Health Inequalities Faced By Young People in the UK - A Complex Picture UCL Adolescent Wellbeing Conference – 12th of December Rakhee Shah & Ann Hagell Association for Young People’s Health @AYPHCharity @shahrakhee
Methods: We use publically available UK datasets that draw on significant sample sizes, provide generalizable data on young people and use reliable survey instruments.
Reasons for investing: Demographics – 11.7m young people 10-24yrs
Why are health inequalities important in adolescence? Social inequalities can lead to health inequalities, and can ‘set in’ during adolescence Health inequalities occur across the whole life course BUT LESS attention looking at inequalities in young people Widening inequalities amongst adolescents in high-income countries Trends alarming for future population health Majority of inequalities preventable Frank J Elgar, Timo-Kolja Pförtner, Irene Moor, Bart De Clercq, Gonneke W J M Stevens, Candace Currie. Socioeconomic inequalities in adolescent health 2002–2010: a time-series analysis of 34 countries participating in the Health Behaviour in School-aged Children study. The Lancet, 2015; DOI: 10.1016/S0140-6736(14)61460-4
Low Income is the most salient social disadvantage… Young people are disproportionately represented in families with lower levels of income 1 in 4 young people lived in households with less than 60% of UK’s median income
Low Income is the most salient social disadvantage…
Low Income is the most salient social disadvantage…
Low Income is the most salient social disadvantage…
Other vulnerable groups Looked after children Young Carers Ethnicity Young people with learning disabilities LGBT
Young Carers Often hidden and do not receive support Risk of missing out on education, social opportunities and carry emotional burden 68% report being bullied at school 1.5X more likely to have a special educational need or disability 38% reported having a mental health problem
LGBT+ 2x more likely to have history of cigarette smoking More likely to report recreational drug use Sexual health inequalities – teenage pregnancy, sex education and cervical cancer screening
Black and Ethnic Minority Groups Higher proportion live in low-income families Young people from BME more likely to be overweight Black and Asian children have higher incidence of Type 2 diabetes
Health Inequalities Compound Deprivation BME Young Carers Mental health Well-being Bullying Obesity Type 2 Diabetes
Relevance Multiple health inequalities exist in young people Health inequalities in young people have a complex relationship Health inequalities do not occur in silos and therefore should not be investigated in isolation Important to take a holistic approach towards young people’s health
Final Thoughts … Young people aged 10-24 in the UK face a particular pattern of health inequalities relating to their life stage We need to invest in and address these inequalities for a healthier future adult population Many inequalities could be tackled with public health initiatives Multi-sector policy recommendations need to focus on these vulnerable groups in order to reduce health inequalities.
Information http://www.youngpeopleshealth.org.uk/key-data-on-young-people (Download a free copy) www.ayph.org.uk info@youngpeopleshealth.org.uk @AYPHcharity 0207 922 7715