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Status Of  ADOLESCENTS   Indian Pediatrics Scenario
Teenage: Thirteen To Nineteen ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Teenage Care Importance By Sheer Number ,[object Object],[object Object],[object Object],[object Object],[object Object]
Family Life Education For Teenagers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Low Birth Weight babies Community Risk Factors ,[object Object],[object Object],[object Object],[object Object]
Psychosocial Development More realistic  Highly moralistic  Attitudes  Put self limits Risk taking  Behaviour  More selective All important Friends / Peers Acceptance  Concern  Puberty Changes Reacceptance Rebellious  With parents  Young Adult  Teenage
Pre-marital Counseling  Before You Have A Baby ,[object Object],[object Object],[object Object],[object Object],[object Object]
Philosophy of   Child Development ,[object Object],[object Object],[object Object],[object Object]
COMPARISON :  MEAN HEIGHT 151.3 19 153.1 146.9 18 157.1 154.6 146.7 151.5 17 155.8 156.5 145.8 151.1 16 155.0 158.5 145.3 149.6 15 153.6 149.1 142.8 147.5 14 151.4 150.1 140.7 143.9 13 Aff.Indian CDC BIHAR  ICMR  Age
COMPARISON :  MEAN WEIGHT   42.9 19 43.1 43.5 18 50.9 42.7 41.7 42.4 17 49.2 43.2 39.9 41.1 16 48.0 41.3 39.6 38.8 15 45.7 37.8 38.1 36.8 14 42.6 35.6 33.8 33.3 13 Aff.Indian CDC Bihar  ICMR  Age
GROWTH STATUS 04.0 0.0 62.0 30.0 19 00.0 0.0 68.2 20.5 18 04.3 0.0 71.0 27.5 17 06.2 1.0 60.8 20.6 16 03.3 1.1 79.2 41.5 15 06.0 0.2 86.8 56.7 14 19.1 8.8 91.2 76.7 13 <145cm (%) < 140cm (%) <45 Kg  (%) <40Kg (%) Age Yrs.
DENTAL PROBLEMS 03.5 02.9 Others 14.6 13.5 Malocclusion 05.0 06.2 Bad Breath 20.8 17.3 Caries 11.2 09.4 Gum bleeding 14.2 11.7 Pain  45.8 40.6 YES 16-19 Yrs - % 13-15 Yrs - % Problem
EYE PROBLEMS 17.3 12.4 Others 02.3 05.3 Long sight 07.7 05.7 Short sight  01.5 01.9 Stye 00.0 00.5 Squint  58.1 53.4 Headache 65.8 62.5 YES  16-19 Yrs - % 13-15 Yrs - % Problems
EAR PROBLEMS 00.8 00.4 Others 04.2 01.0 Hearing loss 02.3 02.4 Discharge  08.5 02.6 Wax 05.8 06.0 Itching  14.2 15.4 Pain  25.4 25.3 YES 16-19 Yrs - % 13-15 Yrs - % Problems
HAIR-FACE PROBLEMS 00.8 00.8 Others  11.5 04.4 Scar 46.2 13.2 Pimples 66.9 45.5 Falling hair 48.8 27.8 Dandruff  36.5 52.9 Lice  88.5 78.6 YES  16-19 Yrs - % 13-15 Yrs - % Problems
SKIN NAIL PROBLEMS 05.4 03.3 Others 14.6 06.1 Sore foot 12.3 04.0 Nail Infection 16.5 06.1 Itching 06.1 00.9 Hirsuitism 25.0 21.7 White patch  55.0 32.0 YES  16-19 Yrs -% 13-15 Yrs - % Problems
MENSTRUAL PROBLEMS 03.1 04.0 Others 21.9 28.3 Discharge 63.5 43.9 Pain 14.2 13.1 Profuse  08.1 09.1 Scanty 14.6 19.5  Irregular  76.5 67.1 YES  16-19 Yrs-% 13-15 Yrs-%  Problems
