ABSTRACT
Objective: To analyze the concept of “youth.”
Methods: This is a concept analysis guided by the method proposed by Walker and Avant, operationalized through an integrative literature review. The search in scientific databases was carried out using the descriptors: youth; young; adolescence. To compose the literary corpus, 22 studies were selected.
Results: Various factors were found in the antecedents that influence the separation of youth groups, contributing to the heterogenization of this population. The attributes include characteristics that comprise the formation of youth groups, especially the idea of shared experiences and social construction, as well as the consequences of the mentioned concept. After systematizing the variables, the analysis was conducted, highlighting the conceptions that influence youth.
Conclusion: The study demonstrated the multifactorial complexity of the formulation of the concept of youth, highlighting various factors that contribute to this construction. For nursing, this conceptual field allows for an understanding of the population and effective engagement with this group.
Descriptors: Adolescent Health; Adolescent; Young Adult; Nursing; Concept Formation
RESUMEN
Objetivo: analizar el concepto de “juventudes”.
Métodos: Se trata de un análisis de concepto, orientado por el método propuesto por Walker y Avant, operacionalizado mediante una revisión integrativa de la literatura. La búsqueda en bases de datos científicas se realizó utilizando los descriptores: juventud; joven; adolescencia. Para componer el corpus literario, se seleccionaron 22 estudios.
Resultados: Se constataron, en los antecedentes, diversos factores que influyen en la separación de los grupos juveniles, influyendo en la heterogeneización de esta población. En los atributos, se integran características que comprenden la formulación de los grupos juveniles, sobre todo la idea de compartir vivencias y la construcción social, así como los consecuentes del referido concepto. Tras la sistematización de las variables, se procedió al análisis, destacando las concepciones que influyen en las juventudes.
Conclusión: El estudio demostró la complejidad multifactorial de la formulación del concepto de juventudes, evidenciando diversos factores que componen esta construcción. Para la enfermería, este campo conceptual permite comprender a la población y actuar de forma efectiva junto a este grupo.
Descriptores: Salud del Adolescente; Adolescente; Adulto Joven; Enfermería; Formación de conceptos
RESUMO
Objetivo: analisar o conceito de “juventudes”.
Métodos: Trata-se de análise de conceito, orientado pelo método proposto por Walker e Avant, operacionalizada mediante revisão integrativa da literatura. A busca em base de dados científicos foi efetivada, utilizando-se dos descritores: juventude; jovem; adolescência. Para compor o corpus literário, elencaram-se 22 estudos.
Resultados: Constataram-se, nos antecedentes, diversos fatores que influenciam a separação dos grupos juvenis, influenciando a heterogeneização dessa população. Nos atributos, integram-se características que compreendem a formulação dos grupos juvenis, sobretudo a ideia de compartilhamento de vivências e construção social, bem como os consequentes do referido conceito. Após a sistematização das variáveis, procedeu-se à análise, destacando as concepções que influenciam as juventudes.
Conclusão: O estudo demonstrou a complexidade multifatorial da formulação do conceito de juventudes, evidenciando diversos fatores que compõem essa construção. Para a enfermagem, esse campo conceitual permite compreender a população e atuar de forma efetiva junto a esse grupo.
Descritores: Saúde do Adolescente; Adolescente; Adulto Jovem; Enfermagem; Formação de Conceito
INTRODUCTION
The conception of the life stage involving adolescents and young people has become naturalized as a phase encompassing the age-related transition common to individuals, often associated with the experience of conflicts and the transgression of social norms. This idea has been disseminated across various fields of knowledge, reducing individuals to a perspective constrained by age brackets that do not consider their relationships with the world(1).
These ingrained conceptions are endorsed by the biomedical paradigm, which is anchored in a limited understanding of the individual based on the health/disease dichotomy. The demarcation legitimized by medical authority crystallizes the characteristics that link adolescents and young people to behaviors deemed appropriate and/or inappropriate by society as a whole(2).
In addition to chronological division, historical context and experiences within the individual’s territory, as well as a range of specific experiences, influence characteristics and ways of acting, feeling, and thinking. In other words, an individual’s experiences make them different from their age group, considering subjectivity and the way they process events. Thus, age alone is not sufficient to define the multiplicity of attitudes present in a generation, nor to explain the differences among these individuals(3).
