberate global and national investment and action have contributed to and/or accelerated these changes. Third, progress in ASRHR in the multi-burden countries contrasts sharply with increases in rates of tobacco use, binge drinking and overweight and obesity, in all categories of countries. Based on these observations, we submit five implications for action: the adolescent health community must recognize the progress made in ASRHR; acknowledge that increasing investment and action in ASRHR has contributed to these tangible results, which has the potential to grow; build on the gains in ASRHR through concerted action and a focus on implementation science; expand the adolescent health agenda in a progressive and strategic manner; and contribute to wider efforts to respond to adolescents' health needs within the rapidly changing context of the worlds they live in.


Asunto(s)
Salud del Adolescente , Salud Reproductiva , Derechos Sexuales y Reproductivos , Salud Sexual , Adolescente , Salud del Adolescente/tendencias , Femenino , Humanos , Masculino , Conducta Sexual , Determinantes Sociales de la Salud
11.
Pharm. pract. (Granada, Internet) ; 18(1): 0-0, ene.-mar. 2020. tab, graf
Artículo en Inglés | IBECS | ID: ibc-195722

RESUMEN

OBJECTIVE: The aim of this study was to investigate the provision of community pharmacy services to children and young people with a focus on advanced services such as medicines use review. Perceptions and experiences of community pharmacists, pharmacy staff, young people and their parents or carers on the provision of such services were also explored. METHODS: Four different cross-sectional, self-administered questionnaires were distributed in parallel to pharmacists, pharmacy staff members, children and young people and parents in the United Kingdom. RESULTS: An outline of pharmacist's current involvement with children and young people was provided by 92 pharmacists. A different group of 38 community pharmacists and 40 non-pharmacist members of pharmacy staff from a total of 46 pharmacies provided information and views on the conduct of Medicines use review with children and young people. Experiences of advanced pharmacy service provision were collected from 51 children and young people and 18 parents. Most pharmacists offered public health advice to children and young people (73/92; 79.3%) and even more (83/92; 90.2%) reported that they often interacted with children and young people with long-term condition. Despite their high levels of interaction, and a majority opinion that medicines use reviews could benefit children (35/38; 92.1%), the number of pharmacies reporting to have conducted medicines use reviews with children was low (5/41). Pharmacists perceived the main barriers to recruitment as consent (17/29; 58.6%), guideline ambiguity (14/29; 48.3%) and training (13/29; 44.8%). A considerable proportion pharmacists (12/29; 41.4%) and other personnel (14/33; 42.4%) working in community pharmacies were unaware that children were potentially eligible for medicines use reviews. Only 29.4% of the 51 children and young people participants had received advice about their long-term condition from a pharmacist and the majority (46/51; 90.2%) had not taken part in an advanced service focused on adherence. CONCLUSIONS: While general engagement with children and young people appears high from the pharmacist's perspective, advice specific to children and young people with long-term conditions and the provision of advanced services in this group remains a challenge


No disponible


Asunto(s)
Humanos , Masculino , Femenino , Niño , Adolescente , Servicios Comunitarios de Farmacia/organización & administración , Administración del Tratamiento Farmacológico/organización & administración , Salud del Adolescente/tendencias , Salud del Niño/tendencias , Revisión de la Utilización de Medicamentos/organización & administración , Estudios Transversales , Autoinforme/estadística & datos numéricos , Cuidados a Largo Plazo/organización & administración , Reino Unido/epidemiología , Cuidadores/estadística & datos numéricos , Cumplimiento de la Medicación/estadística & datos numéricos
13.
Rev Paul Pediatr ; 38: e2018181, 2020.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-31778413

RESUMEN

OBJECTIVE: To describe hospital admissions of adolescents living in Sergipe, Northeast Brazil, from 2002 to 2012. METHODS: Descriptive study, based on data collected from the Hospital Information System of the Unified Health System. Hospital admissions were divided into four groups of causes: by pregnancy, childbirth and puerperium; by external causes; by primary care conditions; and other causes. Numbers, percentages and coefficients were used in the analysis and compared by year, sex, age (from 10 to 14 and from 15 to 19 years), and the average annual cost of hospitalizations for each group of causes. RESULTS: In the period studied, there were 149,850 hospital admissions of adolescents, 58.4% for pregnancy, childbirth and puerperium, 9.3% for primary care conditions, 8.3% for external causes and 24.0% for other causes. All coefficients decreased from 2002 to 2012 by 39.7%. Primary care conditions had the most significant reduction (143.1%), followed by external causes (60.1%). As for age groups, the coefficients for external causes in the age group of 15 to -19 years, and for pregnancy, childbirth and puerperium, in the age range of 10 to 14 years, are noteworthy because they remained stable in the period. There was an increase in the average cost of all admissions (234.7%), especially for external causes. CONCLUSIONS: Health actions to reduce hospital admission due to conditions sensitive to primary care should be given more attention, as well as those related to external causes and pregnancy, among adolescents living in Sergipe, Northeastern Brazil.


