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Characteristics of Graduating Pediatric Residents Starting Chief Resident Positions, 2009–2023 2009-2023年毕业儿科住院医师开始担任总住院医师的特点。
IF 2.8 3区 医学
Academic Pediatrics Pub Date : 2025-07-04 DOI: 10.1016/j.acap.2025.102880
Mary Pat Frintner MSPH, Tylar W. Kist MS, Elizabeth A. Gottschlich MA, Hilary M. Haftel MD, MHPE, FAAP
{"title":"Characteristics of Graduating Pediatric Residents Starting Chief Resident Positions, 2009–2023","authors":"Mary Pat Frintner MSPH,&nbsp;Tylar W. Kist MS,&nbsp;Elizabeth A. Gottschlich MA,&nbsp;Hilary M. Haftel MD, MHPE, FAAP","doi":"10.1016/j.acap.2025.102880","DOIUrl":"10.1016/j.acap.2025.102880","url":null,"abstract":"<div><h3>Objective</h3><div>Examine proportion of graduating pediatric residents starting a chief resident position after residency and characteristics associated with starting a chief position.</div></div><div><h3>Methods</h3><div>We analyzed 15 years of American Academy of Pediatrics survey data collected from national random samples of residents graduating from 2009 to 2023. Residents were asked about the position they were starting directly following residency and their demographic and program characteristics. We used χ<sup>2</sup> linear association to examine trends in starting a chief position across years and multivariable logistic regression to examine associations of demographic and program characteristics with starting a chief resident position compared to those starting other positions.</div></div><div><h3>Results</h3><div>Response rate averaged across years was 53.4%. Overall, 983 of 7812 residents reported starting chief resident positions; the proportion was stable across years (12.8% in 2009, 11.7% in 2023, <em>P<!--> </em>=<!--> <!-->.41). In multivariable analysis, starting a chief resident position was associated with several characteristics. The strongest associations were medical school location and race and ethnicity. Residents who graduated from a US medical school had higher odds than international graduates of starting a chief position (adjusted odds ratio [aOR]<!--> <!-->=<!--> <!-->1.52, 95% confidence interval [CI]<!--> <!-->=<!--> <!-->1.20–1.94). Residents who identified as Asian (aOR<!--> <!-->=<!--> <!-->0.54, 95% CI<!--> <!-->=<!--> <!-->0.43–0.66), Other race and ethnicity (aOR<!--> <!-->=<!--> <!-->0.57, CI<!--> <!-->=<!--> <!-->0.36–0.91), and Hispanic (aOR<!--> <!-->=<!--> <!-->0.74, CI<!--> <!-->=<!--> <!-->0.57–0.95) had lower odds than white residents of starting a chief position. Black residents also had lower odds than white residents, but it was not significantly different (aOR<!--> <!-->=<!--> <!-->0.77, CI<!--> <!-->=<!--> <!-->0.55–1.07).</div></div><div><h3>Conclusions</h3><div>One in 8 graduating pediatric residents report starting chief resident positions, more commonly among US medical school and white graduates.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 8","pages":"Article 102880"},"PeriodicalIF":2.8,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Social Factors Associated with Sudden Unexpected Infant Death. 与婴儿意外猝死相关的社会因素
IF 3 3区 医学
Academic Pediatrics Pub Date : 2025-07-03 DOI: 10.1016/j.acap.2025.102883
Stephanie Anne Deutsch, Claire E Loiselle, Jobayer Hossain, Allan De Jong
{"title":"Social Factors Associated with Sudden Unexpected Infant Death.","authors":"Stephanie Anne Deutsch, Claire E Loiselle, Jobayer Hossain, Allan De Jong","doi":"10.1016/j.acap.2025.102883","DOIUrl":"10.1016/j.acap.2025.102883","url":null,"abstract":"<p><strong>Objectives: </strong>To characterize social factors associated with sudden unexpected infant death (SUID), we examined distribution of social factors across infant race, ethnicity, cause of death (medical, injury-related, unknown) and investigator-derived death grouping utilizing a multi-jurisdictional case registry.