HEALTH CONCERNS OF ADOLESCENTS “You can’t live a perfect day without doing something for someone who will never be able to repay you.” —John Wooden Baylor University’s Community Mentoring for Adolescent Development 145 HEALTH CONCERNS OF ADOLESCENTS Introduction Risk behaviors are voluntary actions that threaten to harm an individual’s mental or physical health, or increase the likelihood of illnesses, injury, and premature death. The CDC has identified six categories of risk behaviors in today’s adolescent students. These include: Behaviors that result in unintentional and intentional injuries Tobacco use Alcohol and other drug use Sexual behaviors that result in human immunodeficiency virus (HIV), other sexually transmitted diseases (STDs,) and unintended pregnancy Dietary patterns that contribute to disease Insufficient physical activity The following provides information on each of these categories, as well as familiarizes mentors with the issues teenagers face on a daily basis and how involvement in these activities can harm youth. Unintentional and Intentional Behaviors Unintentional injuries are those that occur as a result of accidents where there is no intent to harm. Examples of accidental injuries include those resulting from: Being struck by an automobile or being in an automobile crash Being injured in a fire Careless play around water Nearly 70 percent of deaths in older children are the result of preventable accidents. Prevention programs warn individuals of the dangers of risky behaviors, such as reckless driving, careless use of fire, or reckless water play and can greatly reduce the risk of unintentional accidents in youth (Meeks, Heit, & Page, 1996). Intentional injuries result from interpersonal and self-directed violence (Meeks, Heit, & Page, 1996). Interpersonal violence involves two or more individuals and includes domestic violence, bullying, fighting, and homicide. Interpersonal violence may mean threatening or actually harming another person. The violence can be subtle as in bullying or as ultimately destructive as murder. Either way, adolescents are threatened psychologically, emotionally, or physically on a daily basis because of the increasing incidence of interpersonal confrontations in schools and homes. Self-directed violence is the result of self-inflicted injury, including suicide (Meeks, Heit, & Page, 1996). Suicide is the third leading cause of death among adolescents; yet, it often surprises people because of general lack of awareness about the warning signs. It is vital for a mentor to know the warning signs of suicide in order to intervene in mentee self-directed violence. The warning signs include: Giving away cherished possessions Being preoccupied with death Talking about suicide Depression (Parley International, 1998) Baylor University’s Community Mentoring for Adolescent Development 146 If a mentor suspects that a mentee is considering suicide, it is essential to take the warning signs seriously. Mentors must report concerns about suicide to a qualified professional. A list of appropriate referral agencies is included at the end of this section. Mentors should also encourage mentees to speak with a school nurse or counselor. Violence of any type, interpersonal or self-directed, has a devastating effect on the individual and the intimates in his life. Below are suggestions for mentors when mentees are victims of violence. Acknowledge personal feelings about violence Respect the mentee’s decision about how to deal with the violence Provide support and suggestions for help Following these guidelines will enable mentors to unconditionally support mentees who are victims of violence (Parley International, 1998). Tobacco Use Although tobacco use is illegal for individuals under the age of 18 in the United States, there is a high incidence of use among adolescents. By their senior year of high school, more than two-thirds of students have tried or are regularly using tobacco products. According to a 2001 national survey of high school students, the overall prevalence of current cigarette use was 28 percent. Nearly 20 percent of 12th graders, 12 percent of 10th graders, and 5.5 percent of 8th graders smoke cigarettes daily. Tobacco use in adolescence is associated with a range of health-compromising behaviors, including being involved in fights, carrying weapons, engaging in high-risk sexual behavior, and using alcohol and other drugs. Cigarette smoking causes 87 percent of lung cancer deaths and is responsible for most cancers of the larynx, oral cavity, esophagus, and bladder. Secondhand smoke is responsible for an estimated 3,000 lung cancer deaths among nonsmokers each year. Tobacco smoke contains thousands of chemical