Journal of pediatric and adolescent gynecology最新文献_第2页

Assessing Obstetrics and Gynecology (OBGYN) Clinicians' Knowledge, Practice, and Attitudes toward Anorexia Nervosa, Atypical Anorexia Nervosa, and Amenorrhea. 评价妇产科临床医生对神经性厌食症、非典型神经性厌食症和闭经的知识、实践和态度。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-12-30 DOI: 10.1016/j.jpag.2024.12.017

Katherine E Spanos, Tonya S Wright, Christina DeAngelis, Jamal H Essayli

{"title":"Assessing Obstetrics and Gynecology (OBGYN) Clinicians' Knowledge, Practice, and Attitudes toward Anorexia Nervosa, Atypical Anorexia Nervosa, and Amenorrhea.","authors":"Katherine E Spanos, Tonya S Wright, Christina DeAngelis, Jamal H Essayli","doi":"10.1016/j.jpag.2024.12.017","DOIUrl":"https://doi.org/10.1016/j.jpag.2024.12.017","url":null,"abstract":"Study objective: Anorexia nervosa (AN) and atypical anorexia nervosa (AAN) are eating disorders (EDs) characterized by extreme restriction of energy intake. However, in contrast to AN, those with AAN are not underweight. Although individuals with either AN or AAN can experience associated functional hypothalamic amenorrhea (FHA) that may prompt them to seek gynecological care, little is known about OBGYNs' knowledge and approach to these patients; this study sought to fill this gap.Methods: A total of 119 OBGYNs read vignettes describing an underweight patient with AN and a normal weight patient with AAN presenting with FHA. OBGYNs then responded to items assessing their approaches, knowledge, and attitudes towards amenorrheic patients and EDs more broadly.Results: Participants ranked FHA as significantly more likely in the underweight vignette than in the normal weight vignette. Participants reported that they more frequently ask about weight, eating, exercise, and body image in the underweight amenorrheic patient relative to normal or overweight patients. Overall, participants demonstrated low knowledge of AN and AAN and reported less familiarity with AAN.Conclusion: OBGYNs may be less likely to identify FHA and assess for an ED in non-underweight patients with secondary amenorrhea. Therefore, AAN patients with complications of malnutrition may be less likely to be properly evaluated and treated. Future research should investigate educational interventions that aim to improve OBGYN assessment and management of ED patients of varying weights.","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of pediatric subspecialists in adolescent contraceptive care: knowledge, attitudes, and barriers. 儿科专科医生在青少年避孕护理中的作用：知识、态度和障碍。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-12-27 DOI: 10.1016/j.jpag.2024.12.018

Lauren M Reade, Jeanelle L Sheeder, Molly J Richards

{"title":"The role of pediatric subspecialists in adolescent contraceptive care: knowledge, attitudes, and barriers.","authors":"Lauren M Reade, Jeanelle L Sheeder, Molly J Richards","doi":"10.1016/j.jpag.2024.12.018","DOIUrl":"https://doi.org/10.1016/j.jpag.2024.12.018","url":null,"abstract":"Study objective: Adolescents and young adults (AYA) with chronic medical conditions (CMC) have similar sexual behaviors to their healthy peers but are less likely to use contraception. Provision of CMC-specific sexual and reproductive health (SRH) care within pediatric subspecialty clinics may improve access for this population, although system and provider level barriers exist. The purpose of this cross-sectional study was to assess the attitudes, practices, and knowledge of SRH among providers in a variety of pediatric subspecialities.Methods: Listservs were used to recruit pediatric subspecialists caring for pregnancy capable AYA (12-24 years-old) who use teratogenic medications or have CMC that pose significant pregnancy health risk, as defined by the World Health Organization. Participants completed an online survey about their contraceptive attitudes and practices and rated their knowledge and comfort discussing contraception.Results: A total of 510 pediatric subspecialists participated. Although 92% said addressing SRH is important for pediatric subspecialists, most believed their role included SRH discussion(78.1%) and referral(82.2%) rather than provision(12.1%). Only 4.3% felt totally comfortable with contraceptive counseling. Identified facilitators included time(64.2%), referral resources(67.5%), and training in contraceptive options(62.9%). Most participants would recommend long-acting reversible contraception if medically appropriate, but few reported confidence in their knowledge and ability to counsel about them.Conclusion: SRH is an important part of comprehensive care for youth with CMC. Discomfort and lack of knowledge decrease a provider's ability to confidently provide SRH care in subspecialty clinics. Expanding collaborations between subspecialty and SRH providers may increase access to quality SRH tailored to these young people's unique medical needs.","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

