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Relationship Between Diabetes And Indoor Air Pollution: An Exploratory Analysis, Sandeep Mishra Jan 2014

Relationship Between Diabetes And Indoor Air Pollution: An Exploratory Analysis, Sandeep Mishra

All ETDs from UAB

India has the second highest number of people with diabetes. The high prevalence of diabetes in India cannot be explained on the basis of established risk factors like obesity. The role of air pollution in diabetes has recently received attention. Studies have indicated the possibility that air pollution generated by traffic might be associated with increased risk of diabetes. Published literature lacks studies that assess the relationship between indoor air pollution and diabetes, although indoor air pollution can lead to higher levels of pollutants in house compared to traffic pollution. The current study determined the relationship between indoor air pollution …


The Sociocultural Basis Of Epidemiology Of Hypertension Among Residents Of Ogun State, Vernon E. Norman Jan 2014

The Sociocultural Basis Of Epidemiology Of Hypertension Among Residents Of Ogun State, Vernon E. Norman

Walden Dissertations and Doctoral Studies

There is a high prevalence of hypertension in Nigeria. Limited knowledge of hypertension, how to prevent it, its outcomes, rapid urbanization, and the adoption of Western eating habits are implicated. Hypertension is an important issue because chronic disease places economic, social, and disease burdens on society. The purpose of this mixed-methods study was to investigate lifestyle practices, knowledge, and attitudes on risks and prevention of hypertension among residents of Ogun State, Nigeria (N = 79). The conceptual framework for this study focused on how knowledge, attitudes, and practices influence the dietary habits, behaviors, and ultimately blood pressure . The PEN-3 …


Three Studies On Family Meals: Examining The Predictors Of Family Meals And Its Impact On Adolescent Health, Samantha Sittig Goldfarb Jan 2014

Three Studies On Family Meals: Examining The Predictors Of Family Meals And Its Impact On Adolescent Health, Samantha Sittig Goldfarb

All ETDs from UAB

This three-manuscript dissertation addresses gaps in the literature related to the predictors of family meals and its impact on adolescent health behavior. Sharing dinner as a family has been promoted by the media and many researchers as an ideal environment to enrich the parent-child bond and subsequently reduce adolescent risk behaviors such as substance use and delinquency. This dissertation centers on three topics, in particular: (1) the nature of the family meal literature given the multiple adolescent health behavior outcomes, study designs, and model types investigated and used by researchers, (2) the impact of family dinners on adolescent school problems, …


Acculturation And Social Support As Predictors Of Physical Activity In A Web-Based Intervention For Latinas, Tanya Benitez Jan 2014

Acculturation And Social Support As Predictors Of Physical Activity In A Web-Based Intervention For Latinas, Tanya Benitez

All ETDs from UAB

Latinas in the United States report high levels of physical inactivity and are disproportionately burdened by associated chronic diseases, demonstrating the need for innovative approaches to reducing these disparities. The purpose of the current study was to evaluate self-reported changes in physical activity and social support, and to examine the association between physical activity and acculturation, following a one month culturally and linguistically adapted, theory-driven (Social Cognitive Theory and Transtheoretical Model) Internet-based physical activity intervention for Latina adults. Data was collected from Spanish-speaking Latinas (N=24) between the ages of 21-61 years (M=35.17, SD=11.22) enrolled in a web-based physical activity pilot …


Exposure To Methylmercury Via Fish Consumption In Ghana And An Evaluation Of Methylmercury Toxicity Under A Low Food Ration In Daphnia Pulex, Dzigbodi Adzo Doke Jan 2014

Exposure To Methylmercury Via Fish Consumption In Ghana And An Evaluation Of Methylmercury Toxicity Under A Low Food Ration In Daphnia Pulex, Dzigbodi Adzo Doke

All ETDs from UAB

For many people of the world, fish is a primary source of protein, especially in countries like Ghana, where about 60% of the protein consumed is derived from fish. Fish advisories have been established by some nations to protect the public from harmful health effects linked to eating contaminated fish. Methylmercury (MeHg) is one such contaminant that has resulted in fish advisories. Fish advisories have not been developed in Ghana, although MeHg contamination of aquatic ecosystems is likely due to the long history of mercury (Hg) use in artisanal gold mining. To address this gap in our knowledge, I compiled …


Association Of Blood Pressure Phenotypes With Kidney Disease, Rikki M. Tanner Jan 2014