PROBLEMS AT HOME 03.1 00.9 Others 27.7 21.9 Economic 05.4 01.7 Substance abuse 16.5 17.3 Alcoholism 06.5 04.9 Broken home 22.7 15.9 Unhappy  48.8 42.1 YES  16-19 Yrs - % 13-15 Yrs - % Problems
PROBLEMS AT   SCHOOL/COLLEGE/WORK-PLACE   06.2 03.8 Harassment 10.4 06.1 Isolation 05.4 06.7 Partiality 13.4 19.0 Failure 43.1 32.5 YES  16-19 Yrs -% 13-15 Yrs - % Problems
CONFIDING IN SOMEONE 03.5 01.1 Others  02.3 00.8 Uncle/Aunt  00.0 00.3 Teacher  45.8 43.9 Friend 14.6 11.3 Sister  28.8 33.7 Mother  83.1 83.3 YES  16-19 Yrs -% 13-15 Yrs -% Problems
PERSONALITY CHARACTERISTICS 53.8 63.5 Conflict resolving strategy 50.0 70.1 Abundance Mentality 67.3 81.5 Wish well for others 58.5 75.9 Giving Type 16-19 Yrs-% 13-15 Yrs-% Personality
EYE PROBLEMS  ON TESTING 09.6 06.3 Others  75.4 15.0 85.1 08.5 Left Eye  6/6 6/9 08.1 05.8 Others 76.9 01.5 84.3 09.9 Right Eye  6/6 6/9 16-19 Yrs - % 13-15 Yrs - % Distant vision
ACTIVITIES FOR PHYSICAL FITNES 04.4 01.8 Nothing  01.1 01.3 Others  01.1 00.0 Yoga  00.0 01.0 Dance Lesson 08.9 04.3 Home Exercise  02.2 07.5 Sports/Games 88.9 89.8 Home activities   16-19 Yrs -% 13-15 Yrs - % Activities
FACE CARE   00.0 00.8 Nothing  00.0 01.0 Others 00.0 00.3 Bleaching  36.7 29.5 Fairness Cream 03.3 01.5 Cold Creams 34.4 37.5 Turmeric 96.7 95.8 Powder  16-19 Yrs - % 13-15 Yrs - % Type of care
HAIR CARE  01.1 00.3 Others  01.1 00.3 Anti-Dandruff Treat 01.1 02.5 Anti-Lice Treatment 34.4 43.5 Shampoo 38.0 39.3 Herbal Shampoo 64.4 65.8 Soap 97.8 96.5 Oil  16-19 Yrs -% 13-15 Yrs -% Type of care
SKIN CARE   04.4 00.8 Others  00.0 00.3 Shaving  06.7 05.0 Turmeric  05.6 06.8 Oil Bath  96.7 98.3 Daily bath  16-19 Yrs -% 13-15 Yrs - % Type of Care
EYE CARE   00.0 00.3 Nothing  00.0 00.3 Others 00.0 00.5 Eye Shadow 13.3 07.5 Muscara 56.7 71.3 Eye Liner 00.0 02.5 Company Kajal 38.9 25.3 Home made Kajal 16-19 Yrs-% 13-15 Yrs-% Type of Care
CARE FOR EYEBROWS 03.3 02.3 Others  03.3 00.5 Shaving  00.0 00.3 Tweezing 01.1 00.5 Plucking  02.2 00.0 Threading  22.2 29.0 Kajal 72.2 71.0 None  16-19 Yrs-% 13-15 Yrs-% Type of Care
TEETH CARE  02.2 00.0 Others 81.1 77.0 Brush  83.3 78.8 Tooth Paste 11.1 10.8 Tooth Powder 05.6 04.3 Salt  02.2 01.5 Neem Twigs  38.9 47.0 Umikkari  16-19 Yrs - % 13-15 Yrs - % Type of Care
DYSMENORRHOEA 01.1 00.8 Others  22.2 09.1 Pain radiating  to thighs 38.9 22.9 Back Pain 45.6 22.9 Lower Abdominal Pain 21.1 08.2 Nausea or vomiting 38.9 26.3 Abdominal discomfort 17.8 37.2 None  16-19 Yrs-% 13-15 Yrs-% Type
TOLD ABOUT MENSES BEFORE MENARCHE 00.0 00.8 Others 20.0 14.3 Friend 04.4 02.0 Aunt  00.0 00.8 Teacher  06.7 05.5 Sister 14.4 17.5 Mother  57.8 57.0 None 16-19 Yrs-% 13-15 Yrs-% Person
