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)

Data and 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)

Starting on a Healthy Path: Promotion of Young Men’s Sexual Health

This 2007 article summarizes the key health issues surrounding male sexual health, including risky behaviors and sexually transmitted infections.

Males | Sexual and Reproductive Health | Socio-demographic disparities | Young Adults

America’s Adolescents: Where Have We Been, Where Are We Going?

This 2002 article reviews the historical trends and current status of the health of America’s adolescents.

Mental/Behavioral Health | Mortality | Risky Behavior | Sexual and Reproductive Health | Substance Use | Trends

Young Adults’ Health Care Utilization and Expenditures Prior to the Affordable Care Act

This 2014 original article by researchers in the Division of Adolescent and Young Adult Medicine examines young adults’ health care utilization and expenditures prior to the Affordable Care Act. Using data from the 2009 Medical Expenditures Survey, Lau et al found that young adults had significantly lower rates of overall healthcare utilization that other age […]

Affordable Care Act | Health Care | Health Insurance | Young Adults

Health Care Data for Adolescents and Young Adults: An Overview of Major Data Sources

This easy-to-use document provides an overview of large publicly available data sets that periodically examine health status and health care access, utilization, and quality among adolescents and young adults. It allows the user to compare surveys by different categories including ages, respondents, years available, and more; it also provides specifics about what type of questions each survey asks.

Data and Monitoring | Health Care | Young Adults

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 […]

Affordable Care Act | Policy | Socio-demographic disparities | Special Populations | Young Adults