TY  - JOUR
PY  - 2019//
TI  - Guatemala City youth: an analysis of health indicators through the lens of a clinical registry
JO  - International health
A1  - Golub, Sarah A.
A1  - Maza Reyes, Juan Carlos
A1  - Stamoulis, Catherine
A1  - Leal Pensabene, Alejandra
A1  - Tijerino Cordón, Pablo Alejandro
A1  - Calgua, Erwin
A1  - Hassan, Areej
SP  - 265
EP  - 271
VL  - 11
IS  - 4
N2  - BACKGROUND: Despite the inclusion of adolescent health in recent global frameworks, limited data exist on health indicators in low-income countries. Our objective was to identify socioeconomic measures, risk behaviors and health indicators of young people in Guatemala. <br><br>METHODS: We conducted a secondary data analysis of the Pan American Health Organization's Sistema Informático del Adolescente of 2831 participants ages 10-24 y from 2008 to 2014. We examined frequencies for a core set of items, and generalized regression models assessed correlations between age, sex and ethnicity with health outcomes of interest. <br><br>RESULTS: Fewer than 17% of participants reported a history of chronic illness (16.6%) and severe psychological problems (16.8%). While 66.1% of participants' mothers and 36.6% of fathers reported job instability, far fewer families had housing instability (1.9% with no electricity, 6.3% with no running water). Fewer than one-third (29.1%) were sexually active and the majority (76.0%) routinely used condoms. About one-quarter (22.6%) reported abnormal mood. Indigenous participants were significantly more likely to have experienced psychological problems (odds ratio [OR] 1.75 [confidence interval {CI} 1.65-1.86]) and violence (OR 1.34 [CI 1.27-1.42]) compared with whites. <br><br>CONCLUSIONS: The prevalence of risk behaviors and mental health concerns is low compared with other sources of national and regional data. Further work is needed to examine the benefits and limitations of this system in order to improve health surveillance.<p />  <p>Language: en</p>
LA  - en
SN  - 1876-3413
UR  - http://dx.doi.org/10.1093/inthealth/ihy081
ID  - ref1
ER  -