{"title":"Foreword: Substance use in adolescents – Alcohol, nicotine, marijuana: Old problems, new trends","authors":"Martin Fisher MD","doi":"10.1016/j.cppeds.2025.101751","DOIUrl":"10.1016/j.cppeds.2025.101751","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 3","pages":"Article 101751"},"PeriodicalIF":3.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512653","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}
{"title":"Adolescents and cannabis in the 21st century","authors":"Khalida Itriyeva MD","doi":"10.1016/j.cppeds.2025.101754","DOIUrl":"10.1016/j.cppeds.2025.101754","url":null,"abstract":"<div><div><span><span><span>The past 30 years in the United States have seen a shift towards increasing decriminalization and legalization of cannabis products. Despite the evolving legal landscape, adolescent cannabis use appears to have remained relatively stable, while use among young adults has increased. Cannabis-related </span>emergency department<span> visits, hospitalizations, and unintentional ingestions<span>, particularly among young children, have all increased, with the availability of higher potency products such as concentrates and edibles likely playing a role. Cannabis intoxication should be suspected in youth presenting with altered mental status, </span></span></span>somnolence<span>, anxiety or euphoria, </span></span>tachycardia<span><span>, and conjunctival injection<span>. In adolescents presenting with cyclic vomiting, cannabinoid hyperemesis syndrome should be considered. Long-term effects of heavy and frequent cannabis use in adolescents such as </span></span>cognitive impairment<span>, increased risk of psychosis, and the development of cannabis use disorder remain of particular concern as the tetrahydrocannabinol<span><span> (THC) content of cannabis products has continued to increase in recent years. Ongoing surveillance to monitor trends in adolescent cannabis use, public education on the health effects of cannabis use in adolescence, and expanding access to substance use and mental </span>health treatment will be crucial in the coming years.</span></span></span></div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 3","pages":"Article 101754"},"PeriodicalIF":3.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530638","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}
{"title":"Alcohol use in adolescents","authors":"Arnikka Rubia , Ariel Tassy Nunez","doi":"10.1016/j.cppeds.2025.101752","DOIUrl":"10.1016/j.cppeds.2025.101752","url":null,"abstract":"<div><div><span>Alcohol use and abuse among children and adolescents remains an ongoing and significant concern in our society—one that has persisted for decades. Despite the rise in popularity of other illicit substances, alcohol continues to be a major and consistent contributor to negative health and social outcomes. As such, it is essential that physicians and other healthcare providers caring for young people be proactive. This includes routinely screening for alcohol use, providing appropriate anticipatory guidance, and referring patients for treatment when </span>alcohol use disorder is identified.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 3","pages":"Article 101752"},"PeriodicalIF":3.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555408","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}
{"title":"Editorial Board Page","authors":"","doi":"10.1016/S1538-5442(25)00046-X","DOIUrl":"10.1016/S1538-5442(25)00046-X","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 3","pages":"Article 101772"},"PeriodicalIF":3.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866272","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}
{"title":"An update on nicotine use in adolescents","authors":"Sara Haque MD , Nadia Saldanha MD","doi":"10.1016/j.cppeds.2025.101753","DOIUrl":"10.1016/j.cppeds.2025.101753","url":null,"abstract":"<div><div>While traditional cigarette use has been on the decline among adolescents, other products, including e-cigarettes and oral nicotine have seen an uptick in use among this age group. These products have been marketed to younger age groups, with social media playing a role. E-cigarettes and oral nicotine have negative physical and health effects, despite e-cigarettes in particular being marketed as a safer alternative to traditional cigarettes. Awareness of these products, their health effects, and how to help with cessation is necessary for all providers taking care of adolescents.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 3","pages":"Article 101753"},"PeriodicalIF":3.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512652","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}
{"title":"Editorial Board Page","authors":"","doi":"10.1016/S1538-5442(25)00020-3","DOIUrl":"10.1016/S1538-5442(25)00020-3","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 2","pages":"Article 101746"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167501","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}
