MINNESOTA DEPARTMENT OF HEALTH DID YOU KNOW? New Recommendations on Scoliosis Screening Remember being screened for scoliosis when you were in school? Do you work in school health? The MDH, with the aid of the Scoliosis School Screening Workgroup, has revised its recommendations on screening for scoliosis in schools. MDH now recommends screening girls with a scoliometer in the fall of 5th grade and spring of 6th grade. Those with an angle of trunk rotation 6 degrees or greater are to be referred to a primary care provider with no watch lists or rescreening in schools. MDH no longer recommends screening boys for scoliosis. Check out information on scoliosis screening, recommendations, training, education and resources at www.health.state.mn.us/ divs/fh/mch/scoliosis/ index.html. Adolescent Heath E News A P R I L 2 0 0 9 Record Number of STDs are Reported During the observance of National STD Awareness Month, April 2009, the Minnesota Department of Health (MDH) encourages all grantees, local public health departments and clinics to help spread the word about the record numbers of sexually transmitted diseases (STDs) that continue to be reported throughout the state. In 2008, a record high 17,650 of bacterial STDs were reported (14,350 chlamydia, 3,036 gonorrhea, 263 syphilis – all stages, 1 chancroid): http:// www.health.state.mn.us/divs/ idepc/dtopics/stds/stats/ stdsurvrpts.html. The full news release can be seen at: free downloaded posters, fact sheets and materials are available online at: http:// www.health.state.mn.us/ news/index.html. http:// www.health.state.mn.us/divs/ idepc/dtopics/stds/stdmonth/ stdmonth.html What does the data say about Minnesota youth? Adolescents and young adults (15-24 years) have the highest rates of chlamydia and gonorrhea, making up 67% of new infections in 2008. http:// www.WrapTestTreat.com To help spread the word, http://www.NoMasSTDs.com http:// www.health.state.mn.us/sep http://www.cdcnpin.com/ stdawareness/ http://www.cdc.gov/std http://www.ashastd.org Teens Not Getting the Preventive Care They Need Even though professional organizations recommend yearly preventive visits for adolescents, including both screening and anticipatory guidance, few adolescents are receiving them, according to research published in this month’s Pediatrics (Irwin CE, Adams SH, Park MJ, Newacheck PW. Preventive Care for Adolescents: Few Get Visits and Fewer get Services. Pediatircs 2009; 123:e565-e572). An analysis of the 2001-2004 Medical Expenditure Panel Survey showed that only thirty-eight percent of teens received a preventive care visit, and that poor and uninsured teens were less likely to have a preventive care visit. While most adolescents did have their height, weight, and blood pressure assessed during their well child exam, these rates were lower among the low-income and uninsured adolescents who received preventive care. Rates of anticipatory guidance were disappointingly low regardless of insurance status or income. Anticipatory guidance was defined as having received information on “dental care, seat belts, bicycle helmets, exercise, healthy eating, and secondhand smoke exposure.” Only ten percent of the respondents received anticipatory guidance on all six areas. For more information on preventive care for adolescents, please check out the following sites: Implementing the Guidelines for Adolescent Preventive Services by Norman J. Montalto: http://www.aafp.org/afp/980501ap/ montalto.html GAPS Recommendations Monograph: http://www.ama-assn.org/ama/upload/ mm/39/gapsmono.pdf Anticipatory Guidance: http://www.brightfutures.org/ wellchildcare/education/resources/ adolescence.lasso Periodicity Schedule, C& TC: http://edocs.dhs.state.mn.us/lfserver/ Legacy/DHS-3379-ENG PAGE 2 New Research: Adolescent Sleep Article Analyzes Factors Associated with Adolescent Bedtime and Wake Time From MCH Alert, http:// www.mchlibrary.info/alert/ archives.html "‘Our findings confirm that on school days, adolescents are obtaining less sleep then they are considered to need, and school start time is the factor with the greatest impact,’ write the authors of an article published in the March 2009 issue of the Journal of Pediatrics. A national survey of adolescents conducted “Adolescents need to be surrounded by safe places, challenging experiences and caring people to develop in healthy ways.” -Minnesota’s Adolescent Health Action Plan by the National Sleep Foundation found that adolescents in high school reported spending an average of 7.5 hours in bed and getting an average of 7.2 hours of sleep per night. However, a 6-year longitudinal study among adolescents given a 10-hour sleep opportunity suggested that adolescents need 9 hours of sleep on average. Studies have found deleterious health and behavioral consequences of shorter sleep duration in adolescents and young adults. In the study described in this article, the authors used 24-hour time diaries to answer key questions about adolescent sleep, based on time in bed. Time diaries allow researchers to examine times spent in