Naidu Navya Krishna, Aravindakshan Rajeev, Reddy B Venkatashiva, Sharmila Vijayan, Gupta Arti
Department of Community and Family Medicine, All India Institute of Medical Sciences, Mangalagiri, Guntur, IND.
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Mangalagiri, Guntur, IND.
Cureus. 2024 Sep 21;16(9):e69878. doi: 10.7759/cureus.69878. eCollection 2024 Sep.
Adolescents compose a significantly large age group, and attention to their health needs is lacking due to insufficient data and policy implementation globally and in India. India, having 268 million adolescents, faces the world's largest adolescent population, which highlights the importance of addressing their health requirements. The aim of this study was to describe the morbidity profiles of adolescent patients attending the State Adolescent Friendly Health Resource Centre at a tertiary-level healthcare institution in South India.
A retrospective secondary data analysis was conducted at the State Adolescent Friendly Health Resource Center from 2022 to 2023. Data on adolescent health were collected from this center's OPD using a structured questionnaire, which included information on demographics, immunization status, chief complaints, and dietary intake. Diagnosis coding was done using the International Classification of Diseases, Tenth Revision (ICD-10), with estimated energy and protein intake.
The study analyzed 4,000 adolescent patients, with a nearly equal gender distribution across physical OPD and telemedicine services. Adolescent females between 15 and 16 years had more visits for consultation. Most patients were within the normal BMI range, and telemedicine was popular among females with normal BMI. Obesity was more common in males, while overweight was prevalent in females. Energy and protein intake varied across BMI categories, with obese individuals having the highest intake. The morbidity profiles revealed significant gender differences in healthcare utilization and disease patterns.
Gender differences in adolescent morbidity and the underutilization of telemedicine highlight the need for tailored healthcare interventions and further research based on socioeconomic factors.
青少年构成了一个相当庞大的年龄群体，然而由于全球及印度的数据不足和政策实施不力，他们的健康需求未得到充分关注。印度拥有2.68亿青少年，是世界上青少年人口最多的国家，这凸显了满足他们健康需求的重要性。本研究的目的是描述在印度南部一家三级医疗机构的邦青少年友好型健康资源中心就诊的青少年患者的发病情况。
2022年至2023年在邦青少年友好型健康资源中心进行了一项回顾性二次数据分析。使用结构化问卷从该中心的门诊收集青少年健康数据，问卷包括人口统计学、免疫接种状况、主要症状和饮食摄入等信息。诊断编码采用国际疾病分类第十版（ICD - 10），并估算能量和蛋白质摄入量。
该研究分析了4000名青少年患者，在实体门诊和远程医疗服务中的性别分布几乎相等。15至16岁的青少年女性就诊咨询的次数更多。大多数患者的体重指数（BMI）在正常范围内，远程医疗在BMI正常的女性中很受欢迎。肥胖在男性中更为常见，而超重在女性中更为普遍。不同BMI类别之间的能量和蛋白质摄入量有所不同，肥胖个体的摄入量最高。发病情况显示，在医疗利用和疾病模式方面存在显著的性别差异。
青少年发病情况的性别差异以及远程医疗的利用不足凸显了基于社会经济因素进行针对性医疗干预和进一步研究的必要性。
