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

{"title":"Suicide Risk Screening in a Children's Hospital: Association of Positive Screens With Presenting Complaints.","authors":"Michael D Harries, Rachel Ballard, Amanda Burnside, Anna Ros, Aron Janssen","doi":"10.1016/j.jadohealth.2025.02.013","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.02.013","url":null,"abstract":"<p><strong>Purpose: </strong>Suicide is a leading cause of death among young people aged 10-24 years. Better methods of identifying, preventing, and treating suicidal thoughts or behaviors are needed. We seek to identify associations between positive suicide risk screening and presenting complaint.</p><p><strong>Methods: </strong>We completed a retrospective, electronic health record review of children who were screened for suicide risk using the Ask Suicide-Screening Questions (ASQ) between January 1, 2020 and December 31, 2023 at a large, urban, tertiary care children's hospital. The primary study outcome was a positive screen on the ASQ.</p><p><strong>Results: </strong>Of 23,154 ASQ screenings completed, 15.2% of the 16,622 visits in the emergency department (ED) included a positive screen and 13.1% of the 6,532 visits in the inpatient setting included a positive screen. Of patients presenting with a medical complaint (n = 13,831), 5.2% of ED visits included a positive screen and 9.1% of inpatient setting visits included a positive screen. Acute positive screens were less common in the ED (0.8%) than in medical inpatient units (2.4%). Youth presenting with unintentional poisoning were significantly more likely to screen positive for suicide risk in the ED (odds ratio: 33.44) and medical inpatient units (odds ratio: 127.31) when compared to the reference category.</p><p><strong>Discussion: </strong>High rates of positive suicide risk screens exist in patients presenting with medical chief complaints, especially those presenting with unintentional poisoning or somatic complaints. These findings support the potential for universal suicide risk screening to identify youth at high risk for suicidality that may otherwise be missed.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510581","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":"Social-Ecological Risk and Protective Factors for Insufficient Sleep in Adolescents: A Nationally Representative Investigation.","authors":"Emily L Feldman, Danica C Slavish","doi":"10.1016/j.jadohealth.2025.03.002","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.03.002","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the impact of risk and protective factors on insufficient sleep among adolescents and to investigate whether these associations vary by race/ethnicity.</p><p><strong>Methods: </strong>This study utilized data from the 2021 Youth Risk Behavior Surveillance System, a nationally representative sample of high school students (N = 8,289). Race/ethnicity and a sum of six community risk factors and four interpersonal protective factors were used to predict odds of insufficient sleep (<7 hours/night).</p><p><strong>Results: </strong>Black and multiracial non-Hispanic adolescents had a 32%-45% increase in odds of reporting insufficient sleep compared to White adolescents. Endorsing fewer interpersonal protective factors and more community risk factors were independently associated with higher odds of insufficient sleep. Only one significant interaction with protective factors and race/ethnicity emerged for multiracial non-Hispanic (vs. White) adolescents.</p><p><strong>Discussion: </strong>Risk and protective factors each play a unique role in predicting sleep duration among racially/ethnically diverse adolescents.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510580","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":"Shock Unleashed by Recent US Administrative Actions Cannot Lead to Paralysis.","authors":"Venkatraman Chandra-Mouli, Robert Wm Blum, Luchuo Engelbert Bain","doi":"10.1016/j.jadohealth.2025.05.007","DOIUrl":"10.1016/j.jadohealth.2025.05.007","url":null,"abstract":"","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510579","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":"Association Between Sexual Orientation and Gender Identity Discrimination and Youth Physical Health: Findings From a Nationally Representative Sample.","authors":"Carlos E Meléndez García, Gretchen E White, Christina Huerta, Kristin N Ray, César Escobar-Viera","doi":"10.1016/j.jadohealth.2025.03.012","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.03.012","url":null,"abstract":"<p><strong>Purpose: </strong>Adverse childhood experiences (ACEs), including discrimination, are known risk factors for negative outcomes later in life. Recently, sexual orientation or gender identity (SOGI)-based discrimination was recognized as an ACE. However, its association with health outcomes among youth remains understudied. We aim to identify socio-demographic characteristics associated with caregiver-reported SOGI-based discrimination and assess the association of SOGI-based discrimination with youth health outcomes.