Association Of Blood Pressure Phenotypes With Kidney Disease, Rikki M. Tanner

All ETDs from UAB

model. The sex ratios produced in the fluctuating temperature experiments were not


A Mixed Methods Study Of Health Literacy And Its Role In Hpv Vaccine Uptake Among College Students, Michelle Sharonda Williams Jan 2014

A Mixed Methods Study Of Health Literacy And Its Role In Hpv Vaccine Uptake Among College Students, Michelle Sharonda Williams

All ETDs from UAB

Health literacy includes the ability to understand and process written and spoken health information, and numbers and calculations related to health information. Low health literacy is associated with negative health outcomes, and poor patient-provider communication. In order to advance health literacy research, there is a need to assess health literacy comprehensively and to develop an understanding of how health literacy impacts people at various stages of their lives. A sequential explanatory mixed methods study was conducted to assess college students' health literacy. During the quantitative phase, the Short Test of Functional Health Literacy in Adults (S-TOFHLA), the Newest Vital Sign …


Oral Health Knowledge, Attitudes, And Practices Among Secondary School Students In Nigeria, Johnson John Omale Jan 2014

Oral Health Knowledge, Attitudes, And Practices Among Secondary School Students In Nigeria, Johnson John Omale

Walden Dissertations and Doctoral Studies

Bold


Psychographic Characteristics And Health Behaviors In Young Adults, Jose Alonso Cabriales Jan 2014

Psychographic Characteristics And Health Behaviors In Young Adults, Jose Alonso Cabriales

Open Access Theses & Dissertations

Tobacco use remains the leading cause of preventable death in the U.S. Non trivial smoking rates are observed among young adults and Hispanics, particularly as light and intermittent smoking is on the rise. Additionally, the assessment of other health behaviors including alcohol use, physical activity, and dietary practices seems warranted in young adults. The primary aim of this study was to identify clusters of individuals based on psychographics (e.g., lifestyle, preferences, personality characteristics), and their relation to tobacco use within a primarily Hispanic young adult border sample. Secondary aims were the assessment of group differences with respect to alcohol use, …


Identification Of Stroke Risk Factors In The Adult Population In The Texas And New Mexico Border Region: A Gis And Statistical Approach, Nancy Ulloa Rondeau Jan 2014

Identification Of Stroke Risk Factors In The Adult Population In The Texas And New Mexico Border Region: A Gis And Statistical Approach, Nancy Ulloa Rondeau

Open Access Theses & Dissertations

Stroke is one of the leading causes of death among adults. Annually, an approximated 800,000 adults will suffer a stroke, and one victim will die every four minutes. In El Paso County and Dona Ana County it is estimated that the age-adjusted prevalence is 2.9% and 3.4% respectively. Little is known about the percentage of adults at risk for stroke in this border region. In this secondary analysis of a cross-sectional study conducted by the Far West Texas and Southern New Mexico Regional Advisory Council on Trauma and Emergency Healthcare (Border RAC), over 900 participants in these counties and rural …


Self-Efficacy, Self-Determination, And Self-Regulation: The Role Of The Fitness Professional In Social Change Agency, Joshua M. Garrin Jan 2014

Self-Efficacy, Self-Determination, And Self-Regulation: The Role Of The Fitness Professional In Social Change Agency, Joshua M. Garrin

Journal of Sustainable Social Impact

Current epidemiological data reported by governing health authorities reveal the biopsychosocial complexity of health maintenance in the 21st century. As statistics reflect the insidious, worldwide impact of chronic disease and psychosocial stress, the medical domain continues to endorse multidisciplinary approaches to support the myriad systems that underpin health and well-being. With their scope of practice continually expanding to accommodate such needs, fitness professionals (FPs) have become a mainstay on the front lines of health behavior management in recent years. Beyond their role in facilitating physical health gains, contemporary FPs undertake the challenge of instilling health self-efficacy beliefs, reinforcing autonomy and …


A Comparison Of Perceived Stress And Body Mass Index In Hispanic And Non-Hispanic College Students, Luisa Ileana Garcia Jan 2014

A Comparison Of Perceived Stress And Body Mass Index In Hispanic And Non-Hispanic College Students, Luisa Ileana Garcia

