Purpose

A host of recent initiatives relating to adolescent health have been accompanied by varying indicator recommendations, with little stakeholder coordination. We assessed currently included adolescent health–related indicators for their measurement focus, identified overlap across initiatives, and determined measurement gaps.

Methods

We conducted a scoping review to map the existing indicator landscape as depicted by major measurement initiatives. We classified indicators as per 33 previously identified core adolescent health measurement areas across five domains and by age groups. We also identified indicators common across measurement initiatives even if differing in details.

Results

We identified 413 indicators across 16 measurement initiatives, with most measuring health outcomes and conditions (162 [39%]) and health behaviors and risks (136 [33%]); followed by policies, programs, and laws (49 [12%]); health determinants (44 [11%]); and system performance and interventions (22 [5%]). Age specification was available for 221 (54%) indicators, with 51 (23%) focusing on the full adolescent age range (10–19 years), 1 (<1%) on 10–14 years, 27 (12%) on 15–19 years, and 142 (64%) on a broader age range including adolescents. No definitional information, such as numerator and denominator, was available for 138 indicators. We identified 236 distinct indicators after accounting for overlap.

Conclusion

The adolescent health measurement landscape is vast and includes substantial variation among indicators purportedly assessing the same concept. Gaps persist in measuring systems performance and interventions; policies, programs, and laws; and younger adolescents' health. Addressing these gaps and harmonizing measurement is fundamental to improve program implementation and accountability for adolescent health globally.

中文翻译：

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青少年健康指标的范围审查

目的

最近一系列与青少年健康相关的举措都伴随着不同的指标建议，几乎没有利益相关者的协调。我们评估了当前包括青少年健康相关指标的测量重点，确定了举措之间的重叠，并确定了测量差距。

方法

我们进行了范围审查，以绘制主要衡量举措所描绘的现有指标格局。我们根据 33 个先前确定的核心青少年健康测量领域对指标进行了分类，涵盖五个领域和年龄组。我们还确定了衡量计划中常见的指标，即使在细节上有所不同。

结果

我们在 16 项衡量举措中确定了 413 项指标，其中大多数衡量健康结果和状况 (162 [39%]) 以及健康行为和风险 (136 [33%])；其次是政策、计划和法律（49 [12%]）；健康决定因素（44 [11%]）；和系统性能和干预措施 (22 [5%])。有 221 个 (54%) 指标的年龄规格，其中 51 个 (23%) 关注整个青少年年龄范围（10-19 岁），1 个 (<1%) 关注 10-14 岁，27 个 (12%) 关注15-19 岁，142 (64%) 在更广泛的年龄范围内，包括青少年。138 个指标没有定义信息，例如分子和分母。在考虑重叠后，我们确定了 236 个不同的指标。

结论

青少年健康测量领域是广阔的，包括据称评估同一概念的指标之间的巨大差异。在衡量系统性能和干预方面仍然存在差距；政策、计划和法律；和青少年的健康。解决这些差距并统一衡量标准对于改善全球青少年健康的计划实施和问责制至关重要。