</p><p><strong>Methods: </strong>Retrospective analysis of Centers for Disease Control and Prevention SUID and Sudden Death in the Young Case Registry for infant deaths occurring 2015-2020, including child death review team-compiled clinical and investigative information RESULTS: Of 2212 infants who experienced SUID, social factors including caregiver criminal history, substance use, and intimate partner violence were associated with lower odds of medical cause of death versus other causes. Over one-third (n=226, 36%) of infants with injury-related deaths had caregivers with substance use concerns; caregiver substance use was common among SUID overall (n=753, 34%). Utilizing an investigator-derived schema, both injury-related deaths and undetermined deaths were grouped together and social factors compared across that cohort versus deaths from medical causes; no statistically significant differences in social factors were identified across groups.</p><p><strong>Conclusion: </strong>Utilizing a multi-jurisdictional registry, relationships between social factors and cause of death among infants experiencing SUID were identified; social factors (caregiver criminal history, substance use, intimate partner violence) were associated with lower odds of medical cause of death versus other causes. Distribution of social factors among infants experiencing SUID may contribute to emerging disparities and requires further study; efforts are needed to improve social factor data quality. SUID prevention efforts should address impact of social factors on fatality vulnerability and advocacy for social policy change.</p><p><strong>Clinical trial registration: </strong>N/A.</p>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"102883"},"PeriodicalIF":3.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12252576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Caregiver Perspectives on the Continuum of Social Needs Care: A Qualitative Study in Pediatric Primary Care 照顾者对社会需求照护连续性的看法:一项儿科初级照护的定性研究。
IF 2.8 3区 医学
Academic Pediatrics Pub Date : 2025-07-03 DOI: 10.1016/j.acap.2025.102878
Hanae Fujii-Rios MD, MPH , Melissa R. Lutz MD, MHS , Jillian E. Heckman MD , Kristin Topel MPH, MEd , Rama E. Imad BA , Cameron Lee BS , Suzanne M. Grieb PhD, MPH , Barry S. Solomon MD, MPH
{"title":"Caregiver Perspectives on the Continuum of Social Needs Care: A Qualitative Study in Pediatric Primary Care","authors":"Hanae Fujii-Rios MD, MPH ,&nbsp;Melissa R. Lutz MD, MHS ,&nbsp;Jillian E. Heckman MD ,&nbsp;Kristin Topel MPH, MEd ,&nbsp;Rama E. Imad BA ,&nbsp;Cameron Lee BS ,&nbsp;Suzanne M. Grieb PhD, MPH ,&nbsp;Barry S. Solomon MD, MPH","doi":"10.1016/j.acap.2025.102878","DOIUrl":"10.1016/j.acap.2025.102878","url":null,"abstract":"<div><h3>Objective</h3><div>To explore caregivers’ experiences with and preferences for 1) HRSN screening, 2) electronic medical record (EMR) documentation of HRSN, and 3) community resource referral mechanisms including the use of a patient-facing, web-based community resource platform.</div></div><div><h3>Methods</h3><div>Focus groups and semi-structured interviews were conducted with caregivers of pediatric patients with the preferred language of English or Spanish receiving primary care in an academic practice in Baltimore, Maryland. Data collection occurred until thematic saturation was reached, and qualitative analysis followed an iterative thematic analysis approach.</div></div><div><h3>Results</h3><div>Seventy-five caregivers participated between June 2023 and February 2024. Themes included 1) approval and perceived value of universal and frequent screening, with varied preferences in screening modality; 2) fear of negative repercussion and stigma surrounding screening process and EMR documentation; 3) emphasis on importance of transparency, trust and responsiveness when navigating HRSN with families; 4) preference for in-person assistance; 5) value of an online navigation tool as a supplemental resource with potential to enhance autonomy and real-time equitable access to resources; and 6) hesitancy in receiving resources due to sense of altruism.