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

{"title":"Criminal Legal System Involvement During Adolescence as a Social Determinant of Adulthood Body Mass Index?","authors":"Ian A Silver","doi":"10.1016/j.jadohealth.2026.07.022","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.022","url":null,"abstract":"<p><strong>Purpose: </strong>A variety of environmental and genetic factors contribute to body mass index (BMI) over the life course, including experiences and events that occur during adolescence. One such experience that could shape early adulthood and adulthood BMI is criminal legal system (CLS) involvement before 18 years, which could influence dietary behaviors and socioeconomic outcomes. However, to date, no research has evaluated the association between CLS involvement before 18 years and BMI from 2003-2021.</p><p><strong>Methods: </strong>The current study used a United States representative sample of 8,961 youths born between 1980 and 1984 (the National Longitudinal Survey of Youth-1997), to assess if being arrested before 18 years, incarcerated in juvenile facilities before 18 years, or incarcerated in adult facilities before 18 years influenced average BMI and the change in BMI over time during early adulthood and adulthood. Random intercept and random intercept growth curve models (with average treatment effects inverse probability weights) were estimated to answer the identified research questions.</p><p><strong>Results: </strong>Being arrested (b = -0.471; p < .001), incarcerated in a juvenile facility (b = -0.683; p < .001), or incarcerated in an adult facility (b = -1.168; p < .001) before 18 years was associated with lower yearly BMI from 2003 to 2021. Being arrested (b = -0.023; p < .001) or incarcerated in juvenile facility (b = -0.032; p < .001) before 18 years was associated with lower rate of increases in BMI over time.</p><p><strong>Discussion: </strong>The findings suggest that the collateral consequences of youth CLS contact could contribute to BMI disparities. Strategies should be implemented to identify and address the mechanisms driving the observed associations.</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":"149083763","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":"Use of E-cigarettes With Nicotine Salts and Nicotine Dependence Symptoms in Youth: The National Youth Tobacco Survey, 2024.","authors":"Maria Cooper, Mia Q Peng, Eunice Park-Lee, Nicole F Pelletier, Michael D Sawdey, Angela Lee, Karen A Cullen","doi":"10.1016/j.jadohealth.2026.07.027","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.027","url":null,"abstract":"<p><strong>Purpose: </strong>Understanding the relationship between youth use of e-cigarettes containing nicotine salts and nicotine dependence is important, as e-cigarette manufacturers commonly use nicotine salts in their products, and their formulation results in higher blood level nicotine concentrations.</p><p><strong>Methods: </strong>The National Youth Tobacco Survey is a cross-sectional, national survey of middle and high school students. Using 2024 data, we described sociodemographic characteristics and tobacco use behaviors among students who currently used e-cigarettes (n = 1,830) by nicotine salt status. We estimated prevalence ratios (PRs) of frequent e-cigarette use (≥20 of the past 30 days) and nicotine dependence symptoms (craving, use within 30 minutes of waking) associated with nicotine salt use utilizing survey-weighted robust Poisson regression, controlling for relevant covariates.</p><p><strong>Results: </strong>Youth use of e-cigarettes with nicotine salts varied by sex, age at tobacco product initiation, use of most individual e-cigarette flavors, number of non-tobacco e-cigarette flavors, use of ice flavor, device type, and other tobacco product use. After adjusting for relevant covariates, youth who used e-cigarettes with nicotine salts were more likely to report frequent e-cigarette use (adjusted PR [aPR]: 1.47; 95% confidence interval [CI]: 1.24, 1.75), craving tobacco products (aPR: 1.69; 95% CI: 1.31, 2.16), wanting to use tobacco products within 30 minutes of waking (aPR: 1.60; 95% CI: 1.22, 2.11), and experiencing either symptom of nicotine dependence (aPR: 1.54; 95% CI: 1.26, 1.88) than those who reported not using nicotine salts.</p><p><strong>Discussion: </strong>Use of e-cigarettes with nicotine salts was associated with frequent e-cigarette use and symptoms of nicotine dependence, underscoring the importance of continued surveillance and prevention efforts.