International Journal of Adolescent Medicine and Health最新文献

{"title":"A latent class analysis of co-occurring substance use, suicidality, and violence-related behaviors among Moroccan adolescents.","authors":"Hicham El Kazdouh, Said Boubih, Abdelghaffar El-Ammari, Youness El Achhab, Abdelfettah El-Ammari, Siham Bouftini","doi":"10.1515/ijamh-2025-0154","DOIUrl":"https://doi.org/10.1515/ijamh-2025-0154","url":null,"abstract":"<p><strong>Objectives: </strong>Adolescents face co-occurring health risk behaviors contributing synergistically to adverse health outcomes. Evidence on these patterns of co-occurrences in low- and middle-income countries is limited. This study aimed to identify latent classes based on patterns of substance use, suicidality, and violence-related behaviors among Moroccan adolescents and examine sociodemographic, risk, and protective factor correlates of class membership.</p><p><strong>Methods: </strong>We conducted a secondary analysis of the 2016 Morocco GSHS, which included 6,745 adolescents aged 13-17 years. Latent class analysis was performed using 12 binary indicators of violence, bullying, injury, suicidality, and substance use. Multinomial logistic regression assessed the associations between latent class membership and covariates, including sociodemographic factors, risk behaviors, and protective factors.</p><p><strong>Results: </strong>A four-class solution provided the best fit. Class 1 (\"low engagement in risk behaviors\" 54.2 %) showed minimal involvement in all risks. Class 2 (\"high violence, low suicidality and substance use\" 21.3 %) was marked by elevated violence. Class 3 (\"moderate violence and high suicidality\" 12.5 %) was dominated by suicidality coupled with moderate violence. Class 4 (\"high violence, moderate suicidality and high substance use,\" 12.0 %) reflected poly-risk engagement. Rural residence, parental tobacco use, secondhand smoke exposure, and having no close friends significantly increased the odds of poly-risk class membership. Consistent school attendance emerged as a significant protective factor.</p><p><strong>Conclusions: </strong>Distinct clusters of adolescent health risk behaviors were identified. Integrated, context-specific interventions that enhance family engagement, school connectedness, and multi-component prevention could mitigate compounded risks and improve adolescent health in Morocco.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148042108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation and validation of the Greek version of the Children and Adolescent Participation in Decision Making Questionnaire (CAP-DMQ).","authors":"Panagiota Varela, Constantinos Togas, Maria Saridi, Evangelos Fradelos, Aikaterini Toska, Ioanna V Papathanasiou, Anna Mavroforou","doi":"10.1515/ijamh-2025-0220","DOIUrl":"10.1515/ijamh-2025-0220","url":null,"abstract":"<p><strong>Objectives: </strong>To translate the Children and Adolescents Participation in Decision-Making Questionnaire (CAP-DMQ) into Greek and to assess its psychometric characteristics.</p><p><strong>Methods: </strong>This study used a cross-sectional approach with a convenience sample of 300 students aged 12 to 16 from four high schools and two middle schools in Larissa, Greece, achieving a 100% response rate. Data were gathered over four months, from January to April 2025. Statistical analyses were performed utilizing SPSS version 29. Exploratory Factor Analysis was employed to examine the factor structure of the Greek adaptation of the CAP-DMQ.</p><p><strong>Results: </strong>The analysis revealed a one-factor structure of the CAP-DMQ, based on Kaiser's criterion (eigenvalue > 1), which accounted for 34.2% of the total variance. All items had factor loadings greater than 0.40 on the single factor. The highest loading was observed for item 7, while the lowest was for item 8. The Cronbach's alpha coefficient for the 10 items was 0.862, and McDonald's ω was 0.865, both indicating good internal consistency. The mean CAP-DMQ score was 1.497 (SD = 0.145), reflecting a high level of participation in decision-making.</p><p><strong>Conclusions: </strong>The results show that the Greek version of the CAP-DMQ has a single-factor structure and demonstrates strong internal consistency reliability. This version serves as a concise and reliable instrument for evaluating the involvement of children and adolescents in decision-making among Greek-speaking individuals.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"361-367"},"PeriodicalIF":0.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The silent trajectory: unaddressed adolescent arecanut chewing and early onset of oral submucous fibrosis.","authors":"Akshatha Shetty, Pushparaja Shetty, Usha Hegde","doi":"10.1515/ijamh-2026-0020","DOIUrl":"10.1515/ijamh-2026-0020","url":null,"abstract":"<p><strong>Introduction: </strong>Arecanut chewing is common in many parts of South and Southeast Asia, but its effects on young people are often ignored. Many adolescents start this habit early, which is concerning because it is linked to early development of Oral Submucous Fibrosis-a condition that can cause serious problems and may progress to cancer.