An important reference in the field of youth studies is the understanding of the concept of “youths” in the plural, related to the recognition that individuals are influenced by the financial, economic, and cultural conditions in which they live(4). Consequently, there is no single definition that can encompass the semantic field that youth can acquire; rather, there is a broad spectrum of perceptions about youth cultures related to different theories(5).
In light of this, it is considered that there are multiple youths, understanding this category as temporal, dynamic, plural, and diverse, not defined solely by age, but by social, cultural, and economic context.
The conception of the concept of youths poses a challenge for researchers and institutions that deal directly with young people. In academia, for example, few studies provide this definition for an approach to young people and their respective perceptions, often failing to understand their experiences and expressions. Most studies discuss youths from the perspective of adults and institutions related to the lives of young people, without clearly defining the concept(5).
The conceptual conflicts observed refer to the fact that many authors seek superficial criteria, such as age range, to define youth, failing to understand the plurality of youths as a more complex set of factors that permeate these individuals. This makes clarifying this concept an important research focus. This lack of understanding about the term motivates research to establish a conceptual synthesis for understanding the breadth of youth groups, enabling nursing to develop strategies that recognize the limitations and potential behind actions directed at these groups.
Clearly understanding the meaning of the concept of youths can lead to the recognition of these youth groups in different settings, enabling nursing to develop strategies that identify the limitations and potential behind actions. The nurse’s role in clinical practice should encompass both the individual and the collective being served. In this sense, it is necessary to study this concept, as it is still underutilized in nursing(6).
Given the importance of understanding a concept, it is understood that defining, clarifying, evaluating, operationalizing, and subjecting concepts to theoretical and empirical evaluations are essential processes in advancing the knowledge of a field. The clearer the concept, the better the understanding and contribution it provides(7).
OBJECTIVE
To analyze the concept of “youths”.
METHODS
Ethical Aspects
As this study used public domain data and did not involve human subjects, there was no need for review by an Ethics Committee. However, the studies selected for the final sample were properly referenced.
Study Design
This is a descriptive study that utilized the Walker and Avant Conceptual Analysis Model as a reference framework. Concept analysis involves describing a word or term, clarifying its use in the language, and elucidating how it is associated with or distinct from other related words or terms. The interest of this model lies in the actual and potential uses of words that convey conceptual meanings. The model consists of eight steps: selection of the concept; determination of the aims and purposes of the analysis; identification of all possible uses of the concept; determination of defining attributes; identification of a model case; identification of related, contrary, borderline, invented, and illegitimate cases; identification of antecedents and consequences; and definition of empirical referents(8).
In this study, the following steps were followed: selection of the concept; determination of the aims of the conceptual analysis; identification of possible uses of the concept; identification of attributes, antecedents, and consequences. The selection of the concept should reflect the topic or area of greatest interest. Determination of the aims of the conceptual analysis refers to the purpose of the conceptual analysis intended. Identification of the possible uses of the concept involves a literature search to understand how the concept in question is being focused on or applied. Determination of the critical attributes involves presenting the attributes or groups of attributes frequently associated with the concept, allowing for a better understanding of these, distinguishing it from similar or related concepts. Antecedents are events that occur before the identification of the event itself, contributing to its occurrence. Consequences refer to a set of factors triggered once the phenomenon in question is confirmed(8).
It is emphasized that some steps of the Concept Analysis Model are equivalent and occur simultaneously with the steps of the integrative literature review, such as the selection of the concept; determination of the aims of the conceptual analysis; and identification of the possible uses of the concept(8). Initially, for the concept analysis, the concept of youths was selected. In this stage, the aims were to conduct a concept analysis of the term youths to identify its uses (definitions), critical attributes, possible antecedents, and consequences. The main objective was to find an initial structure for the concept that would allow for a clear definition and establish causal elements (antecedents) and possible expressions and outcomes associated with the occurrence of that concept. Furthermore, the work aims to present a more specific discussion of the elements found to minimize the need for other steps.
