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Adolescent and young adult health

The chances of survival for adolescents and young adults vary greatly around the world. In 2021, the average chance of a 10-year-old dying before age 24 was about six times higher in sub-Saharan Africa than in North America and Europe.

In the 10-24 age group, mortality rates are lowest for adolescents aged 10-14 and highest for young adults aged 20-24. Women generally have lower mortality rates than men at this age.

The death patterns of 10 to 14 year olds are dominated by infectious diseases. A shift from childhood infectious diseases to accidents and injuries, self-harm and interpersonal violence is being observed among older adolescents and young adults. Gender differences in mortality rates also become clear in adolescence.

Many unintentional injuries, such as traffic accidents and drowning, are the leading cause of death and disability among young people.

  • Traffic accidents

    In 2021, over 100,000 young people (10-19 years old) died in traffic accidents. Many of those who died were vulnerable road users, including pedestrians, cyclists and users of motorized two-wheelers.

    Injuries and Violence Fact Sheet

  • drowning

    Drowning is also one of the most common causes of death among young people; It is estimated that more than 40,000 young people drowned in 2021, more than three-quarters of whom were boys.

    Drowning fact sheet

  • Violence

    Interpersonal violence is one of the most common causes of death among adolescents and young people worldwide. Its importance varies significantly depending on the region of the world. It causes almost a third of all deaths among adolescent males in the WHO Americas region.

    Violence in adolescence also increases the risk of injuries, HIV and other sexually transmitted infections, mental health problems, poor school performance and dropout, early pregnancy, reproductive health problems, and communicable and noncommunicable diseases.

    Fact sheet on youth violence

  • Alcohol and drug consumption

    Alcohol consumption among young people is a major problem in many countries. Worldwide, more than a quarter of all people aged 15 to 19 are current drinkers, that is 155 million young people. The prevalence of heavy drinking among youth ages 15 to 19 was 13.6% in 2016, with men at greatest risk.

    Cannabis is the most commonly used psychoactive drug among young people, with about 4.7% of people aged 15 to 16 using it at least once in 2018. Alcohol and drug use in children and adolescents is associated with neurocognitive changes that can lead to behavioral, emotional, social, and academic problems later in life.

    Information sheet on alcohol

  • Tobacco use
  • The vast majority of people who use tobacco today started using it when they were teenagers. In 2018, at least one in ten adolescents aged 13 to 15 worldwide used tobacco, although there are areas where this number is much higher. E-cigarettes are particularly risky when used by children and teenagers. Nicotine is highly addictive and young people's brains continue to develop until their mid-twenties.

    Information sheet on tobacco

    E-cigarettes: How risky are they?

  • Mental health
  • Depression and anxiety are among the leading causes of illness and disability among youth, and suicide is among the leading causes of death among people ages 15 to 19. Half of all adult mental disorders begin by age 14, but most cases remain undetected and untreated.

    Many factors influence the well-being and mental health of young people. Violence, poverty, stigma, exclusion and living in humanitarian and fragile environments can increase the risk of developing mental health problems.

    Adolescent Mental Health Fact Sheet

  • Communicable diseases
  • HIV

    An estimated 1.7 million adolescents (ages 10-19 years) were living with HIV in 2021, of which approximately 90% were in the WHO African region. Although the number of new infections among adolescents has declined significantly since its peak in 1994, adolescents still account for about 10% of new HIV infections, three-quarters of which are among adolescent girls. In addition, although new infections have declined in many of the hardest-hit countries, testing rates remain low, suggesting that many adolescents and young people living with HIV may be unaware of their status.

    HIV fact sheet

    HIV facts in pictures

    tuberculosis

    Tuberculosis (TB) is a preventable and curable disease, but continues to affect the lives and development of millions of children and young people. Children and young adolescents under the age of 15 make up around 11% of all people with tuberculosis worldwide. This means that every year 1.1 million children and young adolescents under the age of 15 become ill with tuberculosis and more than 225,000 of them lose their lives.

    Adolescents and young adults usually suffer from bacteriologically infectious tuberculosis, which is characterized by cavities visible on chest x-rays. The Global Tuberculosis Report shows that reporting rates among youth ages 15 to 19 are relatively high compared to younger youth.

