Evidence map›Paper›PMID 30876706›Full record

ArticleLancet (London, England)2019

Progress in adolescent health and wellbeing: tracking 12 headline indicators for 195 countries and territories, 1990-2016.

Peter S Azzopardi, Stephen J C Hearps, Kate L Francis, Elissa C Kennedy, Ali H Mokdad, Nicholas J Kassebaum, Stephen Lim, Caleb M S Irvine, Theo Vos, Alex D Brown and 14 more

Erratum issued Registry-linked trialAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Lancet (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05574842 (Effect of Double Duty Interventions on Double Burden of Malnutrition, Dietary Diversity Score, and Frequency of Morbidity Among Secondary School Adolescents in Central Ethiopia), which is not on this map. Cited by 161 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
161citing papers in PubMed, 10 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05574842 nacompletednot on this mapstarted 2022, after this paper: background citation

Effect of Double Duty Interventions on Double Burden of Malnutrition, Dietary Diversity Score, and Frequency of Morbidity Among Secondary School Adolescents in Central Ethiopia: Cluster Randomized Controlled Trial

TypeinterventionalSponsorDebre Berhan UniversityRan2022 to 2023Enrolled742ConditionsMalnutrition, Degree, Moderate, Diet Habit, UndernutritionArmsDouble duty interventions using nutrition behavior change communication approach
3 · Its place in the literature

Who cites it

161 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  5. The Effects of Pregnancy: A Systematic Review of Adolescent Pregnancy in Ghana, Liberia, and Nigeria.International journal of environmental research and public health · 2022
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101 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors.

Peter S AzzopardiMurdoch Children's Research Institute, Melbourne, VIC, Australia; Maternal and Child Health Program, Burnet Institute, Melbourne, VIC, Australia; Wardliparingga Aboriginal Research Unit, South Australian Health and Medical Research Institute, Adelaide, SA, Australia; Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia; Centre for Adolescent Health, Royal Children's Hospital, Parkville, VIC, Australia. Electronic address: peter.azzopardi@burnet.edu.au.
Stephen J C HearpsMurdoch Children's Research Institute, Melbourne, VIC, Australia.
Kate L FrancisMurdoch Children's Research Institute, Melbourne, VIC, Australia; Centre for Adolescent Health, Royal Children's Hospital, Parkville, VIC, Australia.
Elissa C KennedyMurdoch Children's Research Institute, Melbourne, VIC, Australia; Maternal and Child Health Program, Burnet Institute, Melbourne, VIC, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Ali H MokdadInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Nicholas J KassebaumInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA; Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.
Stephen LimInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Caleb M S IrvineInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Theo VosInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Alex D BrownWardliparingga Aboriginal Research Unit, South Australian Health and Medical Research Institute, Adelaide, SA, Australia; Faculty of Health and Medical Science, University of Adelaide, Adelaide, SA, Australia.
Surabhi DograYouth Commissioner, Lancet Standing Commission on Adolescent Health and Wellbeing, Lusaka, Zambia.
Stuart A KinnerMurdoch Children's Research Institute, Melbourne, VIC, Australia; Melbourne School of Population and Global Health, The University of Melbourne, Parkville, VIC, Australia.
Natasha S KaomaYouth Commissioner, Lancet Standing Commission on Adolescent Health and Wellbeing, Lusaka, Zambia; Copper Rose, Lusaka, Zambia.
Mariam NaguibYouth Commissioner, Lancet Standing Commission on Adolescent Health and Wellbeing, Lusaka, Zambia.
Nicola J ReavleyMelbourne School of Population and Global Health, The University of Melbourne, Parkville, VIC, Australia.
Jennifer RequejoUnited Nations Children's Fund, New York, NY, USA; Institute for International Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
John S SantelliMailman School of Public Health, Columbia University, New York, NY, USA.
Susan M SawyerMurdoch Children's Research Institute, Melbourne, VIC, Australia; Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia; Centre for Adolescent Health, Royal Children's Hospital, Parkville, VIC, Australia.
Vegard SkirbekkDepartment of Population and Family Health at the Mailman School, Columbia University, New York, NY, USA; Centre for Fertility and Health, Norwegian Institute of Public Health, Nydalen, Oslo, Norway.
Marleen TemmermanCentre of Excellence in Women, Child and Adolescent Health, Aga Khan University, Nairobi, Kenya; Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Jordan Tewhaiti-SmithYouth Commissioner, Lancet Standing Commission on Adolescent Health and Wellbeing, Lusaka, Zambia.
Joseph L WardUCL Institute of Child Health, University College London, London, UK.
Russell M VinerUCL Institute of Child Health, University College London, London, UK.
George C PattonMurdoch Children's Research Institute, Melbourne, VIC, Australia; Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia; Centre for Adolescent Health, Royal Children's Hospital, Parkville, VIC, Australia.

Funding

Medical Research Council MR/R00160X/1
6 · The paper itself

Abstract

backgroundRapid demographic, epidemiological, and nutritional transitons have brought a pressing need to track progress in adolescent health. Here, we present country-level estimates of 12 headline indicators from the Lancet Commission on adolescent health and wellbeing, from 1990 to 2016.

methodsIndicators included those of health outcomes (disability-adjusted life-years [DALYs] due to communicable, maternal, and nutritional diseases; injuries; and non-communicable diseases); health risks (tobacco smoking, binge drinking, overweight, and anaemia); and social determinants of health (adolescent fertility; completion of secondary education; not in education, employment, or training [NEET]; child marriage; and demand for contraception satisfied with modern methods). We drew data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016, International Labour Organisation, household surveys, and the Barro-Lee education dataset.

findingsFrom 1990 to 2016, remarkable shifts in adolescent health occurred. A decrease in disease burden in many countries has been offset by population growth in countries with the poorest adolescent health profiles. Compared with 1990, an additional 250 million adolescents were living in multi-burden countries in 2016, where they face a heavy and complex burden of disease. The rapidity of nutritional transition is evident from the 324·1 million (18%) of 1·8 billion adolescents globally who were overweight or obese in 2016, an increase of 176·9 million compared with 1990, and the 430·7 million (24%) who had anaemia in 2016, an increase of 74·2 million compared with 1990. Child marriage remains common, with an estimated 66 million women aged 20-24 years married before age 18 years. Although gender-parity in secondary school completion exists globally, prevalence of NEET remains high for young women in multi-burden countries, suggesting few opportunities to enter the workforce in these settings.

interpretationAlthough disease burden has fallen in many settings, demographic shifts have heightened global inequalities. Global disease burden has changed little since 1990 and the prevalence of many adolescent health risks have increased. Health, education, and legal systems have not kept pace with shifting adolescent needs and demographic changes. Gender inequity remains a powerful driver of poor adolescent health in many countries.

fundingAustralian National Health and Medical Research Council, and the Bill & Melinda Gates Foundation.

Indexed as

AdolescentAdolescent HealthAnemiaAustraliaChildCommunicable DiseasesCost of IllnessFemaleHumansMaleNoncommunicable DiseasesObesityPersons with DisabilitiesPopulation GrowthPrevalenceQuality-Adjusted Life Years

Identifiers

PMID30876706
PMCPMC6429986

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.