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

{"title":"Promotive Factors in Adolescence Against Intimate Partner Violence in Young Adulthood: A Latent Class Approach.","authors":"Hyunji Lee, Fei Shen","doi":"10.1016/j.jadohealth.2026.07.009","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.009","url":null,"abstract":"<p><strong>Purpose: </strong>Intimate partner violence (IPV) is a major public health problem in the United States. Although a substantial body of research has identified IPV and its risk factors, far less is known about promotive factors in adolescence that may reduce IPV risk in young adulthood. Given that adolescence is a critical developmental period for the formation of romantic relationships, this study aimed to identify patterns of IPV victimization among young adults and examine whether and how promotive factors across multiple social-ecological domains in adolescence are associated with later IPV exposure.</p><p><strong>Methods: </strong>The current study utilized two waves of nationally representative data (year 15 and year 22) from the Future of Families and Child Wellbeing Study and conducted latent class analyses with 885 participants. Multinomial logistic regression analyses were performed to examine the associations between the promotive factors and IPV class membership.</p><p><strong>Results: </strong>Three latent classes emerged: (1) poly-victimization, (2) digital coercive control, and (3) low IPV. A family-level promotive factor-parenting and home environment-was associated with a reduced likelihood of belonging to the poly-victimization class compared to the low IPV class. Greater perceived school connectedness was also related to a lower likelihood of being in the poly-victimization class, though only in comparisons with the low IPV class.</p><p><strong>Discussion: </strong>Prevention efforts should prioritize strengthening supportive parenting and home environments and fostering school connectedness during adolescence. Importantly, targeted IPV interventions focusing on digital boundary-setting and cyber IPV prevention should be provided to individuals at risk of digital coercive control.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027481","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":"Extreme Weather Events and Adolescent Contraception in Sub-Saharan Africa.","authors":"Jason M Nagata, Priyadharshini Balasubramanian, Joan E Shim, Adrienne Epstein, Jacqueline O Hur, Feng Lin, Allison K Groves, Sarah Baird, Sheri D Weiser","doi":"10.1016/j.jadohealth.2026.06.025","DOIUrl":"10.1016/j.jadohealth.2026.06.025","url":null,"abstract":"<p><strong>Purpose: </strong>Little is known about the associations between extreme weather events (drought and heavy rains) and adolescent family planning. The current analysis contributes to this evidence gap by examining the association between extreme weather events and adolescent modern contraception use.</p><p><strong>Methods: </strong>We analyzed the 2011-2020 Demographic and Health Surveys in 22 countries in sub-Saharan Africa. Drought and heavy rainfall were defined based on the extent to which annual rainfall deviated from the historical average. Logistic regression examined the association between extreme weather events (drought and heavy rains) and contraception, adjusting for sociodemographic factors and survey month, incorporating survey-level fixed effects. Analyses were stratified by gender and climate zones (e.g., tropical, temperate, and arid).</p><p><strong>Results: </strong>The study included 224,761 participants aged 15-24 years (70.5% female) and 21.1% reported current modern contraceptive use. Drought (adjusted odds ratio: 0.89, 95% confidence interval [CI]: 0.83-0.95) and heavy rainfall (adjusted odds ratio: 0.82, 95% confidence interval: 0.73-0.91) were associated with lower odds of modern contraception use in adjusted models. In gender-stratified analyses, heavy rainfall was more strongly associated with lower modern contraception use among males compared to among females. In tropical zones, heavy rainfall, but not drought, was associated with lower modern contraception use. In temperate and arid zones, drought was associated with lower modern contraception use, but heavy rainfall was not associated with modern contraception use.</p><p><strong>Discussion: </strong>Both drought and heavy rainfall were associated with lower modern contraception use among adolescents in sub-Saharan Africa, adding to a growing body of evidence on the deleterious health impacts of climate change.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027459","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":"Shaping the Field of Adolescent Medicine.","authors":"Charles E Irwin, Iris F Litt, Jessica A Kahn, Debra K Katzman","doi":"10.1016/j.jadohealth.2026.06.026","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.06.026","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":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149043408","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":"Video as a Tool to Facilitate Cross-National Youth Participation in the Health Behavior in School-Aged Children (HBSC) Study.","authors":"Louise Lunney, Dorota Kleszczewska, Cátia Branquinho, Emmanuelle Godeau, Saoirse Nic Gabhainn, Anna Dzielska, Maxim Dierckens, Marina Melkumova, Kwok Ng, Shynar Abdrakhmanova, Colette Kelly","doi":"10.1016/j.jadohealth.2026.06.017","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.06.017","url":null,"abstract":"<p><strong>Purpose: </strong>To describe an approach taken by the Health Behavior in School-aged Children (HBSC) network to enable adolescents to play an active role in a cross-national research study.</p><p><strong>Methods: </strong>Using a standard protocol, adolescents from across the HBSC network were recruited to submit videos outlining their perspectives on adolescent health, actions that governments should take and their hopes for the future. The videos were analyzed using content analysis.</p><p><strong>Results: </strong>One third of the country teams (n = 16) took part with 50 adolescents submitting videos. The videos were disseminated at the HBSC 40th Anniversary meeting, and the findings impacted protocol development, data interpretation, and policymaking.</p><p><strong>Discussion: </strong>Adolescents highlighted current and emerging health issues, which has influenced future HBSC surveys and policymaking. The use of video successfully facilitated the involvement of adolescents across a wide range of countries. Capacity is a key challenge for some countries to get involved in youth participation.