# Presentation: 333832

## Group 5: Adolescent Prevention Priorities

_**Group Members**_
**Karen Broder, Charles Wibbelsman, Gale Burnstein, Amanda Cohn, C****arolyn Deal, David Delozier, Martin Fisher, Claire Hannan, Allison Mawle, ****Mary Jean Schumann, ****Laura Shone, Shannon Stokley, Mary Vernon-Smiley**

## In the Crossfire: Martin Fisher,  

- In the Crossfire: Martin Fisher,
- Mary Vernon-Smiley, and Charles Wibbelsman
- Moderator: Karen Broder

## Question #1

- There are many recommendations for
- adolescent preventive health services.  How
- can an adolescent healthcare provider
- make sense of them?
- Speaker 1:  Dr. Wibblesman
- Speaker 2: Dr. Fisher

## Leading Causes of Death Among Adolescents Ages 15-19: 2001*

*** National Center for Health Statistics**

## Clinical Preventive Services Guidelines for Adolescents 

- Bright Futures
- Guidelines for Adolescent Preventive Services (GAPS)
- American Academy of Pediatrics
- U.S. Preventive Services Task Force** **
**   ****(**Agency for Health Care Research and Quality)

## Question #2

- What is the role of the community in
- keeping adolescents healthy?
- Speaker 1:  Dr. Vernon-Smiley
- Speaker 2: Dr. Wibblesman

## Adolescent Health Risk Behaviors

- Unintentional injuries (motor vehicle injuries)
- Violence (homicide) and suicide
- Alcohol use
- Sexual risk behaviors that increase risk for HIV infection, other STDs, and pregnancy
- Physical inactivity and poor nutrition
- Tobacco use

**Notes:**
Adolescence is a unique period of life that brings special challenges and opportunities. No longer children and not yet adults, adolescents make choices and develop attitudes and behaviors that significantly affect their health now and in the future. 
Six key risk areas exist among adolescents:
Leading causes of death in adolescence:
Unintentional injuries (motor vehicle injuries)
Violence (homicide)
Leading risk factors in adolescence:
Alcohol use
Sexual risk behaviors that increase risk for HIV infection, other STDs, and pregnancy 
Leading risk factors that result in chronic diseases in adulthood:
Physical inactivity and poor nutrition
Tobacco use

## The Community and Adolescents 

**Schools**

**Families**

**Healthcare Providers**

**Religious Organizations**

**Local public health programs**

**Friends**

**Non-profit organizations**

**The Community and Adolescents**

## Question #3

- Adolescent healthcare providers often see
- more than 30 patients a day and
- sometimes have less than 10 minutes to
- spend with an adolescent.  What are the
- priorities if time is short?
**Speaker 1:  Dr. Fisher**
**Speaker 2: Dr. Wibblesman **

## A Sampling of Issues to Address in a Clinical Visit*

** **School concerns
-  Behavioral concerns
-  Social concerns
-  Mental health
-  Sexuality
-  Substance abuse
-  Medical concerns (acne, menstrual problems)

-  Weight concerns
- Risk-taking behaviors
-  Domestic violence
-  Family concerns
-  Community violence
-  Isolation (rural community)
-  Access to healthcare

- * Adapted from Bright Futures

## Question #4

- How do immunizations fit within the
- context of other adolescent preventive
- priorities?
- Speaker 1:  Dr. Wibblesman
- Speaker 2: Dr. Fisher
- Speaker 3: Dr. Vernon-Smiley

## Adolescent Immunizations: A Needle and a Hook?

_**Needle:**_ Vaccines effective at preventing morbidity and mortality among adolescents during
- Adolescence
- Adulthood
_**Hook:**_ Adolescent vaccination may provide an opportunity for increased encounters with healthcare providers and facilitate broader delivery of preventive services

## Acknowledgement

**Amanda Cohn**
**Dan Fishbein**
**Gale Burnstein**
**Carolyn Deal**
**David Delozier**** **

**Claire Hannan**
**Allison Mawle**
**Mary Jean Schumann**
**Laura Shone**
**Shannon Stokley**

## Slide 14

| Bright Futures | American Academy of Pediatrics (AAP) and the Maternal and Child Health Bureau | Health Care Providers |
| --- | --- | --- |
| Community Preventive Service Task Force  | Centers for Disease Control and Prevention | Community public health providers |
| Guidelines for Adolescent Preventive Services (GAPS) | American Medical Association and AAP | Health Care Providers |
| National Initiative to Improve Adolescent Health by the Year 2010 (NIIAH) | Centers for Disease Control and Prevention, Health Resources and Services Administration, University of California San Francisco | States and communities |
| U.S. Preventive Services Task Force | Agency for Health Care Research and Quality | Healthcare providers  |