JAMA Pediatrics最新文献_第2页

Screens and Youth Sleep. 屏幕与青少年睡眠。

IF 18 1区医学

JAMA Pediatrics Pub Date : 2026-05-01 DOI: 10.1001/jamapediatrics.2026.0253

Lauren Hale, Lauren E Hartstein, Chuan Zhou

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A Vaccine to Prevent Congenital Cytomegalovirus: Where Do We Go Next? 预防先天性巨细胞病毒的疫苗：下一步该怎么做？

IF 18 1区医学

JAMA Pediatrics Pub Date : 2026-05-01 DOI: 10.1001/jamapediatrics.2025.6432

Mark R Schleiss, Stanley A Plotkin, Sallie R Permar

引用次数: 0

Trends in Poverty and Birth Outcomes in the US. 美国的贫困趋势和出生结果。

IF 18 1区医学

JAMA Pediatrics Pub Date : 2026-05-01 DOI: 10.1001/jamapediatrics.2026.0004

Emily C Dore, Megan M Reynolds, Daniel F Collin, Rita Hamad

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Mental Health and Sexual Risk Behaviors Among US Adolescents. 美国青少年的心理健康和性危险行为。

IF 18 1区医学

JAMA Pediatrics Pub Date : 2026-05-01 DOI: 10.1001/jamapediatrics.2025.6419

Shruthi Krishna, Duy Pham, Eli Rapoport, Felicia Scott-Wellington, Andrew Adesman

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Error in Results. 结果中出现错误。

IF 18 1区医学

JAMA Pediatrics Pub Date : 2026-05-01 DOI: 10.1001/jamapediatrics.2026.0640

引用次数: 0

Medicaid Disenrollment Among Young Adults With and Without Complex Medical Conditions. 有或没有复杂医疗条件的年轻人的医疗补助退出。

IF 18 1区医学

JAMA Pediatrics Pub Date : 2026-05-01 DOI: 10.1001/jamapediatrics.2025.6326

Betsy Q Cliff, Soham Sinha, Dori A Cross, Erin Hickey, Kristi Kirschner, Rachel Caskey

{"title":"Medicaid Disenrollment Among Young Adults With and Without Complex Medical Conditions.","authors":"Betsy Q Cliff, Soham Sinha, Dori A Cross, Erin Hickey, Kristi Kirschner, Rachel Caskey","doi":"10.1001/jamapediatrics.2025.6326","DOIUrl":"10.1001/jamapediatrics.2025.6326","url":null,"abstract":"Importance: Loss of health insurance coverage is common as Medicaid-enrolled children transition to adulthood and increases morbidity and mortality, especially for individuals with complex medical conditions (CMCs).Objective: To measure risk of Medicaid disenrollment in young adults with and without CMCs and variation by medical condition and state of residence.Design, setting, and participants: This retrospective observational study was conducted among individuals in 47 state Medicaid programs born 1991-2001 with 11 or more months of comprehensive Medicaid coverage in 2016 using the 2016-2019 Transformed Medicaid Information Systems Analytic Files, a census of Medicaid administrative medical claims (N = 9 409 