Open Access Theses & Dissertations

The Hispanic population in the United States is rapidly increasing and for this reason it is critical to better understand positive and negative factors that may impact the health of Hispanics. Past studies have focused mostly on physiological stress but fewer studies have examined possible differences in cognitively perceived stress. Past studies have suggested that stress reactivity may be lower among Hispanics; and that overall, females experience greater stress than males regardless of ethnicity. Other studies have shown that stress increases the likelihood of increased body mass index (BMI) and body fat accumulation. The purpose of this study was to …


A Pilot Study Examining The Impact Of A Brief Health Education Intervention On Food Choices And Exercise In A Hispanic College Student Sample, Julie Ann Blow Jan 2014

A Pilot Study Examining The Impact Of A Brief Health Education Intervention On Food Choices And Exercise In A Hispanic College Student Sample, Julie Ann Blow

Open Access Theses & Dissertations

It has been suggested that intervention efforts should focus on prevention of weight gain and the adoption of healthy eating and physical activity behaviors. There is a dearth of literature as to what theoretically-based interventions would be most amenable and efficacious in a Hispanic college student sample. This study assessed the impact of a pilot intervention based on components derived from Self-Determination Theory (SDT) and the Transtheoretical Model (TTM) that focused on increasing healthy eating and physical activity in Hispanic college students. Measures in the study included demographics, theoretical constructs from SDT and the TTM, eating behavior, and a food …


Relationship Between Intimate Partner Violence And Alcohol Use Among Hispanic Women In The Border Region, Sujehy Arredondo Jan 2014

Relationship Between Intimate Partner Violence And Alcohol Use Among Hispanic Women In The Border Region, Sujehy Arredondo

Open Access Theses & Dissertations

BACKGROUND AND SIGNIFICANCE: Hispanic/Latinos are the largest and fastest growing minority group in the United States and are disproportionately affected by alcohol use and intimate partner violence (IPV). Although a strong relationship between substance use and IPV has been documented in the literature, no studies have explored this relationship among Hispanic women in the El Paso, TX. STUDY AIMS: The aims of this study are to (1) determine the prevalence of alcohol use and intimate partner violence and (2) assess the association between IPV and alcohol use among Hispanic women living in the El Paso Border Region. METHODS: Project VIDA …


Gestational Weight Gain And The Risk Of Obesity Among Preschool Children: Is This Mediated Through Birth Weight?, Nomathamsanqa Louise Mgutshini Jan 2014

Gestational Weight Gain And The Risk Of Obesity Among Preschool Children: Is This Mediated Through Birth Weight?, Nomathamsanqa Louise Mgutshini

Theses and Dissertations

Data from the 2001 Early Childhood Longitudinal Study Birth- Cohort were used to examine the association between maternal gestational weight gain (GWG) and the risk of obesity in the offspring, and the possible mediating role of birth weight. The Centers for Disease Control growth 2000 reference charts and child's height and weight measured at age 4 or 5 years old were used to determine child body mass index (BMI) Z-scores or obesity status (greater than or equal to the 95th percentile). Multiple linear or logistic regression models were used to adjust for maternal age, race, education, smoking status and prepregnancy …


Examining The Effect Of Race On The Relationship Between Posttraumatic Stress Disorder And Metabolic Syndrome In Women, Leia Harper Jan 2014

Examining The Effect Of Race On The Relationship Between Posttraumatic Stress Disorder And Metabolic Syndrome In Women, Leia Harper

Theses and Dissertations

Posttraumatic stress disorder (PTSD) is a psychiatric condition affecting approximately 8% of the adult U.S. population with rates twice as high in women than men. Increasingly, evidence has suggested a close relationship between PTSD and increased risk of metabolic diseases. However, the literature on PTSD and metabolic disease risk factors has been limited by the lack of investigation of the potential influence of race on this relation. The current study examined the possible effect of race on the relation between PTSD and metabolic risk. Data for this study were provided from sample of that included 50 African American women and …


Prevalence Of Neonatal Tetanus In Northeastern Nigeria, Jalal-Eddeen Abubakar Saleh Jan 2014

Prevalence Of Neonatal Tetanus In Northeastern Nigeria, Jalal-Eddeen Abubakar Saleh