Asunto(s)
Salud del Adolescente/estadística & datos numéricos , Registros de Hospitales/normas , Hospitalización/estadística & datos numéricos , Morbilidad/tendencias , Adolescente , Salud del Adolescente/tendencias , Brasil/epidemiología , Niño , Femenino , Registros de Hospitales/estadística & datos numéricos , Hospitalización/economía , Hospitalización/tendencias , Humanos , Masculino , Parto , Periodo Posparto , Embarazo , Atención Primaria de Salud/métodos , Atención Primaria de Salud/estadística & datos numéricos
14.
Rev. Paul. Pediatr. (Ed. Port., Online) ; 38: e2018181, 2020. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1092140

RESUMEN

ABSTRACT Objective: To describe hospital admissions of adolescents living in Sergipe, Northeast Brazil, from 2002 to 2012. Methods: Descriptive study, based on data collected from the Hospital Information System of the Unified Health System. Hospital admissions were divided into four groups of causes: by pregnancy, childbirth and puerperium; by external causes; by primary care conditions; and other causes. Numbers, percentages and coefficients were used in the analysis and compared by year, sex, age (from 10 to 14 and from 15 to 19 years), and the average annual cost of hospitalizations for each group of causes. Results: In the period studied, there were 149,850 hospital admissions of adolescents, 58.4% for pregnancy, childbirth and puerperium, 9.3% for primary care conditions, 8.3% for external causes and 24.0% for other causes. All coefficients decreased from 2002 to 2012 by 39.7%. Primary care conditions had the most significant reduction (143.1%), followed by external causes (60.1%). As for age groups, the coefficients for external causes in the age group of 15 to -19 years, and for pregnancy, childbirth and puerperium, in the age range of 10 to 14 years, are noteworthy because they remained stable in the period. There was an increase in the average cost of all admissions (234.7%), especially for external causes. Conclusions: Health actions to reduce hospital admission due to conditions sensitive to primary care should be given more attention, as well as those related to external causes and pregnancy, among adolescents living in Sergipe, Northeastern Brazil.


RESUMO Objetivo: Descrever as internações hospitalares de adolescentes residentes em Sergipe, de 2002 a 2012. Métodos: Estudo descritivo, a partir de dados do Sistema de Informação Hospitalar do Sistema Único de Saúde, no qual as internações foram divididas em quatro grupos de causas: primeiro, por gravidez, parto e puerpério; segundo, por causas externas; terceiro, por condições sensíveis à atenção primária; e quarto, demais internações. Para a análise, foram utilizados os números, percentuais e coeficientes, por ano, sexo, idade (de 10 a 14; e de 15 a 19 anos) e custo médio anual das internações segundo os grupos de causas. Resultados: No período, ocorreram 149.850 hospitalizações de adolescentes, sendo 58,4% por gravidez, parto e puerpério; 9,3% por condições sensíveis à atenção primária; 8,3% por causas externas; e 24,0% foram as demais internações. Houve redução de 39,7% em todos os coeficientes entre 2002 e 2012, sendo que as por condições sensíveis à atenção primária apresentaram maior redução (143,1%), seguidas das causas externas (60,1%). Em relação às faixas etárias, chama a atenção os coeficientes por causas externas na idade de 15 a 19 anos e a gravidez, parto e o puerpério, dos 10 a 14 anos, por apresentarem estabilidade no período. Houve aumento do custo médio de todas as internações, de 234,7%, destacando-se o das causas externas. Conclusões: Impõe-se a necessidade de se incrementar ações de saúde para diminuir as hospitalizações por condições sensíveis à atenção primária, à incidência das causas externas e à gravidez entre os adolescentes sergipanos.


