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4 Children and Adolescents
Pages 28-39

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From page 28...
... In health promotion, for example, testifiers addressed nutrition, substance abuse, physical fitness, and mental health with a special focus on adolescent suicide. In health protection, they addressed primarily the prevention of unintentional accidents, as well as child abuse and other forms of violence.
From page 29...
... The specific improvements suggested include making child care more affordable for low and moderate income families, increasing the number of child-care programs and qualified childcare staff, improving the quality of child care, assisting parents in locating child care that meets their needs, and coordinating child-care funding with state and local early childhood development programs-Head Start, general preschool programs, and preschool programs for handicapped children.
From page 30...
... Various estimates she cites suggest that 6 to 12 percent of children have chronic or disabling health conditions. In addition, one in ten chronically ill children lack any health insurance.3 Thus, West says, objectives and programs should be developed to prepare children with chronic disease and disability for adult life.
From page 31...
... Evan Kligman, representing the Society of Teachers of Family Medicine, feels that successful educational interventions with the family can improve children's nutrition by decreasing the fat content of meals prepared at home; increasing average daily dietary fiber; increasing dietary calcium intake; decreasing salt intake; and including trace minerals, fresh fruit, and cruciferous vegetables known to have a role in the primary prevention of cancer and cardiovascular disease. (#118J Improving the general nutrition of children through such programs as the Special Supplemental Food Program for Women, Infants and Children (WIC)
From page 32...
... (~108) Kenneth Kaminsly of the Wayne County Intermediate School District in Michigan recommends objectives about the use of cocaine (including crack)
From page 33...
... (#702) Martha Medrano of the University of Texas Health Science Center at San Antonio indicates that adolescent suicide has nearly tripled over the last several decades.9 Because of this, she proposes an objective to reduce the U.S.
From page 34...
... He refers to recent studies showing that correctly used child safety seats in passenger cars are 71 percent effective in preventing fatalities, 67 percent effective in reducing the need for hospitalization, and 50 percent effective in preventing minor injury. Only 44 percent of Alabama children under five, however, are fully protected by the correct use of safety seats, he reports.~3 (~0663 Joseph Hill of the Detroit Department of Health also recommends that the objectives seek to increase correct child safety seat use.
From page 35...
... Owe must give up the idea that violence is something we can do nothing about except call the police after the damage has been done.n (#33 7J A representative of the Detroit Department of Health suggests a range of strategies for lowering the rate of child abuse and neglect, including support programs for new and prospective parents, parenting education, affordable and accessible child care, home visiting by health professionals, and life-skills training for children and young adults. Further recommendations are to increase public awareness of child abuse prevention; to increase the knowledge of health professionals and other service providers; to coordinate and improve the availability, accessibility, and quality of health services for families; to develop data systems for monitoring trends in incidence and prevalence; and to expand research efforts on predisposing factors and the effects of intervention and prevention activities.
From page 36...
... Thus, they suggested interventions such as systemic fluoride, fluoride dentifrice, and pit and fissure sealants. Focusing on these three proven measures, says Stephen Moss, representing the 36 Healthy People 2000: Citizens Chart the Course American Academy of Pediatric Dentistry, is the most effective way to reduce caries in children.
From page 37...
... This survey of about 17,000 high school seniors, they say, is a major source of the country's reliable population data on substance abuse. It scores as a valuable source of trends in drug and alcohol abuse, the potential for accidents, and physical fitness and nutrition; it should be used to set and track objectives and teen behavior.
From page 38...
... Jarrett, Michael; South Carolina Department of Health and Environmental Control 115 King, Caroler American Academy of Pediatrics 118 Kligman, Evan; Society of Teachers of Family Medicine 154 Moss, Stephen; American Academy of Pediatric Dentistry 198 Sheps, Cecil; American Public Health Association 201 Smith, George; Tennessee Department of Health and Environment 207 Gaines, George; Detroit Department of Health 250 Feinstein, Ronald; University of Alabama at Birmingham 303 Grimord, Mary; Texas Woman's University 304 Large, Lou; La Porte Independent School District (Texas) 321 Skeets, Michael; Oregon Department of Human Resources 331 Wieland, Holly; Silver Spring, Maryland 333 West, Margaret; University of Washington 337 Sugarman, Jule; Washington State Department of Social and Health Services 347 Hager, Carl; Citizens Commission on Human Rights, Seattle Chapter 362 Mangione, Ellen; Colorado Department of Health 372 Henry, Linda; Children's Hospital (Denver)
From page 39...
... 466 Martin, ~ Damien; Hetrick-Martin Institute (New York) 467 Aguirre-Molina, Marilyn and Lubinski, Christine; National Council on Alcoholism 477 Speert, Ellen; American Art Therapy Association 500 Medrano, Martha; University of Texas Health Science Center at San Antonio 535 Lurie, David; Minneapolis Health Department 573 Wilhoit, Gene; National Association of State Boards of Education 575 Reveal, Marge; American Dental Hygienists' Association 595 Leventhal, Marcia; New York University and BrookSchmitz, Nancy; Columbia University 675 Teague, Wayne; Alabama Department of Education 702 Barrett, Tom; Center for Psychological Growth (Denver)


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