¶ … Public Health Concepts for the Uninsured
Pediatrics is an area of study for Doctors of Nursing Practice that provides wide-ranging and extensive healthcare from the time of birth through the period of adolescence by evaluation, diagnosis, management and evaluation of care. A key healthcare problem faced in pediatrics is mental health problems amongst children and adolescents. In recent periods, the public health significance of mental health conditions amongst children and adolescents has been of progressively increasing concern. This prevalence of mental health issues in addition to their major influence on well-being and functioning indicates the necessity for early prevention (Ravens-Sieberer et al., 2008). Statistics indicate that just about one in five children across the world go through mental health issues. This encumbrance instigated by mental health problems may be progressively increasing. Several social changes have taken place in the 21st century that could have an adverse impact on mental health symptoms in prevailing generations of young individuals and give rise to an obstinate increase in mental health problem. Some of these aspects take into account changes in the family setting, parental mental health issues, the internet and social media, and also high rates of single parenting (Bor et al., 2014).
Literature Review
Costello et al. (2003) undertook a longitudinal community study that examined the prevalence and development of mental disorders from 9 to 16 years of age and assessed homotypic and heterotypic permanency. A representative population sample of 1420 children between the ages of 9 to 13 years from the outset were examined every year for DSM-IV disorders up until the time they reach 16 years of age. Outcomes of the study indicated that in the course of the research study period, 36.7% of the participants, which consisted of 31% of girls and 42% of boys, had at least 1 mental disorder. Despite the fact that there has never been a characteristic population survey of child mental disorders, numerous research studies have been undertaken and an agreement been attained that any given time 1 child in 5 children will have a mental disorder (Costello et al., 2003).
Reiss (2013) further goes on to link mental health problems amongst children and adolescents to socioeconomic inequalities. The research study methodically assesses publications on the correlations between different commonly used indicators of socioeconomic status and mental health results for children and adolescents between the ages of 4 and 18 years. Outcomes of the study indicated that children and adolescents that are socioeconomically disadvantaged had a two to three greater probability to develop mental health problems. Moreover, low socioeconomic status that prolonged over a lengthy time period was significantly correlated to higher rates of mental health problems. A decline in socioeconomic status was linked to a progressive rise in mental health issues. The magnitude of this relationship fluctuated with age and with various signs of socioeconomic status, while on the other hand heterogeneous results were reported for gender and kinds of mental health issues (Reiss, 2013).
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