Asunto(s)
Humanos , Masculino , Femenino , Embarazo , Niño , Adolescente , Registros de Hospitales/normas , Morbilidad/tendencias , Salud del Adolescente/estadística & datos numéricos , Hospitalización/estadística & datos numéricos , Atención Primaria de Salud , Atención Primaria de Salud/estadística & datos numéricos , Brasil/epidemiología , Registros de Hospitales/estadística & datos numéricos , Salud del Adolescente/tendencias , Parto , Periodo Posparto , Hospitalización/economía , Hospitalización/tendencias
15.
Rev. Paul. Pediatr. (Ed. Port., Online) ; 38: e2018181, 2020. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1057221

RESUMEN

ABSTRACT Objective: To describe hospital admissions of adolescents living in Sergipe, Northeast Brazil, from 2002 to 2012. Methods: Descriptive study, based on data collected from the Hospital Information System of the Unified Health System. Hospital admissions were divided into four groups of causes: by pregnancy, childbirth and puerperium; by external causes; by primary care conditions; and other causes. Numbers, percentages and coefficients were used in the analysis and compared by year, sex, age (from 10 to 14 and from 15 to 19 years), and the average annual cost of hospitalizations for each group of causes. Results: In the period studied, there were 149,850 hospital admissions of adolescents, 58.4% for pregnancy, childbirth and puerperium, 9.3% for primary care conditions, 8.3% for external causes and 24.0% for other causes. All coefficients decreased from 2002 to 2012 by 39.7%. Primary care conditions had the most significant reduction (143.1%), followed by external causes (60.1%). As for age groups, the coefficients for external causes in the age group of 15 to -19 years, and for pregnancy, childbirth and puerperium, in the age range of 10 to 14 years, are noteworthy because they remained stable in the period. There was an increase in the average cost of all admissions (234.7%), especially for external causes. Conclusions: Health actions to reduce hospital admission due to conditions sensitive to primary care should be given more attention, as well as those related to external causes and pregnancy, among adolescents living in Sergipe, Northeastern Brazil.


RESUMO Objetivo: Descrever as internações hospitalares de adolescentes residentes em Sergipe, de 2002 a 2012. Métodos: Estudo descritivo, a partir de dados do Sistema de Informação Hospitalar do Sistema Único de Saúde, no qual as internações foram divididas em quatro grupos de causas: primeiro, por gravidez, parto e puerpério; segundo, por causas externas; terceiro, por condições sensíveis à atenção primária; e quarto, demais internações. Para a análise, foram utilizados os números, percentuais e coeficientes, por ano, sexo, idade (de 10 a 14; e de 15 a 19 anos) e custo médio anual das internações segundo os grupos de causas. Resultados: No período, ocorreram 149.850 hospitalizações de adolescentes, sendo 58,4% por gravidez, parto e puerpério; 9,3% por condições sensíveis à atenção primária; 8,3% por causas externas; e 24,0% foram as demais internações. Houve redução de 39,7% em todos os coeficientes entre 2002 e 2012, sendo que as por condições sensíveis à atenção primária apresentaram maior redução (143,1%), seguidas das causas externas (60,1%). Em relação às faixas etárias, chama a atenção os coeficientes por causas externas na idade de 15 a 19 anos e a gravidez, parto e o puerpério, dos 10 a 14 anos, por apresentarem estabilidade no período. Houve aumento do custo médio de todas as internações, de 234,7%, destacando-se o das causas externas. Conclusões: Impõe-se a necessidade de se incrementar ações de saúde para diminuir as hospitalizações por condições sensíveis à atenção primária, à incidência das causas externas e à gravidez entre os adolescentes sergipanos.


Asunto(s)
Humanos , Masculino , Femenino , Embarazo , Niño , Adolescente , Registros de Hospitales/normas , Morbilidad/tendencias , Salud del Adolescente/estadística & datos numéricos , Hospitalización/estadística & datos numéricos , Atención Primaria de Salud/métodos , Atención Primaria de Salud/estadística & datos numéricos , Brasil/epidemiología , Registros de Hospitales/estadística & datos numéricos , Salud del Adolescente/tendencias , Parto , Periodo Posparto , Hospitalización/economía , Hospitalización/tendencias
16.
Rev. Esc. Enferm. USP ; 54: e03639, 2020. tab
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1143699

