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. Author manuscript; available in PMC: 2018 Mar 1.
Published in final edited form as: J Adolesc Health. 2016 Dec 20;60(3):249–260. doi: 10.1016/j.jadohealth.2016.10.005

Figure 1.

Figure 1

The framework emphasizes the crucial importance of a life course perspective in the understanding of adolescent health and development (represented by the horizontal flow of the framework) and the importance of social determinants of health (vertical flow). The axes intersect around the unique characteristics of adolescence (the complex interactions between puberty, neurocognitive maturity, and social role transitions) to emphasize how these factors affect adolescent health and development. The text outside the boxes refers to settings and scope of policies, preventive interventions, and services that affect adolescent health. From Sawyer SM, Afifi RA, Bearinger LH, et al. Adolescence: A foundation for future health. Lancet 2012;379:1630–40.