619). Individuals with CMCs were identified in 2016 using the Pediatric Medical Complexity Algorithm. Age-based risk of disenrollment and reenrollment for individuals aged 16 to 26 years with and without CMCs was estimated from 2017-2019 using discrete-time survival models. Cumulative risk of disenrollment in individuals aged 19 to 21 years was measured using Kaplan-Meier curves. Analyses were stratified by state and medical condition. Data were analyzed from October 2024 to September 2025.Main outcomes and measures: The primary outcome was probability of disenrollment, defined as 2 or more months with no days of comprehensive benefits. The secondary outcome was reenrollment, defined as any days of comprehensive benefits within 12 months of disenrollment. Correlates of disenrollment were measured at individual and state levels.Results: A total of 305 323 individuals (3.2%) were identified as having a CMC in 2016. Disenrollment peaked at age 19 years; conditional probability of disenrollment was 13.4% (95% CI, 13.2%-13.6%) among individuals with CMCs and 35.6% (95% CI, 35.6%-35.7%) among individuals without CMCs. Probability varied by state, ranging from 2.6% (95% CI, 2.0%-3.2%) to 37.0% (95% CI, 34.7%-39.4) for individuals with CMCs and from 7.3% (95% CI, 6.7%-7.9%) to 83.9% (95% CI, 83.5%-84.3%) for those without CMCs. Among individuals with a CMC, mental health and cardiac conditions had the highest probability of disenrollment at age 19 years. Cumulative risk of disenrollment was 37.9% (95% CI, 37.3%-38.6%) among individuals with CMCs and 74.2% (95% CI, 74.1%-74.3%) among those without. Higher conditional probability of disenrollment was correlated with being male, eligiblity via income, living in a Medicaid nonexpansion state, and living in a state with 50% or more managed care penetration. Of disenrolled individuals, 38.0% (95% CI, 37.6%-38.4%) of those with CMCs and 29.1% (95% CI, 29.0%-29.1%) of those without CMCs reenrolled within 12 months.Conclusions and relevance: In this cohort study, disruptions in Medicaid coverage were common for emerging adults with and without CMCs and varied by state a","PeriodicalId":14683,"journal":{"name":"JAMA Pediatrics","volume":" ","pages":"518-526"},"PeriodicalIF":18.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12910459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146201658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends in Complementary and Alternative Medicine Use Among US Youths. 美国年轻人使用补充和替代医学的趋势。