</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":"149083611","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":"Predictors of Nurse Practitioners' Adherence to Menstrual Cycle-Related Practice Recommendations in Pediatric Primary Care.","authors":"Kristen L Sinay, Alexandra A García, Cara C Young, Marni Sommer, Karen Johnson","doi":"10.1016/j.jadohealth.2026.07.028","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.028","url":null,"abstract":"<p><strong>Purpose: </strong>The menstrual cycle is an important but often neglected indicator of the overall health of menstruating adolescents. The American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) offer menstrual cycle-related practice recommendations for providers caring for this population. About a quarter of primary care in the United States is provided by nurse practitioners (NPs); yet, factors influencing their adherence to these practice recommendations remain underexamined. We explored factors that predicted NPs' reported adherence to ACOG/AAP menstrual cycle-related recommendations when providing primary care to children and adolescents.</p><p><strong>Methods: </strong>A national cross-sectional sample of U.S. NPs was recruited for an online survey. We used hierarchical multiple linear regression to assess the ability of sociodemographic characteristics, knowledge, attitudes, subjective norms, and external barriers to predict practice adherence.</p><p><strong>Results: </strong>NPs from all 50 states (N = 886) participated (M_age = 46 years; 92% female; 80% White, non-Hispanic; 71% family NPs). Holding significant sociodemographic characteristics constant, NPs' attitudes, subjective norms, and external barriers collectively predicted nearly 40% of the variation in their reported adherence to the menstrual cycle-related recommendations of ACOG/AAP. NPs' attitudes had the most explanatory power for practice adherence.</p><p><strong>Discussion: </strong>Although NPs in this sample reported that they often adhered to ACOG/AAP menstrual cycle-related recommendations, strengthening NPs' positive attitudes and organizational norms may increase adherence to menstrual cycle-related recommendations. Stronger, more consistent messaging about best practices from professional societies and within NP curricula may improve NPs' attention to and support for adolescents' menstrual and overall health.</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":"149123008","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":"Punitive School Discipline Is Counterproductive Adolescent Health Policy.","authors":"Ming-Te Wang","doi":"10.1016/j.jadohealth.2026.07.013","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.013","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":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083577","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":"Long-Term Trends, Disparities, and Changes in Suicide Mortality During the COVID-19 Pandemic Among US Adolescents: A Population-Based Study.","authors":"Zhixin Zhan, Wei Li, Junhui Qiu, Yubo Wang","doi":"10.1016/j.jadohealth.2026.07.026","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.026","url":null,"abstract":"<p><strong>Purpose: </strong>Suicide is a leading cause of adolescent death in the United States, yet its mortality trends and disparities remain incompletely characterized, particularly during the COVID-19 pandemic.</p><p><strong>Methods: </strong>This study analyzed mortality data from 1999 to 2023 among individuals aged 10-19 years from the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) database. Population characteristics of decedents and trends in crude suicide mortality rates per 100,000 (CSMRs) were examined. Mortality changes were compared across the prepandemic (2018-2019), early pandemic (2020-2021), and later pandemic (2022-2023) periods.</p><p><strong>Results: </strong>From 1999-2019, 44,426 adolescents died by suicide, mostly among males (77.6%), older adolescents (84.5%), and White adolescents (82.5%). After an initial decline from 1999-2007, overall CSMRs increased markedly from 2007-2019. CSMRs were highest among males, older adolescents, and White adolescents, whereas the fastest increases occurred among females, younger adolescents, and non-Black/non-White adolescents. Regionally, Midwestern and rural areas showed the highest CSMRs and rates of increase. During the early pandemic period, overall mortality declined slightly (-1.23%) but increased among females (+4.22%), younger adolescents (+2.88%), Black adolescents (+21.88%), the South (+4.58%), noncore rural counties (+1.08%), and large central metropolitan counties (+4.81%). The later pandemic period was marked by an overall decline in CSMRs (-8.53%), with decreases across most subgroups, although rates did not decline among Black adolescents (+0.85%).</p><p><strong>Discussion: </strong>Adolescent suicide is an escalating public health crisis with disparities that require equity-focused strategies to reverse trends and reduce gaps.