    Tuberculosis leaflet

    Other infectious diseases

    Diarrhea and lower respiratory tract infections (pneumonia) are estimated to be among the top five causes of death in adolescents aged 10 to 14, with mortality rates particularly high in low- and middle-income African countries. Thanks to improved vaccinations for children, deaths and disabilities among young people from measles have decreased significantly.

    Fact sheet on diarrheal diseases

    Pneumonia information sheet

    Measles leaflet

    Early adolescence (9-14 years) is the optimal time for vaccination against HPV infection and it is estimated that if 90% of girls worldwide were vaccinated against HPV, more than 40 million lives could be saved over the next century. received vaccination. However, it is estimated that only 12% of girls worldwide received the vaccine in 2021.

    Fact sheet on human papillomavirus (HPV) and cervical cancer

    Overall, there are relatively fewer cases and deaths from COVID-19 disease among adolescents and young adults than among older adults. However, the pandemic has had serious indirect negative impacts on young people's well-being, including their mental health, loss of educational time due to school closures, social isolation, physical inactivity, malnutrition and domestic violence.

  • Early pregnancy and birth
  • Approximately 12 million girls ages 15 to 19 and at least 777,000 girls under 15 give birth each year in developing regions. Complications during pregnancy and childbirth are among the leading causes of death for girls aged 15 to 19 worldwide.

    The global adolescent birth rate in 2021 was 42 births per 1,000 girls of this age, and country rates range from 1 to over 200 births per 1,000 girls per year. This indicates a significant decline since 1990. This decline is reflected in a similar decline in maternal mortality rates for girls ages 15 to 19.

    One of the specific goals of the Health Goal for Sustainable Development (SDG 3) is for the world to ensure universal access to sexual and reproductive health services, including family planning, information and education, and the integration of reproductive health into national strategies and programs by 2030 .

    Fact sheet on adolescent pregnancy

  • Environmental Health
  • Many of the leading causes of death in adolescents and young adults are strongly linked to the environment, including accidental injuries and infectious diseases. Young people are at increased risk of environmental hazards and pollution due to their developmental physiology and immature systems. The major environmental hazards and pollutants affecting the health of adolescents and young adults include air pollution, chemicals and heavy metals, climate change, UV radiation, urban health and WASH.

    WHO's work on children's environmental health

  • Overweight
  • In 2016, more than one in six young people aged 10 to 19 years worldwide were overweight. Prevalence varied across WHO regions, ranging from less than 10% in the WHO Southeast Asia Region to over 30% in the WHO Americas Region.

    Obesity and overweight fact sheet

  • Nutrition
  • Many boys and girls in developing countries enter puberty malnourished, making them more vulnerable to disease and early death.

    Iron deficiency anemia was one of the leading causes of lost years of healthy life due to disability in adolescents aged 10 to 19 in 2021. Iron and folic acid supplements are a solution that also helps promote youth health. To prevent micronutrient deficiencies (including iron), regular deworming is recommended in areas where intestinal worms such as hookworm are common.

    Malnutrition fact sheet

    Healthy eating fact sheet

    It is estimated that only one in five adolescents worldwide met the WHO physical activity guidelines in 2016. The prevalence of inactivity is high in all WHO regions and is higher among female adolescents than male adolescents (8).

    The rights of children under 18 to survive, grow and develop are enshrined in international legal documents. In 2013, the Committee on the Rights of the Child (CRC) published guidelines on the right of children to the highest attainable standard of health, and in 2016 a general commentary on the realization of the rights of children during adolescence was published, underlining the obligation of States to respect the special health and Recognize the development needs and rights of young people.

    The Convention on the Elimination of Discrimination against Women (CEDAW) also establishes the right of women and girls to health and adequate health care.

    WHO works with Member States and partners to improve the health of young people by developing evidence-based guidelines, advocating for and recommending youth-friendly health systems, and documenting progress in adolescent health and development.

    In 2023, WHO published an update to the Global Accelerated Action for the Health of Adolescents (AA-HA!): Guidelines to support country implementation. AA-HA! 2.0 drew on input from consultations with Member States, United Nations organizations, youth and young people, civil society and other partners. The aim is to help governments decide what they want to do and how they want to do it to respond to the health needs of adolescents.