Adolescent Risk Behavior Disparities

Contributing to the Health Contributing to the Health and Success of Youth… and Success of Youth…

Through Tools and Training Through Tools and Training to Positively Change Livesto Positively Change Lives

Health DisparitiesHealth Disparities

Contributing Factors:Contributing Factors:

Poverty Environmental threats Access to health care Individual and behavioral risk factors Educational inequalities

CDC Reported Leading Causes of Death Among Persons Aged 10-

24 Years in the U.S., 2005

Unintentional injuries and violence Tobacco use Alcohol and other drug use Sexual behaviors that contribute to

unintended pregnancy and sexually transmitted diseases, including HIV infection

Poor dietary behaviors Physical inactivity

CDC Identified Six Categories of Adolescent Behavior that Contribute to Leading Causes of Morbidity, Mortality,

Academic and Social Problems

Snapshot of RAAPS Snapshot of RAAPS Adolescent Risk DataAdolescent Risk Data

RAAPS was born at the University of Michigan out of research and practical need

RAAPS was built by software professionals and uses a structured, secured database meeting regulatory compliance requirements

All questions have been scientifically validated Youth were involved in the development of the

assessment

(**Actual questions can be viewed at: www.raaps.org)

Total Surveys Completed by Youth Total Surveys Completed by Youth

11-20 years:11-20 years: 6425:6425:

Privately Insured: 2178 (34%)State Funded Insurance (Medicaid): 3218 (50%)No Insurance: 735 (11%)Other: 294 (5%)

Snapshot of RAAPS Data: 2010-2011

RAAPS Q1. In the past 12 months, have you tried to lose

weight by (described)…..?

Average cost per patient can extend >$100,000

RAAPS Q2. Do you eat some fruits and vegetables

everyday?

Direct & Indirect Costs U.S. $33.4 Billion

RAAPS Q6. During the past month, have you been threatened, teased, or hurt by someone

(bullying behaviors described)….?

Bullying is associated with poor physical health 3 years after experienced

RAAPS Q7. Has anyone ever abused you (physical,

emotional, sexual described)…?

Medical Costs U.S. $5.4 Billion

RAAPS Q8. Have you ever carried a weapon (described)

to protect yourself?

Medical Costs U.S. $3 Billion

RAAPS Q9. In the past 3 months, have you smoked

cigarettes or any other form of tobacco (described)…?

Direct Medicaid Costs U.S. $30.9 Billion

RAAPS Q11. In the past 3 months, have you drunk any

alcohol (described)….?

Medical Costs U.S. $18 Billion

RAAPS Q12. In the past 12 months, have you smoked

marijuana, used other street drugs, (described….)?

Direct & Indirect Costs U.S. $86.1 Billion

RAAPS Q14. Have you ever had any kind of sex

(described)?

RAAPS Q17. Do you have questions about (sexual health

topics described)….?

Associated Costs U.S. STI: $14.7 Billion, HIV: $3 Billion

RAAPS Q18. During the past month, did you often feel very

sad (described)….?

Direct & Indirect Costs U.S. $26.1 Billion

RAAPS Q20. In the past 12 months, have you (self harm/suicide behaviors

described)….?

Self Inflicted Injuries U.S. $1 Billion

RAAPS Q21. Do you have at least one adult in your life that

you can talk to….?

Higher risk behaviors in all categories (21 RAAPS questions) than privately insured adolescents40% + higher in:

Unsafe diet practices Not eating fruits and vegetables Reports of being bullied Carrying weapons for protection Using cigarettes, marijuana or other illegal drugs, and use

of prescription/non-prescription drugs to get high Questions about sexual behaviors Depressive feelings

Adolescents with Medicaid

Implications for Medicaid adolescent population health

Where do we go from here?

Discussion