GENERALIZED DISCOMFORT DURING MENSUS 05.6 03.5 Others 42.2 16.8 Acne 23.3 12.0 Muscle Cramps 23.3 09.8 Tiredness  05.6 03.3 Breast engorgement 10.0 03.5 Breast pain 38.9 49.0 None  16-19 Yrs %  13-15 Yrs % Type
CARE AND HYGIENE DURING MENSES 03.3 00.5 Use of lotion 02.2 01.8 Shaving Genital hair 12.2 04.3 Trimming genital hair 12.2 07.8 Sanitary napkin 96.7 78.8 Cloth/Cotton 90.0 78.5 Daily Bath  16-19 Yrs % 13-15 Yrs % Type of Care
ANY VAGINAL DISCHARGE IN THE PREVIOUS MONTH 07.8 17.3 NIL 01.1 01.5 Others  07.8 05.8 Vulval itching/burning 00.0 00.3 Brownish blood stained 07.8 04.0 Yellow stained cloth 01.1 00.5 Greenish watery 15.6 10.3 Thick curdy white  68.9 62.2 Normal pearly white  16-19 Yrs-% 13-15 Yrs-% Type
DISCRIPTION OF SELF 06.7 01.3 Others 08.9 11.5 Feel unwanted  05.6 06.3 Can’t get along with parents 48.9 45.8 Just okay 18.9 20.3 Comfortable  13.3 10.0 Lot of self respect 28.9 27.8 Confident 16-19 Yrs % 13-15 Yrs %
DESCRIPTION OF FATHER  04.4 03.0 Not applicable 04.4 03.0 Others 13.3 07.5 Obstinate  11.1 09.8 Dominating  17.8 20.8 Short tempered  10.0 16.8 Worried/Tensed 31.1 38.0 Soft/Accommodative  38.9 54.5 Caring/Protective  16-19 Yrs % 13-15 Yrs %
WHEN WOULD YOU JUSTIFY-   TRYING SUICIDE 02.2 11.8 Others  11.1 19.0 Extreme Financial Loss  18.9 20.5 Failed Love Affair 18.9 13.0 To defeat parents 06.7 13.0 To prove innocence  46.7 39.3 Unwed pregnancy/Rape 22.2 13.5 Under no circumstances  16-19 Yrs-% 13-15 Yrs-%
DREAMS FOR TOMORROW 01.1 02.3 Nothing  01.1 04.0 Others  04.4 06.3 Social Status  03.3 02.8 Sports/Drama/Films 15.6 08.0 Lovable Children  45.6 32.0 Dependable Husband 50.0 76.5 Job/Financial security 38.9 82.0 Home/Sweet Home 16-19 Yrs-% 13-15 Yrs-%
MALNUTRITION  AMONG RURAL INDIAN BOYS   **Ht.for age<90% *Wt.for age <75% 16.7 83.3 18-19 29.4 76.4 17-18 59.5 92.9 16-17 60.7 86.7 15-16 60.3 89.7 14-15 55.4 89.6 13-14 Stunted** % Under Wt.* % Age in years
STARVATION & ADOLESCENT   GROWTH–RURAL INDIAN BOYS ,[object Object],[object Object],[object Object]
WAYS FRIENDS COULD INFLUENCE   You To Do Things Against Wish? 01.1 00.3 Others  00.0 00.8 For  peer gr.acceptance 34.4 35.8 Dislike hurting friend  06.7 04.5 Black Mail 03.3 08.5 Cheating  05.6 19.8 Narrating Stories  41.1 41.0 NO WAY 16-19 Yrs-% 13-15 Yrs-% `
DESCRIPTION OF MOTHER 00.0 01.3 Others  10.0 04.3 Obstinate  04.4 02.5 Dominating  31.1 13.5 Short tempered 34.0 21.5 Worried/Tensed 31.1 36.0 Soft/Accommodative  53.3 68.0 Caring/Protective 16-19 Yrs % 13-15 Yrs %

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Status Of Adolescents In Indian Pediatrics Scenario

  • 1. Status Of ADOLESCENTS Indian Pediatrics Scenario
  • 2.
