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Contribution title 2481 - Current status and perspective in adolescent medicine –questionnaire for pediatricians and parents-
Contribution code PS01-89 (P)
Authors
  1. Shinichiro Nagamitsu Presenter
  2. Chieko Akiyama
  3. Keijiro Abe
  4. Byongmun An 
  5. Nobuaki Inoue 
  6. Masayuki Kaji 
  7. Shinji Saito
  8. Tomoko Saotome 
  9. Yukiko Sadamoto
  10. Takeyuki Sato
  11. Hidetaka Tanaka
  12. Yuji Murata
  13. Masakazu Mimaki
  14. Tatsuhiro Yamanaka
  15. Etsuro Ito
  16. Shinichi Hirose
  17. Takashi Igarashi 
Form of presentation Poster
Topic
  • Adolescent
Abstract Objectives: The aim of this study was to recognize current problems and future perspective in adolescent medicine in Japan.

Methods: We developed a comprehensive questionnaire addressing physical, mental, and behavioral problems in adolescents and sent it to all members of the Japan Pediatric Society (n = 20,854) and parents who visited at private clinic or hospitals.

Results: The response numbers were 5,218 for pediatricians and 3,602 for parents. 83 percent (%) of pediatrician had experience of seeing adolescents. The contents and rates of the experience were school refusal (80%), obesity (58%), developmental disorders (53%), menstruation (48%), abuse (9%), and sexual matter (4-6%) such as sexual transmitted disease, contraception, and abortion. Adolescent issues that parents were talking with their children about and those rate were secondary sexual characteristics (70%), tabacco use/substance use/alcohol (70%), childbirth/childcare (30%), and sexual matter (8-15%). Parents considered that internet and smart phone addiction must be future problematic theme in adolescent health at the highest rate (53%). The rate of pediatricians and parents who regarded pediatrician as a primary care physician by age of 18 – 20 years-old were 45% and 29%, respectively.

Conclusions: Recent life environment for children such as falling birthrate phenomenon, increasing child poverty, and spread of internet/smart phone use might risk children’s health. In addition to disease oriented care, well child health care by approaching adolescent and management of preventive medicine are necessary for child health promotion.