</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":"149083428","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":"The Emerging Public Health Challenge of Online Sports Gambling Among Adolescents in the United States.","authors":"Penny S Loosier, Marci Hertz, J Michael Underwood, Patricia J Dittus","doi":"10.1016/j.jadohealth.2026.07.012","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.012","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":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083564","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":"From Days to Months: The Effect of Social Media Use on Stress Among Adolescents Accumulates Over Time.","authors":"Teun Siebers, Ine Beyens, Loes Keijsers, Patti M Valkenburg, Amber van der Wal","doi":"10.1016/j.jadohealth.2026.07.021","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.021","url":null,"abstract":"<p><strong>Purpose: </strong>Although often linked, much is unknown about the relationship between adolescents' social media use and stress in everyday life. This study examined how the effect of social media use on stress unfolds at daily, weekly, biweekly, and monthly levels, focusing on overall effects and person-specific effects. We also tested whether adolescents differed in effects based on their gender, age, and trait resilience.</p><p><strong>Methods: </strong>We used a 100-day diary study among 479 adolescents (44,211 completed observations). Participants reported daily stress levels and time spent on frequently used social media platforms. Trait-level moderators were measured in a baseline questionnaire.</p><p><strong>Results: </strong>The average daily effect of social media use on stress was negligible (β = .03). However, there was substantial variation among adolescents in our sample: Person-specific effect sizes suggest a positive link between usage and stress among 37.0% of adolescents and a negative link among 14.2% of adolescents. Differences in these effect sizes could not be explained by gender, age, or trait resilience. At broader timescales, the average effect sizes of social media use with stress tended to strengthen, and more adolescents experienced increased stress on usage, rising from weekly (β = .05), over biweekly (β = .07), to monthly levels (β = .13).</p><p><strong>Discussion: </strong>On average, the daily impact of adolescents' social media use on stress seems minimal. However, the pattern of effect sizes suggests that the effect may become more pronounced over longer periods. This study is a first step toward understanding how everyday social media-related stress potentially accumulates over time.</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":"149122991","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":"Associations Between Socioeconomic Position and Unintentional Injury: A Prospective Cohort Study of 70,226 15-24-Year-Old Danish Students.","authors":"Sofie Kruckow, Amy E Peden, Ulrik Becker, Janne S Tolstrup","doi":"10.1016/j.jadohealth.2026.07.020","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.020","url":null,"abstract":"<p><strong>Purpose: </strong>Injuries are a major cause of morbidity and mortality during adolescence. We examined how parental socioeconomic position in mid- and late adolescence is associated with risk of unintentional injury.</p><p><strong>Methods: </strong>We followed 70,226 Danish adolescents aged 15-24 years from the Danish National Youth Cohort 2014 for 8 years using national registers. Injuries were identified via International Classification of Diseases, 10th Revision codes, and parental socioeconomic position was measured by education, income, and occupation. Poisson regression estimated absolute and relative injury risks, and the Pareto Principle was applied to identify a high-risk subgroup, assessing its association with parental socioeconomic position.</p><p><strong>Results: </strong>Between 2014 and 2022, 28,233 adolescents sustained at least one unintentional injury (47,776 injuries in total), including 1,425 severe cases dominantly head trauma (62.4%). Upper/lower extremities and the head accounted for nearly 90% of all injuries. Injury rates were 15%-34% higher among the least advantaged adolescents compared to the most advantaged, and the risk curve reflected a dose-dependent gradient across income, education, and occupational status groups. Severe injuries showed a similar pattern, though not statistically significant. Notably, 11% of adolescents accounted for 50% of injury incidences, and those at the lower end of the social gradient were more likely to belong to this high-risk group experiencing repeated injury exposures.</p><p><strong>Discussion: </strong>Socioeconomic inequalities in unintentional injury permeate the entire social gradient, suggesting structural inequities that ultimately result in a high-risk subgroup, accounting for 50% of all injuries. Evidence regarding causal explanations driving these inequalities as well as cost-effective measures to reduce inequalities is warranted.