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American Journal of Public Health logoLink to American Journal of Public Health
. 1996 Apr;86(4):513–519. doi: 10.2105/ajph.86.4.513

Morbidity and mortality among US adolescents: An overview of data and trends.

C W Sells 1, R W Blum 1
PMCID: PMC1380551  PMID: 8604781

Abstract

OBJECTIVES: This article reviews the health status of adolescents in the United States 1979 through 1994. METHODS: An extensive array of data from federal agencies, private organizations, and published literature was reviewed, analyzed, and cross-validated. RESULTS: Significant shifts in mortality and morbidity among America's youth have occurred over the past decade. Adolescents have recorded significant reductions in motor vehicle deaths,; alcohol, cigarette, and illicit substance use; and gonorhea and syphilis. Overall, mortality in the second decade of life has declined by 13%. However, reductions in unintentional injuries have been largely offset by increases in teenage homicide, while worsening poverty as well as risk-taking behavior continue to influence the morbidities of teenagers adversely. Violence, suicide, and teenage pregnancy continue to be overwhelming problems for young people. CONCLUSIONS: After years of downward spiral in the health of America's youth, there have been significant improvements in morbidity and mortality. These findings refute the myth that nothing can be done.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bachrach C. A., Stolley K. S., London K. A. Relinquishment of premarital births: evidence from national survey data. Fam Plann Perspect. 1992 Jan-Feb;24(1):27-32, 48. [PubMed] [Google Scholar]
  2. Blum R. W., Resnick M. D. Adolescent sexual decision-making: contraception, pregnancy, abortion, motherhood. Pediatr Ann. 1982 Oct;11(10):797–805. doi: 10.3928/0090-4481-19821001-07. [DOI] [PubMed] [Google Scholar]
  3. Blum R. W., Resnick M. D., Stark T. A. The impact of a parental notification law on adolescent abortion decision-making. Am J Public Health. 1987 May;77(5):619–620. doi: 10.2105/ajph.77.5.619. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Cates W., Jr Epidemiology and control of sexually transmitted diseases: strategic evolution. Infect Dis Clin North Am. 1987 Mar;1(1):1–23. [PubMed] [Google Scholar]
  5. Cooksey E. C. Factors in the resolution of adolescent premarital pregnancies. Demography. 1990 May;27(2):207–218. [PubMed] [Google Scholar]
  6. DiClemente R. J., Brown L. K., Beausoleil N. I., Lodico M. Comparison of AIDS knowledge and HIV-related sexual risk behaviors among adolescents in low and high AIDS prevalence communities. J Adolesc Health. 1993 May;14(3):231–236. doi: 10.1016/1054-139x(93)90011-d. [DOI] [PubMed] [Google Scholar]
  7. DiClemente R. J., Durbin M., Siegel D., Krasnovsky F., Lazarus N., Comacho T. Determinants of condom use among junior high school students in a minority, inner-city school district. Pediatrics. 1992 Feb;89(2):197–202. [PubMed] [Google Scholar]
  8. Fingerhut L. A., Kleinman J. C. International and interstate comparisons of homicide among young males. JAMA. 1990 Jun 27;263(24):3292–3295. [PubMed] [Google Scholar]
  9. Fisher M., Rosenfeld W. D., Burk R. D. Cervicovaginal human papillomavirus infection in suburban adolescents and young adults. J Pediatr. 1991 Nov;119(5):821–825. doi: 10.1016/s0022-3476(05)80311-7. [DOI] [PubMed] [Google Scholar]
  10. Forrest J. D., Singh S. The sexual and reproductive behavior of American women, 1982-1988. Fam Plann Perspect. 1990 Sep-Oct;22(5):206–214. [PubMed] [Google Scholar]
  11. Henshaw S. K., Kost K. Parental involvement in minors' abortion decisions. Fam Plann Perspect. 1992 Sep-Oct;24(5):196-207, 213. [PubMed] [Google Scholar]
  12. Hingson R., Strunin L., Berlin B. Acquired immunodeficiency syndrome transmission: changes in knowledge and behaviors among teenagers, Massachusetts statewide surveys, 1986 to 1988. Pediatrics. 1990 Jan;85(1):24–29. [PubMed] [Google Scholar]
  13. Kolbe L. J. The role of the Federal Government in promoting health through the schools: report from the Division of Adolescent and School Health, Centers for Disease Control. J Sch Health. 1992 Apr;62(4):135–137. doi: 10.1111/j.1746-1561.1992.tb08191.x. [DOI] [PubMed] [Google Scholar]
  14. Luthar S. S., Zigler E. Vulnerability and competence: a review of research on resilience in childhood. Am J Orthopsychiatry. 1991 Jan;61(1):6–22. doi: 10.1037/h0079218. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Martinez J., Smith R., Farmer M., Resau J., Alger L., Daniel R., Gupta J., Shah K., Naghashfar Z. High prevalence of genital tract papillomavirus infection in female adolescents. Pediatrics. 1988 Oct;82(4):604–608. [PubMed] [Google Scholar]
  16. Orr D. P., Langefeld C. D., Katz B. P., Caine V. A., Dias P., Blythe M., Jones R. B. Factors associated with condom use among sexually active female adolescents. J Pediatr. 1992 Feb;120(2 Pt 1):311–317. doi: 10.1016/s0022-3476(05)80453-6. [DOI] [PubMed] [Google Scholar]
  17. Rosenfeld W. D., Vermund S. H., Wentz S. J., Burk R. D. High prevalence rate of human papillomavirus infection and association with abnormal papanicolaou smears in sexually active adolescents. Am J Dis Child. 1989 Dec;143(12):1443–1447. doi: 10.1001/archpedi.1989.02150240065018. [DOI] [PubMed] [Google Scholar]
  18. Rutter M. Resilience: some conceptual considerations. J Adolesc Health. 1993 Dec;14(8):626-31, 690-6. doi: 10.1016/1054-139x(93)90196-v. [DOI] [PubMed] [Google Scholar]
  19. Seidman S. N., Rieder R. O. A review of sexual behavior in the United States. Am J Psychiatry. 1994 Mar;151(3):330–341. doi: 10.1176/ajp.151.3.330. [DOI] [PubMed] [Google Scholar]
  20. Sonenstein F. L., Pleck J. H., Ku L. C. Levels of sexual activity among adolescent males in the United States. Fam Plann Perspect. 1991 Jul-Aug;23(4):162–167. [PubMed] [Google Scholar]
  21. Zabin L. S., Hirsch M. B., Boscia J. A. Differential characteristics of adolescent pregnancy test patients: abortion, childbearing and negative test groups. J Adolesc Health Care. 1990 Mar;11(2):107–113. doi: 10.1016/0197-0070(90)90018-w. [DOI] [PubMed] [Google Scholar]

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