Maternal, Newborn, Child and Adolescent health and Ageing Department, World Health Organization, Geneva, Switzerland.
School of Nursing, University of British Columbia, Vancouver, Canada.
J Adolesc Health. 2024 Jun;74(6S):S56-S65. doi: 10.1016/j.jadohealth.2024.01.018.
This study identified alignment of indicators across different initiatives and data collection instruments as a foundation for future harmonization of adolescent health measurement.
Using the Global Action for Measurement of Adolescent health (GAMA) recommended indicators as the basis for comparison, we conducted a desk review of 14 global-level initiatives, such as the Sustainable Development Goals and the Global Strategy for Women's, Children's and Adolescents' Health, and five multicountry survey programs, such as the Multiple Indicator Cluster Surveys and the Global school-based Student Health Survey. We identified initiative and survey indicators similar to a GAMA indicator, deconstructed indicators into standard elements to facilitate comparison, and assessed alignment to the corresponding GAMA indicator across each of the elements.
A total of 144 initiative indicators and 90 survey indicators were identified. Twenty-four initiative indicators (17%) and 14 survey indicators (16%) matched the corresponding GAMA indicators across all elements. Population of interest was the most commonly discrepant element; whereas GAMA indicators mostly refer to ages 10-19, many survey and initiative indicators encompass only part of this age range, for example, 15-19-year-olds as a subset of adults ages 15-49 years. An additional 53 initiative indicators (39%) and 44 survey indicators (49%) matched on all elements except the population of interest.
The current adolescent measurement landscape is inconsistent, with differing recommendations on what and how to measure. Findings from this study support efforts to promote indicator alignment and harmonization across adolescent health measurement stakeholders at the global, regional, and country levels.
本研究旨在确定不同倡议和数据收集工具之间指标的一致性，以此作为未来青少年健康测量协调的基础。
我们以全球行动衡量青少年健康（GAMA）推荐的指标为比较基础，对 14 项全球性倡议（如可持续发展目标和全球妇女、儿童和青少年健康战略）和 5 项多国调查方案（如多指标类集调查和全球学校学生健康调查）进行了文献回顾。我们确定了与 GAMA 指标相似的倡议和调查指标，将指标分解为标准要素以促进比较，并评估了每个要素与相应 GAMA 指标的一致性。
共确定了 144 项倡议指标和 90 项调查指标。24 项倡议指标（17%）和 14 项调查指标（16%）在所有要素上与相应的 GAMA 指标相匹配。研究对象是最常见的不一致要素；而 GAMA 指标主要指的是 10-19 岁的人群，许多调查和倡议指标仅涵盖了这个年龄范围的一部分，例如，15-19 岁的人群作为 15-49 岁成年人的一部分。另外 53 项倡议指标（39%）和 44 项调查指标（49%）在除研究对象外的所有要素上相匹配。
目前青少年测量领域存在不一致的情况，对于应该测量什么和如何测量存在不同的建议。本研究的结果支持在全球、区域和国家各级促进青少年健康测量利益相关者之间指标一致性和协调的努力。