{"title":"Foreword: Integrated behavioral and mental health in pediatric primary care: Challenges and solutions–Part II","authors":"Arthur H. Fierman M.D. (Editor-in-Chief)","doi":"10.1016/j.cppeds.2025.101733","DOIUrl":"10.1016/j.cppeds.2025.101733","url":null,"abstract":"","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 2","pages":"Article 101733"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027837","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}
Roberta Guimaraes De Oliveira, Ian Christopher Carroll
{"title":"Beyond depression and anxiety in pediatric primary care: Current insights from the collaborative care model","authors":"Roberta Guimaraes De Oliveira, Ian Christopher Carroll","doi":"10.1016/j.cppeds.2025.101734","DOIUrl":"10.1016/j.cppeds.2025.101734","url":null,"abstract":"<div><div>Collaborative Care is well accepted as an evidence-based model to manage depression and anxiety in pediatric primary care. However, symptoms of attention-deficit hyperactivity disorder (ADHD), traumatic stress, and grief are common in primary care and can also be identified by pediatricians and treated within this model. Attention-deficit hyperactivity disorder (ADHD) is the most common childhood-onset neurodevelopmental disorder with a prevalence of 10.2 %.<sup>1</sup> Trauma-spectrum disorders are another cluster of disorders that will often be seen first by the pediatrician, and, potentially, only by the pediatrician. In some urban pediatric centers, the rate of children who have been exposed to traumatic events is as high as 90 %.<sup>2</sup> Similarly, symptoms of grief are often first identified by the pediatrician. Considering that the COVID-19 pandemic alone has claimed >760,000 parents, custodial grandparents, and other caregivers to children in the US, the number of children and teenagers affected by trauma and loss overwhelms the mental health care system's capacity. In light of the shortage of child and adolescent psychiatrists in the United States and the increased demand for mental health services, it is essential to broaden the scope of what collaborative care initiatives can accomplish in pediatrics. This paper shares insights from a collaborative care model implemented in a New York City safety net hospital center to illustrate how ADHD, traumatic stress, and grief can be identified and managed in pediatric primary care. Lastly, we will discuss the potential for collaborative care models to increase access to care for immigrant families.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 2","pages":"Article 101734"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056134","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}
Joseline M. Cruz Vazquez MPH , Agartha Kankam BS , Kara Jordon MD
{"title":"Health disparities in food allergy","authors":"Joseline M. Cruz Vazquez MPH , Agartha Kankam BS , Kara Jordon MD","doi":"10.1016/j.cppeds.2025.101731","DOIUrl":"10.1016/j.cppeds.2025.101731","url":null,"abstract":"<div><div>Rates of food allergy are rising worldwide, with a disproportionate amount of disease burden found in patients of Black, Asian, and Latinx descent. Recent guidelines have recommended early introduction of allergens as early as 4-months-old to mitigate the development of food allergy. However, non-White children continue to have significantly poorer outcomes with higher rates of food allergy-related emergency department visits for anaphylaxis without having equivalent access to epinephrine auto-injectors. With only half of allergists accepting Medicaid in the United States, and only one-third of Medicaid-enrolled children with food allergies having seen an allergist, underserved populations are less likely to have access to subspecialty care — a major determining factor in allergy health outcomes. In this review, we examine the health disparities that contribute to food allergy as well as possible solutions for physicians to combat inequity in allergy care.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 1","pages":"Article 101731"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994681","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}
Ashley Sang Eun Lee MD , Sara Dehbozorgi MD , Michele Beaudoin MD , Mary Grace Baker MD, MS
{"title":"A comprehensive guide to food allergy management for the general pediatrician","authors":"Ashley Sang Eun Lee MD , Sara Dehbozorgi MD , Michele Beaudoin MD , Mary Grace Baker MD, MS","doi":"10.1016/j.cppeds.2025.101729","DOIUrl":"10.1016/j.cppeds.2025.101729","url":null,"abstract":"<div><div>There has been an increase in the prevalence of food allergy among children in the United States. Pediatricians play a pivotal role in caring for children with food allergy, as they are often the first point of contact and enjoy longitudinal relationships with families. In this review, we discuss the epidemiology, risk factors, presentation, diagnosis, and management of food allergy. We also discuss special considerations for patients with food allergy, including nutritional risks and psychosocial stressors that may negatively influence children's wellbeing. Our goal is to provide a concise yet comprehensive guide for general pediatricians so they may feel confident providing high-quality care for patients with food allergy.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 1","pages":"Article 101729"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992590","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}