  • 3.
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  • 6. Psychosocial Development More realistic Highly moralistic Attitudes Put self limits Risk taking Behaviour More selective All important Friends / Peers Acceptance Concern Puberty Changes Reacceptance Rebellious With parents Young Adult Teenage
  • 7.
  • 8.
  • 9. COMPARISON : MEAN HEIGHT 151.3 19 153.1 146.9 18 157.1 154.6 146.7 151.5 17 155.8 156.5 145.8 151.1 16 155.0 158.5 145.3 149.6 15 153.6 149.1 142.8 147.5 14 151.4 150.1 140.7 143.9 13 Aff.Indian CDC BIHAR ICMR Age
  • 10. COMPARISON : MEAN WEIGHT 42.9 19 43.1 43.5 18 50.9 42.7 41.7 42.4 17 49.2 43.2 39.9 41.1 16 48.0 41.3 39.6 38.8 15 45.7 37.8 38.1 36.8 14 42.6 35.6 33.8 33.3 13 Aff.Indian CDC Bihar ICMR Age
  • 11. GROWTH STATUS 04.0 0.0 62.0 30.0 19 00.0 0.0 68.2 20.5 18 04.3 0.0 71.0 27.5 17 06.2 1.0 60.8 20.6 16 03.3 1.1 79.2 41.5 15 06.0 0.2 86.8 56.7 14 19.1 8.8 91.2 76.7 13 <145cm (%) < 140cm (%) <45 Kg (%) <40Kg (%) Age Yrs.
  • 12. DENTAL PROBLEMS 03.5 02.9 Others 14.6 13.5 Malocclusion 05.0 06.2 Bad Breath 20.8 17.3 Caries 11.2 09.4 Gum bleeding 14.2 11.7 Pain 45.8 40.6 YES 16-19 Yrs - % 13-15 Yrs - % Problem
  • 13. EYE PROBLEMS 17.3 12.4 Others 02.3 05.3 Long sight 07.7 05.7 Short sight 01.5 01.9 Stye 00.0 00.5 Squint 58.1 53.4 Headache 65.8 62.5 YES 16-19 Yrs - % 13-15 Yrs - % Problems
  • 14. EAR PROBLEMS 00.8 00.4 Others 04.2 01.0 Hearing loss 02.3 02.4 Discharge 08.5 02.6 Wax 05.8 06.0 Itching 14.2 15.4 Pain 25.4 25.3 YES 16-19 Yrs - % 13-15 Yrs - % Problems
  • 15. HAIR-FACE PROBLEMS 00.8 00.8 Others 11.5 04.4 Scar 46.2 13.2 Pimples 66.9 45.5 Falling hair 48.8 27.8 Dandruff 36.5 52.9 Lice 88.5 78.6 YES 16-19 Yrs - % 13-15 Yrs - % Problems
  • 16. SKIN NAIL PROBLEMS 05.4 03.3 Others 14.6 06.1 Sore foot 12.3 04.0 Nail Infection 16.5 06.1 Itching 06.1 00.9 Hirsuitism 25.0 21.7 White patch 55.0 32.0 YES 16-19 Yrs -% 13-15 Yrs - % Problems
  • 17. MENSTRUAL PROBLEMS 03.1 04.0 Others 21.9 28.3 Discharge 63.5 43.9 Pain 14.2 13.1 Profuse 08.1 09.1 Scanty 14.6 19.5 Irregular 76.5 67.1 YES 16-19 Yrs-% 13-15 Yrs-% Problems
  • 18. PROBLEMS AT HOME 03.1 00.9 Others 27.7 21.9 Economic 05.4 01.7 Substance abuse 16.5 17.3 Alcoholism 06.5 04.9 Broken home 22.7 15.9 Unhappy 48.8 42.1 YES 16-19 Yrs - % 13-15 Yrs - % Problems
  • 19. PROBLEMS AT SCHOOL/COLLEGE/WORK-PLACE 06.2 03.8 Harassment 10.4 06.1 Isolation 05.4 06.7 Partiality 13.4 19.0 Failure 43.1 32.5 YES 16-19 Yrs -% 13-15 Yrs - % Problems