agents, including more than 60 substances that are known to cause cancer. The risk of developing smoking-related cancers, as well as noncancerous diseases, increases with total lifetime exposure to cigarette smoke. Each day, nearly 6,000 children under 18 start smoking; of these, nearly 2,000 will become regular smokers. That is almost 800,000 annually. It is estimated that at least 4.5 million U.S. adolescents are cigarette smokers. Approximately 90 percent of smokers begin smoking before the age of 21. If current tobacco use patterns persist, an estimated 6.4 million children will die prematurely from a smoking-related disease. Overall, each year 430,000 people die from smoking-related diseases, and 30 percent of all cancer deaths are related to smoking. Tobacco consumption includes the use of cigarettes, pipes, cigars, and smokeless tobacco. A type of central nervous system stimulant, tobacco makes a first-time user feel dizzy, light headed, excited, or nauseous. Over time, regular users develop a craving for nicotine, followed by relief and relaxation when the product is used. Tobacco use affects both mind and body. It increases feelings of alertness and relaxation, and lowers stress and irritability. Tobacco also raises blood pressure, breathing, and Baylor University’s Community Mentoring for Adolescent Development 147 heart rate; increases muscle relaxation; reduces pain; and decreases appetite. In addition, tobacco use can lead to chronic illnesses such as: Heart disease Cancer of the throat, mouth, and lungs Bronchitis Lowered resistance to colds, flu, and other infections (Facts according to National Cancer Institute and the American Lung Association, 2003) Alcohol and Other Drug Use Alcohol is a psychoactive drug that depresses the central nervous system. Alcohol comes in many forms including clear, absolute liquid diluted and blended as beer, wine, or liquor. Alcohol initially makes individuals feel relaxed and sociable, but with prolonged use, these feelings will be replaced by feelings of depression, anger, loss of control, and drowsiness. Because of the large variance of tolerance levels, alcohol can have differing effects on individuals. Like tobacco, alcohol is a drug that affects both the mind and the body. Alcohol lowers the ability of the brain to control behavior and impairs the ability to perform motor skills. In addition, alcohol lessens an individual’s ability to move and speak. Alcohol can also cause the following: Memory loss Addiction Liver, kidney, stomach, and intestine damage Brain damage Death from breathing or heart failure, and interactions with other drugs (Parley International, 1998) Alcohol is the most commonly used drug among America’s youth. More young people drink alcohol than smoke tobacco or use marijuana (Institute of Medicine and National Research Council, 2001). In the U.S., data suggests that almost all young people use alcohol before they are 21. Those who drink tend to drink much more heavily than adults. Based on the National Household Survey on Drug Abuse, it is estimated that those who drink heavily consume 91 percent of all drinks consumed by teenagers. The average age of first alcohol use has generally decreased since 1965 (Substance Abuse and Mental Health Services Administration, 2003). According to 2002 Monitoring the Future (MTF) data, almost half (48.6 percent) of 12th graders reported recent (within the past 30 days) alcohol use. This early onset and heavy use of alcohol poses serious concerns for healthy, unimpeded development. The percentage of alcohol in the blood determines how well a person can function. A blood alcohol content of .10 percent means that the blood contains 1/10 of 1 percent of alcohol. The following is a chart detailing the effects of alcohol on the body (TCADA). Baylor University’s Community Mentoring for Adolescent Development 148 Blood Alcohol Content (BAC) .05 .10 .20 .30 .40-.50 Effects on the Body Changes in mood and behavior Judgment, thought, and restraint affected Voluntary motor actions become clumsy Blurring and split vision may occur Brain is greatly impaired Behavior is obviously affected Brain’s response to stimuli is appreciably dulled Ability to see and hear is diminished or distorted Individuals usually become unconscious Breathing and heartbeat are depressed Death may result After drinking, individuals may look for ways to sober up. It takes most people about one hour to burn up the alcohol in an average serving of beer, wine, or liquor. Alcohol is processed by the liver. No amount of exercise, food, fresh air, cold showers, or caffeine will speed up the process (DIN, 1994). An individual’s blood alcohol content is influenced by many factors including