</div></div><div><h3>Conclusions</h3><div>Qualitative findings highlight the nuanced nature of HRSN screening, documentation, and referral in pediatric primary care. Practices and health systems should engage caregivers in these processes to ensure approaches are culturally responsive and recognize the feeling of vulnerability some face in disclosing unmet social needs.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 8","pages":"Article 102878"},"PeriodicalIF":2.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
A Scoping Review of Patient Safety Checklists in Pediatrics 儿科患者安全检查表的范围审查。
IF 2.8 3区 医学
Academic Pediatrics Pub Date : 2025-07-03 DOI: 10.1016/j.acap.2025.102882
Kawtar Zouaidi DMD, MPH , Tate W. Miner BS , Muhammad F. Walji PhD, MS , Kristin N. Ray MD, MS , Elsbeth Kalenderian DDS, MPH, PhD , Donald B. Rindal DDS , Katie J. Suda PharmD, MS, FCCP
{"title":"A Scoping Review of Patient Safety Checklists in Pediatrics","authors":"Kawtar Zouaidi DMD, MPH ,&nbsp;Tate W. Miner BS ,&nbsp;Muhammad F. Walji PhD, MS ,&nbsp;Kristin N. Ray MD, MS ,&nbsp;Elsbeth Kalenderian DDS, MPH, PhD ,&nbsp;Donald B. Rindal DDS ,&nbsp;Katie J. Suda PharmD, MS, FCCP","doi":"10.1016/j.acap.2025.102882","DOIUrl":"10.1016/j.acap.2025.102882","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the utilization and effectiveness of safety checklists in pediatric clinical care.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted using Medline to identify studies related to the development and/or implementation of patient safety checklists in pediatrics. All study designs were included for citations published through September 2023.</div></div><div><h3>Results</h3><div>Following abstract and full-text screening, 74 studies remained for data extraction and analysis. Pediatric surgery emerged as the main setting for checklists use (n = 35), followed by Intensive Care Units (n = 21), and Emergency Departments (n = 9). Of the 74 reviewed papers, 37 (50%) designed and developed checklists. The co-design with stakeholders was the most frequently employed design method, with 25 studies reporting its use. However, only two studies included inputs from patients or parents/guardians. Of the 74 studies, 34 (46%) assessed the impact of checklists on patient safety outcomes and quality of care. Among these, 27 (79%) studies reported a reduction in incidents and adverse events, along with an improvement in quality of care when checklists were used. Six studies (18%) found no impact of checklist use on quality and safety of care, while one (3%) found that the checklist negatively impacted patient outcomes.</div></div><div><h3>Conclusion</h3><div>The review underscores the use of checklists across a wide variety of pediatric care settings. Pediatric safety checklists are valuable tools for improving care quality and safety. Future work needs to be done using rigorous study designs to develop more conclusive, generalizable.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 8","pages":"Article 102882"},"PeriodicalIF":2.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Changes in Children’s Receipt of Fluoride Varnish During Medical Visits and the COVID-19 Pandemic 儿童在就诊和COVID-19大流行期间接受氟化物清漆的变化
IF 2.8 3区 医学
Academic Pediatrics Pub Date : 2025-07-03 DOI: 10.1016/j.acap.2025.102881
Ashley M. Kranz PhD , Annie Yu-An Chen PhD , Yuji Mizushima MPhil , Kun Li PhD , Andrew W. Dick PhD , Kimberley H. Geissler PhD