To carry out the proposed steps, an integrative literature review was conducted following the five suggested steps: identification of the theme or question of the integrative review, sampling or literature search, evaluation of the included studies, interpretation of the results, and synthesis of the knowledge evidenced in the articles analyzed in the review(9).
To formulate the research question, the PICO strategy (an acronym for Patient, Intervention, Comparison, Outcomes) was used(10). The first element of the strategy (P) refers to adolescents, young people, and youths; the second element (I) refers to the life stage experienced; and the fourth element (O) concerns social groups. In this study, the comparison element (C) was not used because this research does not aim to compare interventions. The use of the PICO strategy proves efficient in effectively retrieving evidence, and some databases have an interface for the direct insertion of the four PICO components, such as MEDLINE/PubMed. What are the attributes, antecedents, and consequences related to the concept of youths identified in the literature?
After identifying the main concepts in the literature, the next step is to determine the defining attributes, which involves gathering the attributes most frequently associated with the concept. The idea of an attribute encompasses that by which a substance is known or, from the theory of attributes, that which expresses the essence of the substance or concept. In the stage of identifying the antecedents and consequences of the concept, the verification of events that occur before the phenomenon of interest (antecedents), which are necessary for its occurrence, takes place, as well as those that happen after the concept and result from the presence of the phenomenon (consequences)(8).
Study Period and Location
The search was conducted via the Virtual Health Library (VHL), which included the Latin American and Caribbean Health Sciences Literature (LILACS), the International Literature in Health Sciences (MEDLINE), the Nursing Database (BDENF), and the Spanish Bibliographic Index in Health Sciences (IBECS).
The combination of Health Sciences Descriptors (DeCS) used included: youth; young; adolescence. The descriptors were combined using the boolean operator AND, with the key combination being: “youth” AND “youths” AND “young” AND “adolescence.” The search was performed in pairs by the researchers and was conducted in May and June 2023. Data were collected using a structured instrument, which included the characterization of the studies, attributes, antecedents, and consequences identified in the literature regarding the concept of youths.
Inclusion and Exclusion Criteria
Studies included were those in Portuguese, Spanish, or English, selecting original articles, theoretical papers, reflective articles, and review articles available in full. Exclusion criteria included opinion articles, letters to the editor, dissertations, and theses, as gray literature is not controlled by scientific or commercial publishers. Articles that did not contribute to a better understanding of the theme in question were also excluded. The temporal restriction was set from 1990, as this is when the term was incorporated.
Initially, 106 articles were found. Among the articles investigated, 24 were excluded because they were unavailable texts or theses and dissertations. Thirteen were excluded as duplicates, leaving 69 for title and abstract screening. After this stage, four were eliminated because they did not relate to youth/youths in the titles or abstracts. Thus, 65 articles were read in full, with 43 excluded for not having a direct relation to the conceptualization of youths. Finally, 22 articles were selected. Of these, 19 were indexed in the LILACS database, two in the BDENF database, and one in the IBECS database.
Analysis of Results
Data collection was guided by a form developed by researchers with expertise in working with adolescents and youths, as well as literature reviews to extract the following variables: database; language; year of publication; country where the study was conducted; study objective; methodological design; and central concepts on the topic. The data were organized and digitized in spreadsheets using Microsoft Excel® 2017. A descriptive synthesis of the findings was conducted to clarify the concepts related to the data found.
RESULTS
The selection of articles was conducted through searches in the databases available in the Virtual Health Library (VHL), resulting in a total of 22 articles. The process followed during this search is summarized in Figure 1.
Flowchart of the Study Selection Process for Integrative Review, Adapted from PRISMA-ScR, 2024
Among the sample of studies, presented in the Chart 1, it was found that the majority were developed in the field of Psychology (n=9), followed by Sociology (n=4), Nursing (n=4), and Physical Education (n=2). Other areas with fewer studies included Philosophy (n=1), Occupational Therapy (n=1), and Social Work (n=1). There was no significant exploration of the concept of youths in the field of Nursing, reaffirming the need to define it.