gender, weight, stress level, use of other drugs, and overall health. For adolescents, alcohol is especially dangerous. Today, students often begin drinking at 12 or 13, and nearly nine out of 10 high school students report drinking alcohol. Over 1.1 billion beers and 35 percent of all wine coolers are consumed annually by students under18 (Meeks, Heit, & Page, 1996). Baylor University’s Community Mentoring for Adolescent Development 149 In addition to alcohol and tobacco, mentees may be involved with other types of drugs. The following chart provides information about other drug use, and the drug effects on the body (Meeks, Heit, & Page, 1996). Drug/Drug Statistics Marijuana: Over 25 percent of high school seniors reported having used the drug. Marijuana is used by approximately one in 45 high school students on a daily basis. Cocaine: Nearly 6 percent of high school students have used cocaine at least once. Steroids: 3 percent of high school students report using steroids and 5 percent of all men report using them. Designer Drugs: Over 200 known highrisk synthetic drugs with potentially fatal toxic effects are available on the street. Inhalants: 18 percent of high school students report using inhalants. Effects on the Body Increases heartbeat Damages the lungs Blocks short-term memory Causes restlessness and mood swings Creates dependence Produces eating and sleeping disorders Triggers personality changes Increases heart rate and blood pressure Cause premature fusing of the bones in adolescents Create dependence Trigger personality changes Depress body systems Prompt muscle rigidity Cause nerve, kidney, and liver damage Increase injury proneness because of inaccurate perception of time and space Trigger pain in chest, muscles, and joints Generate comas, seizures, and brain damage Two information sheets on drinking and drugs have been included in this manual, one for young women and one for young men. Each addresses specific issues concerning the population and serves as a valuable reference for mentors. If a mentee has an alcohol or drug problem, it is essential to contact a professional trained to handle the situation. A list of national agencies appropriate for referral on this topic is included at the end of this section. In addition, mentors may want to encourage youth to talk with their parents and with a school nurse for additional resources. Baylor University’s Community Mentoring for Adolescent Development 150 Sexual Behaviors That Result in HIV Infection, Other STDs, and Unintended Pregnancy Current trends of sexual behavior among youth are alarming. The CDC regularly publishes the Youth Risk Behavior Surveillance System (YRBS). The 2001 Report found that 45.6 percent of high school students (48.5 percent of males and 42.9 percent of females) reported having had sexual intercourse. Of these, 60.5 percent were 12th graders, 51.9 percent were 11th graders, 40.8 percent were 10th graders, 34.4 percent were 9th graders, and 6.6 percent reported initiating sexual intercourse before age 13. Ethnically, these statistics break down to 60.8 percent of black students, 48.4 percent of Hispanic students, and 43.2 percent of white students who reported having had sexual intercourse at least once. More than one-quarter of black students, nearly 15 percent of Hispanic students, and 12 percent of white students reported having four or more sexual partners. Among the 33.4 percent of teens who said they were currently sexually active, 25.6 percent reported using alcohol or drugs during last intercourse, with white students comprising the largest group in this category. By comparison, the YRBS Reports over the past decade indicate trends: 45.6 percent of students reported having ever had sexual intercourse in 2001 compared to 53.1 percent in 1995 and 54.1 percent in 1991. Students who are sexually active face a number of possible consequences. Most serious is the risk of HIV infection. HIV Infection. HIV destroys the body’s immune system, allowing the development of acquired immunodeficiency syndrome (AIDS.) Specifically, HIV antibodies attack white blood cells. These are the cells responsible for fighting infection, and when attacked, the immune system is suppressed. AIDS is a later stage of HIV infection. At this point, the immune system can no longer fight infections and the virus becomes life threatening. Symptoms of AIDS include diarrhea; dry cough; fatigue; fevers, chills, and night sweats; genital herpes; genital warts; persistent skin problems; pink, purple, and brown spots; and swollen lymph glands (Bete, Inc., 1998). At present, there is no cure for AIDS and the disease results in death. Unprotected sexual intercourse is a risk behavior that can lead to