Prevalence of recurrent physical symptoms in U.S. adolescents

To estimate the prevalence of 10 recurrent physical symptoms and to examine how prevalence differs by gender and age in healthy American adolescents. Cross-sectional analysis used survey data from the National Longitudinal Study of Adolescent Health (Add Health), a school-based probability sample of...

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Bibliographic Details
Published in:Pediatric nursing 2005-07, Vol.31 (4), p.314-350
Main Authors: Rhee, Hyekyun, Miles, Margaret S, Halpern, Carolyn T, Holditch-Davis, Diane
Format: Article
Language:English
Subjects:
Adolescents
Adult
Age differences
Age Distribution
Cough - epidemiology
Cross-Sectional Studies
Dizziness - epidemiology
Early Adolescents
Elementary Secondary Education
Evidence
Fatigue - epidemiology
Gender differences
Grade 7
Grouping (Instructional Purposes)
Headache - epidemiology
Headaches
Health aspects
Health Surveys
High Schools
Humans
Illnesses
Logistic Models
Longitudinal Studies
Musculoskeletal Diseases - epidemiology
Nonlinear Dynamics
Nurse's Role
Nursing
Pain
Pain - epidemiology
Pediatrics
Peer Relationship
Pharyngitis - epidemiology
Population Surveillance
Prevalence
Public health
Recurrence
Sampling
School Size
School Surveys
Sex Distribution
Social Development
Stomach Diseases - epidemiology
Surveys and Questionnaires
Teenagers
United States - epidemiology
Youth
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Summary:To estimate the prevalence of 10 recurrent physical symptoms and to examine how prevalence differs by gender and age in healthy American adolescents. Cross-sectional analysis used survey data from the National Longitudinal Study of Adolescent Health (Add Health), a school-based probability sample of over 20,000 adolescents in grades 7 through 12. Headache was the most frequently reported symptom (29%), closely followed by musculoskeletal pain (27%), fatigue (21%), and stomachache (18%). About one third of the adolescents reported multiple symptoms. Nonlinear age trends were found for musculoskeletal pain, fatigue, and dizziness with peaks between ages 16 and 17. Prevalence was higher in girls for most symptoms except musculoskeletal pain. Multiple symptoms were also prevalent and varied according to age and gender. The findings provide a database for studying health problems in adolescents. The high prevalence of physical symptoms underscores the importance of incorporating symptom assessment into adolescent physical check-ups at schools and communities as well as during sick office visits. This helps nurses strategize screening of adolescents.
ISSN:0097-9805