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The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Physical, Sexual, and Date AbuseOlder Girls Are More Likely Than Older Boys
to Experience Abuse
12
17
8
26
5 5
17
12
0
10
20
30
Sexual abuse Physical abuse Date-forced sex Physical, sexual, ordate-forced sex
Girls Boys Percent reporting ever abused, grades 9-12
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Physical and Sexual Abuse of Younger Adolescents
Abuse Happens at an Alarmingly Young Age
9
7
8
3
0
5
10
Physical abuse Sexual abuse
Girls BoysPercent reporting ever abused, grades 5-8
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Most Abuse Happens at Home, It Happens More Than Once, and the
Abuser Is Usually a Family Member
13
5753
65
0
20
40
60
80
Abuserwas afamilyfriend
Abuserwas afamily
member
Abusehappenedat home
Abusehappenedmore than
once
Percent of sexually or physically abused girls
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Girls and Boys Often Tell No One About Their Abuse
29
3841
7
29
15
7
48
0
10
20
30
40
50
No one Mother Best friend Doctor or nurse
Girls Boys
Percent of sexually or physically abused adolescents who told:
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Adolescent Girls: at Risk at HomeOne in Four Girls Has Wanted to Leave Home
Becauseof Violence or Threat of Violence
24
29
2123
0
10
20
30
Grades 5-8 Grades 9-12
Girls BoysPercent who wanted to leave homebecause of violence or threat of violence
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Self-Rated Health StatusSteep Decline for Older Girls But Not for Older
Boys
27
13
18 19
0
10
20
30
40
Excellent Fair or poor
Percent
Grades 5-8 Grades 9-12
Percent
GIRLS
34
13
32
15
0
10
20
30
40
Excellent Fair or poor
BOYS
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Depressive SymptomsGirls Are at Higher Risk Than Boys
2321
26
16 1517
0
10
20
30
Total Grades 5-8 Grades 9-12
Girls with depressive symptoms Boys with depressive symptomsPercent
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Self-ConfidenceGirls’ Self-Confidence Declines and Boys’ Increases
with Age
9
44
14
39
0
10
20
30
40
50
60
70
Low self-confidence
High self-confidence
Percent
Grades 5-8 Grades 9-12
GIRLS
7
48
7
55
0
10
20
30
40
50
60
70
Low self-confidence
High self-confidence
Percent
BOYS
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Mental Health and Family Status
33
17
26
12
22
11
17
9
0
10
20
30
40
Depressive symptoms Low self-confidence
Mother did not graduate from high schoolMother is a high school graduateMother has some collegeMother is a college graduate
Percent of girls
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Depressive Symptoms and Low Self-Confidence
Black Girls Least Likely to Have Symptoms
22
12
17
7
27
11 11
30
0
10
20
30
Depressivesymptoms
Low self-confidence
White Black Hispanic Asian American Percent of girls
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Sources of Support When Stressed or Depressed:
Girls with Depressive Symptoms Often Have No One to Turn To
34
55
27
6168
8
0
20
40
60
80
Mother Best friend No one
Girls with depressive symptoms Girls with few or no depressive symptoms
Percent of girls
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Physical and Sexual Abuse and Mental Health
Abused Girls Are Twice as Likely to Have Symptoms
of Poor Mental Health
17
9
39
22
60
46
0
10
20
30
40
50
60
Depressive symptoms Low self-confidence High stress
Nonabused girls Physically or sexually abused girls
Percent of girls
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Girls: Diet and Exercise Dieting Increases and Exercise Decreases with
Age
39
81
5867
0
20
40
60
80
100
Have dieted Exercise three or moretimes a week
Grades 5-8 Grades 9-12Percent of girls who:
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Risky Behaviors: Smoking, Drinking, Using Drugs
Older Girls and Boys Report Similar Rates
1415
18
15
2020
0
10
20
Smoke * Drink * Use Drugs *
Girls BoysPercent in grades 9-12
* Smoke = smoke several cigarettes or a pack or more in the past week Drink = drink at least once a month or once a week Use drugs = used illegal drugs in the past month
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Reasons for Smoking, Drinking, and Using Drugs
Stress Is a Leading Reason Given by Girls
66
38 41
53
29 28
15
5
53
5
62
9
0
20
40
60
80
Smoke * Drink * Use drugs *
Relieve stress Around people who do it Try it Fun
Percent of girls giving reason for behavior
* Smoke = smoke several cigarettes or a pack or more in the past week Drink = drink at least once a month or once a week Use drugs = used illegal drugs in the past month
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Abuse and Risky BehaviorsAbused Girls Are Twice as Likely to Put Their
Health at Risk