Description of Studies Included in the Integrative Review by Title, Authors/Year of Publication, Level of Evidence, Design, Number of Participants and Setting, Palliative Care Interventions, and Outcomes, 2024
Regarding language, there was a predominance of research published in Portuguese (n=18), as most of the sample was produced in Brazil (n=18). There were also articles in Spanish (n=4), distributed among the countries: Colombia (n=2) and Argentina (n=2), demonstrating the international use of the term.
Considering methodological aspects, the qualitative approach prevailed, especially exploratory studies (n=10), followed by reflective studies (n=6), bibliographic reviews (n=3), and a documentary study (n=1). There was a small representation of quantitative articles (n=1), corresponding to an ecological study (n=1). The elements addressed according to phenomenon, antecedents, attributes, and consequences are presented in categories and subcategories of analysis, as shown in Figure 2.
DISCUSSION
This analysis identified various components that define youths, highlighting elements that compose antecedents, attributes, and consequences. It is believed that this is linked to the broad understanding of what youths are, which has been evolving over time, especially within each area of knowledge. As outlined in the synthesis, Nursing still discusses this topic infrequently, often citing sources from the social sciences. Among the studies analyzed in this research, most associated youth with age-related conceptions and other more physical elements, while youths encompass the relationships these young individuals have with various life components. Therefore, there is a need to implement more elaborate concepts about youths, supporting manuscripts that discuss nurses’ actions in clinical practice.
The studies highlighted indicate that the phenomenon of youths cannot be predominantly related to the age-based division model. In this sense, the discussion of the findings succinctly addresses the elements that make up the antecedents, attributes, and consequences of the term youths, thus relating these components to the authors’ understanding of definitions and approaches in the lives of youths.
Antecedents of the Concept “Youths”
The antecedents encompass the determinants of the concept, what precedes the event and the emergence of the outcome. The results aim to show that the concept of youths is the result of situations related to the experiences of youth groups, leading to a plural understanding of youth.
The construction of the concept of youths involves a social understanding that includes various factors. It defines a young person as an individual aged between 15 and 29 years, understanding that this conceptualization encompasses changes in the biological field with the maturation of physical characteristics, the expression of sexuality, and sexual experiences regarding sexual orientation and gender identity. These expressions of sexuality are not limited to the sexual act but also include the ways youths relate to each other. This period also involves intense psychological changes, the understanding of oneself as a subject, and personal conflicts caused by these changes and maturation(11).
This period of change in young people leads to questions about body transition and relationships. Alongside these changes, there is a search for identity, based on family experiences as well as relationships with friends (peers). These relationships influence the formation of bonds and the search for acceptance in social groups where they feel they belong(12-13).
Understanding the concept of youths includes the multiple references that affect the experiences of young people. Issues of gender, social class, and ethnicity are frequently discussed in relation to this definition. The terms young person, youth, and their plural forms can also be rooted in various stereotypes that tend to incorrectly define this group, often labeling them as a “problematic figure”(14).
This multiplicity of factors and experiences within the same population segment reinforces the dynamic and ever-evolving concept of youth, giving rise to the pluralization of the term as “youths.” It is impossible to define this word without considering the entire social, political, and economic construction that impacts these individuals(11).
In the definition of youths, it is essential to understand social inequalities and how this factor impacts the population, particularly regarding access to goods and services such as health, education, and security. This dynamic facilitates the recognition of heterogeneity within the group, as social dynamics determine where and how people live and influence the relationships and opportunities they access(15).
Understanding social dynamics is crucial for defining the concept of youths, as is understanding the historical context in which this definition is considered. The concept of youth has been widely discussed throughout history, always distancing the concept from any homogenizing pretensions about the population(12,15).
The different forms of contact and political participation can determine how this population is viewed within a territory (country, state) and influence the actions directed toward these young people concerning health, security, sports, work, and other aspects that affect their growth opportunities. It is important to recognize the existence of multiple forms of youth organization and their social integration into groups undergoing constant transformations to define what youths are and the scope of this concept(16).
Attributes of the Concept “Youths”
The attributes encompass the properties of the concept, being elements that express the main characteristics of the construct. These attributes can reveal themselves as social relationships, environmental influences, among other characteristics, depending on the concept and the central object. Here, the meanings of the pluralization of the term and its collective repercussion are presented. The identity process is identified as the expression of what unites individuals according to individual and collective choices, giving meaning to that collective. Thus, the understanding of the concept of youths is increasingly tied to the sharing of experiences that place the individual within a territory of experimentation, giving them the notion of belonging to that place and group(11).