FIGIJ and NASPAG Advocacy Statement: Recognize Eating Disorders Early and Intervene! FIGIJ和NASPAG倡导声明：尽早发现饮食失调并进行干预！

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-12-27 DOI: 10.1016/j.jpag.2024.12.013

Anastasia Vatopoulou, Emily Gelson, Judy Simms-Cendan, Angela Aguilar, Mariela Orti, Clara DiNunzio, Michalina Drejza, Yasmin Jayasinghe, Daniela Ivanova Panova, Marisa Labovsky, Ellen S Rome

引用次数: 0

FIGIJ and NASPAG Response to Dr. Grover's letter to the editor. FIGIJ和NASPAG对Grover博士给编辑的信的回应。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-12-26 DOI: 10.1016/j.jpag.2024.12.015

Judy Simms-Cendan

引用次数: 0

LEVONORGESTREL INTRAUTERINE DEVICE PLACEMENT IN UTERINE ANOMALIES: A CASE SERIES. 左炔诺孕酮宫内节育器放置在子宫异常：一个病例系列。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-12-21 DOI: 10.1016/j.jpag.2024.12.014

Kylie G Fowler, Eva Elder, Rachel J Miller

引用次数: 0

Reproductive Health Management of Female Adolescent Athletes with Relative-Energy Deficiency in Sport. 青少年女运动员运动中相对能量不足的生殖健康管理

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-12-19 DOI: 10.1016/j.jpag.2024.11.008

Mary Elizabeth Romano

引用次数: 0

Effect of an Educational Intervention on Human Papillomavirus Vaccine Hesitancy in a Pediatric Clinic. 儿童诊所教育干预对人乳头瘤病毒疫苗犹豫的影响

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-12-17 DOI: 10.1016/j.jpag.2024.12.010

Nicole Dinescu-Munoz, Alyssa Clare, Andrea Lafnitzegger, YaMaya Barley, Nataliya Kuzmim, Jennifer Takagishi, Sara Garcia, Farina Klocksieben, Claudia Gaviria-Agudelo

{"title":"Effect of an Educational Intervention on Human Papillomavirus Vaccine Hesitancy in a Pediatric Clinic.","authors":"Nicole Dinescu-Munoz, Alyssa Clare, Andrea Lafnitzegger, YaMaya Barley, Nataliya Kuzmim, Jennifer Takagishi, Sara Garcia, Farina Klocksieben, Claudia Gaviria-Agudelo","doi":"10.1016/j.jpag.2024.12.010","DOIUrl":"https://doi.org/10.1016/j.jpag.2024.12.010","url":null,"abstract":"Study objective: Despite numerous accredited health organizations recommending the HPV (human papillomavirus) vaccine in adolescence, an estimated 26% of parents across the US are hesitant to vaccinate their children against HPV. We aim to describe HPV vaccine hesitancy (VH) among parents of children using a previously validated vaccine hesitancy scale (VHS) for the HPV vaccine and to reduce HPV VH among parents through direct HPV vaccine education.Methods: Our study sampled parents of patients aged 9-18 years who attended an outpatient pediatric clinic. Two groups (parents of unvaccinated and vaccinated patients against HPV) completed an identical VHS HPV before and after watching an educational video. Survey responses were collected using a 4-point Likert scale, score ranged from 9 to 45. Pre- to post- intervention scores and vaccine uptake 12 months later were analyzed.Results: The VH score decreased for both the unvaccinated and vaccinated groups, while likelihood to vaccinate increased in the unvaccinated group. In addition, 48.1% of the adolescents in the unvaccinated group expressed their willingness to receive the HPV vaccination.Conclusion: Overall, education on the HPV vaccine increased likelihood to vaccinate while also decreasing VH among parents. The results from our study could encourage additional clinical sites to adapt similar strategies to increase HPV vaccination.","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Decreased Social Functioning and Increased Perception of Stress in Adolescents with Abnormal Uterine Bleeding. 异常子宫出血的青少年社会功能下降和压力感知增加。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-12-16 DOI: 10.1016/j.jpag.2024.12.012

Ayşe Gül Güven, Eda Mengen, Serçin Taşar, Büşra Sultan Aydos, Seyit Ahmet Uçaktürk, Gulkhanım Ahmadova, İlyas Çakır, Bülent Alioğlu

