Intro to Adolescent Health & SDH
What is adolescence today?
adolescents can be defined in many ways but it is based on biological markers such as the beginning and end of puberty phase.
What is the term that describes this determinant of health: the daily circumstances that most directly impact a person's health? For example, family, peer group, school, neighbourhood
Proximal determinants
What is a factor that may accelerate pubertal timing and tempo
Childhood stressors such as maltreatment
Having a pet
Living closer to the equator
Living on a farm
Childhood stressors such as maltreatment
What is the most widely used survey that provides data on health risk behaviors among 9th- to 12th-grade students in U.S. schools?
A) National Health Interview Survey (NHIS)
B) Youth Risk Behavior Surveillance Survey (YRBSS)
C) National Survey of Family Growth (NSFG)
D) National Longitudinal Survey of Youth (NLSY)
Youth Risk Behavior Surveillance Survey (YRBSS)
Which one of the following agency/ programs collects data on youth and school health policies and practices through school-based surveillance systems?
Maternal and Child Health Bureau
Division of Adolescent and School Health
Teen Pregnancy Prevention Programs
Society for Adolescent Health and Medicine
Division of Adolescent and School Health
Who are adolescents?
individuals ages 10-19 are considered to be adolescents
The strongest determinants of health are 3 structural factors; what are they?
national wealth, income inequality, and access to education
What is a factor that contributes to earlier puberty onset in girls?
Nutritional changes
Metabolism
Endocrine disruptors
Maternal and/or childhood obesity
Intrauterine growth restriction
All of the above
All of the above
Which demographic groups have been disproportionately exposed to school-related violence and safety concerns associated with systemic and environmental factors, rather than individual or community characteristics?
A) Students from high-income families
B) White suburban students
C) Black/African American and Hispanic students
D) Students attending private schools
Black/African American and Hispanic students
Which of the following is the primary funding source for US public health programs that provide immunizations, preventive and primary care services for adolescents, and comprehensive care for adolescents with special health care needs?
Adolescent and Young Adult Health National Resource Center and Health Research Network
Bright Futures
Title V MCH Block Grant
CDC
Title V MCH Block Grant
What is a social determinant?
a social determinant refers to the conditions in which people are born into, grow, live, and work in that can affect their quality of life and health
Fill in the blanks: In low-income and middle income countries, up to 33% of all adolescents do not attend ___ compared with 4% in Canada, the USA, and western Europe. Participation in ___ is protective against teenage pregnancy, and injury deaths.
high school / secondary education
What is one thing early pubertal timing associated with?
Elevated depressive symptoms and lower academic performance in high school
Doing more exercise
Wanting to move to an urban area
Decreased interest in the arts
Elevated depressive symptoms and lower academic performance in high school
According to national data, which student group is disproportionately disciplined through suspensions and school-related arrests in K–12 public schools?
A) Asian American students
B) White male students
C) Black students and students with disabilities
D) Hispanic female students
Black students and students with disabilities
In what fiscal year was the Office of Adolescent Health established?
2010
1995
2005
2011
2010
What are 4 examples of a social determinant?
access to education
language skills
access to healthcare
family income
neighborhood/living conditions
social support
social discrimination
Fill in the blank: Programs that improve secondary school environments and ___ are the most promising large-scale interventions for improving health outcomes in adolescence.
sexual health education
academic achievement
connectedness
access to reliable transportation
connectedness
What is one key reason why adolescents may engage in more risky behaviors than adults?
Adolescents have underdeveloped cognitive skills, leading to irrational decision-making.
Adolescents have a heightened sensitivity to reward and a reduced ability to regulate emotions and behaviors.
Adolescents process information more slowly than adults, causing them to take risks unknowingly.
Adolescents are naturally less risk-averse because they lack the capacity to perceive risks.
Adolescents have a heightened sensitivity to reward and a reduced ability to regulate emotions and behaviors.
Which of the following social determinants most directly influences disparities in homicide rates and school violence among Black/African American adolescent males?
A) Access to sports facilities
B) Neighborhood poverty and exposure to crime
C) School curriculum quality
D) After-school arts programs
Neighborhood poverty and exposure to crime
True or False: In 2018, the Department of Health and Human Services and Youth Services Bureau was awarded funding for the Title V State Sexual Risk Avoidance Education program.
True
False
True
What are the leading causes of adolescent mortality?
unintentional injury (motor vehichle crashes, poisoning, drowning), suicide, and homicide
True or False: Family, peer, and educational factors that affect adolescent health within high-income countries are different than factors that impact adolescent health within low-income countries.
False! Similar factors explain worldwide variations between countries
Which of the following is a key characteristic of authoritative parenting that promotes positive adolescent development?
High parental warmth with low monitoring.
Clear communication about values, expectations, and rationale for decisions.
Low parental warmth with high monitoring.
Emotional distance and minimal involvement in the adolescent's life.
Clear communication about values, expectations, and rationale for decisions.
What is a key reason adolescents from marginalized racial/ethnic groups are overrepresented in the juvenile justice system?
A) Equal rates of juvenile crime across all races
B) Increased access to rehabilitation programs
C) Systemic racial bias and disparities in law enforcement practices
D) Lower rates of educational attainment
Systemic racial bias and disparities in law enforcement practices
StopBullying.Gov is made up of which of the following government departments?
Department of Health and Human Services
Department of Education
Department of Justice
All of the Above
All of the Above