The Journal of adolescent health : official publication of the Society for Adolescent Medicine最新文献

{"title":"Sleep, Dietary Intake, and Physical Activity: Examining Bidirectionality Using Repeated-Measures Analyses.","authors":"Rachael W Taylor, Jillian J Haszard, Shay-Ruby Wickham, Barbara C Galland, Takiwai Russell-Camp, Rosie F Jackson, Bradley J Brosnan, Kim A Meredith-Jones","doi":"10.1016/j.jadohealth.2026.07.030","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.030","url":null,"abstract":"<p><strong>Purpose: </strong>Studies examining how sleep impacts diet and activity and vice versa have been limited by the use of aggregate data in cross-sectional designs. We examined how sleep might influence diet and physical activity the next day, and daytime diet and activity relate to sleep that night, using temporal repeated-measures analyses.</p><p><strong>Methods: </strong>Twenty-four-hour time use (sleep onset, wake after sleep onset, total sleep time, sedentary time, light physical activity [LPA], and moderate-vigorous physical activity [MVPA]) was measured (AX3 accelerometers) over 7 days in adolescents (11-14.9 years) in Dunedin, New Zealand (March-December 2021). Bedtime was reported in daily diaries. Multiple-pass 24-hour dietary recalls were collected on days 3, 5, and 7. Mixed-effects regression models were used with participants as a random effect, adjusted for weekend days.</p><p><strong>Results: </strong>In 75 youth (mean age 12.9 y, 36% indigenous Māori, 37.3% overweight or obese), going to bed 1 hour later was associated with less LPA (mean difference; 95% confidence interval: -3.8 minutes; -6.1 to -1.6) and MVPA (-14.0 minutes; -22.6 to -5.3) the next day. By contrast, LPA and MVPA during the day were not related to sleep that night. On days when bedtime was later, youth were more sedentary (25 minutes; 11-39, for each hour later) and consumed significantly more energy from ultraprocessed (618 kJ; 248-988) and noncore (732 kJ; 350-1113) foods and less from core foods (-419 kJ; -781 to -57).</p><p><strong>Discussion: </strong>Sleep timing appears more strongly related to diet and physical activity than total sleep time in youth. Encouraging earlier bedtimes might be a practical target to reduce obesity risk.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229860","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":"Advancing Racial Equity for Black Youth Within Sexual Health Programming: A Targeted Literature Review.","authors":"Asari Offiong, Crystal Coles-Quander, Abigail Wulah, Gabriella Guerra, Julie Gilbertsen, Fadumo Abdi, Alexandria Smith","doi":"10.1016/j.jadohealth.2026.07.033","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.033","url":null,"abstract":"<p><p>Black youth in the United States experience persistent sexual and reproductive health (SRH) disparities driven by systemic factors, including inequitable access to care, racism, discrimination, and deficit-based narratives within health programming. This targeted literature review synthesizes recent research to explore how programs can advance racial equity for Black youth to address SRH disparities. Incorporating perspectives from an expert panel and a rigorous review of studies from 2014 to 2024, the findings highlight three themes: (a) providing tailored, culturally responsive programs, (b) shifting from deficit frameworks to strengths-based approaches, and (c) amplifying and uplifting the voices of Black youth in program design and implementation. Evidence points to the need for SRH interventions that directly confront structural inequities and embrace frameworks such as reproductive justice, critical consciousness while acknowledging the diverse identities, and experiences of Black youth. The review underscores the importance of intersectionality, youth engagement, and community-driven solutions as foundations for promoting and advancing equity. These insights inform future research and practice to reduce disparities and foster well-being by centering the unique experiences of Black youth.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229851","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":"Youth Mental Health-Related Emergency Department Visits After Hurricane Helene: A Difference-in-Differences Analysis.","authors":"Kelsey Herbst, Maggie M Sugg, Jennifer D Runkle","doi":"10.1016/j.jadohealth.2026.08.013","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.08.013","url":null,"abstract":"<p><strong>Purpose: </strong>Extreme weather can disrupt social supports, schooling, and access to behavioral health services, potentially affecting youth mental health. This study examined changes in youth mental health-related emergency department (ED) visits following Hurricane Helene (2024).