Walden Dissertations and Doctoral Studies

Although efforts have been made towards improving the health of children across the globe with notable results, neonatal tetanus (NNT) remains a major contributor to the neonatal death rates in Nigeria. This problem calls for a concerted effort by the government to achieve the revised global NNT elimination deadline of 2015. The purpose of this cross-sectional quantitative study using secondary data was to establish the prevalence of NNT in Nigeria's northeast region and to ascertain if there was any significant difference in frequency of antenatal care (ANC), trained traditional birth attendants (TBAs), and umbilical cord treatments, using single sample proportions …


Obesity, Food Insecurity And The Impact On Perceptions And Behaviors Toward Dietary Nutrition In Low Income Women In Georgia, Amanda Lowe Jan 2014

Obesity, Food Insecurity And The Impact On Perceptions And Behaviors Toward Dietary Nutrition In Low Income Women In Georgia, Amanda Lowe

College of Graduate Studies: Theses & Dissertations

The purpose of this study was to explore the paradoxical relationship between obesity and food insecurity and the subsequent impact of this relationship on perceptions and behaviors towards diet and nutrition among low-income women in Georgia. Specifically, this study sought to investigate whether factors such as poverty, education, socio-economic status, and participation in food assistance programs influence obesity outcomes among low-income women in Georgia. A sequential exploratory mixed-method research design was conducted for this study. Using qualitative and quantitative measures, the study employed key informant interviews with 16 administrators and staff members from the Women, Infant and Children (WIC) program …


Measuring Capability For Healthy Diet And Physical Activity, Robert L. Ferrer, Inez Cruz, Sandra Burge, Bryan Bayles, Martha Castilla Jan 2014

Measuring Capability For Healthy Diet And Physical Activity, Robert L. Ferrer, Inez Cruz, Sandra Burge, Bryan Bayles, Martha Castilla

Public Health (Archived)

PURPOSE Patterns of diet and physical activity, major drivers of morbidity and mortality, are contingent on people’s feasible opportunities to pursue healthy behaviors. Our objective for this mixed methods study was to develop measures of feasible opportunities for diet and activity.

METHODS The Capability Approach framework for evaluating people’s real freedoms to pursue their values guided the research. A community-based participatory model was applied to conduct focus groups of adults with obesity or diabetes mellitus from an economically disadvantaged Latino community. Focus group themes were developed into survey items that assess how individual circumstances and neighborhood contexts influence opportunities for …


Growing Up With Hiv In Kisumu, Kenya: Participatory Action Research With Young People Living With Hiv, Zoe Alexis Hobbs Marinkovich Jan 2014

Growing Up With Hiv In Kisumu, Kenya: Participatory Action Research With Young People Living With Hiv, Zoe Alexis Hobbs Marinkovich

Doctoral Dissertations

Forty-one percent of new HIV infections are in young people between the ages of 15-24 (Masquillier, et al., 2012). In addition to new infections, advances in medications are now making it possible for children born with HIV to survive into adolescence and adulthood (Bland, 2011; Gray, 2010). Due to the growing population of youth living with HIV, there is an increased need for adolescent-appropriate care and intervention. While many studies have examined the role of education in preventing HIV transmission for HIV-negative youth in the Sub-Saharan context, few have focused on the education and experiences of young people living with …


Impaired Fasting Glucose Level And Diabetes In Kaoma And Kasama Rural Districts Of Zambia: Prevalence And Correlates In 2008-2009 Population Based Surveys, Olesegun A. Babaniyi, Peter Songolo, Emmanuel Rudatsikira, Adamson S. Muula, David Mulenga, Mazyanga L. Mazaba-Liwewe, Idah Ndumba, Freddie Masaninga, Seter Siziya Jan 2014

Impaired Fasting Glucose Level And Diabetes In Kaoma And Kasama Rural Districts Of Zambia: Prevalence And Correlates In 2008-2009 Population Based Surveys, Olesegun A. Babaniyi, Peter Songolo, Emmanuel Rudatsikira, Adamson S. Muula, David Mulenga, Mazyanga L. Mazaba-Liwewe, Idah Ndumba, Freddie Masaninga, Seter Siziya

Faculty Publications

Background: Impaired fasting glucose level has been associated with increased incidence of Type 2 Diabetes mellitus, and diabetes is becoming a major public health problem in developing countries. The objective of the study was to determine the prevalence and correlates for impaired fasting glucose level/diabetes in Kaoma and Kasama rural districts of Zambia. Methods and Findings: A cross sectional study using modified World Health Organization (WHO) global non communicable diseases (NCD) surveillance initiative NCD STEPwise approach was used in the study. Proportions were compared using the Yates’ corrected Chi-square test, and a result yielding a p value of less than …