</p><p><strong>Methods: </strong>We analyzed 2020-2022 National Survey of Children's Health data on youth who are 6-17 years old (n = 91,093), whose caregivers answered the question on SOGI-based discrimination. We used unadjusted and adjusted logistic regression models to identify socio-demographic characteristics associated with SOGI-based discrimination and the association between SOGI-based discrimination and adverse health outcomes.</p><p><strong>Results: </strong>Two percent of youth (n = 1,834) experienced SOGI-based discrimination, with significantly higher odds among adolescents (aOR = 4.29, 95% CI = 3.35, 5.51), females (aOR = 2.67, 95% CI = 2.18, 3.28), non-Hispanic multiracial (aOR = 1.42, 95% CI-1.09, 1.86), and youth in English-speaking households (aOR = 2.41, 95% CI = 1.32, 4.37). SOGI-based discrimination was significantly associated with poorer health (aOR = 3.27, 95% CI = 2.09, 5.13), ≥1 chronic health conditions (aOR = 3.35, 95% CI = 2.39, 4.35), and having special health care needs (aOR = 3.81, 95% CI = 3.10, 4.68). This significance persisted after adjusting for socio-demographics and other ACEs.</p><p><strong>Discussion: </strong>Our study quantitatively links SOGI-based discrimination with adverse health outcomes and identifies youth with higher odds of SOGI-based discrimination. These results underscore the importance of addressing SOGI-based discrimination when treating youth who may be at risk.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510577","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":"Severe Maternal Morbidity Among Adolescents Aged 10-19 in California, 2001-2020.","authors":"Marina N Carvalho Magalhães, Jennifer S Soh, Jonathan M Snowden, Elliott K Main, Peiyi Kan, Suzan L Carmichael","doi":"10.1016/j.jadohealth.2025.03.018","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.03.018","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the prevalence of severe maternal morbidity (SMM) and the indicators (i.e., morbidities and procedures) that comprise the SMM composite among adolescents and to compare risks between adolescents and adults.</p><p><strong>Methods: </strong>This was a population-based study in California to individuals aged 10-55. We included prenatal, postpartum, and birth hospital discharge records linked to vital records from 2001 to 2020. SMM was defined using the Centers for Disease Control and Prevention index. We estimated adjusted risk ratios (RRs) using modified Poisson regression models.</p><p><strong>Results: </strong>This study included 702,481 adolescent births among 9,529,689 total births. There were 19 cases of SMM per 1,000 adolescent births; prevalence was highest among those aged 10-14 (27.5). Compared to adults aged 25-29, adolescents had higher rates of blood transfusion (11.4 vs. 9.0) and eclampsia (2.3 vs. 0.8). Crude RRs for SMM were 1.18 (95% confidence interval [CI]: 1.15-1.21), 1.22 (95% CI: 1.18-1.26), and 1.74 (95% CI: 1.53-1.99) in ages 18-19, 15-17, and 10-14, respectively. Adjustments for payer, race/ethnicity, parity, and anemia explained excess risk among ages 15-19, but not the youngest adolescents (10-14 years; RR: 1.31; 95% CI: 1.15-1.49). Patterns of SMM risk were similar but less pronounced when excluding blood transfusions. Risks were also elevated among ages 30-34, 35-39, and 40-55.</p><p><strong>Discussion: </strong>Adolescents are at increased risk for SMM compared to adults, largely explained by social disadvantage, parity, and anemia, but not prepregnancy comorbidities. These findings highlight the need for resources to prevent SMM in adolescents and should be considered during care and public health planning.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510578","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 Initiation of Cannabis Vaping is Associated With State Cannabis Policy and E-Cigarette Use.","authors":"Mike Vuolo, Maria M Orsini, Jeremy Staff, Jennifer L Maggs, Brian C Kelly","doi":"10.1016/j.jadohealth.2025.03.016","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.03.016","url":null,"abstract":"<p><strong>Purpose: </strong>Cannabis vaping has emerged as a growing problem, particularly among youth. It is essential to understand how state policies on medical and recreational cannabis as well as vaping bans may influence initiation into cannabis vaping during adolescence. We aimed to determine whether changes in state-level cannabis policies, indoor vaping bans, and youths' nicotine use were associated with cannabis vaping initiation in adolescence.