{"title":"Changes in Children’s Receipt of Fluoride Varnish During Medical Visits and the COVID-19 Pandemic","authors":"Ashley M. Kranz PhD ,&nbsp;Annie Yu-An Chen PhD ,&nbsp;Yuji Mizushima MPhil ,&nbsp;Kun Li PhD ,&nbsp;Andrew W. Dick PhD ,&nbsp;Kimberley H. Geissler PhD","doi":"10.1016/j.acap.2025.102881","DOIUrl":"10.1016/j.acap.2025.102881","url":null,"abstract":"<div><h3>Objective</h3><div>Primary care medical providers are recommended to apply fluoride varnish to the teeth of young children to prevent tooth decay. The COVID-19 pandemic interrupted care delivery in health care settings and may have differentially impacted patients with different types of insurance. The objective of this study was to examine changes in children’s receipt of fluoride varnish in the medical office during 2014–2022.</div></div><div><h3>Methods</h3><div>Using all-payer claims data from Massachusetts (2014–2022), we examined children’s receipt of fluoride varnish during medical visits over time overall and by insurance-type. Because rates were highest in 2019, this was used as the reference year. We examined if results were driven by receipt (or non-receipt) of medical visits.</div></div><div><h3>Results</h3><div>Following growth from 2014 to 2019, the probability of a child receiving fluoride varnish in 2022 compared to 2019 was 2.4 (95% confidence interval [CI] = −3.5 to −1.3) percentage points (pp) lower for a child with private insurance and 6.0 (95% CI = −8.0 to −4.0) pp lower for a child with Medicaid, representing declines of 15% and 37%, respectively. We did not observe a similar decline in children’s receipt of medical visits during this time and our findings on fluoride varnish receipt were similar when we controlled for receipt of medical visits.</div></div><div><h3>Conclusions</h3><div>Fluoride varnish receipt among young children declined precipitously during the COVID-19 pandemic and was not explained by declines in well-child medical visits. Declines were greater for children with Medicaid, erasing nearly a decade of progress in promotion of this evidence-based preventive service.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 8","pages":"Article 102881"},"PeriodicalIF":2.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Variation in Acute Pain Management of Youth With Nonfatal Firearm Injuries 非致命火器伤青少年急性疼痛处理的差异。
IF 2.8 3区 医学
Academic Pediatrics Pub Date : 2025-07-02 DOI: 10.1016/j.acap.2025.102877
Christian D. Pulcini MD, MEd, MPH , Mark Zamani MS , Elizabeth R. Alpern MD, MSCE , Sofia Chaudhary MD , Peter F. Ehrlich MD, MSc , Joel A. Fein MD, MPH , Monika Goyal MD, MSCE , Matt Hall PhD , Stephen Hargarten MD, MPH , Jennifer A. Hoffmann MD, MS , Rachel Myers PhD, MS , Karen M. Sheehan MD, MPH , Bonnie T. Zima MD, MPH , Eric W. Fleegler MD, MPH , on behalf of the CHARGE Group
{"title":"Variation in Acute Pain Management of Youth With Nonfatal Firearm Injuries","authors":"Christian D. Pulcini MD, MEd, MPH ,&nbsp;Mark Zamani MS ,&nbsp;Elizabeth R. Alpern MD, MSCE ,&nbsp;Sofia Chaudhary MD ,&nbsp;Peter F. Ehrlich MD, MSc ,&nbsp;Joel A. Fein MD, MPH ,&nbsp;Monika Goyal MD, MSCE ,&nbsp;Matt Hall PhD ,&nbsp;Stephen Hargarten MD, MPH ,&nbsp;Jennifer A. Hoffmann MD, MS ,&nbsp;Rachel Myers PhD, MS ,&nbsp;Karen M. Sheehan MD, MPH ,&nbsp;Bonnie T. Zima MD, MPH ,&nbsp;Eric W. Fleegler MD, MPH ,&nbsp;on behalf of the CHARGE Group","doi":"10.1016/j.acap.2025.102877","DOIUrl":"10.1016/j.acap.2025.102877","url":null,"abstract":"<div><h3>Objective</h3><div>Firearm injuries are a leading cause of morbidity among youth, yet acute pain management practices have not been well characterized. Our objective was to evaluate acute pain medication administration by key sociodemographic characteristics and injury severity after nonfatal firearm injuries.</div></div><div><h3>Methods</h3><div>We performed a retrospective cross-sectional analysis utilizing Pediatric Health Information System at 40 US children’s hospitals from 2016 to 2021. We included inpatient and emergency department (ED) only encounters for patients 0–21 years old with a firearm injury diagnosis. The main outcome was administration of analgesic medications: none, nonopioid only, or at least 1 opioid. We included sociodemographic and injury severity score. Multivariable logistic regression was utilized to determine characteristics associated with the outcome.