Using Sensewear Armband And Diet Journal To Promote Adolescents' Energy Balance Knowledge And Motivation, Senlin Chen, Xihe Zhu, Gregory J. Welk, Youngwon Kim, Jungmin Lee, Nathan F. Meier Jan 2014

Using Sensewear Armband And Diet Journal To Promote Adolescents' Energy Balance Knowledge And Motivation, Senlin Chen, Xihe Zhu, Gregory J. Welk, Youngwon Kim, Jungmin Lee, Nathan F. Meier

Human Movement Studies & Special Education Faculty Publications

Purpose: Educating adolescents about energy balance (EB) is essential for effective weight control. This study utilized the Sensewear (SWA) armband and a diet journal to promote adolescents' EB knowledge and motivation.

Methods: Ninety sixth graders were randomly assigned into the experimental group (n = 46) who utilized SWA and diet journal for 7 consecutive days or the control group (n = 44) who did not. Both groups were pre-and post-measured on EB knowledge, situational interest, and weight. The experimental group was tracked on motivation effort, energy expenditure (EE), and energy intake (EI).

Results: EB knowledge significantly increased and situational interest …


Exploring Perceptions And Experiences With Research Ethics In Bolivia, Sarah Sullivan, Armando Basagoitia, Annette Aalborg, Oscar Lanza, Jacqueline Cortez Jan 2014

Exploring Perceptions And Experiences With Research Ethics In Bolivia, Sarah Sullivan, Armando Basagoitia, Annette Aalborg, Oscar Lanza, Jacqueline Cortez


Background: In Bolivia, there is increasing interest in the necessity of incorporating research ethics into study designs and procedures, but there is minimal data on the perceptions and experiences of Bolivian health science faculty, researchers, and national health administrators on research ethics. The Touro University California (TUC) Public Health Program is partnering with Bolivian universities to develop a comprehensive Research Education Ethics Program. In 2013, The Universidad Mayor de San Andrés received a National Institute of Health/Fogarty International Center Planning Grant award to develop the program. The two central aims of this program needs assessment are to describe the …


Overview Of Australian Indigenous Health Status, 2013, Neil Thomson, Jane Burns, Anomie, Michelle Catto, Stephanie Colbert, Belinda D'Costa, Michelle Ellwell, Caitlin Gray, Joanne Hoareau, Andrea Macrae, Christine Potter, Kathy Ride, Avinna Trzesinski Jan 2014

Overview Of Australian Indigenous Health Status, 2013, Neil Thomson, Jane Burns, Anomie, Michelle Catto, Stephanie Colbert, Belinda D'Costa, Michelle Ellwell, Caitlin Gray, Joanne Hoareau, Andrea Macrae, Christine Potter, Kathy Ride, Avinna Trzesinski

Research outputs 2014 to 2021

The main purpose of the Overview is to provide a comprehensive summary of the most recent indicators of the health and current health status of Australia’s Indigenous people. It has been prepared by the Australian Indigenous HealthInfoNet as a part of our contributions to ‘closing the gap’ in health between Indigenous people and other Australians by making relevant, high quality knowledge and information easily accessible to policy makers, health service providers, program managers, clinicians, researchers, students and the general community.

The initial sections of this Overview provide information about the context of Indigenous health, Indigenous population, and various measures of …


The Impact Of Implementing A Sudden Infant Death Syndrome Education Package In Jordan, Shereen Hamadneh Jan 2014

The Impact Of Implementing A Sudden Infant Death Syndrome Education Package In Jordan, Shereen Hamadneh

Theses: Doctorates and Masters

Background: Sudden Infant Death Syndrome (SIDS) is a problem worldwide. In North Jordan, SIDS rate was high as 1.32 per 1,000 live births and contributed 6% to the infant mortality rate (Bataineh, Shawagfeh, & Twalbeh, 2008). However, SIDS risk factors are preventable and can be reduced by improving knowledge and changing relevant behaviours of parents and healthcare providers (American Academy of Pediatrics, 2013; American SIDS Institute, 2011; Bataineh, Hussein Shawagfeh, & Twalbeh, 2008; Bredemeyer, 2004; Grazel, Phalen, & Polomano, 2010b; Moon, Oden, & Grady, 2004; NICHD, 2010). Still educating Jordanians about SIDS has not been a national health policy priority. …


The Identity Of The Heart Patient In The Context Of The Gift Economy: Heartnet And Media Framing, Lynsey Uridge Jan 2014

The Identity Of The Heart Patient In The Context Of The Gift Economy: Heartnet And Media Framing, Lynsey Uridge

Theses: Doctorates and Masters

This health communication research examines the identity levels of the heart patient on a therapeutic website HeartNET through an empirical investigation of site interactions as manifestations of a gift economy. The thesis also explores the media’s representation of heart health in both television and print.