{"title":"Decreased Social Functioning and Increased Perception of Stress in Adolescents with Abnormal Uterine Bleeding.","authors":"Ayşe Gül Güven, Eda Mengen, Serçin Taşar, Büşra Sultan Aydos, Seyit Ahmet Uçaktürk, Gulkhanım Ahmadova, İlyas Çakır, Bülent Alioğlu","doi":"10.1016/j.jpag.2024.12.012","DOIUrl":"https://doi.org/10.1016/j.jpag.2024.12.012","url":null,"abstract":"Objective: There is a relative lack of research on the association of mental health problems and menstrual-related concerns in adolescents. The objective of the current study was to compare anxiety, depression, quality of life, and perceived stress between adolescents with abnormal uterine bleeding (AUB) and control patients.Study design: We performed a cross-sectional study in which participants were recruited from a tertiary training and research hospital. Adolescents aged 12-18 years with a first diagnosis of abnormal uterine bleeding and healthy controls evaluated in adolescent, pediatric endocrinology and general pediatrics departments were included in the study. The Revised Child Anxiety and Depression Scale (RCADS), the Pediatric Quality of Life Inventory (PedsQL) and the Perceived Stress Scale (PSS) were used to assess mood, quality of life and perceived stress.Results: Fifty-six participants from the AUB group and fifty participants from the control group were included in the study. Except for social functioning scores which were lower in the AUB group versus controls (86.42∓14.03 vs. 92.4∓10.41, p<0.05), there was no significant differences in PedsQL scores between groups. There was a significant difference between the Perceived Stress Scale total scores of the AUB and control groups (32.07 ∓ 6.49; 28.98 ∓ 5.55, p<0.05), but no difference between the RCADS scores.Conclusion: In our study, we found that abnormal uterine bleeding in adolescents was associated with reduced social functioning and increased perceived stress. Larger studies are needed to confirm our findings.","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing parenting attitudes among adolescents seeking healthcare with a brief pregnancy and parenting attitudes questionnaire. 用简短的怀孕和养育态度问卷评估寻求保健的青少年的养育态度。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-12-14 DOI: 10.1016/j.jpag.2024.12.011

Ashley M Ebersole, Hunter Wernick, Andrea E Bonny, Mahmoud Abdel-Rasoul, Elise D Berlan

{"title":"Assessing parenting attitudes among adolescents seeking healthcare with a brief pregnancy and parenting attitudes questionnaire.","authors":"Ashley M Ebersole, Hunter Wernick, Andrea E Bonny, Mahmoud Abdel-Rasoul, Elise D Berlan","doi":"10.1016/j.jpag.2024.12.011","DOIUrl":"https://doi.org/10.1016/j.jpag.2024.12.011","url":null,"abstract":"Purpose: To use modified Parenthood/Pregnancy Attitude, Timing and How important is pregnancy prevention (PATH) questions to assess parenting attitudes and reproductive desires in adolescents and young adults (AYAs).Methods: Between November 2020 and January 2022, we recruited participants 13-22 years old via a convenience sample from an Adolescent Medicine outpatient clinic at an urban children's hospital to participate in a cross-sectional survey. The survey was self-administered on a tablet and was adapted from the original PATH questions.Results: 300 adolescents completed the survey. Median age 17 years, 87.3% identified their assigned sex at birth as female, 43.0% identified as Black, and 55.3% had public insurance. 61.3% reported ever being sexually active. 62.7% reported a desire for future children, 70.2% listed a time frame or specific age when they would like children. Those who had ever had sexual activity were more likely to desire future children. Most participants (68.5%) reported pregnancy prevention was very important or important.Conclusions: To our knowledge, this is the first study assessing parenting attitudes and reproductive desires of AYA patients assigned sex female at birth and assigned sex male at birth in a clinical setting. Most AYAs reported they were sexually active, had a desire for future children, had a certain time frame in mind for having children, and would want to prevent pregnancy until that time. Assessing AYA's parenting attitudes and reproductive desires supports the use of shared decision making and the provision of reproductive health counseling aligned with patients' preferences and priorities.","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142837212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mesalamine as treatment of neovaginal ileitis: Case report and review of literature. 美沙拉明治疗新发阴道回肠炎1例报告及文献复习。

IF 1.7 4区医学

Journal of pediatric and adolescent gynecology Pub Date : 2024-12-12 DOI: 10.1016/j.jpag.2024.12.002

Elana A King-Nakaoka, Lissa X Yu

引用次数: 0