adolescent risk behavior disparities
Post on 30-Apr-2015
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Contributing to the Health Contributing to the Health and Success of Youth… and Success of Youth…
Through Tools and Training Through Tools and Training to Positively Change Livesto Positively Change Lives
Health DisparitiesHealth Disparities
Contributing Factors:Contributing Factors:
Poverty Environmental threats Access to health care Individual and behavioral risk factors Educational inequalities
CDC Reported Leading Causes of Death Among Persons Aged 10-
24 Years in the U.S., 2005
Unintentional injuries and violence Tobacco use Alcohol and other drug use Sexual behaviors that contribute to
unintended pregnancy and sexually transmitted diseases, including HIV infection
Poor dietary behaviors Physical inactivity
CDC Identified Six Categories of Adolescent Behavior that Contribute to Leading Causes of Morbidity, Mortality,
Academic and Social Problems
Snapshot of RAAPS Snapshot of RAAPS Adolescent Risk DataAdolescent Risk Data
RAAPS was born at the University of Michigan out of research and practical need
RAAPS was built by software professionals and uses a structured, secured database meeting regulatory compliance requirements
All questions have been scientifically validated Youth were involved in the development of the
assessment
(**Actual questions can be viewed at: www.raaps.org)
Total Surveys Completed by Youth Total Surveys Completed by Youth
11-20 years:11-20 years: 6425:6425:
Privately Insured: 2178 (34%)State Funded Insurance (Medicaid): 3218 (50%)No Insurance: 735 (11%)Other: 294 (5%)
Snapshot of RAAPS Data: 2010-2011
RAAPS Q1. In the past 12 months, have you tried to lose
weight by (described)…..?
Average cost per patient can extend >$100,000
RAAPS Q2. Do you eat some fruits and vegetables
everyday?
Direct & Indirect Costs U.S. $33.4 Billion
RAAPS Q6. During the past month, have you been threatened, teased, or hurt by someone
(bullying behaviors described)….?
Bullying is associated with poor physical health 3 years after experienced
RAAPS Q7. Has anyone ever abused you (physical,
emotional, sexual described)…?
Medical Costs U.S. $5.4 Billion
RAAPS Q8. Have you ever carried a weapon (described)
to protect yourself?
Medical Costs U.S. $3 Billion
RAAPS Q9. In the past 3 months, have you smoked
cigarettes or any other form of tobacco (described)…?
Direct Medicaid Costs U.S. $30.9 Billion
RAAPS Q11. In the past 3 months, have you drunk any
alcohol (described)….?
Medical Costs U.S. $18 Billion
RAAPS Q12. In the past 12 months, have you smoked
marijuana, used other street drugs, (described….)?
Direct & Indirect Costs U.S. $86.1 Billion
RAAPS Q14. Have you ever had any kind of sex
(described)?
RAAPS Q17. Do you have questions about (sexual health
topics described)….?
Associated Costs U.S. STI: $14.7 Billion, HIV: $3 Billion
RAAPS Q18. During the past month, did you often feel very
sad (described)….?
Direct & Indirect Costs U.S. $26.1 Billion
RAAPS Q20. In the past 12 months, have you (self harm/suicide behaviors
described)….?
Self Inflicted Injuries U.S. $1 Billion
RAAPS Q21. Do you have at least one adult in your life that
you can talk to….?
Higher risk behaviors in all categories (21 RAAPS questions) than privately insured adolescents40% + higher in:
Unsafe diet practices Not eating fruits and vegetables Reports of being bullied Carrying weapons for protection Using cigarettes, marijuana or other illegal drugs, and use
of prescription/non-prescription drugs to get high Questions about sexual behaviors Depressive feelings
Adolescents with Medicaid
Implications for Medicaid adolescent population health
Where do we go from here?
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