infection; yet, numerous students engage in unprotected sex. Since 1991, the number of infected 12 to 21 year olds in the United States has increased by 77 percent (Kolbe, 1992). Twenty percent of people with AIDS are in their 20s, which means that they were probably infected as teenagers. In April 2003, the Henry J. Kaiser Family Foundation’s “Daily Reports” reported that one-fourth of all new HIV cases in the U.S. occur in people under age 21, attributed by some to the false sense of security created by the success of antiretroviral treatment and by teen feelings of invincibility, leading to risky behaviors. STDs. Another concern among adolescents is the risk of sexually transmitted diseases (STDs). According to the CDC, there are 12 million new cases of STDs reported annually, and currently, there are 3 million youth infected with one or more STDs. Some of the diseases, such as herpes, are still incurable. Others, such as gonorrhea and syphilis, are curable if both partners are treated quickly with antibiotics (Parley International, 1998). Common sexually transmitted diseases within the student population include Chlamydia, gonorrhea, syphilis, chancroid, genital herpes, and genital warts. STDs increase the likelihood of HIV transmission two to seven times. Baylor University’s Community Mentoring for Adolescent Development 151 The fastest-growing STD is genital warts, with an estimated 750,000 new cases annually. Chlamydia results in 4 million new cases each year (Texas Department of Health, 1992). In 2003, 25 percent of all new STDs occurred in teenagers. Several factors contribute to the high incidence and rapid spread of STDs within the adolescent population. First, youth are sexually active at a younger age and with more than one partner. Second, adolescents tend not to use contraceptives consistently, and very few use condoms. Finally, many adolescents combine the use of drugs or alcohol with sex. If a mentor suspects that a mentee is potentially infected with HIV, AIDS, or an STD, it is important to suggest medical intervention. Included at the end of this section is a list of national organizations that can provide information about the above medical problems. Teenage Pregnancy. It is estimated that 30 percent of female adolescents will become pregnant before the age of 20, and many will become pregnant more than once. Of those who become pregnant before the age of 15, 60 percent will have three children before the age of 19. Rates of child abuse and neglect are disproportionately high among adolescent parents because of inadequate parenting skills (Attico, 1992). In addition, pregnancy in youth affects the health of the baby. Typically, babies born to adolescents are premature and have low birth weights. This increases the likelihood that the infant’s health status will be impaired, as prematurity and low birth weight increase the likelihood of sudden infant death syndrome and other maladies. Mentors may discover that mentees are more inclined to speak with them than to speak with their parents. Mentors need to be equipped to handle the situation. Pregnancy is incredibly stressful for youth. Initially, mentees are likely to feel overwhelmed as they consider whether to keep the baby, give it up for adoption, or terminate the pregnancy. They may consider whether to marry and whether to tell their parents. In this situation, mentors should encourage mentees to seek medical attention. Mentors may want to encourage mentees to speak with their parents and with a school nurse for additional guidance. Dietary Patterns That Contribute to Disease In today’s fast food, convenience culture, many adolescents have poor eating habits. Busy parents do not take time to prepare healthful meals and teach their children appropriate nutrition habits. This has unfortunate consequences because eating habits learned in childhood tend to last throughout life. Obesity, caused by inactivity and poor diet, is a rapidly growing adolescent problem. Nearly 87 percent of all high school students report that they do not eat the recommended daily allowance of five servings of fruits and vegetables daily. Over 25 percent of the same population reports eating more than two servings of food high in fat content (Kann, 1993). Because eating habits affect future health, public health officials are alarmed at these trends. At present, seven out of the 10 leading causes of death are the result of nutritional and diet choices (Meeks, Heit, & Page, 1996). Many problems can arise from feelings about perceived deficiencies in physical appearance. Eating disorders arise out of perceived negative body image and low self-esteem. One of the two main types of eating disorders is anorexia nervosa, which