RESUMEN

RESUMO Objetivo Analisar a tendência e os fatores associados à gravidez na adolescência em um município do Paraná. Método Estudo ecológico, realizado com os registros de nascimentos de bebês de mães adolescentes, nos anos de 2000 a 2015, constantes no Sistema de Informação sobre Nascimento. As proporções foram calculadas ano a ano para a análise de tendência da gravidez na adolescência. Para a análise dos fatores associados utilizando a razão de chances, foram escolhidos dois triênios. Resultados Associaram-se à gravidez na adolescência as variáveis: estar sem companheiro; escolaridade menor que oito anos; primiparidade; idade gestacional menor que 37 semanas; cesárea; número de consultas menor que sete; e Apgar menor que sete no primeiro minuto. Observou-se tendência decrescente entre grávidas com companheiro; crescente de grávidas adolescentes com escolaridade maior que oito anos e para o parto prematuro; decrescente/crescente do parto normal; crescente para número de consultas de pré-natal; decrescente ao valor do Apgar no primeiro e quinto minuto; crescente de anomalias congênitas. Conclusão A análise possibilitou o levantamento de informações que podem ser utilizadas para propor estratégias de prevenção da gravidez e assistência à mãe adolescente.


RESUMEN Objetivo Análisis de la tendencia y los factores asociados al embarazo adolescente en un municipio de Paraná. Método Estudio ecológico realizado con los registros de nacimientos de bebés de madres adolescentes, en los años 2000 a 2015, en el Sistema de Información de Nacimientos (Sistema de Informação de Nascimentos). Las proporciones se calcularon año por año para el análisis de las tendencias del embarazo adolescente. Para el análisis de los factores asociados mediante el odds ratio se eligieron dos periodos trienales. Resultados Las siguientes variables se asociaron con el embarazo adolescente: no tener pareja; escolaridad inferior a ocho años; primiparidad; edad gestacional inferior a 37 semanas; cesárea; número de consultas inferior a siete; y Apgar inferior a siete en el primer minuto. Se observó una tendencia decreciente entre las adolescentes embarazadas con pareja; creciente para adolescentes embarazadas con escolaridad superior a ocho años y para partos prematuros; decreciente/creciente para partos normales; creciente para consultas prenatales; decreciente para Apgar en el primer y quinto minuto; creciente para anomalías congénitas. Conclusión El análisis permitió reunir información que puede utilizarse para proponer estrategias de prevención del embarazo y asistencia a la madre adolescente.


ABSTRACT Objective To analyze the trend and factors associated to teenage pregnancy in a municipality in Paraná state. Method Ecological study conducted with registers of babies born to teenage mothers between 2000 and 2015 from the Birth Information System (Sistema de Informação sobre Nascimento). Proportions were calculated year by year for a trend analysis of teenage pregnancy. Two series of three-year periods were collected for an odds ratio analysis of associated factors. Results The following variables were associated to teenage pregnancy: not having a partner; less than eight years of schooling; primiparity; gestational age shorter than thirty-seven weeks; caesarean section; less than seven appointments; and Apgar below seven in the first minute. A decline trend was observed among pregnant teenagers who had partners; growing trend for teenage expectant mothers who had more than eight years of schooling and premature birth; decline/growing for normal birth; growing for number of prenatal appointments; decline for first and fifth minute Apgar score; growing for congenital anomalies. Conclusion The analysis provided information that can be used to promote pregnancy prevention strategies and assistance to adolescent mothers.


Asunto(s)
Humanos , Femenino , Embarazo , Adolescente , Embarazo en Adolescencia , Salud del Adolescente/tendencias , Enfermería Maternoinfantil , Estudios Ecológicos , Enfermería Obstétrica
17.
Rev. panam. salud pública ; 44: e26, 2020. tab
Artículo en Inglés | LILACS | ID: biblio-1101779

RESUMEN

ABSTRACT Objectives. Mexico's 2018 Report Card evaluates the opportunities available for Mexican children and youth to reach healthy levels of physical activity, sleep, and sedentary behavior. Methods. The Report Card is a surveillance system that gathers data from national surveys, censuses, government documents, websites, grey literature, and published studies to evaluate 16 indicators in four categories: Daily Behaviors; Physical Fitness; Settings and Sources of Influence; and Strategies and Investments. Data were compared to established benchmarks. Each indicator was assigned a grade from 1 - 10 (< 6 is a failing grade) or "incomplete" if data was insufficient/unavailable. Results. Daily Behavior grades were: Overall Physical Activity, 4; Organized Sport Participation, 5; Active Play, 3; Active Transportation, 5; Sleep, 7; and Sedentary Behavior, 3. Physical Fitness, received a 7. Settings and Sources of Influence grades were: Family and Peers, incomplete; School, 3; and Community and Environment, 4. Strategies and Investments were: Government Strategies, 6; and Non-Government Organizations, 2. Conclusion. Low grades in 11 of the 16 indicators indicate that schools, families, communities, and government need to work together to improve physical activity opportunities for children and youth in Mexico.(AU)


