Launched in Westmead in Sydney’s west, the new NHMRC Centre of Research Excellence in Adolescent Health unites researchers, clinicians and young people across Australia in a program of research and advocacy to reverse what has been called “the lost decade” where health gains made in childhood are reversed by climbing rates of preventable health risks, such as adolescent injury, self-harm, obesity and mental health issues.
“The health gains achieved in childhood may be short-lived,” says the University of Sydney’s Professor Kate Steinbeck, the Medical Foundation Chair in Adolescent Medicine, who leads the Centre of Research Excellence.
As young people enter their second decade we see worsening physical and mental health markers and an upswing in health risks
This is confirmed by data showing upswings in rates of suicide, self-harm, injuries and poisonings, obesity and Type 1 Diabetes that accelerate in adolescence.
“Beyond the problems posed by declining health in the teenage years, adolescence is when many health pathways are set for life,” she says.
Poor health in the teen years also predicts poorer health in adulthood and foreshadows ever-increasing demands on over-stretched health budgets.
“Overcoming these challenges requires new knowledge and approaches that build on the achievements of childhood health initiatives and that support the continuation of positive health pathways before the foundations of adult illnesses are laid.”
We need a paradigm shift to support young people by enacting what the WHO terms a ‘Second Chance in the Second Decade’.
“To accomplish this we need a paradigm shift to support the health of young people by enacting what the World Health Organization (WHO) terms a ‘Second Chance in the Second Decade’.”
Unlocking the potential of this ‘second chance’ involves a re-think of the way health services for adolescents are planned and provided to young people. We need to include young people in this conversation.
“This is an ambitious undertaking,” Professor Steinbeck concedes.
“It can only be achieved by developing an integrated program of research that fills knowledge gaps, increases workforce capacity in adolescent health research, and delivers on knowledge, policy and practice. To achieve this, we will be drawing on the huge potential that digital technologies offer young people.”
Funded by the NHMRC, the Centre of Research Excellence in Adolescent Health is a national research partnership comprising the University of Sydney, University of Melbourne, University of Technology Sydney, Western Sydney University, University of New South Wales, Curtin University and Macquarie University.
Increase in health risk behaviours that are largely preventable:
Increased appearance of mood and affect disorders and self-harm:
Increasing prevalence of obesity
Increased survival in chronic childhood illness which increases the number of adolescents transitioning to health care services: