A Taxonomy of Adolescent Health: Development of the Adolescent Health Profile-Types
Abstract
OBJECTIVES: The aim of this study was to develop a taxonomy of health profile-types that describe adolescents' patterns of health as self-reported on a health status questionnaire. The intent was to be able to assign individuals to mutually exclusive and exhaustive groups that characterize the important aspects of their health and need for health services. METHODS: Cluster analytic empirical methods and clinically based conceptual methods were used to identify patterns of health in samples of adolescents from schools and from clinics that serve adolescents with chronic conditions and acute illnesses. Individuals with similar patterns of scores across multiple domains were assigned to the same profile-type. Results from the empirical and conceptually based methods were integrated to produce a practical system for assigning youths to profile-types. RESULTS: Four domains of health (Satisfaction, Discomfort, Risks and Resilience) were used to group individuals into 13 distinct profile-types. The profile-types were characterized primarily by the number of domains in which health is poor, identifying the unique combinations of problems that characterize different subgroups of adolescents. CONCLUSIONS: This method of reporting the information available on health status surveys is potentially a more informative way of identifying and classifying the health needs of subgroups in the population than is available from global scores or multiple scale scores. The reliability and validity of this taxonomy of health profile-types for the purposes of planning and evaluating health services must be demonstrated. That is the purpose of the accompanying study.
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Poor health during middle childhood may result from chronic conditions, but is more likely to take the form of sub-clinical distress that manifests itself as problems with functioning or a high symptom burden.
“Poor health during middle childhood may result from chronic conditions, but is more likely to take the form of sub-clinical distress that manifests itself as problems with functioning or a high symptom burden.13”
From Health and School Outcomes During Children's Transition Into Adolescence (2013) · cites this paper as [13]
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Childhood origins of adult health: a basis for life-course health policy
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- Authors
- Riley, A. W., Green, B. F., Forrest, C. B., Starfield, B., Kang, M., & Ensminger, M. E.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Riley, Anne W.
- Forrest, Christopher B.
- Starfield, Barbara
- Kang, Myungsa
- Ensminger, Margaret E.
- Venue
- Medical Care
- Published
- 1998-08
- Volume
- 36
- Issue
- 8
- Pages
- 1228-1236
- ISSN
- 0025-7079 (ISSN-L)
- OpenAlex
- W2325699458
- Cited by
- 45
- References
- 23
- Citations by year
- 2018: 1 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 1 · 2013: 1 · 2012: 6
- FWCI
- 5.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (2r01mh047903-04a1)
- Agency for Healthcare Research and Quality (HS07045)
- National Heart, Lung, and Blood Institute (96-HO618A)
- National Institute of Mental Health (R01-MH47903)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Health Sciences › Health Professions › General Health Professions › Health and Medical Studies
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- adolescent health, health status classification, self-reported health, chronic disease, acute illness, health needs, health planning, health status questionnaires, clustering, health domain
- MeSH terms
- Acute Disease, Adolescent, Child, Chronic Disease, Health Services Needs and Demand, Health Status, Health Status Indicators, Humans, Terminology as Topic, Surveys and Questionnaires, Risk Factors, Baltimore, Reproducibility of Results, Cluster Analysis, Patient Satisfaction
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