1012 13
6
26
22
18
30
0
10
20
30
Smoke * Drink * Use drugs * Binge and purge *
No abuse Physical or sexual abuse or forced by a date to have sex
* Smoke = smoke several cigarettes or a pack or more in the past week Drink = drink at least once a month or once a week Use drugs = used illegal drugs in the past month Binge and purge = binge and purge more than once a week
Percent of girls grades 9-12
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Risky Behaviors and Mental Health Girls with Depressive Symptoms Are Twice as
Likely to Smoke, Drink, or Use Drugs
11 1114
23
30
25
0
10
20
30
Smoke * Drink * Use drugs *
No or few depressive symptomsModerate or severe depressive symptoms
Percent of girls grades 9-12
* Smoke = smoke several cigarettes or a pack or more in the past week Drink = drink at least once a month or once a week Use drugs = used illegal drugs in the past month
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Risky Behaviors and Race/EthnicityBlack and Asian American Girls Are Less Likely
to Engage in Risky Behaviors
11 11
13
67
11
2
7
45
6
4
0
5
10
15
Smoke * Drink * Use drugs *
White Hispanic Black Asian AmericanPercent of girls
* Smoke = smoke several cigarettes or a pack or more in the past week Drink = drink at least once a month or once a week Use drugs = used illegal drugs in the past month
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Girls with Less-Educated Mothers Are More at Risk
1411
21
10 1012
8 912
58 8
0
5
10
15
20
25
Smoke * Drink * Use drugs *
Percent of girls Mother did not graduate from high school Mother is a high school graduate Mother has some collegeMother is a college graduate
* Smoke = smoke several cigarettes or a pack or more in the past week Drink = drink at least once a month or once a week Use drugs = used illegal drugs in the past month
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Access BarriersOne in Four Girls Did Not Get Needed Care
25
35
1619
21 21
0
10
20
30
40
Had an instance of notgetting needed care
Embarrassed to discussproblem with doctor
No regular doctor
Girls BoysPercent
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Reasons Why Older Adolescents Do Not Get Needed Care
4136
25
11
2730
20
6
0
10
20
30
40
50
Didn't wantto tell parents
Cost toomuch/noinsurance
No time toget care
Notransportation
Girls Boys
Percent of those who did not get needed care, grades 9-12
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Uninsured Girls Are at High Risk for Access Barriers
25
44
12
29
0
10
20
30
40
50
Insured Uninsured
Had an instance of not getting needed careHad no usual doctor
Percent of girls
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Girls with Less-Educated Mothers Are at Risk
for Access Barriers
20
30
17
28
16
27
12
21
0
10
20
30
Had an instance ofnot getting needed
care
Had no regulardoctor
Mother has not completed high schoolMother is a high school graduateMother has some collegeMother is a college graduate
Percent of girls
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Minority Girls Less Likely to Have a Regular Source of Care
13
21 20
26
0
10
20
30
White Black Hispanic Asian American
Percent of girls who do not have a regular doctor
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Abused Girls and Girls with Depressive Symptoms Are at High Risk of Access
Barriers
44
20
45
21
0
20
40
60
Has symptoms Few or none Abused Not abused
Percent of girls who had an instance of not getting needed care
DEPRESSIVE SYMPTOMS PHYSICAL OR SEXUAL ABUSE
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Gaps Exist Between What Girls Believe Doctors Should Discuss and What
Doctors Have Discussed
66 65 65
56
48
2428 28
23
13
0
20
40
60
80
Reported doctors should discuss topic with themReported doctors discussed topic with themPercent of
girls
Sexually transmitted
disease prevention
DrinkingEating disorders
Drugs
Physical orsexual abuse
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Abused Girls or Girls with Depressive Symptoms Often Embarrassed to Talk
to Their Doctor
52
32
51
31
0
20
40
60
Abused Not abused Depressivesymptoms
No depressivesymptoms
Percent of girls who have had a time when they were too embarrassed or uncomfortable to discuss problems with physicians
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Girls Often Prefer Female Doctors and Want to Talk Privately to
Doctors, Without Parents
5146
29
55
42
18
4650
41
0
20
40
60
Prefer a femaledoctor
Doctor's gendermakes no difference
Prefer to see doctoralone
Total Grades 5-8 Grades 9-12Percent of girls
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997Louis Harris and Associates, Inc.
Girls’ Preferences for Doctors Are Not Always Met
51
33 34
0
20
40
60
Prefer a female doctor Doctor is female Doctor is male andprefer female
Percent of girls