</p><p><strong>Content: </strong>A structured review was done using PubMed/MEDLINE, Scopus, and Google Scholar, including English studies from 2000 to 2025. Studies were included if they reported arecanut use in adolescents, focusing on age of initiation and oral fibrotic changes. Studies limited to adults or without age-specific data were excluded. Out of 25 studies, 12 focused on adolescents. Arecanut use was found to begin in early teenage years, influenced by peers, family habits, and low awareness of risks. Early signs of OSMF, such as reduced mouth opening, have been reported, with prevalence ranging from 3.4 % to 8.8 %. Processed arecanut products appear to increase early onset and severity.</p><p><strong>Summary: </strong>Adolescence is a vulnerable period for both starting arecanut use and developing early features of OSMF, requiring greater clinical and public health attention.</p><p><strong>Outlook: </strong>Arecanut use in adolescents should not be seen as a harmless cultural habit. Early detection, awareness, and prevention at school and community levels are essential. Better regulation of processed arecanut products is needed to reduce early exposure and prevent long-term oral health problems, including oral potentially malignant disorders.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"285-291"},"PeriodicalIF":0.0,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147972366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between physical activity and mental well-being among adolescents in the Danish health behaviour in school-aged children study.","authors":"Kirstine Braendgaard, Liv Sund Troest, Mette Toftager","doi":"10.1515/ijamh-2025-0111","DOIUrl":"10.1515/ijamh-2025-0111","url":null,"abstract":"<p><strong>Objectives: </strong>There has been increasing global attention on the rise of negative mental health among adolescents. Much research has examined the relationship between negative mental health states and physical activity (PA) among adolescents. However, the association between positive mental health states (e.g. mental well-being), and PA has not been as extensively investigated. This study aimed to investigate the association between PA and mental well-being in adolescents and whether sex moderated the association.</p><p><strong>Methods: </strong>Data stem from a Danish nationally representative sample of 3,732 adolescents aged 13 and 15 from the 2022 cross-sectional Health Behaviour in School-aged Children study. PA was assessed using two measures: meeting the guidelines of 60-min daily moderate-to-vigorous PA (MVPA) and time spent on leisure time vigorous PA (VPA). Mental well-being was assessed using the SWEMWBS scale. Logistic regression analyses were conducted.</p><p><strong>Results: </strong>Our findings show significant positive associations between different measures for PA and mental well-being. The strongest association was found for meeting the MVPA guidelines. Adolescents who met the MVPA guidelines were more likely to report high mental well-being (OR=2.01, 95 % CI: 1.61-2.52). There was also a positive association between the other PA measures, however the positive association was lower with more VPA included in the exposure. The relationship between PA and mental well-being was not moderated by sex.</p><p><strong>Conclusions: </strong>The results indicate that PA may be beneficial for mental well-being among adolescents. Further research is needed to understand the causal relation and mechanisms involved in the association.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"303-312"},"PeriodicalIF":0.0,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147941495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proceedings of the 13^th International Association for Adolescent Health World Congress.","authors":"","doi":"10.1515/ijamh-2026-3006","DOIUrl":"10.1515/ijamh-2026-3006","url":null,"abstract":"","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"eA1-eA66"},"PeriodicalIF":0.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of social environment and body image with dietary diversity among adolescents in Pekanbaru, Indonesia: a cross-sectional study.","authors":"Mitra Mitra, Renti Mahkota, Novita Rany, Oktavia Dewi, Ervira Dwiaprini As Syifa","doi":"10.1515/ijamh-2025-0136","DOIUrl":"10.1515/ijamh-2025-0136","url":null,"abstract":"<p><strong>Objectives: </strong>Inadequate intake of macro- and micronutrients or low dietary diversity can lead to nutritional problems among adolescents. This study aimed to examine the association between social environment, body image, and dietary diversity among senior high school students in Pekanbaru, Indonesia.</p><p><strong>Methods: </strong>This quantitative cross-sectional study involved 223 students selected using simple random sampling from two senior high schools in Pekanbaru. Data were collected using a structured questionnaire covering sociodemographic characteristics, social environment, body image, nutritional knowledge, and household food security. Dietary diversity was assessed using a 24-h dietary recall and the Individual Dietary Diversity Score. Data were analyzed using univariate, bivariate (Chi-square), and multivariate (multiple logistic regression) analyses.