Adolescent and Young Adult Male Health: A Review
This is the first article in our series on Adolescent Health.
abstract
Adolescent and young adult male health receives little attention, de-
spite the potential for positive effects on adult quality and length of
life and reduction of health disparities and social inequalities. Pedi-
atric providers, as the medical home for adolescents, are well posi-
tioned to address young men’ s health needs. This review has 2
primary objectives. The first is to review the literature on young men’ s
health, focusing on morbidity and mortality in key areas of health and
well-being. The second is to provide a clinically relevant review of the
best practices in young men’ s health. This review covers male health
issues related to health care access and the Centers for Disease
Control and Prevention’ s Healthy 2020 objectives for adolescents
and young adults, focusing on the objectives for chronic illness, mor-
tality, unintentional injury and violence, mental health and substance
use, and reproductive and sexual health. We focus, in particular, on
gender-specific issues, particularly in reproductive and sexual health.
The review provides recommendations for the overall care of adoles-
cent and young adult males. Pediatrics 2013;132:535–546
AUTHORS: David L. Bell, MD, MPH,
a
David J. Breland, MD,
MPH,
b
and Mary A. Ott, MD, MA
c
a
Department of Pediatrics, Department of Population and Family
Health, Columbia University Medical Center, New York, New York;
b
Division of Adolescent Medicine, Seattle Children’ s Hospital,
Seattle, Washington; and
c
Section of Adolescent Medicine,
Department of Pediatrics, Indiana University School of Medicine,
Indianapolis, Indiana
KEY WORDS
adolescent health, young adult, male, sexual and reproductive
health, gender
ABBREVIATIONS
AAP—American Academy of Pediatrics
CDC—Centers for Disease Control and Prevention
MSM—men who have sex with men
STI—sexually transmitted infections
Dr Bell conceptualized the manuscript, drafted the initial
manuscript, reviewed and revised the manuscript, critically
reviewed and approved the final manuscript as submitted; Dr
Breland conceptualized the manuscript, drafted sections of the
manuscript, reviewed and approved the final manuscript as
submitted; and Dr Ott conceptualized the manuscript, reviewed
and revised the manuscript, critically reviewed and approved
the final manuscript as submitted.
www.pediatrics.org/cgi/doi/10.1542/peds.2012-3414
doi:10.1542/peds.2012-3414
Accepted for publication Jun 20, 2013
Address correspondence to David L. Bell, MD, MPH, Medical
Director, The Young Men’ s Clinic, Center for Community Health &
Education, 60 Haven, B3, New York, NY 10032. E-mail:
dlb54@columbia.edu
PEDIATRICS (ISSN Numbers: Print, 0031-4005; Online, 1098-4275).
Copyright © 2013 by the American Academy of Pediatrics
FINANCIAL DISCLOSURE: The authors have indicated they have
no financial relationships relevant to this article to disclose.
FUNDING: No external funding.
POTENTIAL CONFLICT OF INTEREST: The authors have indicated
they have no potential conflicts of interest to disclose.
COMPANION PAPER: A companion to this article can be found on
page 571, and online at www.pediatrics.org/cgi/doi/10.1542/
peds.2013-1928.
PEDIATRICS Volume 132, Number 3, September 2013 535
STATE-OF-THE-ART REVIEW ARTICLE
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