IF 18 1区医学

JAMA Pediatrics Pub Date : 2026-05-01 DOI: 10.1001/jamapediatrics.2025.6524

Cornelius B Groenewald, Sophia L Kreider, James Cragun, Titilola Falasinnu

引用次数: 0

Percentage Errors in Results Section of Abstract and Text. 摘要和正文结果部分的错误百分比。

IF 18 1区医学

JAMA Pediatrics Pub Date : 2026-05-01 DOI: 10.1001/jamapediatrics.2026.1209

引用次数: 0

Within-Person Association Between Daily Screen Use and Sleep in Youth: A Systematic Review and Meta-Analysis. 青少年每日屏幕使用与睡眠之间的人际关系：一项系统回顾和荟萃分析。

IF 18 1区医学

JAMA Pediatrics Pub Date : 2026-05-01 DOI: 10.1001/jamapediatrics.2025.6490

Matthew Bourke, Claudia I Maddren, Franziska Sippel, George Thomas

{"title":"Within-Person Association Between Daily Screen Use and Sleep in Youth: A Systematic Review and Meta-Analysis.","authors":"Matthew Bourke, Claudia I Maddren, Franziska Sippel, George Thomas","doi":"10.1001/jamapediatrics.2025.6490","DOIUrl":"10.1001/jamapediatrics.2025.6490","url":null,"abstract":"Importance: Understanding the within-person association between daily screen use and sleep can help clarify whether this association reflects potentially causal effects or confounding factors.Objective: To synthesize evidence on the within-person association between daily screen use and sleep among youth and to examine whether this association varies by screen type, sleep assessment method, or timing of screen use.Data sources: Ovid MEDLINE, PsycINFO, SPORTDiscus, and Scopus were searched from inception to August 22, 2025, with forward and backward snowball searching. Data were analyzed in October 2025.Study selection: Studies reporting on children, adolescents, and young adults aged 3 to 25 years that assessed sleep, measured screen time, and examined daily within-person associations between screen time and sleep were analyzed.Data extraction and synthesis: Random-effects meta-analysis with cluster-robust variance estimation estimated pooled within-person correlations. Subgroup analyses examined moderating effects of screen type, assessment method, and timing.Main outcomes and measures: The primary outcome was within-person correlations between screen time and sleep outcomes, including total sleep time, sleep onset, sleep onset latency, sleep efficiency, wake after sleep onset, and subjective sleep quality.Results: A total of 25 studies reporting on 4562 participants were included. A small significant positive within-person correlation was found between screen time and sleep onset (r = 0.079; 95% CI, 0.010-0.149; P = .03), indicating later bedtimes on days with increased screen use. No significant associations were observed for total sleep time, sleep onset latency, sleep efficiency, wake after sleep onset, or subjective sleep quality. Moderator analyses revealed that the association between screen time and subjective sleep quality significantly differed by timing, with screen time after bedtime showing stronger negative correlation (r = -0.092) vs daily (r = -0.026) or evening (r = -0.005) assessments (P = .007). No other significant moderator effects were observed.Conclusions and relevance: Per the results of this systematic review and meta-analysis, daily screen time has a small but significant within-person correlation with later sleep onset; however, short-term daily fluctuations in screen time appear to have minimal impact on sleep duration, efficiency, or quality. Screen time may delay bedtime but is not inherently detrimental to other aspects of sleep health in youth, contrasting with between-person studies showing stronger adverse associations.","PeriodicalId":14683,"journal":{"name":"JAMA Pediatrics","volume":" ","pages":"500-509"},"PeriodicalIF":18.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12954599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147326052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk Factors for the Development of Food Allergy in Infants and Children: A Systematic Review and Meta-Analysis. 婴儿和儿童发生食物过敏的危险因素：一项系统回顾和荟萃分析。

IF 18 1区医学

JAMA Pediatrics Pub Date : 2026-05-01 DOI: 10.1001/jamapediatrics.2025.6105

Nazmul Islam, Alexandro W L Chu, Falana Sheriff, Farid Foroutan, Gordon H Guyatt, Romina Brignardello-Petersen, Paul Oykhman, Alfonso Iorio, Ariel Izcovich, Katherine M Morrison, Yetiani Roldan Benitez, Rachel J Couban, Dorota Borovsky, Yiming Zhang, Leonardo Ologundudu, Keerthana Pasumarthi, Syed Fahad Farooq, Kyle Tong, Wang-Choi Tang, Haseeb Faisal, Muhammad Faran Khalid, Mohammad Saad Asif, Shannon French, Susan Waserman, R Sharon Chinthrajah, Hugh A Sampson, S Shahzad Mustafa, Jay A Lieberman, Kirsi M Järvinen, Sally Bailey, Philippe Bégin, Scott H Sicherer, Jennifer Gerdts, Melanie Carver, Lynda Mitchell, Kelly Cleary, Matthew J Greenhawt, Julie Wang, Aikaterini Anagnostou, Marcus S Shaker, Anita Chandra-Puri, Patricia C Fulkerson, Robert A Wood, Derek K Chu