can be defined as “an eating disorder…characterized by an intentional loss of a substantial amount of weight” (American Anorexia Bulimia Association, 1997). It is estimated to effect one in 100 females between the ages of 12 and 18 (Page & Page, 1992). An additional 10 percent of females are considered mildly anorexic (Page & Page, 1992). Baylor University’s Community Mentoring for Adolescent Development 152 Individuals suffering from anorexia have an intense fear of gaining weight and perceive themselves to be fat even when they are often 15 percent below their normal body weight (American Anorexia Bulimia Association, 1997). The weight loss leads to drastic changes in appearance and body functions, and can be fatal (Page & Page, 1992). Some Facts: 5-13 percent of adolescents suffer from anorexia, and these percentages are increasing every year (Le Devoir, August 20, 2001). Nine out of 10 people with anorexia are girls (Le Devoir, August 20, 2001). 10-15 percent of those with anorexia or bulimia will die of it (Healthy Bites, National Institute of Nutrition, 1993). Symptoms of anorexia include: Depression, anxiety Distorted body image Cessation of menstrual period in women Fainting spells Hyperactivity Heart tremors Cold hands and feet Dry, brittle skin (American Anorexia Bulimia Association, 1997) Some medical consequences of anorexia include: Shrunken organs Bone mineral loss, which can lead to osteoporosis Low body temperature Low blood pressure Slowed metabolism and reflexes Irregular heartbeat, which can lead to cardiac arrest (American Anorexia Bulimia Association, 1997) Bulimia is the second main type of eating disorder, also very dangerous and pervasive. Research estimates that between 20-30 percent of college women and 6-17 percent of high school girls suffer from symptoms of bulimia (Page & Page, 1992). Bulimia is defined as an eating disorder “in which an individual engages in recurrent binging and purging” (American Anorexia Bulimia Association, 1997). Binging normally involves rapid consumption of massive amounts of food. Food binging episodes are followed by drastic efforts to lose weight, including the aforementioned self-induced vomiting, fasting, use of laxatives, diuretics, and compulsive exercising. The binges are brought on by intense mood changes, anger, depression, stress, or loneliness (Page & Page, 1992). Symptoms of bulimia include: Mood swings, depression, feeling out of control Vomiting blood Loss of tooth enamel, which leads to decay Swollen glands in the neck and face Dry, flaky skin Weakness, exhaustion Baylor University’s Community Mentoring for Adolescent Development 153 Constipation Indigestion (American Anorexia Bulimia Association, 1997) Some medical consequences of bulimia include: Dehydration Damage to bowels, liver, and kidneys Electrolyte imbalance which can lead to an irregular heartbeat and cardiac arrest in some cases (American Anorexia Bulimia Association, 1997) Because of the serious risks of eating disorders, it is important to encourage mentees with potential or known problems to seek professional help. A list of organizations that can provide information and help is located at the end of the section. Insufficient Physical Activity Another category of risky behavior is insufficient physical activity. Physical activity is any bodily movement produced by skeletal muscles that results in the expenditure of energy (Meeks, Heit, and Page, 1996). When students are physically active, they are more inclined to be energetic, maintain their ideal weight, and cope with stress. In addition, students are less likely to have chronic diseases. Currently, more than one-third of students do not get enough activity. Of all students in grades 1 through 12, only 36 percent on average are enrolled in daily physical education programs (Meeks, Heit, & Page, 1996). Obesity Adolescent obesity is another important health concern. Between the ages of 12 and 17, at least one child in five is overweight (Anand, 1998), and 50 percent of these children will become overweight adults (Murray & Murray, 1999). Furthermore, a recent Surgeon General’s report (as cited in Murray & Murray, 1999) stated that 1 percent of children in America reported that they did not recently engage in any form of physical activity, with this trend increasing as children get older. The prevalence of obesity in adolescents has nearly tripled in the past two decades. Risk factors for heart disease, such as high cholesterol and high blood pressure, occur with increased frequency in overweight persons. Type 2 diabetes, previously considered an adult disease, has increased dramatically in children and adolescents. Overweight adolescents have a 70 percent chance of