</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":"149122988","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":"Effects of Aerobic Exercise-Based Interventions on Physical and Mental Health in Overweight and Obese Children and Adolescents: A Three-Level Meta-Analysis.","authors":"Tianle Wang, Jun Li, Binbin Zheng, Yixuan Ding, Hongjuan Li, Chunji Zhao, Liuwei Zhang","doi":"10.1016/j.jadohealth.2026.06.028","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.06.028","url":null,"abstract":"<p><p>This review used a three-level meta-analysis to synthesize evidence from controlled trials on aerobic exercise-based interventions in overweight/obese children and adolescents (6-18 years). Databases were searched from inception to December 31, 2025, and 39 studies (n = 3,446) were included. The included interventions comprised exercise only programs and a small number of multicomponent programs combining aerobic exercise with dietary modification. Overall, aerobic exercise-based interventions were associated with improvements in anthropometric and body-composition outcomes, including reductions in weight, waist circumference, body mass index-related indicators, and body fat%, as well as increased cardiorespiratory fitness, as reflected by peak oxygen uptake (VO₂peak). However, because diet-plus-exercise trials were included in the primary synthesis, these pooled estimates should be interpreted as effects of intervention programs including aerobic exercise rather than as effects of aerobic exercise alone. No significant effects were observed for blood pressure or glycolipid metabolic markers. Evidence for mental health outcomes was limited: depression showed a small pooled reduction, but this finding was not robust and should be interpreted cautiously, whereas evidence for self-esteem was sparse and inconclusive. Given substantial heterogeneity and overall low certainty of evidence, these findings should be interpreted cautiously and well-designed studies with standardized reporting and longer follow-up are needed.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077454","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":"Inequities in Bullying Victimization Among US High School Students in Years 2017, 2019, and 2021: An Intersectional Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy With Random Effects.","authors":"Luisa N Borrell, Oscar Brochado-Kith, Luis Carmona-Rosado, Julia Díez","doi":"10.1016/j.jadohealth.2026.07.011","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.011","url":null,"abstract":"<p><strong>Purpose: </strong>To examine inequities in bullying victimization across sex/gender, sexual identity, race/ethnicity, and obesity status among United States high school students in 2017, 2019, and 2021.</p><p><strong>Methods: </strong>Data from the Youth Risk Behavior Surveillance System for 342,538 high school students were analyzed. Bullying victimization was defined as any in-school bullying or cyberbullying in the past 12 months. We used an intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy via logistic regression with random effects, with strata defined by sex/gender, sexual identity, race/ethnicity, and obesity status.</p><p><strong>Results: </strong>Approximately 24% of students reported bullying victimization, with a higher prevalence in 2017-2019 than in 2021. We found that 5.7% and 6.4% of bullying inequities were explained by intersectional strata in 2017-2019 and 2021, respectively, with sex/gender, sexual identity, race/ethnicity, and obesity status accounting for 85.3% and 87.3% of between-stratum variance in 2017-2019 and 2021, respectively. On average, females, sexual minority students (gay/lesbian, bisexual, or other/questioning), and those classified as obese had greater odds of bullying, whereas Black, Asian, and Hispanic students had lower odds. Deviations from the stratum's observed predicted probabilities or intersectional interaction effects were more common in 2017-2019 than in 2021, with the highest positive deviations observed for heterosexual White girls classified as obese in both years and the highest negative deviations for lesbian Black girls classified as nonobese in 2017-2019 and bisexual White boys classified as obese in 2021.</p><p><strong>Discussion: </strong>Bullying victimization inequities among United States high school students are shaped by the intersection of sex/gender, sexual identity, race/ethnicity, and obesity status. Universal proportionate intervention with emphasis on intersecting identities at high risk is essential to reduce bullying and its adverse consequences.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149043382","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}