{"title":"Risk Factors for the Development of Food Allergy in Infants and Children: A Systematic Review and Meta-Analysis.","authors":"Nazmul Islam, Alexandro W L Chu, Falana Sheriff, Farid Foroutan, Gordon H Guyatt, Romina Brignardello-Petersen, Paul Oykhman, Alfonso Iorio, Ariel Izcovich, Katherine M Morrison, Yetiani Roldan Benitez, Rachel J Couban, Dorota Borovsky, Yiming Zhang, Leonardo Ologundudu, Keerthana Pasumarthi, Syed Fahad Farooq, Kyle Tong, Wang-Choi Tang, Haseeb Faisal, Muhammad Faran Khalid, Mohammad Saad Asif, Shannon French, Susan Waserman, R Sharon Chinthrajah, Hugh A Sampson, S Shahzad Mustafa, Jay A Lieberman, Kirsi M Järvinen, Sally Bailey, Philippe Bégin, Scott H Sicherer, Jennifer Gerdts, Melanie Carver, Lynda Mitchell, Kelly Cleary, Matthew J Greenhawt, Julie Wang, Aikaterini Anagnostou, Marcus S Shaker, Anita Chandra-Puri, Patricia C Fulkerson, Robert A Wood, Derek K Chu","doi":"10.1001/jamapediatrics.2025.6105","DOIUrl":"10.1001/jamapediatrics.2025.6105","url":null,"abstract":"Importance: The incidence and risk (predictive) factors for early life food allergy development remain uncertain.Objective: To estimate the incidence and quantify risk factors for food allergy development.Data sources: MEDLINE and Embase were systematically searched to January 1, 2025. Data were analyzed from June 1, 2025, to November 25, 2025.Study selection: Incidence estimates included studies confirming food allergy via food challenge. Risk factor analyses included cohort, case-control, and cross-sectional studies in any language assessing children younger than 6 years using multivariable analyses.Data extraction and synthesis: Paired reviewers independently extracted data. Random-effects meta-analyses pooled incidence and adjusted odds ratios (ORs). Risk of bias was assessed using the QUIPS tool, and certainty of evidence assessed using GRADE.Main outcome and measure: The primary outcome was food allergy to age 6 years.Results: A total of 190 studies involving 2.8 million participants across 40 countries were analyzed. Among studies using food challenge, overall food allergy incidence was likely 4.7% (moderate certainty). Among 176 studies identifying 342 risk factors with varying certainty, the strongest and most certain factors included prior allergic conditions (eg, atopic dermatitis [eczema] within the first year of life [OR, 3.88; risk difference [RD], 12.0%; 95% CI, 8.8%-15.7%], allergic rhinitis [OR, 3.39; RD, 10.1%; 95% CI, 6.7%-14.4%], and wheeze [OR, 2.11; RD, 5.0%; 95% CI, 2.1%-8.8%]), severity of atopic dermatitis (OR, 1.22; RD, 1.0%; 95% CI, 0.6%-1.6%), increased skin transepidermal water loss (OR, 3.36; RD, 10.0%; 95% CI, 6.3%-14.8%), filaggrin gene sequence variations (OR, 1.93; RD, 4.2%; 95% CI, 2.4%-6.4%), delayed solid food introduction (eg, peanut after age 12 months [OR, 2.55; RD, 6.8%; 95% CI, 1.9%-14.6%]), infant antibiotic use (first month [OR, 4.11; RD, 12.8%; 95% CI, 0.4%-40%], first year [OR, 1.39; RD, 1.8%; 95% CI, 0.8%-3.1%], during pregnancy [OR, 1.32; RD, 1.5%; 95% CI, 0.6%-2.5%]), male sex (OR, 1.24; RD, 1.1%; 95% CI, 0.7%-1.6%), firstborn child (OR, 1.13; RD, 0.6%; 95% CI, 0.3%-1.0%), family history of food allergy (eg, mother [OR, 1.98; RD, 4.4%; 95% CI, 2.5%-6.8%], father [OR, 1.69; RD, 3.2%; 95% CI, 1.3%-5.5%], both parents [OR, 2.07; RD, 4.8%; 95% CI, 1.3%-5.5%], siblings [OR, 2.36; RD, 6.0%; 95% CI, 4.4%-8.0%]), parental migration (OR, 3.28; RD, 9.7%; 95% CI, 4.9%-16.3%), self-identification as Black (vs White [OR, 3.93; RD, 12.1%; 95% CI, 5.2%-22.5%], vs non-Hispanic White [OR, 2.23; RD, 5.5%; 95% CI, 3.0%-8.7%]), and cesarean delivery (OR, 1.16; RD, 1.0%; 95% CI, 0.3%-1.2%). Factors like low birth weight, postterm birth, maternal diet, and stress during pregnancy showed no significant risk difference.Conclusions and relevance: ","PeriodicalId":14683,"journal":{"name":"JAMA Pediatrics","volume":" ","pages":"486-499"},"PeriodicalIF":18.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12887841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146142536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0