</p><p><strong>Results: </strong>Overall, 43.5 % of adolescents had low dietary diversity, while 32.7 % were exposed to an unfavorable social environment and 41.3 % reported a negative body image. Multivariate analysis showed that adolescents in a favorable social environment were more than twice as likely to have a diverse diet compared to those in an unfavorable environment (POR=2.08; 95 % CI: 1.15-3.74; p=0.015). Adolescents with a positive body image were 1.72 times more likely to consume a diverse diet than those with a negative body image, indicating a potential association (POR=1.72; 95 % CI: 0.97-3.04; p=0.062).</p><p><strong>Conclusions: </strong>A supportive social environment and a positive body image are essential for promoting dietary diversity among adolescents. Interventions should focus on strengthening family and peer support, promoting positive nutrition messages through social media, and encouraging the consumption of fruits, vegetables, legumes, and dairy products through school- and family-based nutrition education programs.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"293-302"},"PeriodicalIF":0.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflections of a transnational Adolescent Medicine physician on gender social transition and language.","authors":"Nuray Kanbur","doi":"10.1515/ijamh-2026-0004","DOIUrl":"10.1515/ijamh-2026-0004","url":null,"abstract":"<p><strong>Objectives: </strong>Gender diverse adolescents and young adults (AYAs) can have the opportunity to live authentic self publicly only after social transition. Name and pronoun changes consistent with AYA's affirmed gender are among the significant markers of social transition, with its recognition by others indicating a greater extent of social integration.</p><p><strong>Methods: </strong>From the gender perspective, globally there are three types of languages which are natural gender, gendered and genderless languages.</p><p><strong>Results: </strong>The challenges of pronoun changes are on a wide spectrum from <i>very difficult</i> to <i>not at all</i>, depending on the language spoken. There is no mention of any relationship between the social transition of gender diverse AYAs and the spoken language in the literature. In this paper, I would like to share my personal experience and reflections as a transnational adolescent medicine physician on the impact of spoken language on gender social transition. Within my clinical experience over the years, I believe the more gender expressions in the spoken language, the harder the social transition of a gender diverse youth.</p><p><strong>Conclusions: </strong>I believe the health care providers serving gender diverse AYAs need to be cognizant of the potential impact of spoken language on social transition, especially in countries which have a wide linguistic diversity.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"385-387"},"PeriodicalIF":0.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147770654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent male sexual behavior and consistent condom use in La Romana, Dominican Republic.","authors":"Pamela Baez, Luz Messina, Mina Halpern, Silvia Amesty","doi":"10.1515/ijamh-2025-0087","DOIUrl":"10.1515/ijamh-2025-0087","url":null,"abstract":"<p><strong>Objectives: </strong>To describe sexual behaviors and condom use among young males from La Romana, Dominican Republic.</p><p><strong>Methods: </strong>We surveyed young males about their sexual behavior, recent sexual activity, and condom use. The categories of self-reported condom use were: >90 %=consistent use; between 10 % and 89 %=inconsistent use; <10 %=never used condom.</p><p><strong>Results: </strong>A total of 358 young males aged 15-24 years participated (median age 18.9 IQR 17-20); 84 % reported having had intercourse (median age at first sex 13.9 SD 2.5). Of the total, 178 (52 %) reported having sex in the past 30 days, of which 72 (45 %) reported consistent condom use. One-third reported always using condoms in the last 12 months and 121 (36 %) reported discussing contraception before having sex with their last sexual partner. Having sex in the past 30 days was associated with being married (p=0.03), dropping out of school, and having income in the past 12 months (<0.01 each), while consistent condom use was associated with younger age (p=0.05). The largest distribution of participants reporting consistent condom use in the past 30 days, past 12 months, and talking about contraception before having sex were participants whose mothers completed 11th grade (79 %, 60%, and 49 %).</p><p><strong>Conclusions: </strong>Our study presents young male's sexual behaviors similar to other countries in Latin America, emphasizing the importance of the mother's level of education in the patterns of sexual behavior among young males, and indicating possible topics for educational programs designed for Dominican male youth.