becoming overweight or obese adults (80 percent if one or more parents is overweight), setting them up for a number of health problems. The most immediate consequence of obesity as perceived by the adolescents themselves is social discrimination. This is associated with poor self-esteem and depression. Depression With the mood swings and emotional intensity of adolescence, depression is not unusual. Although figures vary depending on the measurement method utilized, approximately 5–7 percent of adolescents in the general population experience depression, while 10–40 percent of adolescents report experiencing depressed or unhappy moods (Rice & Leffert, 1997). Rates of depression increase significantly throughout adolescence (see Peterson, Compas, Brooks-Gunn, Stemmler, Ey, & Grant, 1993, for a review), with girls twice as likely as boys to experience depression (Nolen-Hoeksema & Girgus, 1994). Mentors should familiarize themselves with the symptoms of depression to reassure mentees that temporary depressed moods are normal and expected, but prolonged clinical symptoms are a medical problem that should be addressed by a professional. Baylor University’s Community Mentoring for Adolescent Development 154 What Does This Mean? Any one of these issues can harm the health of today’s students. The frightening fact is that most students have one or more of these characteristics or habits, or engages in more than one of these behaviors. As a positive role model, a mentor can encourage a mentee to reduce the number of risk behaviors in which he or she might be participating. Baylor University’s Community Mentoring for Adolescent Development 155 Health Concerns of Adolescents Lesson Plan Objectives: To help mentors understand some of the health concerns of adolescents and apply this knowledge to their mentoring relationship. Lesson: The instructor will discuss: Unintentional and intentional behaviors Tobacco use Alcohol and drug abuse Sexual behavior HIV STDs Pregnancy Dietary Patterns Insufficient Physical Activity Materials: Overheads 1–10 Suicide Help Lines HIV and STD Help Lines Alcohol and Drug Abuse Hotlines Pregnancy Center Help Lines Eating Disorder Help Centers Baylor University’s Community Mentoring for Adolescent Development 156 Suicide Listings National Listings National Youth Crisis Hotline 1-800-448-4663 Suicide Prevention Hotline 1-800-827-7571 HIV and STD Help Lines National Listings National STD Hotline 1-800-227-8922 10:00 a.m.–10:00 p.m. National AIDS Hotline 1-800-342-AIDS Centers for Disease Control Technical Information Services State and Community Services Division Atlanta, GA 30333 404-639-3311; 800-311-3435 American Council for Healthy Living 439 Main Street Orange, NJ 07050 American Social Health Association 260 Sheridan Ave. Palo Alto, CA 94306 650-849-0319 Pregnancy Center Help Lines National Listings Nine Line (Help line for young people) 800-999-9999 National Youth Crisis Hotline 800-448-4663 Eating Disorder Help Centers National Listings Compcare Eating Disorders Program 18551 Von Karman Avenue Irvine, CA 92715 1-800-556-CARE National Anorexic Aid Society P.O. Box 29461 Columbus, OH 43229 614-436-2833 American Anorexia/Bulimia Association, Inc. 133 Cedar Lane Teaneck, NJ 07666 201-836-1800 201-836-1815 Healthy Living (multiple resources) www.teenshealth.org www.healthynj.org/health-wellness/teens/main.htm www.livingleantoday.com National Association of Anorexia Nervosa and Associated Disorders P.O. Box 7 Highland Park, IL 60035 312-831-3438 Baylor University’s Community Mentoring for Adolescent Development 157 Overhead (1) Health Concerns of Adolescents Six Categories of Risk Behaviors in Adolescents 1. Behaviors resulting in unintentional and intentional injuries 2. Tobacco use 3. Alcohol and other drug use 4. Sexual behaviors resulting in HIV infection, other STDs, and unintended pregnancy 5. Dietary patterns contributing to disease 6. Insufficient physical activity Baylor University’s Community Mentoring for Adolescent Development 158 Overhead (2) Health Concerns of Adolescents Unintentional and Intentional Injuries Unintentional Injuries—including injuries resulting from: 1. Automobile crash or being pedestrian victim of automobile 2. Fire 3. Careless play around water Intentional Injuries—including injuries the result of: 1. Domestic violence 2. Bullying or fighting 3. Homicide 4. Suicide Baylor University’s Community Mentoring for Adolescent Development 159 Overhead (3) Health Concerns of Adolescents Tobacco, Alcohol, and Other Drug Use Tobacco: More than two-thirds of high school seniors have tried or are using tobacco products 430,000 people die from smoking related diseases annually 30 percent of all cancer deaths are related