From the findings, it is understood that youths are forged from social and generational contexts (the historical time in which they are inserted); however, discussions strongly emphasize the sharing of experiences. The various youths, even within the same historical period, have their own experiences and organize themselves into different youth cultures, identifying with different groups(12,17).
The identities of youths are formulated through experiences as well as collective practices of shared interests, culminating in the idea of “being together” and “being part of”(18). With the collective formulation of the meanings that unite social groups, which includes the idea of group identity, it is common to find affinity through the union of common cultural and racial expressions. Being close to someone who identifies with them provides a sense of belonging to the individual. Although there are delimitations for the condition of youth, the experience of being young requires pluralization(19-20).
According to the idea of collective construction and all the cultural expressions that involve young people, as highlighted in the texts, the concept of youths goes beyond being limited to a phase of human development and encompasses a way of life, an identification within a group that connects through a similar interpretation of the world(21).
From the understanding of different ways of relating throughout life, according to particular socio-historical contexts, the plural conception of youth breaks the universal and rigid logic that does not encompass all the experiences of this group. The plural serves to remind us of the differences and inequalities that cross this condition. The way of understanding the world within different social groups contains unique meanings, emphasizing the different modes of living or how these experiences impact the feelings shared by the group(22).
It is possible to identify, through the literature findings, the pluralization of youths from an epistemological perspective, centered on subjective constructions that cannot be reduced to age determination. Ignoring the different conditions and ways of being young entails excluding everything that does not fit into the stereotypical identity of youth, thereby disregarding meanings and feelings(23).
This group context involves the construction of a social network that produces subjectivities, connecting individuals and allowing for the identification of feelings such as the joy of being young, the rebellion associated with transformations, and the impulsiveness of age. Thus, it encompasses a relational dynamic of individuals who create connections and support within the context of their experiences(24).
Consequences of the Concept “Youths”
The consequences highlight the outcomes of the analyzed concept, revealing how the concept is expressed and what this phenomenon entails for the population, in this case, the youths. The main consequences identified include self-image, intellectual development, health behaviors, differences in opportunities for individual growth, dynamics in seeking health services, and planning and building the future.
The self-image discussed in the findings reveals the way of being and living, prevailing values, and the relationships established in society. It is formed through the daily experiences of young people, a condition that stems from individual arrangements and constitutes an understanding of oneself based on the fusion of social standards and constructed relationships. The crucial importance of self-image in identity construction is emphasized(25).
The construction of youth identity is highlighted in the literature as intrinsic to intellectual development. This development occurs through personal and social experiences, determined by skills developed from childhood to adulthood. In this sense, the family, school, and social context in which young people are embedded play fundamental roles(26).
According to the social context of youth, as evidenced in the realities presented in the articles, different opportunities can be offered within socio-economic contexts. The interaction with the environment and its influences can guide practices and choices that interlink life development and opportunities for these young people regarding work, education, and social conditions. Not everything is determined by social interaction, but it connects the way experiences are produced and how opportunities and adversities are faced. There are stigmas associated with young people from lower socio-economic backgrounds, mostly Black and poor, living in urban peripheries, labeled as violent and delinquent, forging inequities that place this youth group in different conditions with fewer opportunities for life improvement(27).
The articles identify that ways of living, the idea of the “invulnerable” youth, and the formation of influences are important factors to consider when observing the search for health services. The formation of youth influences the low utilization of services, and when sought, they encounter resistance and difficulty in addressing youth demands, considering the health behaviors of this group, which can be safe or risky. Issues such as bodily changes, intellectual development, personal identity formation, and peer interactions influence the first sexual experience, and alcohol and drug use, with alcohol considered a risk factor for unsafe sexual practices and the acquisition of sexually transmitted infections(28).
In the various social contexts in which young people are involved, youth is highlighted in the literature as a phase of planning and world-building, considered a transitional stage to adulthood. In the Medieval Ages, this phase was marked by rituals. Today, this process occurs through the social groups to which young people belong, such as family, school, church, and circles of friends(24,28-29).
