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adolescent medicine : ウィキペディア英語版
adolescent medicine

Adolescent medicine or Hebiatrics is a medical subspecialty that focuses on care of patients who are in the adolescent period of development, generally ranging from the last years of elementary school until graduation from high school (some doctors in this subspecialty treat young adults attending college at area clinics, in the subfield of college health). Patients have generally entered puberty, which typically begins between the ages of 9 to 11 for girls, and 11 to 13 for boys.
In developed nations, the period of adolescence is extended both by an earlier start, as onset of puberty is beginning earlier, and a later end, requiring more years of education or training before economic independence from parents.〔(【引用サイトリンク】title=Child and Adolescent Health, Credo Encyclopedia )
Issues with a high prevalence during adolescence are frequently addressed by providers. These include:
*Sexually transmitted disease (working with specialists in pediatric endocrinology, adolescent obstetrics and gynecology, immunology infectious diseases, and urology and reproductive medicine)
*Unintended pregnancy (working with specialists in adolescent obstetrics and gynecology, especially in neonatology and maternal-fetal medicine; many- though not all- are medically risky or high-risk cases and/or to those with psychosocial, environmental, and socioeconomic challenges)
*Birth control (there is currently a drive in the United States federal government's health care policymaking to ensure access to any and all prescription or non-prescription contraceptive methods to adolescent minors who request them, especially if they are over a certain age)
* Sexual Activity (such as masturbation, sexual intercourse and sexual abuse)
*Substance abuse
*Menstrual disorders (such as amenorrhea, dysmenorrhea and dysfunctional uterine bleeding)
*Acne (working with specialists in dermatology who treat adolescents)
*Eating disorders like anorexia nervosa and bulimia nervosa (working with nutritionists and dieticians, and also specialists in pediatric mental health counseling, clinical psychology, and pediatric psychiatry, who work with adolescents)
*Certain mental illnesses (especially personality disorders, anxiety disorders, major depression and suicide, bipolar disorder, and certain types of schizophrenia; in concert with mental health counselors, clinical psychologists, and pediatric psychiatrists specializing in adolescent health care)
*Delayed or precocious puberty (often working with specialists in adolescent pediatric endocrinology, urology, and andrology)
==Gay, lesbian and bisexual youth==
Adolescents who are gay, lesbian or bisexual tend to demonstrate more risky health behaviors and have worse health outcomes compared to heterosexual youth, including:
* Substance abuse
* Suicidality
* Eating disorders and body image
* Sexual behaviors, including unintended pregnancy involvement (Contrary to assumptions, gay, bisexual or lesbian youth are more likely to report involvement in pregnancy compared to their heterosexual peers)
* Homelessness, which affects health and access to care

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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