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"423-431"},"PeriodicalIF":0.0,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147480661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From social media exposure to disordered eating: mechanisms, risks and protective factors in children and adolescents.","authors":"Asiye Burcu Kuş, Adnan Barutçu","doi":"10.1515/ijamh-2025-0241","DOIUrl":"10.1515/ijamh-2025-0241","url":null,"abstract":"<p><p>Social media (SM) has emerged as an important environmental context associated with children's and adolescents' eating behaviors, body image and psychological well-being, fueled by the proliferation of visual and appearance-focused content. Trends such as \"thinspiration\" and \"fitspiration\" have been widely linked to the internalization of unrealistic body ideals and higher levels of body dissatisfaction, particularly among adolescent girls. Concurrently, exposure to digital marketing of high-fat, sugar and salt (HFSS) foods has been associated with less healthy nutritional preferences and dietary norms among youth. This narrative review synthesizes recent evidence (2020-2025) to examine the association between SM exposure and disordered eating in children and adolescents, with a particular focus on underlying psychosocial, neurobiological and environmental mechanisms. Key mechanisms discussed include social comparison processes, appearance-related pressure, dopamine-mediated reward-reinforcement cycles and algorithm-driven amplification of appearance and food-related content. In addition to risk mechanisms, this review highlights protective factors that may mitigate adverse outcomes. Media literacy, supported by parental guidance and psychoeducation, emerges as a promising preventive framework capable of strengthening adolescents' digital resilience and reducing vulnerability to disordered eating behaviors. From a public health perspective, media literacy should be considered not only an individual skill but also a scalable preventive strategy integrated into educational and health promotion initiatives. Overall, SM represents a complex digital ecosystem that poses both risks and opportunities for youth health. Conceptual integration of behavioral, neurobiological and public health evidence underscores the need for multidisciplinary and preventive approaches to promote healthier digital engagement among children and adolescents.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"275-283"},"PeriodicalIF":0.0,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147473592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The cognitive-serotonergic interface of gaming: understanding how mobile game-play shapes the young adult brain.","authors":"Sushant Shekhar Katiyar, Preeti Jain, Aarti Sood Mahajan, Smita Kaushik, Mahima Kapoor","doi":"10.1515/ijamh-2025-0233","DOIUrl":"10.1515/ijamh-2025-0233","url":null,"abstract":"<p><strong>Objectives: </strong>In recent years mobile gaming has become the preferred leisure activity especially among young adults. Although behavioural and cognitive effects of gaming have been widely examined, far less attention has been given to its biochemical foundations - particularly the role of serotonin, a neurotransmitter crucial for impulse regulation, inhibitory control, and cognitive flexibility. Therefore, in the present study we assessed and compared the cognitive performance and serum serotonin levels among gamers playing action mobile game (AMG) and puzzle mobile game (PMG) genres and also evaluated the predictive role of gaming characteristics on cognition and serum serotonin levels of mobile gamers.</p><p><strong>Methods: </strong>30 participants each, who played ≥5 h/week of respective mobile game genre in past 6 months were recruited into AMG and PMG group. 30 participants who had not played any genre of mobile-game for ≥1 h/week in past 6 months and are non-gamers (NG) were recruited as controls. Sleep quality was assessed using the Pittsburgh sleep quality index (PSQI). Cognitive functions were assessed using pen-paper version of trail making test (TMT), Stroop colour word test (SCWT), letter cancellation test (LCT) and Ruffs figural fluency test (RFFT). Auditory and visual reaction times were recorded with the help of audio-visual reaction timer. Serum serotonin levels were assessed by immunoassay.</p><p><strong>Results: </strong>Multivariate analysis revealed a significant effect of gaming group on combined cognitive measures (Pillai's trace=0.657, <i>F</i>(26,140)=2.63, p<0.001, <i>η</i> ²=0.328). The action mobile gamers exhibited faster auditory reaction time (ART) compared to the puzzle gamers (p<0.05) as well as had significantly lower serum serotonin levels than both puzzle gamers as well as non-gamers (p<0.001). Regression analyses model showed that gaming characteristics like gaming frequency, duration, age of onset, and expertise, accounted for 22 % of variance in ART (p=0.017) and 66 % of variance in serum serotonin levels (p<0.001).</p><p><strong>Conclusions: </strong>These findings illustrate a genre-specific effect of mobile gaming on cognitive-serotonergic profile among young adults. Results further demonstrate that both the type and intensity of gameplay contribute to cognitive and neurochemical outcomes. However, no statistically significant differences emerged across groups in broader executive-function tasks suggesting that mobile gaming is not a uniform cognitive stimulus; rather, its effects are selective, genre-dependent, and influenced by the intensity and duration of engagement, linking gameplay behaviour to both cognitive performance and peripheral neurochemical profiles.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"225-234"},"PeriodicalIF":0.0,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147473581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}