</p><p><strong>Methods: </strong>ED surveillance data from North Carolina (2022-2024) were used to assess mental health-related visits among youth aged 5-26. A difference-in-difference (DID) design compared FEMA-designated disaster counties with nondeclared counties before and after the storm. Multilevel intersectional analyses evaluated risk by sex, race/ethnicity, age, and insurance.</p><p><strong>Results: </strong>Anxiety-related ED visits increased in disaster-exposed counties post-Helene (DID_RR = 1.14, 95% confidence interval [CI]: 1.01-1.29), with larger increases among females than males (DID_RR = 1.18, 95% CI: 1.03-1.35). Depression also showed greater relative increases among females (difference-in-difference-in-differences_RR = 1.28, 95% CI: 1.09-1.51). Self-harm visits declined overall (DID_RR = 0.70, 95% CI: 0.52-0.94).</p><p><strong>Discussion: </strong>Hurricane Helene was associated with shifts in youth mental health-related ED use, demonstrating the need to strengthen adolescent and young adult behavioral health services in disaster-prone rural communities.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229843","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":"Sustained Prevention of Substance Use in Rural and Tribal Youth: Post High School Results From a Cluster Randomized Trial.","authors":"Melvin D Livingston, Ashna Jagtiani, Caroline M Barry, Alexander C Wagenaar, Ashley Gassaway, Juli R Skinner, Kelli A Komro","doi":"10.1016/j.jadohealth.2026.08.008","DOIUrl":"10.1016/j.jadohealth.2026.08.008","url":null,"abstract":"<p><strong>Purpose: </strong>Connect, a universal preventive intervention, effectively reduced substance use by the end of high school. The aim of this study is to examine substance use 6 months post high school graduation.</p><p><strong>Methods: </strong>Online survey of young adults (n = 410) who participated in a 2-arm cluster randomized trial from 2021 to 2024, with 10 high schools per condition on or near the Cherokee Nation Reservation.</p><p><strong>Results: </strong>We found statistically significantly lower odds of alcohol use (odds ratio [OR] = 0.48; 95% confidence interval [CI] = 0.29, 0.79; p = .004), binge drinking (OR = 0.52; 95% CI = 0.29, 0.94; p = .029), vaping cannabis (OR = 0.38; 95% CI = 0.17, 0.84; p = .016), and vaping nicotine (OR = 0.35; 95% CI = 0.17, 0.70; p = .003) in the past 30 days in the intervention condition as compared to the control condition at 6 months post high school graduation.</p><p><strong>Discussion: </strong>Connect sustained substance use reduction after high school.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recess on Mute.","authors":"Zongyu Li","doi":"10.1016/j.jadohealth.2026.08.011","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.08.011","url":null,"abstract":"","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149218017","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":"Health Is Not a Zero-Sum Game: Bringing Gender in Boys' Health Research and Practice.","authors":"Beniamino Cislaghi, Astha Ramaiya, Charlotte Greenbaum, Kristin Mmari, Maria Lohan, Nicola Jones, Cristiane S Cabral, Anita Ghimire, Caroline Moreau","doi":"10.1016/j.jadohealth.2026.08.002","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.08.002","url":null,"abstract":"<p><p>Global health research and programming have historically treated gender as synonymous with women and girls, overlooking how gender norms also shape boys' health. This commentary argues that boys' health disparities (such as higher rates of premature mortality from violence, injury, and substance use) are deeply gendered outcomes, rooted in social expectations of risk-taking, stoicism, and dominance. Using evidence from the Global Burden of Disease Study and contemporary gender theory, we argue that gender affects girls' as much as boys' health. We further contend that the gender approaches have been underutilized for understanding and addressing boys' vulnerabilities. Reframing gender-transformative practice to include boys as subjects of care, not only as allies, expands the scope of gender justice. Rather than pitting genders against one another, an inclusive approach to gender and health recognizes that transforming harmful norms benefits all adolescents. Cultivating empathy, care, and emotional literacy among boys is not an act of diversion but one of solidarity, reinforcing collective well-being. Integrating a gender lens across all adolescent health programming is essential to move from competition toward collaboration in the pursuit of equity and human flourishing.