Young Adults' Views on Priority Health Issues and Their Involvement in Shaping Responses: A Qualitative Exploration in South Australia.
Castleton P et al. · Jul 1, 2026
Introduction Young people must be central to health response design to ensure they are relevant and effective. It requires a clearer understanding of the opportunities and expectations surrounding youth engagement. Therefore, this study aims to gain a deeper understanding of the health priorities of young adults residing in South Australia (SA) and their engagement in the design of health programmes. Methods In-depth interviews were conducted with 13 young adults aged 18-24 years (all genders) in SA to identify priority health concerns, contributing factors and preferred solutions. We also explored their interest and expectations of being involved in the health programme design. Thematic analysis was conducted. Results Mental health and vaping emerged as the predominant health concerns. Key drivers of health concern amongst young adults included a lack of awareness of vaping and eating disorders, peer pressure, living costs, poor work-life balance and limited mental health services. Participants recommended early, school-based interventions, and free accessible services. They underscored the need for structural changes at policy-level to create supportive environments. Participants expressed interest in contributing to intervention design when aligned with their interests, skills and availability, but reported limited opportunities. Conclusion Young adults are eager to be involved in health programme design and have unique skills that should be better leveraged upon through co-design of research and programmes. Effective solutions to pressing health concerns must align with the lives of young adults and actively involve them in the design, implementation and evaluation of programmes and policies. WHAT'S NEXT?: The study results suggest employing the motivation and insights of young adults can lead to more relevant, effective and engaging health solutions tailored to their needs.