This research utilised a longitudinal qualitative ethnographic and netnographic approach involving twenty-six participants who completed two in-depth interviews. The first one-on-one interview occurred during the early stages of the participants’ heart journey, explored their heart story and use of interactive technology for heart health support. The second interview occurred six to twelve months later, and …


Table Of Contents Jan 2014

Table Of Contents

Michigan Journal of Public Health

No abstract provided.


Public Health Heart And Soul: Jean Ellet Chabut, Bsn, Mph (1942-2014), Julie Gleason-Comstock, Steven C. Gold, Greg Cline Jan 2014

Public Health Heart And Soul: Jean Ellet Chabut, Bsn, Mph (1942-2014), Julie Gleason-Comstock, Steven C. Gold, Greg Cline

Michigan Journal of Public Health

No abstract provided.


Primary Care-Based Educational Interventions To Decrease Risk Factors For Metabolic Syndrome For Adults With Major Psychotic And/Or Affective Disorders: A Systematic Review, Cynthia Nover, Sarah S. Jackson Dec 2013

Primary Care-Based Educational Interventions To Decrease Risk Factors For Metabolic Syndrome For Adults With Major Psychotic And/Or Affective Disorders: A Systematic Review, Cynthia Nover, Sarah S. Jackson

Epidemiology Faculty Publications

Background

Individuals with major psychotic and/or affective disorders are at increased risk for developing metabolic syndrome due to lifestyle- and treatment-related factors. Numerous pharmacological and non-pharmacological interventions have been tested in inpatient and outpatient mental health settings to decrease these risk factors. This review focuses on primary care-based non-pharmacological (educational or behavioral) interventions to decrease metabolic syndrome risk factors in adults with major psychotic and/or affective disorders.

Methods

The authors conducted database searches of PsychINFO, MEDLINE and the Cochrane Database of Systematic Reviews, as well as manual searches and gray literature searches to identify included studies.

Results

The authors were …


Primary Care And Youth Mental Health In Ireland: Qualitative Study In Deprived Urban Areas, Dorothy Leahy, Elisabeth Schaffalitzky, Claire Armstrong, Gerard Bury, Paula Cussen-Murphy, Rachel Davis, Barbara Dooley, Blanaid Gavin, Rory Keane, Eamon Keenan, Linda Latham, David Meagher, Pat Mcgorry, Fiona Mcnicholas, Ray O'Connor, Ellen O'Dea, Veronica O'Keane, Tom P. O'Toole, Edel Reilly, Patrick Ryan, Lena Sanci, Bobby P. Smyth, Walter Cullen Dec 2013

Primary Care And Youth Mental Health In Ireland: Qualitative Study In Deprived Urban Areas, Dorothy Leahy, Elisabeth Schaffalitzky, Claire Armstrong, Gerard Bury, Paula Cussen-Murphy, Rachel Davis, Barbara Dooley, Blanaid Gavin, Rory Keane, Eamon Keenan, Linda Latham, David Meagher, Pat Mcgorry, Fiona Mcnicholas, Ray O'Connor, Ellen O'Dea, Veronica O'Keane, Tom P. O'Toole, Edel Reilly, Patrick Ryan, Lena Sanci, Bobby P. Smyth, Walter Cullen

Faculty Publications

BACKGROUND: Mental disorders account for six of the 20 leading causes of disability worldwide with a very high prevalence of psychiatric morbidity in youth aged 15-24 years. However, healthcare professionals are faced with many challenges in the identification and treatment of mental and substance use disorders in young people (e.g. young people's unwillingness to seek help from healthcare professionals, lack of training, limited resources etc.) The challenge of youth mental health for primary care is especially evident in urban deprived areas, where rates of and risk factors for mental health problems are especially common. There is an emerging consensus that …