to smoking Alcohol: On average, students today first drink alcohol between ages 12–13 Nine of 10 high school students report that they drink alcohol High school students consume over 1.1 billion beers annually 35 percent of all wine coolers are consumed by students under 18 Baylor University’s Community Mentoring for Adolescent Development 160 Overhead (4) Drug/Drug Statistics Marijuana: Over 25 percent of high school seniors reported having used the drug. Marijuana is used daily by approximately one in 45 high school students. Effects on the Body Increases heartbeat Damages the lungs Blocks short-term memory Causes restlessness and mood swings Nearly 6 percent of Causes dependence high school students have Causes eating and used cocaine at least once. sleeping disorders Cocaine: Causes personality changes Causes increase in heart rate and blood pressure 3 percent of high school students and 5 percent of all men report using them. Steroids: Cause premature fusing of the bones in adolescents Create dependence Produce personality changes Baylor University’s Community Mentoring for Adolescent Development 161 Of all similar drugs, individuals are more likely to become addicted to heroin. Heroin: Produces pains in the chest, muscles, and joints Triggers coma, seizures, and brain damage Causes respiratory and cardiac arrest May create mental retardation in unborn children of using mothers 200+ high Depress body systems risk synthetic drugs with Cause muscle rigidity potentially fatal toxic effects are available on the street. Produce nerve, kidney, and liver damage Designer Drugs: Baylor University’s Community Mentoring for Adolescent Development 162 Overhead (6) Inhalants: 18 percent of high school students report using inhalants. Increase likelihood of injury because of inaccurate perception of time and space Prompt pain in chest, muscles, and joints Produce comas, seizures, and brain damage Baylor University’s Community Mentoring for Adolescent Development 163 Overhead (7) Health Concerns of Adolescents Sexual Behaviors That Result in HIV Infection, Other STDs, and Unintended Pregnancy 45 percent of high school students have had sexual intercourse at least once. 26 percent of sexually active students used alcohol or drugs during their last intercourse. 25 percent of black, 15 percent of Hispanic, and 12 percent of white students have had four or more sexual partners. HIV: Destroys the body’s immune system allowing for the development of AIDS. STDs: Sexually transmitted diseases transmitted through sexual contact. They include: 1. Chlamydia 2. Gonorrhea 3. Syphilis 4. Chancroid 5. Genital herpes Teenage Pregnancy: An estimated 30 percent of adolescents will become pregnant before 20. Of those pregnant by 15, 60 percent will have three children before the age of 20. Baylor University’s Community Mentoring for Adolescent Development 164 Overhead (8) Health Concerns of Adolescents Dietary Patterns That Contribute to Disease 87 percent of high school students do not eat the recommended daily five servings of fruits and vegetables. 25 percent of high school students eat more than two servings of high-fat products daily. Adolescents are at great risk for developing eating disorders. Warning signs: 1. Fear of weight gain 2. Unable to stop eating at will 3. Binging regularly, usually uncontrollably, on large quantities within a short period 4. Intentional vomiting after meals Baylor University’s Community Mentoring for Adolescent Development 165 Overhead (9) Dietary Patterns That Contribute to Disease, Continued 5. Consuming inadequate calories or crash dieting 6. Compulsive exercise with strict “exercise rules” 7. Using body weight to measure self-worth 8. Thinking or talking constantly about food 9. Refusing to discuss food at all 10. Using food to hide anger, loneliness, or feelings of rejection Baylor University’s Community Mentoring for Adolescent Development 166 Overhead (10) Insufficient Physical Activity: An Added Health Risk 33 percent of students do not get enough physical activity Only 36 percent of students are enrolled in daily physical education programs Baylor University’s Community Mentoring for Adolescent Development 167 Baylor University’s Community Mentoring for Adolescent Development 168 Baylor University’s Community Mentoring for Adolescent Development 169 Baylor University’s Community Mentoring for Adolescent Development 170 Baylor University’s Community Mentoring for Adolescent Development 171 Baylor University’s Community Mentoring for Adolescent Development 172 Baylor University’s Community Mentoring for Adolescent Development 173 Bibliography American Anorexia Bulimia Association. (1997). 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