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198865","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":"School Health Infrastructure and Mental Health Supports in U.S. Secondary Schools.","authors":"J Danielle Sharpe, Ryan Saelee, Jorge V Verlenden, Nicolas A Suarez, Joi Stinson, Sanjana Pampati","doi":"10.1016/j.jadohealth.2026.07.023","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.023","url":null,"abstract":"<p><strong>Purpose: </strong>To estimate nationwide prevalence of and associations between school health infrastructure and school-based mental health supports in US secondary schools.</p><p><strong>Methods: </strong>We used 2022 data from School Health Profiles, which assess practices in US secondary schools. We calculated prevalence estimates of and prevalence ratios between six school health infrastructure components (e.g., full-time registered nurse) and seven school-based mental health supports (e.g., universal mental health promotion programs).</p><p><strong>Results: </strong>Prevalence of school health infrastructure components ranged from 24.4% (school-based health center) to 95.8% (staff for reporting bullying and sexual harassment). Prevalence of mental health supports ranged from 58.5% (cognitive behavioral therapy groups) to 94.5% (written protocols for mental health services referrals). Four of six school health infrastructure components were positively associated with all examined school-based mental health supports.</p><p><strong>Discussion: </strong>There are opportunities to integrate school health infrastructure components and comprehensive mental health supports within schools to address youth mental health needs.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140157","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":"Boys' Sexual Competencies in Early Adolescence: A Multicultural Perspective.","authors":"Caroline Moreau, Charlotte Greenbaum, Emma Wallengren, Mengmeng Li, Celia Karp, Abigail Harrison, Miranda van Reeuwijk, Ana Luiza Vilela Borges, Cristiane Cabral, Kathryn M Barker, Anna E Kågesten","doi":"10.1016/j.jadohealth.2026.08.001","DOIUrl":"10.1016/j.jadohealth.2026.08.001","url":null,"abstract":"<p><strong>Purpose: </strong>Gendered disparities in sexual and reproductive health and rights (SRHR) often emerge early in life, yet research on sexuality development during early adolescence, particularly among boys, remains limited. This study examines healthy sexuality competencies among young boys and their associations with sexual well-being across diverse sociocultural contexts.</p><p><strong>Methods: </strong>We used cross-sectional data from the Global Early Adolescent Study, comprising a sample of 4,398 boys aged 12-14 years from nine sites in seven countries. Indicators of healthy sexuality competencies included SRH knowledge, gender attitudes, SRH communication, and a measure capturing competency combinations. Sexual well-being was assessed through body comfort (0-4 scale) and relationship intimacy (1-5 scale). We examined site-level competency distributions and tested their associations with sexual well-being using multivariable multilevel mixed-effects regression models.</p><p><strong>Results: </strong>Gender-equitable attitudes were generally low, with scores highest in Asia and lowest in Africa. Conversely, SRH knowledge was highest in Africa and lowest in Asia; SRH communication was most common in Latin America. SRH communication and knowledge were positively associated with body comfort, and combinations of competencies (profiles) were generally associated with both sexual well-being outcomes. However, profiles explained a modest share of variance in sexual well-being beyond individual competencies (1.4%-12.1%, largest for body comfort beyond equitable attitudes), with sites contributing more variance in body comfort (15.7%-18.2%) than in intimacy (1.7%-2%).</p><p><strong>Discussion: </strong>This study provides the first cross-country analysis of healthy sexuality competencies and their relationship to sexual well-being among young adolescent boys. Findings underscore uneven development of sexual competencies across sites and the need for context-sensitive, competency-based sexuality education.