The literature also highlights that friendship, the possibility of meeting, and sharing affections produce and enhance the sense of belonging to a group, reinforcing communal, cultural, and political ideals, and enabling the construction of common projects in the face of numerous challenges. These values drive practices and help them resist difficulties with a sense of overcoming, renewal, and learning(16,30-32).
It is important to note that the values shared by young people are diverse. However, with the desire for transformation as a major value, they build notions of collectivity and community that help them recognize themselves as important agents of change, necessary to fulfill the aspirations of a better society. Additionally, they share more subjective values, such as friendship and pleasure, which can become crucial for group organization and the process of political subjectivation(16,33-35).
As consumers of goods and services, particularly in health, they face access difficulties, with their needs often being reduced or overlooked. In the health field, there are still gaps in strategies that encompass care that understands the representations of youths and their particularities, posing challenges to services and professionals(6,29). Filling these gaps can enhance the understanding of clinical care practices for this population, addressing their needs and considering the limitations and possibilities for this group(20,29).
Given the above, the concept of youths includes expanding the concept of young people, considering the bodily and psychological changes that occur between the ages of 15 and 29, but especially the phenomena responsible for personality development, such as sexuality, gender identity, and social relationships.
The construction of youths involves the nuances of social relationships, whether with family or peers, influencing how the individual constructs the idea of being social and their relationships. Association with these groups often brings stereotypes that solidify the image of young people. However, the understanding of the concept is still linked to the social, political, economic, and cultural construction in which the young person lives and which directly influences access to goods and services (health, security, education).
Youths organize themselves into groups with common characteristics, often united by shared experiences that are influenced by the historical moment and how it affects their lives. This includes the implementation of public policies and the understanding of what it means to be plural youths.
Finally, youths are conceptualized as a social group with their own unique identity, where social, cultural, and racial issues influence their interpretation of the world, the sharing of experiences, and their sense of belonging to a territory. This group is characterized by feelings of joy, rebellion, impulsiveness, and aggressiveness.
Study Limitations
This research has limitations that must be considered. Initially, this conceptual analysis included only studies available electronically in certain databases, which may have resulted in the exclusion of research that addresses other perspectives on youths. Another limitation of the study is the exclusive use of a single portal for data retrieval, which may restrict the scope of the research and limit the variety of available information.
Contributions to the Field
The findings promote an understanding of the broad comprehension of youth groups and the potential strategies that nurses can adopt. Concept analysis allows for the inclusion of the phenomenon in nursing team training programs. Expanding the understanding of this population group helps nurses comprehend different realities, enabling the multidisciplinary team to work from health promotion, harm reduction, and mitigation of adverse outcomes, recognizing that various strategies are necessary to reach this audience. The effort to analyze the concept is the first step in understanding the individuals and social phenomena involved in their experiences, thereby broadening the scope of nursing practice.
FINAL CONSIDERATIONS
Understanding the antecedents, attributes, and consequences helps in comprehending the concept of youths in the health field, especially for nursing. This understanding delineates important information about the formation of these youths and youth groups, expanding comprehension beyond the age range and considering the processes that influence the formation of these youth cultures. Given the considerations presented, the analyzed articles reveal a panorama of the concept of “youths,” confirming the complexity arising from the multifactorial origin of the phenomenon under study. It is also noted that despite the widespread use of the term youths, there is no consensus in the literature, highlighting divergent definitions that do not adequately support nursing care for youths.
The concept analysis evidenced by this study can support nursing care for youths, considering the plurality and heterogeneity of this group, aiming at actions targeted to the real needs of young people, making the care qualified and effective. Understanding the concept provides an opportunity to act with this young population in different contexts and realities, offering theoretical support to nurses in this role.
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Edited by
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EDITOR IN CHIEF:
Antonio José de Almeida Filho
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ASSOCIATE EDITOR:
Rosane Cardoso
Publication Dates
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Publication in this collection
22 Nov 2024 -
Date of issue
2024
History
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Received
17 Jan 2024 -
Accepted
03 May 2024