The health status of young adults in the United States.

The health issues of young adulthood have received relatively little attention compared with those of adolescence, although the critical issues in young adulthood parallel those of adolescence. Young adults often fare worse than adolescents on health indicators, with many measures of negative outcomes--including rates of injury, homicide, and substance use--peaking during the young adult years. The contextual factors shaping health status and access to care in young adulthood differ significantly from the context of adolescence. This article synthesizes national data to present a health profile of young adults, reviewing social indicators that describe the context of young adulthood and presenting measures of health status. We examine mortality, morbidity, risky behaviors, and health care access and utilization, identifying the most significant gender and racial/ethnic disparities. The article also identifies limitations of existing data and offers suggestions for future research and health monitoring in this area. We conclude with a discussion of current efforts to address the health and well-being of young adults and argue for creating a national health agenda for young adults that includes research, programs and policies to address health issues during this period of the lifespan.

[1]  P. White Access to health care: health insurance considerations for young adults with special health care needs/disabilities. , 2002, Pediatrics.

[2]  W. Cooper,et al.  Gender and uninsurance among young adults in the United States. , 2004, Pediatrics.

[3]  Susan M Sawyer,et al.  Transition to adult health care for adolescents and young adults with chronic conditions: position paper of the Society for Adolescent Medicine. , 2003, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[4]  Patrick M. O'Malley,et al.  Monitoring the Future National Results on Adolescent Drug Use: Overview of Key Findings, 2004. , 2003 .

[5]  R. Gibson,et al.  Health Care Transition: Youth, Family, and Provider Perspectives , 2005, Pediatrics.

[6]  Stella M. Yu Healthy People 2010 , 1998, Maternal and Child Health Journal.

[7]  A. C. Kerckhoff The Changing Adolescent Experience: The Transition from School to Work , 2002 .

[8]  W. Cooper,et al.  Uninsurance and Health Care Access Among Young Adults in the United States , 2005, Pediatrics.

[9]  T. Lewis,et al.  The Transition from School to Work , 1998 .

[10]  Olga V. Demler,et al.  Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. , 2005, Archives of general psychiatry.

[11]  Katherine M Flegal,et al.  Mean body weight, height, and body mass index, United States 1960-2002. , 2004, Advance data.

[12]  Rubén G. Rumbaut,et al.  On the Frontier of Adulthood , 2005 .

[13]  C. Schoen,et al.  Rite of passage? Why young adults become uninsured and how new policies can help. , 2005, Issue brief.

[14]  J. Arnett Emerging adulthood. A theory of development from the late teens through the twenties. , 2000, The American psychologist.

[15]  E. Hair,et al.  YOUTH DEVELOPMENT PROGRAMS AND EDUCATIONALLY DISADVANTAGED OLDER YOUTHS: A SYNTHESIS , 2003 .

[16]  Reed W. Larson,et al.  The changing adolescent experience : societal trends and the transition to adulthood , 2002 .

[17]  J. Gerberding,et al.  Correction: actual causes of death in the United States, 2000. , 2005, JAMA.

[18]  F. Furstenberg,et al.  On the frontier of adulthood: Theory, research, and public policy. , 2005 .

[19]  Jacquelynne S. Eccles,et al.  Community Programs To Promote Youth Development. , 2002 .

[20]  R. Bonnie,et al.  Reducing Underage Drinking , 2004 .

[21]  A. English,et al.  Health Care for Adolescents and Young Adults Leaving Foster Care: Policy Options for Improving Access , 2006 .

[22]  R. Gibson,et al.  Health care transition: destinations unknown. , 2002, Pediatrics.

[23]  J. Martin,et al.  Births: final data for 2002. , 2003, National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

[24]  C. Schoen On their Own: Young Adults Living Without Health Insurance , 2000 .

[25]  W. Cooper,et al.  Access to health care for young adults with disabling chronic conditions. , 2006, Archives of pediatrics & adolescent medicine.

[26]  Richard J BonnieMary Ellen O'Connell,et al.  Reducing underage drinking: a collective responsibility. , 2004 .

[27]  Maryann Davis On Your Own Without a Net: The Transition to Adulthood for Vulnerable Populations , 2006 .

[28]  J. Gerberding,et al.  Actual causes of death in the United States, 2000. , 2004, JAMA.

[29]  Robert Burke,et al.  A consensus statement on health care transitions for young adults with special health care needs. , 2002, Pediatrics.

[30]  D. Osgood,et al.  On your own without a net , 2005 .

[31]  William D Mosher,et al.  Use of contraception and use of family planning services in the United States: 1982-2002. , 2004, Advance data.

[32]  L. Johnston,et al.  Early Adult Transitions and Their Relation to Well-Being and Substance Use , 2005 .