</p><p><strong>Methods: </strong>We used prospective nationally representative cohort data from the Population Assessment of Tobacco and Health study (19,009 youth across 38,163 observations, ages 13-22). We conducted event history analysis of the role of state-level medical and legal recreational cannabis policies and comprehensive indoor vaping bans on cannabis vaping initiation, net of youth nicotine use and sociodemographics.</p><p><strong>Results: </strong>Relative to states with illicit cannabis, residing in states where cannabis was legal for recreational use or medical use was associated with 1.449 (95% confidence interval [CI]: 1.285-1.635) and 1.198 (95% CI: 1.006-1.427) higher odds of cannabis vaping initiation, respectively. Though comprehensive indoor vaping bans were not related to cannabis vaping initiation, the associated odds of cannabis vaping initiation were 8.07 times higher (95% CI: 7.170-9.072) for youth reporting e-cigarette use during the past month.</p><p><strong>Discussion: </strong>Within states that legalized adult use of cannabis, efforts are needed to prevent diversion of novel products, such as vaping devices, from legal marketplaces to adolescents. Prevention efforts for cannabis vaping should focus on youth who already use e-cigarettes.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510582","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":"Help-Seeking Behaviors in Adolescents and Young Adults Who Engage in Nonsuicidal Self-Injury: An Integrative Review.","authors":"Nani Kim, Cara C Young, Bo Ra Kim, Lynn Rew, Nicholas J Westers","doi":"10.1016/j.jadohealth.2025.04.015","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.04.015","url":null,"abstract":"<p><strong>Purpose: </strong>Nonsuicidal self-injury is a growing public health concern in adolescents and young adults, who are often reluctant to seek help. The purpose of this integrative review is to understand help-seeking behaviors in this population by identifying similarities and differences in its forms, components (i.e., antecedents, types of help received, frequency of help-seeking, sources of help, consequences), and influencing factors.</p><p><strong>Method: </strong>Seven databases were searched for research reports on help-seeking behaviors in young adults and adolescents with nonsuicidal self-injury, published in English.</p><p><strong>Results: </strong>Of 1,063 publications found, 16 were ultimately included for analysis. Three forms of help-seeking behaviors (disclosure, help-seeking, mental health service use) showed contextual variance. Components of and factors for help-seeking behaviors functioned either as facilitators or as barriers related to future help-seeking and outcomes. Overall, similar patterns of help-seeking behaviors were found in young adults and adolescents but with a greater prevalence in young adults.</p><p><strong>Discussion: </strong>To promote early access to resources and improve health outcomes, it is important to recognize that help-seeking is complex, with developmental stages. Future research should consider additional contextual variables that may affect help-seeking, as well as include longitudinal designs to capture longer term mechanisms of help-seeking.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328440","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":"Adverse Childhood Experiences are Associated With e-Cigarette Abstinence in a Vaping Cessation Randomized Clinical Trial Among Adolescents.","authors":"Amanda L Graham, Sarah Cha, Megan A Jacobs, Giselle Edwards, Anna L Funsten, George D Papandonatos","doi":"10.1016/j.jadohealth.2025.04.012","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.04.012","url":null,"abstract":"<p><strong>Purpose: </strong>Adverse childhood experiences (ACEs) are linked to e-cigarette use. To date, no studies have examined the association between ACEs and e-cigarette cessation. This study examined the relationship between ACEs and vaping cessation outcomes among adolescent e-cigarette users.</p><p><strong>Methods: </strong>Participants were n = 1,248 adolescent (13-17 years) e-cigarette users recruited nationally to a randomized clinical trial of vaping cessation who completed the PEdiatric ACEs and Related Life Events Screener at baseline. The primary outcome was 30-day point prevalence abstinence from nicotine vaping at 7 months (missingness = vaping). Analyses examined associations between vaping cessation and individual ACEs items, risk strata (low: 0 ACEs; intermediate: 1-3 ACEs; high: ≥4 ACEs), and domains of adversity using inverse probability of retention weighted logistic regression adjusted for baseline confounders.