RESUMEN Objetivos. El boletín de notas de México correspondiente al 2018 evalúa las oportunidades a disposición de la población infantil y joven mexicana para que puedan desarrollar niveles adecuados de actividad física y sueño, y disminuyan el sedentarismo. Métodos. El boletín es un sistema de vigilancia que recopila los datos obtenidos en las encuestas nacionales, censos, documentos gubernamentales, sitios web, literatura gris y estudios publicados con respecto al análisis de 16 indicadores en 4 categorías: comportamientos diarios, estado físico, entornos y fuentes influyentes, y estrategias e inversión. Los datos fueron cotejados con los puntos de referencia establecidos. A cada indicador se le asignó una calificación entre 1 y 10 (< 6 significa reprobado) o fue marcado como "incompleto" si los datos eran nulos o insuficientes. Resultados. Las calificaciones obtenidas para los comportamientos diarios fueron: actividad física en general: 4; participación en actividades deportivas organizadas: 5; juego activo: 3; modalidades de transporte activas: 5; sueño: 7; y sedentarismo: 3. El estado físico obtuvo un 7. Las calificaciones para los entornos y fuentes influyentes fueron: familiares y pares: "incompleto"; escuela: 3; comunidad y entorno: 4. Para las estrategias e inversión: estrategias gubernamentales: 6; entidades no gubernamentales: 2. Conclusiones. Las bajas calificaciones obtenidas en 11 de los 16 indicadores demuestran que las escuelas, las familias, las comunidades y el gobierno tienen que aunar esfuerzos para mejorar las oportunidades que tiene la población infantil y joven en México para desarrollar niveles de actividad física satisfactorios.(AU)


RESUMO Objetivos. O Report Card de 2018 para o México avalia as oportunidades disponíveis para que crianças e jovens mexicanos atinjam níveis adequados de atividade física, sono e comportamento sedentário. Métodos. O Report Card é um sistema de vigilância que reúne dados de pesquisas nacionais, censos, documentos governamentais, websites, literatura cinzenta e estudos publicados para avaliar 16 indicadores em quatro categorias: Comportamentos Diários, Forma Física, Ambientes e Influências, e Estratégias e Investimentos. Os dados foram comparados com indicadores de referência estabelecidos. A cada indicador foi atribuída uma pontuação de 1 a 10 (pontuações abaixo de 6 indicam reprovação) ou "incompleta" se os dados fossem insuficientes/indisponíveis. Resultados. As pontuações para o Comportamento Diário foram as seguintes: atividade física geral: 4; participação em esportes organizados: 5; brincadeiras ativas: 3; transporte ativo: 5; sono: 7; comportamento sedentário: 3. A pontuação para a Forma Física foi de 7. As pontuações para Ambientes e Influências foram: família e amigos, incompleta; escola: 3; comunidade e ambiente: 4. As pontuações para Estratégias e Investimentos foram: estratégias governamentais: 6; organizações não-governamentais: 2. Conclusão. As pontuações baixas em 11 dos 16 indicadores indicam que as escolas, famílias, comunidades e o governo precisam trabalhar juntos para oferecer mais oportunidades de atividade física às crianças e jovens no México.(AU)


Asunto(s)
Humanos , Niño , Adolescente , Conductas Relacionadas con la Salud , Aptitud Física , Salud del Niño/tendencias , Salud del Adolescente/tendencias , Vigilancia en Salud Pública/métodos , Promoción de la Salud/métodos , Deportes Juveniles , México
18.
Med Law Rev ; 27(4): 640-657, 2019 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-31867633

RESUMEN

Thirty years ago, the transgender child would have made no sense to the general public, nor to young people. Today, children and adolescents declare themselves transgender, the National Health Service diagnoses 'gender dysphoria', and laws and policy are developed which uphold young people's 'choice' to transition and to authorize stages at which medical intervention is permissible and desirable. The figure of the 'transgender child' presumed by medicine and law is not a naturally occurring category of person external to medical diagnosis and legal protection. Medicine and law construct the 'transgender child' rather than that the 'transgender child' exists independently of medico-legal discourse. The ethical issue of whether the child and young person can 'consent' to social and medical transition goes beyond legal assessment of whether a person under16 years has the mental capacity to consent, understand to what s/he is consenting, and can express independent wishes. It shifts to examination of the recent making of 'the transgender child' through the complex of power/knowledge/ethics of medicine and the law of which the child can have no knowledge but within which its own desires are both constrained and incited.


