Research :: Health of Adolescents and Young Adults: Trends in Achieving the 21 Critical National Health Objectives by 2010

The 21 Critical National Health Objectives (CNHOs) for Adolescents and Young Adults derived from Healthy People 2010 addressed the most significant threats to the health of individuals aged 10–24 years. This study assessed trends in the 21 CNHOs between 1991 and 2009, and from baseline years for which 2010 targets were established to 2009, and the extent to which targets were achieved.

For CNHOs measured by census systems, the percentage of change in each health outcome was calculated between 1991 and 2009 and between baseline years and 2009. Any change 5% was considered as an improvement or deterioration. For CNHOs measured by national probability-based surveillance surveys, multivariate logistic regression was conducted using Stata Version 10.0 (StataCorp, College Station, TX) to calculate odds ratios for each outcome from 1991, and from baseline years to 2009, controlling for gender, race/ethnicity, and age or school grade-level. To calculate the percentage of targets being achieved, the difference between baseline data and 2009 data was divided by that between baseline data and target.

Adolescents and young adults achieved two targets (rode with a driver who had drunk alcohol, physical fighting), improved for 12 CNHOs,mademixed progress by sub-objective for two,showednoprogress in four, and regressed in achieving two (Chlamydia infections; overweight). Progress varied by demographic variables.

Although encouraging trends were seen in young people’s health, the United States achieved only two CNHOs. Attention is needed to improve the health and reduce disparities among young people.

Health of Adolescents and Young Adults: Trends in Achieving the 21 Critical National Health Objectives by 2010; Journal of Adolescent Health – August 2011 (Vol. 49, Issue 2, Pages 124-132, DOI: 10.1016/j.jadohealth.2011.04.026)

TOPIC(S)

Adolescents, Health Behavior, Healthy People, Monitoring, Trends, Young Adults

DATE POSTED

August 1, 2011

AUTHOR(S)

Nan Jiang, Ph.D., Lloyd J. Kolbe, Ph.D., Dong-Chul Seo, Ph.D., Noy S. Kay, H.S.D., Claire D. Brindis, Dr. P.H.c

MORE NEWS AND ARTICLES BY SIMILAR TOPIC(S)

Implementing the Affordable Care Act: How Much Will It Help Vulnerable Adolescents and Young Adults?

  NAHIC and the Center for Adolescent Health and the Law (CAHL) have partnered to examine the Affordable Care Act’s impact on three special populations of adolescents and young adults: homeless youth, foster youth, and those in the juvenile justice and criminal justice systems. These groups, with higher rates of morbidity than the general adolescent and […]

Adolescents | Disparities | Health Care | Health Insurance | Medicaid | Policy | Special Populations | Young Adults

Adolescent Health Strategic Planning Guide

This 2011 guide was designed to provide tools and practical ideas for developing and implementing an adolescent health strategic plan.

Adolescents | Policy | Programs | Recommendations | Tools

Best Practices Brief

This 2004 brief provides an overview of Best Practices and a comprehensive listing of resources available in adolescent health.

Adolescents | Best Practices | Programs

Measuring the Positives: Review of Positive Indicators and Guidelines for their Use

In four 2004 papers, NAHIC conducted a comprehensive review and analysis of approaches to and measures of positive youth development.

Adolescents | Guidelines | Measurement | Transitions | Youth Development

Health Care for Homeless Youth: Policy Options for Improving Access

This issue brief, developed by the Center for Adolescent Health & the Law, presents an overview of the health care issues faced by homeless adolescents and young adults.

Adolescents | Health Care | Medicaid | Policy | Special Populations | Young Adults