</div></div><div><h3>Results</h3><div>We included 4924 patients with nonfatal firearm injuries. By ED discharge versus admission, 39.0% versus 3.5% received no analgesia. For the 2522 patients discharged from the ED, younger children were more likely to receive no analgesia. Non-Hispanic White and Hispanic patients were more likely to receive no analgesia compared to non-Hispanic Black patients (adjusted odds ratios [aOR] 1.67 [95% confidence intervals 1.31, 2.31]; aOR 1.53 [1.18, 1.98], respectively). Receipt of opioids was lower among 5–9-year-old patients (aOR 0.40 [0.29, 0.54]), females (aOR 0.77 [0.62, 0.97]), and non-Hispanic White (aOR 0.59 [0.62, 0.75) and Hispanic patients (aOR 0.52 [0.40, 0.67]).</div></div><div><h3>Conclusions</h3><div>Among youth with nonfatal firearm injuries, analgesia administration varied greatest in the ED-discharged population. This suggests a need for further investigation into pain management practices focused on differences and potential undertreatment of pain in youth with nonfatal firearm injury.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 8","pages":"Article 102877"},"PeriodicalIF":2.8,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Social Needs Screening and Uptake Patterns of a Produce Prescription Program in an Urban Pediatric Primary Care Clinic 城市儿童初级保健诊所生产处方项目的社会需求筛选和吸收模式。
IF 2.8 3区 医学
Academic Pediatrics Pub Date : 2025-07-01 DOI: 10.1016/j.acap.2025.102875
Claire E. Branley BS , Katherine Barahona-Paz BA , Leela Garg , Maya O’Connor , Alison LeBlanc MS, PMP , Stephenie C. Lemon PhD , Arvin Garg MD, MPH
{"title":"Social Needs Screening and Uptake Patterns of a Produce Prescription Program in an Urban Pediatric Primary Care Clinic","authors":"Claire E. Branley BS ,&nbsp;Katherine Barahona-Paz BA ,&nbsp;Leela Garg ,&nbsp;Maya O’Connor ,&nbsp;Alison LeBlanc MS, PMP ,&nbsp;Stephenie C. Lemon PhD ,&nbsp;Arvin Garg MD, MPH","doi":"10.1016/j.acap.2025.102875","DOIUrl":"10.1016/j.acap.2025.102875","url":null,"abstract":"<div><h3>Objective</h3><div>The WE CARE social needs screener (WC screener) is a self-report instrument for 8 social needs. Our objective was to determine whether screening positive for wanting help with food is associated with increased odds of enrollment in Fresh Connect (FC), a produce prescription program.</div></div><div><h3>Methods</h3><div>Families who completed the WC screener at a well-child visit (n<!--> <!-->=<!--> <!-->1049) and spoke English, Spanish, or Portuguese were called within 2 weeks and offered FC regardless of screener results. Child age, race and ethnicity, caregiver’s preferred language, and insurance were extracted from medical records. A multivariable adjusted logistic regression model was utilized to describe the association between WC responses and likelihood of enrolling in FC.</div></div><div><h3>Results</h3><div>Overall, 38% of the children were of non-Hispanic White race and ethnicity; 97% of caregivers spoke English, and 52% utilized public insurance. Among caregivers who completed the WC screener, 6% requested help with food. Overall, 20% enrolled in FC. Compared to those who said “no,” saying “yes” to wanting help with food did not increase odds of FC enrollment after adjusting for other variables (adjusted odds ratios [aOR] 0.93, 0.44–1.97), yet saying “maybe later” did (aOR 3.2, 95% confidence interval (CI) 1.2–8.3). Additionally, combining “yes” and “maybe later” also did not have significantly higher odds of enrollment compared to those who said no or left the question blank (aOR 1.46, 95% CI 0.86–2.46).</div></div><div><h3>Conclusions</h3><div>This pilot study is the first to explore the concordance between screening responses and produce prescription enrollment. Responding “yes” to wanting help with food on the WC screener was not predictive of FC enrollment, which suggests that future primary care-based interventions should evaluate the role of social needs screeners in the referral pathway and consider, when possible, offering food-related assistance to all families regardless of screening responses.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 8","pages":"Article 102875"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Child Exposure to Violent Content and Aggression: A Novel Approach to an Old Debate 儿童接触暴力内容和攻击性:一个古老争论的新方法。