Asunto(s)
Salud del Adolescente/tendencias , Salud del Niño/tendencias , Disforia de Género/diagnóstico , Identidad de Género , Política de Salud/legislación & jurisprudencia , Política de Salud/tendencias , Personas Transgénero , Adolescente , Adulto , Niño , Toma de Decisiones , Femenino , Disforia de Género/terapia , Hormonas/administración & dosificación , Derechos Humanos , Humanos , Consentimiento Informado de Menores/ética , Consentimiento Informado de Menores/legislación & jurisprudencia , Masculino , Programas Nacionales de Salud , Personeidad , Procedimientos de Reasignación de Sexo/ética , Reino Unido
19.
Rev. Asoc. Méd. Argent ; 132(4): 20-24, dic. 2019. ilus
Artículo en Español | LILACS | ID: biblio-1087221

RESUMEN

Actividad física se considera a cualquier movimiento corporal producido por los músculos esqueléticos, con el consiguiente consumo de energía. Los niños que hacen actividad física logran beneficios en diversos aspectos: condición física, psicológica, social, desarrollo de hábitos saludables, mejora en la calidad de vida adulta. Esta actividad física debe ser voluntaria, desarrollada en los tiempos libres, y generar placer y alegría, lo que contribuirá a la salud física y psicológica. Favorece la creatividad y las relaciones sociales y de comunicación. Promueve la educación en hábitos saludables para la vida adulta. Según la Organización Mundial de la Salud la actividad física es un pilar para combatir el flagelo de la obesidad y el sobrepeso, y una herramienta para disminuir el sedentarismo mundial de aquí al 2030. (AU)


Physical activity is considered as any body movement produced by skeletal muscles, which consumes energy. Children who do physical activity achieve benefits in various aspects: physical, psychological, social condition, develop of healthy habits, improvement of quality in adult life. Physical activity must be voluntary, developed in leisure time, and shall generate pleasure and joy. This way physical activity contributes with physical and psychological health. It also promotes creativity as much as sociable and communicational relationships. At the same time, physical activity encourages, promotes the education in healthy habits for adult life. According to the World Health Organization, physical activity is a pillar to combat the scourge of obesity and the overweight. It is a tool to reduce world sedentary lifestyle by 2030. (AU)


Asunto(s)
Humanos , Niño , Adolescente , Ejercicio Físico , Estilo de Vida Saludable , Promoción de la Salud , Actividades Recreativas , Salud del Niño/tendencias , Salud del Adolescente/tendencias , Sobrepeso/prevención & control , Conducta Sedentaria
20.
J Adolesc Health ; 65(6S): S3-S15, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31761002

RESUMEN

In the 25 years since the 1994 International Conference on Population and Development, significant progress has been made in adolescent sexual and reproductive health and rights (ASRHR). Trend analysis of key ASRHR indicators at global, national, and subnational levels indicates that adolescent girls today are more likely to marry later, delay their first sexual experience, and delay their first childbirth, compared with 25 years ago; they are also more likely to use contraceptives. Despite overall progress, however, unequal progress in many ASRHR outcomes is evident both within and between countries, and in some locations, the state of adolescents' lives has worsened. Population growth in countries with some of the worst shortfalls in ASRHR mean that declining rates, of child marriage, for example, coexist with higher absolute numbers of girls affected, compared with 25 years ago. Emerging trends that warrant closer attention include increasing rates of ovarian and breast cancer among adolescent girls and sharp increases in the proportion of adolescents who are overweight or obese, which has long-term health implications.


Asunto(s)
Salud del Adolescente/tendencias , Derechos Civiles/tendencias , Salud Reproductiva/tendencias , Conducta Sexual/estadística & datos numéricos , Salud Sexual/tendencias , Aborto Inducido/estadística & datos numéricos , Adolescente , Femenino , Humanos , Masculino , Embarazo , Embarazo en Adolescencia/estadística & datos numéricos , Delitos Sexuales/estadística & datos numéricos , Salud Sexual/estadística & datos numéricos , Estados Unidos/epidemiología
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...