different daily activities. The authors conclude that ‘if sleep loss is associated with impaired learning and health, then these data point to computer use, social activities, and especially school start time as the most obvious intervention points.’" Knutson KL, Lauderdale DS. 2009. Sociodemographic and behavioral patterns of bed time and wake time among US adolescents aged 15 to 17 years. Journal of Pediatrics 154(3):426-430. Abstract available at http:// www.jpeds.com/article/S00223476(08)00720-8/abstract. Resources New Publication on School Connectedness from CDC’s Division of Adolescent and School Health (DASH) School connectedness is the belief by students that the adults and peers at their school care about their learning and about them as individuals. Research indicates that students who feel connected to their school are more likely to engage in healthy behaviors and succeed academically. In particular, connected students are less likely to use alcohol and other drugs, miss school, have sex at an early age, or be involved in violence or behaviors that increase their risk for injury (such as drinking and driving). They are also more likely to attend school regularly, stay in school longer, and have higher grades and classroom test scores. ADOLESCENT HEATH E NEWS To help schools enhance this important protective factor, CDC scientists have created a guide that synthesizes available research on school connectedness and outlines strategies for fostering it. School Connectedness: Strategies for Increasing Protective Factors Among Youth identifies six evidencebased strategies that teachers, administrators, school staff, and parents can implement to increase the extent to which students feel connected to school. This strategies document is available for free download at http://www.cdc.gov/ healthyyouth/AdolescentHealth/ connectedness.htm. Brief Summarizes Social Marketing Strategies to Promote Adolescents’ Health Care Use From MCH Alerts, http:// www.mchlibrary.info/alert/ archives.html “Recommended Adolescent Health Care Utilization: How Social Marketing Can Help examines the use of commercial marketing strategies to promote adolescents' use of health care services. The issue brief, produced by the National Institute for Health Care Management, summarizes the basic elements or stages of social marketing and discusses the application of social marketing theory and techniques to health care. Topics include audience segmentation, messages tailored to individuals, branding and social modeling, and evidence about the efficacy of social marketing to change health behaviors. Examples of successful social marketing campaigns targeted to adolescents, including those that used Web sites, social networking, and other new media, are provided. Challenges and opportunities to promote adolescent heath care use are also presented.” The brief is available at http://www.nihcm.org/pdf/ NIHCM-SocialMarketingFINAL.pdf. PAGE 3 “As young people navigate the changes of adolescence, it is critical that they receive the guidance, support and encouragement that fosters healthy development.” -Minnesota’s Adolescent Health Action Plan Opportunities to Learn... April 21, 2009 From Dr. Seuss to Porn: Countering Normalization of Sexual Harm tion of sexual harm and its relevance to prevention 12:30 p.m.–4:30 p.m. Schwan's Center at National Sports Center 1700 NE 105th Avenue, Blaine Cost is $25. Certificates of attendance are available. For more information contact, Donna McDonald, Violence Prevention Coordinator, Anoka County Community Health Department 763-4227047, [email protected] .us. Workshop sponsored by the Anoka County Child Abuse Prevention Council and Connexus Energy Living in a sexually toxic society means we're all affected and desensitized, to varying degrees, in both our personal and professional lives. To be effective, prevention requires recognition of these problems, as both a public health and public safety concern, as well as engaging others who care about children’s and society's health. This session presented by Cordelia Anderson, includes activities for discussion and action planning. Attend this workshop and learn: To understand the normaliza- To identify four factors that normalize sexual harm To identify three actions for prevention April 20 & 21, 2009 2009 Girls Coalition of Minnesota 19th Annual Conference: Celebrating Change! GCM Conference Vision Statement: The Girls Coalition of Minnesota, through the annual conference, seeks to build the leadership capacity of professionals, create opportunities for increased collaboration among organizations and individuals across Minnesota, and to highlight emerging issues and research of importance to young women across Minnesota. For 19 years the GCM annual conference has celebrated the uniqueness of young women and inspired attendees to continue their efforts in creating a just and equitable future for girls. Target Audience: Adults who work with, or care about girls. For More info on speakers & registration, go to: http://www.mngirls.org/conference/ Trainings/ Workshops The Power of Youth Voice Tuesday, April 28 Time: 9:00 a.m. - 4:00 p.m. Cost: $25.00 Why engage young people? How can giving young people a voice in the issues that affect them benefit an organization? How can organizations implement this strategy with young people in their organizations? What do organizations need to consider before engaging young people? If you or anyone in your organization is interested in learning more about Youth Leadership and Youth Voice, this workshop is for ADOLESCENT HEATH E NEWS you! Service learning is gaining recognition as a powerful approach to adolescent pregnancy prevention. Come learn from the National Youth Leadership Council about the principles of Youth Leadership and Youth Voice and how to implement them with excellence. For more information, see event registration form. Questions? Contact Jocelyn Broyles at 651-644-1447 x19 or [email protected]. May 7—8 Scholarships are available. Earle Brown Heritage Center, Brooklyn Park, MN Please forward this message to other staff and colleagues who you think may be interested. The 18th Annual MOAPPP Conference The 18th annual conference brings together educators, service providers, youth workers, religious and civic leaders, medical and public health professionals, and others committed to adolescent pregnancy prevention and support for young families, to build our understanding and strengthen our capacity to impact youth. The aim of the conference is to challenge, inspire and better prepare all of us to do so. Go to the following website for more information and to register online: http://www.moappp.org/ training/conference.html For copies of any of the articles featured in this newsletter, please contact MDH’s Barr Library. The Barr A Vision forcollection Healthy Library has a quality of Adolescence: public health books, Minnesota Department of Health Minnesota Department of Health Jennifer O’Brien Jennifer O’Brien Adolescent Health Coordinator Adolescent Health Coordinator Minnesota Department of Health Minnesota Department of Health P.O. Box 64882 P.O. Box 64882 St Paul, MN 55164-0882 St Paul, MN 55164-0882 Phone: 651-201-3627 Phone: 651-201-3627 Fax: 651-201-3590 journals, and videos. The library provides lending, refOur responsibility as the community of Minnesota erence, interlibrary loan, and other services to Minneis to support and guide Minnesota youth in the sota Department of Health staff, local tribal, county, healthy development of being, belonging and beor city public health professionals, school health praccoming. This requires a focus on wholeness and titioners, and employees of both the Minnesota Board wellness, and seeing Minnesota youth as “at of Nursing and the Minnesota Department of Human promise” rather than “at risk”. Services. The Barr Library also provides interlibrary loan services to the Minnesota Department of Agriculture: For more information on Minnesota’s Adoles- Fax: 651-201-3590 E-mail: [email protected] E-mail: [email protected] [email protected] or 651-201-5090 cent Health Action Plan, contact Jennifer O’Brien or go to the Adolescent Health Gate- http://www.health.state.mn.us/youth/ http://www.health.state.mn.us/youth/ way page. Coming up this Summer... Summer Institute in Adolescent Health— Social and Emotional Health for all Young People: Expanding Approaches July 27th-July 29th July 30th (graduate students only) Social and emotional health for all young people. Connections to supportive environments – in families, in schools, and in communities – promote the building of healthy pathways into adulthood. And, we are beginning to understand more about other vital requirements for mental well-being – safety, sleep, sunlight, and sustenance, intertwined with exercise and ample opportunities for self-expression. Unfortunately, we have neglected to assure these fundamentals for all young people. Many youth have been invisible, overlooked, and left on their own to wade through tough times – when stresses overwhelm, change comes at inopportune moments, and supportive environments are stretched thin. At these times, reclaiming health requires approaches extending beyond conventional services that, we know, aren’t fully meeting young people’s needs. At the 2009 Summer Institute in Adolescent Health, learn strategies for enhancing supportive environments and fostering skills for social and emotional health. Gather ideas for adding to what’s already working, whether in a com- munity clinic or youth program, at school or after-school, within a residential center or a juvenile justice setting. Practice skills for selecting optimal approaches for reaching young people, all of whom we hope are on healthy social and emotional pathways to adulthood. Who should attend? All who work with young people —– teachers, coaches, and administrators; nurses, physicians, nutritionists, psychologists, social workers, counselors, and youth workers; religious leaders and policy makers. See attachment for more details!
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