Given the recent focus of global health policy on 10 19 year olds policy makers in low income and middle income countries might argue that expanding the age definition of adolescence to 24 years risks diluting already insufficient policy focus and funds however the existing piecemeal system is poorly coordinated and does not deal adequately with the needs of any adolescent age band a . Risk and vulnerability encompass many dimensions of the transition from adolescence to adulthood transition from pediatric parent supervised health care to more independent patient centered adult health care is no exception the tenets and algorithm of the original 2011 clinical report supporting the health care transition from adolescence to adulthood in the medical home are unchanged. During adolescence developmental effects related to puberty and brain development lead to new sets of behaviours and capacities that enable transitions in family peer and educational domains and in health behaviours these transitions modify childhood trajectories towards health and wellbeing and are modified by economic and social factors within countries leading to inequalities we . Physical development during adolescence adolescence defined adolescence is often characterized as a period of transformation primarily in terms of physical cognitive and social relational change adolescence is a developmental stage that has been defined as starting with puberty and ending with the transition to adulthood approximately ages 10 20 adolescence has evolved historically
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