  • 20. CONFIDING IN SOMEONE 03.5 01.1 Others 02.3 00.8 Uncle/Aunt 00.0 00.3 Teacher 45.8 43.9 Friend 14.6 11.3 Sister 28.8 33.7 Mother 83.1 83.3 YES 16-19 Yrs -% 13-15 Yrs -% Problems
  • 21. PERSONALITY CHARACTERISTICS 53.8 63.5 Conflict resolving strategy 50.0 70.1 Abundance Mentality 67.3 81.5 Wish well for others 58.5 75.9 Giving Type 16-19 Yrs-% 13-15 Yrs-% Personality
  • 22. EYE PROBLEMS ON TESTING 09.6 06.3 Others 75.4 15.0 85.1 08.5 Left Eye 6/6 6/9 08.1 05.8 Others 76.9 01.5 84.3 09.9 Right Eye 6/6 6/9 16-19 Yrs - % 13-15 Yrs - % Distant vision
  • 23. ACTIVITIES FOR PHYSICAL FITNES 04.4 01.8 Nothing 01.1 01.3 Others 01.1 00.0 Yoga 00.0 01.0 Dance Lesson 08.9 04.3 Home Exercise 02.2 07.5 Sports/Games 88.9 89.8 Home activities 16-19 Yrs -% 13-15 Yrs - % Activities
  • 24. FACE CARE 00.0 00.8 Nothing 00.0 01.0 Others 00.0 00.3 Bleaching 36.7 29.5 Fairness Cream 03.3 01.5 Cold Creams 34.4 37.5 Turmeric 96.7 95.8 Powder 16-19 Yrs - % 13-15 Yrs - % Type of care
  • 25. HAIR CARE 01.1 00.3 Others 01.1 00.3 Anti-Dandruff Treat 01.1 02.5 Anti-Lice Treatment 34.4 43.5 Shampoo 38.0 39.3 Herbal Shampoo 64.4 65.8 Soap 97.8 96.5 Oil 16-19 Yrs -% 13-15 Yrs -% Type of care
  • 26. SKIN CARE 04.4 00.8 Others 00.0 00.3 Shaving 06.7 05.0 Turmeric 05.6 06.8 Oil Bath 96.7 98.3 Daily bath 16-19 Yrs -% 13-15 Yrs - % Type of Care
  • 27. EYE CARE 00.0 00.3 Nothing 00.0 00.3 Others 00.0 00.5 Eye Shadow 13.3 07.5 Muscara 56.7 71.3 Eye Liner 00.0 02.5 Company Kajal 38.9 25.3 Home made Kajal 16-19 Yrs-% 13-15 Yrs-% Type of Care
  • 28. CARE FOR EYEBROWS 03.3 02.3 Others 03.3 00.5 Shaving 00.0 00.3 Tweezing 01.1 00.5 Plucking 02.2 00.0 Threading 22.2 29.0 Kajal 72.2 71.0 None 16-19 Yrs-% 13-15 Yrs-% Type of Care
  • 29. TEETH CARE 02.2 00.0 Others 81.1 77.0 Brush 83.3 78.8 Tooth Paste 11.1 10.8 Tooth Powder 05.6 04.3 Salt 02.2 01.5 Neem Twigs 38.9 47.0 Umikkari 16-19 Yrs - % 13-15 Yrs - % Type of Care
  • 30. DYSMENORRHOEA 01.1 00.8 Others 22.2 09.1 Pain radiating to thighs 38.9 22.9 Back Pain 45.6 22.9 Lower Abdominal Pain 21.1 08.2 Nausea or vomiting 38.9 26.3 Abdominal discomfort 17.8 37.2 None 16-19 Yrs-% 13-15 Yrs-% Type
  • 31. TOLD ABOUT MENSES BEFORE MENARCHE 00.0 00.8 Others 20.0 14.3 Friend 04.4 02.0 Aunt 00.0 00.8 Teacher 06.7 05.5 Sister 14.4 17.5 Mother 57.8 57.0 None 16-19 Yrs-% 13-15 Yrs-% Person
