A pinboard by
G Balamurugan

Associate Professor, Ramaiah Institute of Nursing Education and Research


Background and Objectives: India has the world’s largest youth population despite having a smaller population than China. Healthy adolescents are the future citizen of the nation; as per the UN report, this population could add a significant 2 per cent to the GDP growth rate. But various research reports identified that nearly two thirds of premature deaths and one third of the total disease burden in adults are associated with conditions or behaviours that began in youth, including tobacco use, lack of physical activity, or exposure to violence. Healthy lifestyle habits during adolescence can prevent many of the diseases and disabilities in adulthood and later. Based on these contexts, the present study i.e. Adolescence Health Educational Programme (AHEP) is carried out with a clear vision to make the adolescents to realise the importance of life and healthy lifestyle; and their contribution to the productivity of our nation. Methods: one hundred twenty, 9th standard adolescents were randomly selected and allocated to intervention and comparison group (60 in each). Intervention group received AHEP sessions for 10 weeks. Physical, mental, social and spiritual wellbeing of both group were assessed before and after the intervention. Results: It showed that majority of the adolescents have above average level of wellbeing in all the aspects of health except spiritual wellbeing. Statistical test shows that there was a significant improvement in all the wellbeing of adolescents in first three months, later on it gradually reduced and came near to base line after 9 months. Further gender, religion, feeling of loneliness, peer criticism, passive smoking, use of drugs, awareness about HIV / AIDS and parental care are significantly affecting the level of wellbeing of adolescents. Conclusion: A consistent Adolescent Health Education Programme in a long run will improve the health of adolescents.


Navigating the Health Care System: An Adolescent Health Literacy Unit for High Schools.

Abstract: Currently, no intervention concerning transition of health care responsibilities from parents to teens exists for adolescents in the general population. The purpose of this intervention was to evaluate teacher satisfaction and student knowledge gain of a health unit developed for adolescents on becoming their own health care advocates. Throughout the 2014-2015 school year, 13 health and career technical education teachers in 11 Delaware high schools taught the unit to 948 students in 2 90-minute classes in 35 classrooms. Assessments included teacher reflections and student pre- and posttests to measure knowledge transfer and gain and gather feedback. Teacher and student feedback indicated the materials were appropriate and useful in teaching students to navigate the health care system. Student knowledge increased from pretest (64%) to posttest (82%), (p < .001). The educational background of the teacher did not influence this outcome. Students reported they will know what to do better at their next doctor's appointment because of this unit and indicated support for peers to learn this information. The unit resulted in content knowledge increase for students. It was consistently effective throughout all schools regardless of social and demographic characteristics, teacher type, or experience teaching the unit. © 2018, American School Health Association.

Pub.: 03 Apr '18, Pinned: 11 Apr '18

How adolescent health influences education and employment: investigating longitudinal associations and mechanisms.

Abstract: Education is recognised as a strong determinant of health. Yet there is increasing concern that health in adolescence may also influence educational attainments and future life chances. We examined associations between health in early adolescence and subsequent academic and employment outcomes, exploring potential mediators of these relationships to inform intervention strategies. We used data from the Longitudinal Study of Young People in England. Adolescent health was measured at waves 1 and 2. Outcomes included educational attainment at age 16 years and being NEET (not in education, employment or training) at age 19 years. Associations were adjusted for ethnicity, area-level deprivation and early adolescent academic attainment. Where significant associations were identified, we examined the role of hypothesised mediators including attendance and truancy, classroom behaviour, substance use and psychological distress. Health conditions in early adolescence predicted poor subsequent education and employment outcomes (ORs ranged from 1.25 to 1.72) with the exception of long-term chronic conditions and NEET status, which were unassociated. The most consistent mediating variable was social exclusion. School behaviour, truancy and substance use were significant mediators for mental health. Long-term absences mediated associations between mental health and physical health and later outcomes. Health is a key component of academic and vocational achievement. Investment in health is a way of improving life chances. The identification of key mediators such as social exclusion and truancy indicate areas where screening for health conditions and provision of targeted support could improve educational, employment and health outcomes. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Pub.: 05 Apr '18, Pinned: 11 Apr '18

Empowerment of Adolescent Girls for Sexual and Reproductive Health Care: A Qualitative Study.

Abstract: Adolescent girls should be empowered to acquire the ability to take care of their sexual and reproductive health. The present study aimed to improve the understanding of the factors affecting the empowerment of Iranian adolescent girls in terms of taking care of their sexual and reproductive health (e.g. pubertal and menstrual health, preventing high risk sexual behaviors, treatment seeking for sexual and reproductive complaints such as dysmenorrhea, genitalia infection). The present qualitative study was performed using conventional content analysis method. Eight key informants were purposively selected and interviewed. Data collection was performed through unstructured and in-depth interviews. The qualitative content was analyzed simultaneously with data collection based on Graneheim and Lundman method using MAXQDA 2010 software. Data analysis led to the emergence of the main theme of empowerment for care with four classes of reinforcing the foundations of sexual and reproductive health, providing services in health system, reinforcing educational institutions, and consolidating the interaction between adolescent and family, as well as thirteen sub-classes. Results of the present study showed the need for inter-sectional interaction and collaboration among authorities of health systems, education systems, and policymaking institutions to achieve a model for empowering adolescent girls via a multi-level and comprehensive approach.

Pub.: 07 Apr '18, Pinned: 11 Apr '18