IF 2.8 3区 医学
Academic Pediatrics Pub Date : 2025-06-29 DOI: 10.1016/j.acap.2025.102879
Fabricio de Andrade Rocha PhD , Nicolas Gilbert BA , Carol Tabares Velasquez BA , Vincent Bégin PhD , Gabrielle Garon-Carrier PhD , Caroline Fitzpatrick PhD
{"title":"Child Exposure to Violent Content and Aggression: A Novel Approach to an Old Debate","authors":"Fabricio de Andrade Rocha PhD ,&nbsp;Nicolas Gilbert BA ,&nbsp;Carol Tabares Velasquez BA ,&nbsp;Vincent Bégin PhD ,&nbsp;Gabrielle Garon-Carrier PhD ,&nbsp;Caroline Fitzpatrick PhD","doi":"10.1016/j.acap.2025.102879","DOIUrl":"10.1016/j.acap.2025.102879","url":null,"abstract":"<div><h3>Objective</h3><div>Our objective is to examine bidirectional, within-person associations between early childhood exposure to violent content in boys and girls and the development of reactive and proactive aggression.</div></div><div><h3>Methods</h3><div>Data are from 975 girls and 987 boys from Quebec, Canada, followed in the context of the Quebec Longitudinal Study of Child Development (1998–2023). Parents reported child exposure to violent TV content and proactive and reactive aggression at ages 4 to 6. Data were analyzed using random-intercept cross-lagged panel models.</div></div><div><h3>Results</h3><div>Greater exposure to violent content at ages 4 was associated with within-person increases in reactive aggression by age 5 in boys (β = 0.16, 95% Confidence Interval = [0.050, 0.261]) and girls (β = 0.13, CI = [0.004, 0.229]). In addition, greater proactive aggression at age 4 was associated with a within-person decrease in exposure to violent content by age 5 in boys (β = −0.08, 95% CI = [−0.174, −0.003]) and girls (β = −0.09, 95% CI = [−0.174, −0.009]). A similar pattern was observed for boys and girls between the ages of 5 and 6 (β = −0.08, 95% CI = [−0.167, −0.003] for boys and β = −0.10, 95% CI = [−0.194, −0.010] for girls).</div></div><div><h3>Conclusions</h3><div>Our findings suggest a positive association between early childhood exposure to violent content and the development of reactive aggression. Greater child proactive aggression was also associated with reduced exposure to violent content, suggesting that parents may adopt a reactive, rather than preventive approach when monitoring child media habits.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 8","pages":"Article 102879"},"PeriodicalIF":2.8,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Adolescents' Trust in Health Information in an Evolving Social Media Landscape 不断发展的社交媒体环境下青少年对健康信息的信任
IF 3 3区 医学
Academic Pediatrics Pub Date : 2025-06-11 DOI: 10.1016/j.acap.2025.102868
Jaimie L. Freeman BSc, BA, MPhil, DPhil , Patrina H.Y. Caldwell B Med, FRACP, PhD , Karen M. Scott BEd, MA, PhD
{"title":"Adolescents' Trust in Health Information in an Evolving Social Media Landscape","authors":"Jaimie L. Freeman BSc, BA, MPhil, DPhil ,&nbsp;Patrina H.Y. Caldwell B Med, FRACP, PhD ,&nbsp;Karen M. Scott BEd, MA, PhD","doi":"10.1016/j.acap.2025.102868","DOIUrl":"10.1016/j.acap.2025.102868","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 7","pages":"Article 102868"},"PeriodicalIF":3.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Integrating Fluoride Varnish Delivery in Primary Care: Insights from a Workflow and Cost Analysis 在初级保健中整合氟化物清漆交付:来自工作流程和成本分析的见解。
IF 3 3区 医学
Academic Pediatrics Pub Date : 2025-06-10 DOI: 10.1016/j.acap.2025.102865
Christina Scherrer MS, PhD , Shillpa Naavaal MS, MPH , Robert Keyser MS, PhD , Mahdiyeh Soltaninejad MS, PhD , Andrew Godfrey-Kittle MD
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