  • 32. GENERALIZED DISCOMFORT DURING MENSUS 05.6 03.5 Others 42.2 16.8 Acne 23.3 12.0 Muscle Cramps 23.3 09.8 Tiredness 05.6 03.3 Breast engorgement 10.0 03.5 Breast pain 38.9 49.0 None 16-19 Yrs % 13-15 Yrs % Type
  • 33. CARE AND HYGIENE DURING MENSES 03.3 00.5 Use of lotion 02.2 01.8 Shaving Genital hair 12.2 04.3 Trimming genital hair 12.2 07.8 Sanitary napkin 96.7 78.8 Cloth/Cotton 90.0 78.5 Daily Bath 16-19 Yrs % 13-15 Yrs % Type of Care
  • 34. ANY VAGINAL DISCHARGE IN THE PREVIOUS MONTH 07.8 17.3 NIL 01.1 01.5 Others 07.8 05.8 Vulval itching/burning 00.0 00.3 Brownish blood stained 07.8 04.0 Yellow stained cloth 01.1 00.5 Greenish watery 15.6 10.3 Thick curdy white 68.9 62.2 Normal pearly white 16-19 Yrs-% 13-15 Yrs-% Type
  • 35. DISCRIPTION OF SELF 06.7 01.3 Others 08.9 11.5 Feel unwanted 05.6 06.3 Can’t get along with parents 48.9 45.8 Just okay 18.9 20.3 Comfortable 13.3 10.0 Lot of self respect 28.9 27.8 Confident 16-19 Yrs % 13-15 Yrs %
  • 36. DESCRIPTION OF FATHER 04.4 03.0 Not applicable 04.4 03.0 Others 13.3 07.5 Obstinate 11.1 09.8 Dominating 17.8 20.8 Short tempered 10.0 16.8 Worried/Tensed 31.1 38.0 Soft/Accommodative 38.9 54.5 Caring/Protective 16-19 Yrs % 13-15 Yrs %
  • 37. WHEN WOULD YOU JUSTIFY- TRYING SUICIDE 02.2 11.8 Others 11.1 19.0 Extreme Financial Loss 18.9 20.5 Failed Love Affair 18.9 13.0 To defeat parents 06.7 13.0 To prove innocence 46.7 39.3 Unwed pregnancy/Rape 22.2 13.5 Under no circumstances 16-19 Yrs-% 13-15 Yrs-%
  • 38. DREAMS FOR TOMORROW 01.1 02.3 Nothing 01.1 04.0 Others 04.4 06.3 Social Status 03.3 02.8 Sports/Drama/Films 15.6 08.0 Lovable Children 45.6 32.0 Dependable Husband 50.0 76.5 Job/Financial security 38.9 82.0 Home/Sweet Home 16-19 Yrs-% 13-15 Yrs-%
  • 39. MALNUTRITION AMONG RURAL INDIAN BOYS **Ht.for age<90% *Wt.for age <75% 16.7 83.3 18-19 29.4 76.4 17-18 59.5 92.9 16-17 60.7 86.7 15-16 60.3 89.7 14-15 55.4 89.6 13-14 Stunted** % Under Wt.* % Age in years
  • 40.
  • 41. WAYS FRIENDS COULD INFLUENCE You To Do Things Against Wish? 01.1 00.3 Others 00.0 00.8 For peer gr.acceptance 34.4 35.8 Dislike hurting friend 06.7 04.5 Black Mail 03.3 08.5 Cheating 05.6 19.8 Narrating Stories 41.1 41.0 NO WAY 16-19 Yrs-% 13-15 Yrs-% `
  • 42. DESCRIPTION OF MOTHER 00.0 01.3 Others 10.0 04.3 Obstinate 04.4 02.5 Dominating 31.1 13.5 Short tempered 34.0 21.5 Worried/Tensed 31.1 36.0 Soft/Accommodative 53.3 68.0 Caring/Protective 16-19 Yrs % 13-15 Yrs %