</p><p><strong>Results: </strong>Most participants (90.1%) reported at least 1 ACE, with 55.8% classified as high risk (≥4 ACEs). High-risk participants showed 20% lower abstinence rates compared to combined low or intermediate-risk groups (risk ratio = 0.79, 95% confidence interval = 0.69-0.91, p < .001). Each additional abuse experience was associated with a 7% decrease in abstinence rates (risk ratio= 0.93, 95% confidence interval = 0.87-0.99, p = .028), while neglect and household dysfunction domains showed no significant associations with cessation outcomes.</p><p><strong>Discussion: </strong>This study provides the first evidence of an inverse relationship between ACEs and vaping cessation success among adolescents. The results suggest that trauma-informed approaches may be valuable additions to youth vaping cessation interventions.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210725","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":"Prevalence of, and factors associated with, adolescent physical fighting while under the influence of alcohol or drugs.","authors":"Cheryl M Kodjo,&nbsp;Peggy Auinger,&nbsp;Sheryl A Ryan","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To determine: (a) the prevalence of physical fighting while under the influence of alcohol or drugs, and (b) the associations among demographic factors, other risk behaviors, and physical fighting while under the influence of substances.</p><p><strong>Methods: </strong>Cross-sectional analysis of The National Longitudinal Study of Adolescent Health (Add Health) 1994-1995, a school-based, nationally representative survey of 6504 7th to 12th graders. The dependent outcome variables of interest were: \"The most recent time you got into a fight, had you been drinking?\" and \"Have you ever gotten into a fight when you had been using drugs?\" Independent variables included: demographics, adolescent characteristics and risk behaviors, home environment, and peer substance use. Univariate and bivariate analyses, and logistic regressions, using SUDAAN, were performed for the two outcome behaviors for the overall sample (p </= .05).</p><p><strong>Results: </strong>Eleven percent of both drinkers (n = 1110) and drug users (n = 1869) reported being under the influence while fighting. These adolescents were significantly more likely to injure or sustain injury than their counterparts. Selling drugs, gang fighting, and peer substance use were significantly associated with both outcomes.</p><p><strong>Conclusions: </strong>A significant proportion of adolescents who use substances also engage in physical fighting while under the influence. Health providers should counsel their patients about the potential for injury and be mindful that concurrent fighting and substance use may be markers for other more high-risk delinquent behaviors.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":"346.e11-6"},"PeriodicalIF":7.6,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25057513","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":"Adults' approval and adolescents' alcohol use.","authors":"Kristie Long Foley,&nbsp;David Altman,&nbsp;Robert H Durant,&nbsp;Mark Wolfson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To compare adults' approval of adolescents' alcohol use among white, black, and Latino youth and to evaluate the effects of approval on most recent alcohol consumption, past 30-day use and binge drinking.</p><p><strong>Methods: </strong>A cross-sectional telephone survey of N = 6245 adolescents from 242 communities was conducted as part of the National Evaluation of the Enforcing Underage Drinking Laws Program. The survey assessed perceived availability of alcohol, underage alcohol use, and problems related to underage drinking. Ordinary least squares regression modeling was used to test the relationships between adults' approval and most recent consumption. Logistic regression modeling was used to measure the association among approval, past 30-day use and binge drinking.</p><p><strong>Results: </strong>Perceived consequences, parent and adult relative provision of alcohol, and drinking with a parent were protective of underage drinking. Providing alcohol at a party, however, was associated with a two-fold increase in past 30-day use and binge drinking. There were minimal differences on adults' approval across the three racial/ethnic groups.</p><p><strong>Conclusions: </strong>Adults' approval of alcohol use is highly correlated with youth drinking behavior and has differential effects on adolescents' alcohol use depending on the social context in which the alcohol is provided.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":"345.e17-26"},"PeriodicalIF":7.6,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25056988","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}