Our future: a Lancet commission on adolescent health and wellbeing

Patton, George C.; Sawyer, Susan Μ; Santelli, John; Ross, David A.; Afifi, Rima; Allen, Nicholas B.; Arora, Monika; Azzopardi, Peter; Baldwin, Wendy; Bonell, Christopher; Kakuma, Ritsuko; Kennedy, Elissa; Mahon, Jaqueline; McGovern, Terry; Mokdad, Ali H.; Patel, Vikram; Petroni, Suzanne; Reavley, Nicola; Taiwo, Kikelomo; Waldfogel, Jane; Wickremarathne, Dakshitha; Barroso, Carmen; Bhutta, Zulfiqar A; Fatusi, Adesegun O.; Mattoo, Amitabh; Diers, Judith; Fang, Jing; Ferguson, Jane; Ssewamala, Fred M.; Viner, Russell

doi:10.1016/s0140-6736(16)00579-1

Cited by 2,400 publications

(2,611 citation statements)

References 279 publications

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“…For this reason, adolescence can be considered a sensitive phase, during which the quality of the physical, nutritional and social environments may change trajectories of health and development into later life 11 . Given the concept that growth continues into the twenties, together with the delays in adopting adult roles, the idea has been proposed that adolescence might best be considered as ranging from 10 to 24 years 12 .…”

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confidence: 99%

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Adolescence and the next generation

Patton

Olsson

Skirbekk

et al. 2018

Nature

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270

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Adolescent growth and social development shape the early development of offspring from preconception through to the post-partum period through distinct processes in males and females. At a time of great change in the forces shaping adolescence, including the timing of parenthood, investments in today’s adolescents, the largest cohort in human history, will yield great dividends for future generations.

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confidence: 99%

“…For example, the risk of sexually transmitted infections increases with multiple sexual partners before marriage; earlier initiation of substance use is associated with greater risk of later substance-use disorders; and a reduction in physical activity, alongside changes in diet, is associated with higher rates of obesity 11,14 .…”

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confidence: 99%

Adolescence and the next generation

Patton

Olsson

Skirbekk

et al. 2018

Nature

Self Cite

270

228

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Section: Introductionmentioning

confidence: 99%

“…During adolescence, individuals develop their cognitive, economic, emotional, and social capacities that will influence how they think about their health and what influences their decisions and actions (Patton et al, 2016; World Health Organization, 2014). For example, adolescents’ cognitive abilities, such as their abstract thinking and reasoning, are developing (Patton et al, 2016). Similarly, their purchasing power often increases which can influence their health-related behaviours such as deciding what snacks and foods to buy, Thus, for adolescents, empowerment means both to experience a control over aspects of their environment that affect their health and to control themselves so that their actions lead them to choose healthy alternatives (Tengland, 2007).…”

Section: Introductionmentioning

confidence: 99%

Empowering aspects for healthy food and physical activity habits: adolescents’ experiences of a school-based intervention in a disadvantaged urban community

Holmberg

Larsson

Korp

et al. 2018

International Journal of Qualitative Studies on Health and Well

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Purpose:This study aimed to describe adolescents’ experiences of participating in a health-promoting school-based intervention regarding food and physical activity, with a focus on empowering aspects. Method: The school was located in a urban disadvantaged community in Sweden, characterized by poorer self-reported health and lower life expectancy than the municipality average. Focus group interviews with adolescents (29 girls, 20 boys, 14–15 years) and their teachers (n = 4) were conducted two years after intervention. Data were categorized using qualitative content analysis. Results: A theme was generated, intersecting with all the categories: Gaining control over one’s health: deciding, trying, and practicing together, in new ways, using reflective tools. The adolescents appreciated influencing the components of the intervention and collaborating with peers in active learning activities such as practicing sports and preparing meals. They also reported acquiring new health information, that trying new activities was inspiring, and the use of pedometers and photo-food diaries helped them reflect on their health behaviours. The adolescents’ experiences were also echoed by their teachers. Conclusions: To facilitate empowerment and stimulate learning, health-promotion interventions targeting adolescents could enable active learning activities in groups, by using visualizing tools to facilitate self-reflection, and allowing adolescents to influence intervention activities.

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“…In a global health context, basic and secondary education is an important social determinant of adolescent and adult health in both poor and rich countries [78]. The beneficial effects of education can be attributed to the better living conditions that become available with education, including better jobs, higher income, and more control over one’s life circumstances [79].…”

Section: Discussionmentioning

confidence: 99%

Constructing respectability from disfavoured social positions: exploring young femininities and health as shaped by marginalisation and social context. A qualitative study in Northern Sweden

Wiklund

Ahlgren

Hammarström

2018

Global Health Action

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Background: Gender, class and living conditions shape health and illness. However, few studies have investigated constructs of femininity in relation to health and living conditions among young women who are unemployed and marginalised at an early age. Objective: The aim of this research was to elucidate constructs of femininities in relation to structuring living conditions and expressions of health in Northern Swedish women. The time period of interest was the transition from unemployed teenagers to young adults in a social context of high unemployment and societal change across the critical ‘school-to-work-transition’ period of the life course. Methods: Qualitative content analysis was used to analyse data from repeated interviews with unemployed young women, aged 16–33 years, during the 1980s and 1990s. These longitudinal interviews were part of a cohort study in a ‘remote’ municipality in Northern Sweden that began in 1981. All girls who were not in education, employment, or training were selected for interview. An inductive analysis phase was followed by a theoretically informed phase. The contextual frame is the Nordic welfare-state model and the ‘caring state’ with its particular focus on basic and secondary education, and women’s participation in the labour market. This focus paralleled high rates of youth unemployment in northern Sweden during the study period. Results: The results are presented as the theme of ‘constructing respectability from disfavoured social positions’. Within this theme, and framed by dominant norms of patriarchal femininity, we explored the constructs of normative and altruistic, norm-breaking, and troubled femininity. Conclusions: Gender-sensitive interventions are needed to strengthen young women’s further education and positions in the labour market and to preventing exposure to violence. More research on health experiences related to the multitude of constructs of femininities in various social contexts and across the life course is needed to help design and implement such interventions.

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Our future: a Lancet commission on adolescent health and wellbeing

Cited by 2,400 publications

References 279 publications

Adolescence and the next generation

Adolescence and the next generation

Empowering aspects for healthy food and physical activity habits: adolescents’ experiences of a school-based intervention in a disadvantaged urban community

Constructing respectability from disfavoured social positions: exploring young femininities and health as shaped by marginalisation and social context. A qualitative study in Northern Sweden

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