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083748","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":"Longitudinal Relations Among Adolescents' Cognitive Control, Social Media Use, Anxiety, and Depressive Symptoms.","authors":"Alva Tang, Carole Leung, Roopa Prasad, Carlos Busso, Stacie L Warren","doi":"10.1016/j.jadohealth.2026.07.025","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.025","url":null,"abstract":"<p><strong>Purpose: </strong>Most longitudinal studies lack multi-wave measures and rarely consider cognitive mechanisms, such as cognitive control, that may shape both the development of mental health and social media use. This study examined dynamic within-person relations and stable between-person correlations linking social media browsing (SMB), overall screen time, cognitive control, and depressive and anxiety symptoms across early- to mid-adolescence.</p><p><strong>Methods: </strong>Participants were from the Adolescent Brain Cognitive Development study (N = 9,747, 52.3% female) assessed at baseline, 2-year, and 4-year follow-ups. Primary measures included self-reported SMB and overall screen time, parent-reported depressive and anxiety symptoms, and performance-based cognitive control from the Flanker and Stop Signal tasks. Random intercept cross-lagged panel models estimated within-person time-lagged associations and between-person correlations. Gender was examined as a moderator.</p><p><strong>Results: </strong>The within-person results revealed a cognitive pathway across genders and screen time types. When adolescents increased SMB (and overall screen time) at baseline, this predicted reduced cognitive control 2 years later (β = -.06, p = .020), which in turn predicted increased depressive symptoms at the 4-year follow-up (β = -.06, p = .010). Additionally, females with more baseline screen time had increased depressive symptoms 2 years later (β = .05, p = .016), which subsequently predicted increased screen time and anxiety symptoms at the 4-year follow-up (βs = .09 to .13, p's < .050).</p><p><strong>Discussion: </strong>Reduced cognitive control may be a general mechanism linking adolescent screen use and SMB to later depressive symptoms across genders, whereas changes in affect may be a gender-specific pathway in females.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083337","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":"Multistate Analysis of Transfer to Adult Care in Sickle Cell Disease.","authors":"Isaac A Janson, Amanda I Okolo, Joshua I Miller, Kathy L Hassell, Heather L Taylor, Julie Kanter, Brandon M Hardesty, Luisanna M Sánchez","doi":"10.1016/j.jadohealth.2026.07.024","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.024","url":null,"abstract":"<p><strong>Purpose: </strong>Advancements in sickle cell disease (SCD) care have improved survival to adulthood in high-resource countries; however, a 20-year life expectancy gap persists compared with the general population. Transfer from pediatric to adult SCD care represents a vulnerable period, yet population-level data on transfer outcomes are limited. We evaluated rates and factors associated with successful transfer to adult care among youth with SCD across three US states and assessed associated health care utilization.</p><p><strong>Methods: </strong>We used data from the Centers for Disease Control and Prevention's (CDC's) Sickle Cell Data Collection program from Alabama, Colorado, and Indiana and included individuals aged 15-20 years with confirmed or probable SCD and continuous insurance coverage for 12 months following their last pediatric encounter. Successful transfer was defined as ≥2 outpatient encounters with an adult provider within 12 months. Health care utilization, chronic transfusion therapy, and social vulnerability index (SVI) were analyzed by transfer status.</p><p><strong>Results: </strong>Among 205 individuals, 42.4% achieved successful transfer to adult care. Of these, 18.6% established care with an adult hematologist/oncologist, and 5.8% with an adult SCD specialist. Successfully transferred youth demonstrated higher acute care utilization with median emergency department visits increasing from 3.02 to 3.97 per person-year post transfer, compared with 1.25 to 1.12 among the unsuccessful group. Chronic transfusion therapy was more common among the successfully transferred (16.1% vs. 13.6%), whereas SVI was similar between groups.</p><p><strong>Discussion: </strong>Fewer than one-fifth of individuals with SCD successfully transferred to an adult hematologist/oncologist. Successful transfer was associated with higher acute and outpatient health care utilization, highlighting persistent gaps in continuity of care.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083490","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}