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Chapter 22
School-Age Children and Adolescents
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Health Problems of School-age Children
• Chronic diseases
– Asthma
– Autism
– Diabetes
– Juvenile rheumatoid arthritis
– Seizure disorders
• Childhood cancers (leading cause of death in
children ages 1 to 14 yrs)
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Health Problems of School-age Children
(cont.)
• Behavioral and learning problems
– Learning disabilities
– ADHD
– Behavioral and emotional problems
– Disabled children
• Problems associated with economic status (lead
poisoning, iron deficiency anemia, increased
susceptibility to illness)
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
Is the following statement true or false?
• Learning disabilities are a major chronic disease
affecting children.
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
• False
– Although learning disabilities can be life-long,
they are considered a behavior or learning
problem, not a chronic disease.
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Health Problems of School-age Children
(cont.)
• Death from injuries
– Motor vehicle/traffic injury, drowning, fire/burns: ages 1-9
yrs
– Motor vehicle/traffic injury, drowning, poisoning: ages 1019 yrs
– Suicides with firearms: ages 10-19 yrs
• Communicable diseases
• Head lice
• Other health problems: undernutrition, poor dental health,
obesity, inactivity
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Adolescent Health and Health Problems
• Emotional problems and teenage suicide (third
leading cause of death)
• Violence
• Substance abuse
• Teen sexuality and pregnancy
• Sexually transmitted diseases or infections
• Acne
• Poor nutrition and eating disorders
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Health Services for School-age Children
and Adolescents
• Prevention programs
– Immunizations
– TB testing
– Education and social services (basic services,
parental support services, family planning
services, STD services, risk reduction services,
peer education)
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
Is the following statement true or false?
• Poisoning is a major cause of death in children
between the ages of 1 and 9 years.
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
• False
– In children ages 1 to 9 years, motor
vehicle/traffic injury, drowning, and fire/burns
are the leading causes of death. For those 10 to
19 years of age, the major causes of death
include motor vehicle/traffic injury, drowning,
and poisoning.
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Health Services for School-age Children
and Adolescents (cont.)
• Health protection
– Safety and injury prevention
– Infectious diseases
– Child protective services
– Oral hygiene and dental care
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Health Services for School-age Children
and Adolescents (cont.)
• Health promotion programs
– Nutrition programs
– Weight control programs
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
Is the following statement true or false?
• For teenagers, suicide accounts for few deaths.
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
• False
– Suicide is the third leading cause of death for
this age group.
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Internet Resources
• Child Behavior & How Parents Can Change Behaviors:
http://familydoctor.org/online/famdocen/home/children/p
arents/behavior/201.printerview.html
• Drug Abuse Prevention Guide:
http://www.drugabuse.gov/pdf/prevention/RedBook.pdf
• Food Allergies:
http://www.cfsan.fda.gov/~dms/ffalrgn.html
• Foundation for a Smokefree America:
http://www.tobaccofree.org/
• Injury Prevention Program (children 12 and under):
http://www.aap.org/familoy/tippmain.htm
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins