Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland.
J Adolesc Health. 2024 Jun;74(6S):S47-S55. doi: 10.1016/j.jadohealth.2024.01.004.
To assess the relevance of the Sustainable Development Goals (SDGs) framework for adolescent health measurement, both in terms of age disaggregation and different health domains captured, and how the adolescent health indicators recommended by the Global Action for Measurement of Adolescent Health (GAMA) can complement the SDG framework.
We conducted a desk review to systematically map all 248 SDG indicators using the UN metadata repository in three steps: 1) age-related mandates for SDG reporting; 2) linkages between the SDG indicators and priority areas for adolescent health measurement; 3) comparison between the GAMA indicators and the SDG framework.
Of the 248 SDG indicators, 35 (14%) targeted an age range overlapping with adolescence (10-19 years) and 33 (13%) called for age disaggregation. Only one indicator (3.7.2 "adolescent birth rate") covered the entire 10-19 age range. Almost half (41%) of the SDG indicators were directly related to adolescent health, but only 33 of those (13% of all SDG indicators) overlapped with the ages 10-19, and 15 (6% of all SDG indicators) explicitly mandated age disaggregation. Among the 47 GAMA indicators, five corresponded to existing SDG indicators, and eight were adolescent-specific age adaptations. Several GAMA indicators shed light on aspects not tracked in the SDG framework, such as obesity, mental health, physical activity, and bullying among 10-19-year-olds.
Adolescent health cannot be monitored comprehensively with the SDG framework alone. The GAMA indicators complement this framework via age-disaggregated adaptations and by tracking aspects of adolescent health currently absent from the SDGs.
评估可持续发展目标(SDG)框架在年龄细分和涵盖的不同健康领域方面对青少年健康测量的相关性,以及全球青少年健康测量行动(GAMA)推荐的青少年健康指标如何补充 SDG 框架。
我们通过联合国元数据存储库进行了一次案头审查,以系统地映射所有 248 个 SDG 指标,共分三个步骤进行:1)与 SDG 报告相关的年龄要求;2)SDG 指标与青少年健康测量重点领域之间的联系;3)GAMA 指标与 SDG 框架之间的比较。
在 248 个 SDG 指标中,有 35 个(14%)的目标年龄范围与青少年(10-19 岁)重叠,有 33 个(13%)要求进行年龄细分。只有一个指标(3.7.2“青少年出生率”)涵盖了整个 10-19 岁年龄范围。近一半(41%)的 SDG 指标与青少年健康直接相关,但其中只有 33 个(占所有 SDG 指标的 13%)与 10-19 岁年龄重叠,15 个(占所有 SDG 指标的 6%)明确要求进行年龄细分。在 47 个 GAMA 指标中,有 5 个与现有 SDG 指标相对应,有 8 个是针对青少年的特定年龄调整。一些 GAMA 指标揭示了 SDG 框架中未涵盖的方面,例如 10-19 岁青少年的肥胖、心理健康、身体活动和欺凌。
仅靠 SDG 框架无法全面监测青少年健康。GAMA 指标通过年龄细分的调整以及跟踪 SDG 中目前不存在的青少年健康方面,补充了这一框架。