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At least 919 records · Page 51Linked to original sources
PubMed1994

[Body image in adolescence: a comparative study of healthy and chronically ill adolescents].

The following study analyzes the preliminary data obtained during a 4 year longitudinal study of 108 diabetic and 107 healthy youths. It was investigated whether chronically ill youths have a more negative body image of themselves than do healthy ones. Further it was studied whether the objective degree of maturity and the quality of the metabolic adjustment of the disease influenced the physical self image of the chronically ill youths. Diabetics were found to view their body as less efficient, underdeveloped and sexually less differentiated, for example. Menarche and pollarche were also viewed negatively. Poor metabolic control of the disease was accompanied by an especially poor physical self image of these young people. Sex related differences in the self image of youths were found only in the control group. Differences in sex are evidently neutralized by the factor disease.

Adaptation, Psychological↗
PubMedDate not supplied

["Take it"--a musical by adolescents for adolescents as a new form of AIDS education].

In the spring of 1992, young actors, actresses and musicians presented in Basel for their schoolmates of the 8th and 9th school year a musical on the subject of AIDS. The information content of AIDS prevention was communicated by means of feelings, that means, in an emotional way (and no longer in a mainly cognitive way such as the conventional explanations in the classroom). The performance by youngsters of the same age made what was shown on the stage more credible, and at the same time, contributed to the "otherness" by means of this instruction: not as usual from superiors to inferiors, but on an equal level. This project of a workteam from the Basel Board of Education and the AIDS assistance had a pilot character for the rest of Switzerland and because of this could not draw from experience of similar presentations. Accordingly, there are both several positive as well as negative aspects to the present realisation of the project.

Acquired Immunodeficiency Syndrome↗
PubMed1993

[Acute abdomen among children and adolescents. A retrospective study of 470 children and adolescents with acute abdominal pain].

The causes of acute abdominal pain among children admitted to a surgical department were few and the fraction that needed surgical treatment was low (37%). The surgical intervention rate was age-dependent, rising from 11.4% (zero to three years of age) to 48.9% (12-15 years of age). The increase in surgical intervention rate was due to increasing incidence of acute appendicitis while the incidence of intestinal obstruction was unchanged during childhood. No child below the age of four had appendicitis, and the rate of perforated appendix among children seven years and younger (41.7%) was significantly higher than among children eight years and older (20.4%). For acute appendicitis, the surgeons' diagnostic accuracy was 77.9% and there was no significant difference between complications after appendectomy for appendicitis and complications after negative laparotomy. The diagnostic value of biochemical measurements was limited. However, the combined evaluation of C-reactive protein measurements and leucocyte counts possibly supports further observation rather than immediate operation.

Abdomen, Acute↗
PubMed2003

Adolescents' preventive care experiences before entry into the State Children's Health Insurance Program (SCHIP).

BACKGROUND: Adolescence has traditionally been thought of as a time of good health. However, adolescents comprise an important group with unique needs among State Children's Health Insurance Program (SCHIP) enrollees. Throughout the 1990s, there was increasing evidence of unacceptably high morbidity and mortality among adolescents from injuries, suicide, sexually transmitted diseases, substance abuse, and other conditions associated with risk behaviors. The establishment of relationships with the health care system can ensure prompt treatment and help promote healthy behaviors, assuming that the adolescent feels comfortable seeking help for his or her health-related concerns. However, health care systems typically are not designed to ensure that adolescents receive the primary and preventive care that might ameliorate the negative consequences of health-damaging behaviors. OBJECTIVES: The purpose of this study was to examine the following hypotheses. 1) Adolescents with special health care needs, those engaging in risk behaviors, and those who were insured before program enrollment would be more likely than those who were healthy and those not engaging in risk behaviors to have a preventive care visit in the year preceding the interview. No differences would be observed in the odds of preventive care visits based on age, race/ethnicity, and gender. 2) No differences would be observed in the receipt of risk-behavior counseling for those with a preventive care visit based on the adolescents' sociodemographic and health characteristics. 3) Adolescents who were older would be more likely to engage in risk behaviors than younger adolescents. There would be no differences in reports of risk behaviors based on gender, race/ethnicity, and children with special health care needs status. METHODS: Adolescents 12 to 19 years old and newly enrolled in SCHIP were eligible for the study. Telephone interviews were conducted within 3 months after enrollment with parents of adolescents to obtain sociodemographic information and information about the adolescents' health by using the Children with Special Health Care Needs screener. Interviews also were conducted with the adolescents themselves to obtain information about the adolescents' risk behaviors and experiences with preventive care before SCHIP enrollment. RESULTS: Interviews were completed with 1872 parents. In addition, a total of 918 interviews were completed with adolescents. Approximately 73% of adolescents reported engaging in at least one risk behavior. Approximately 69% reported having a primary care visit during the last year with 46% of those reporting that the visit was private. Of those reporting a primary care visit, between 41% and 53% reported receiving counseling along 1 of the 5 content dimensions of anticipatory guidance. Older adolescents were more likely to engage in risk behaviors than younger adolescents. Hispanic adolescents were approximately 30% less likely than white non-Hispanic adolescents to report engaging in risk behaviors. In terms of having a preventive care visit, adolescents with a special need were twice as likely to have a visit when compared with their healthy counterparts. Hispanics and black non-Hispanics were half as likely to have a preventive care visit (odds ratios of 0.59 and 0.54, respectively) than white non-Hispanics. Those engaging in risk behaviors were almost 50% less likely to report private preventive care visits than those reporting no risk behaviors. Privacy during the preventive care visit was associated with a greater odds of receiving counseling for risk behaviors in general, sexual activity, and emotional health and relationships. Depending on the type of counseling, those with private preventive care visits were 2 to 3 times more likely to receive the counseling than those whose visits were not private. In addition, those engaging in risk behaviors were 1.45 to almost 2 times more likely to receive counseling than those not engaging in any risk behaviors. CONCLUSIONS AND IMPLICATIONS: Based on our findings, health plans health plans and providers involved in SCHIP are likely to serve adolescents who have had limited opportunities for private preventive care visits and counseling during such visits. The most underserved are likely to be black and Hispanic adolescents who may have had no preventive care at all compared with their white non-Hispanic counterparts. State agencies, health plans, and providers need to follow established guidelines for adolescent health care that emphasize the provision of counseling for risk behaviors for all adolescents, not just those engaging in risk behaviors or those with special health care needs. Moreover, providers need to seek opportunities to ensure privacy for the adolescents during their preventive care visits so that much-needed counseling can be provided. Particular attention needs to be given to adolescents from minority groups to encourage them to seek preventive care.

Adolescent↗