Goal 1 (continued)
Young Adults (20 to 24 years of age)
Young adults are considered in this analysis because they are an indication of the
effectiveness of health care system for youth — the ability of the nation and state
to provide a healthy transition from adolescence to adult responsibilities. Young
adults, by most any measure, are a group in need of public health attention. They
have similar health risks of youth aged 15 to 19, only higher. They are more likely
to die from unintentional motor vehicle related injuries. Motorcycle
hospitalizations, which are a major cause of brain and spinal cord injury, are
highest in this age group. Mortality from intentional injuries is nearly double that
of adolescents, 15 to 19 years of age. Most indicative of the stress of these
transition years are the high rates of suicide, homicide and poisoning from overdoses
of drugs and medications among young adults.
Table 2: Major Causes/Mechanisms of Youth and Young Adult Injury Mortality
and Hospitalizations in Florida, 2000
| |
Mortality
(Rate per 100,000)
|
Hospitalizations – Traffic Related
(Rate per 100,000)
|
| |
Total |
Traffic Related |
Suicide |
Homicide |
Poisoning* |
Motor Vehicle Occupant |
Pedestrian |
Bicycle |
Motorcycle |
Youths (15 to 19) |
737 |
307 |
58 |
78 |
43 |
1,286 |
123 |
46 |
76 |
Youths (20 to 24) |
997 |
318 |
131 |
129 |
100 |
1,055 |
94 |
23 |
169 |
Source: Florida Department of Health Vital Statistics 2000 and Florida Bureau of
Emergency Medical Services, Injury Prevention
*Poisoning includes intentional and unintentional; the majority are drug related
intentional injury deaths
At the same time young adults are experiencing catastrophic health events, their access
to health care is more limited. They are uninsured at almost double the rate of youth
(27.1 percent versus 14.8 percent for youth 10 to 17 years old in 1999).
(54)
Though asthma remains near the top of the list (third) for hospitalizations for
illness, the primary cause of hospitalization for young adults in 2000 is diabetes,
which may be a reflection of a lack of insurance and less management of the disease
within this age group.(55) While Sexually
Transmitted Diseases are a large problem for adolescents, greater intimacy in sexual
relationships, postponed marital commitments, and more unprotected sex creates an even
greater risk of sexually transmitted diseases for this age group.
(52)
Young adults with special health care needs are at risk for loss of health care
access. They are no longer eligible for insurance from KidCare, family insurance
policies (unless in school) or the Florida Department of Health's safety net,
Children's Medical Services.
Young adults are in transition, from living in a family to taking on the responsibility
of earning a living and supporting a family. Many delay this responsibility to finish
their education, extending adolescence in a college or community college environment.
Most work while continuing their education. College and vocational school campuses
offer an important opportunity to reach this age group with insurance and public
awareness.
Major Public Health Issues for the Young Adults 20 to 24 Years
of Age
-
Access to health care
-
Alcohol and substance abuse
-
Drug and alcohol abuse prevention
-
Motor vehicle and motorcycle injuries
-
Nutrition and physical activity
-
Overweight and obesity prevention
-
Sexually Transmitted Disease prevention and responsible sexual behavior
|
|
-
Suicide and homicide prevention
-
Tobacco use prevention
-
Young adults with special health care needs who transition from Children's Medical
Services and Exceptional Education programs
-
Health care safety net (e.g., university and college campuses, county health
departments, community)
|
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