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027496","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 Exposure to Interaction: Rethinking Assessment of Social Media Use in Adolescents.","authors":"Apurva Parikh, Jason M Nagata, Lauren Hale, Marc N Potenza","doi":"10.1016/j.jadohealth.2026.06.020","DOIUrl":"10.1016/j.jadohealth.2026.06.020","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":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13656869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027483","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":"Temporal Trends and Drivers of Cervical Cancer Overscreening Among Adolescent Girls and Young Women, 2011-2023.","authors":"Sunyeop Lee, Michelle L Lui, Anita G Karr, Parisa Tehranifar","doi":"10.1016/j.jadohealth.2026.06.018","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.06.018","url":null,"abstract":"<p><strong>Purpose: </strong>In adolescent girls and young women (AGYW), cervical cancer screening is not recommended as it offers little benefit and may cause harm. We describe temporal trends in cervical cancer overscreening among AGYW and examine its potential clinical drivers over time.</p><p><strong>Methods: </strong>Using 2011-2023 National Survey of Family Growth on AGYW aged 15-20 years (n = 5,375), we examined temporal trends in the prevalence of cervical cancer overscreening, defined as receipt of a Papanicolaou test or human papillomavirus test in the past 12 months as part of a routine exam. We estimated risk ratios (RRs) and differences (RD) for potential clinical drivers of overscreening, including past guideline indications (e.g., sexual history, human immunodeficiency virus [HIV] testing) and cooccurring clinical situations (e.g., sexually transmitted infection [STI] testing).</p><p><strong>Results: </strong>From 2011 to 2023, the prevalence of cervical cancer overscreening declined from 22.1% to 4.5%. For a history of sexual intercourse, both the RR [95% confidence interval] (4.25 [1.62, 6.89]) and RD (24.37 [16.24, 32.50]%) decreased over time, but the RD remained statistically significant in 2022-2023 (5.89 [0.93, 10.66]). For HIV testing, neither the RR (1.16 [0.37, 1.96]) nor RD (1.83 [-6.54, 10.20]) were statistically significant in 2022-2023. For STI testing, however, the RD increased from 10.47 (-1.43, 22.37)% in 2011-2013 to 27.63 (6.63, 48.64)% in 2022-2023.</p><p><strong>Discussion: </strong>Cervical cancer overscreening among AGYW declined substantially since 2011. However, overscreening remains more prevalent among AGYW with a history of sexual intercourse and STI testing, underscoring the need to ensure evidence-based cervical cancer screening for AGYW.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027486","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":"Facilitators and Barriers to Research Participation Among Transgender and Gender-Diverse Youth: A Youth-Engaged Qualitative Study.","authors":"An H Pham, Axel Ramirez, Lily Chang, Steph Cull, Kade Goldin, Taryn Henning, Morrigan McKernan, Chloe Sobolewski, Bek Urban, Zoe Webster, Melissa-Irene Jackson, Melanie K Bean, Suzanne Mazzeo, Maria Thomson, Kym R Ahrens","doi":"10.1016/j.jadohealth.2026.07.010","DOIUrl":"10.1016/j.jadohealth.2026.07.010","url":null,"abstract":"<p><strong>Purpose: </strong>Transgender and gender-diverse (TGD) youth populations face unique challenges in health care, yet are underrepresented in research. Using youth-engaged research methods, we collaborated with a youth advisory board to explore promoters and barriers of TGD youth research recruitment and participation.</p><p><strong>Methods: </strong>A total of 21 TGD youth aged 12-22 years were recruited nationally to participate in semistructured interviews that were recorded and transcribed verbatim. Key themes and subthemes were identified using thematic analysis.</p><p><strong>Results: </strong>Four themes were identified: 1) recruitment materials and resources can deter or encourage research participation; 2) There are special considerations for research recruitment of TGD youth due to stigma against TGD people; 3) personal relationships may negatively or positively affect recruitment within TGD research; and 4) research staff can promote a positive and affirming research environment for TGD youth participants.</p><p><strong>Discussion: </strong>The factors participants highlighted, outlined in the observed themes, can be considered by research teams to enhance recruitment and retention strategies and study protocols for TGD youth populations. These efforts could both improve the experience for TGD youth participating in research and yield more generalizable data, as they would likely encourage greater levels of engagement.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13602202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027454","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":"Cannabis-Associated Aerodigestive Symptoms in an Adolescent: A Case Report of Globus Sensation, Dysphagia, and Hypersalivation.","authors":"Isabel Draper, Pawanpreet Randhawa, Kristen Guilford, Edore Onigu-Otitte","doi":"10.1016/j.jadohealth.2026.07.005","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.005","url":null,"abstract":"<p><p>Cannabis use remains common among adolescents, and evolving product potency and routes of administration raise concern for underrecognized effects on oropharyngeal and esophageal function. A 16-year-old male presented with globus sensation, dysphagia, and hypersalivation after 2 years of daily cannabis use. Extensive evaluation, including flexible laryngoscopy and barium esophagram, was unremarkable. Empiric treatment with proton pump inhibitors, antibiotics, and allergy medications offered minimal benefit. Symptoms partially improved after cannabis cessation and with glycopyrrolate, with further resolution following sustained abstinence. This case highlights a temporal association between chronic cannabis use and unexplained aerodigestive symptoms, including dysphagia, globus sensation, and hypersalivation in an adolescent. Adult studies suggest cannabinoid-mediated alterations in esophageal motility, but adolescent-specific data are limited. Alternative etiologies, including eosinophilic esophagitis, which was not excluded due to the absence of endoscopy with biopsies, remain possible.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027485","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":"Increasing Awareness of 7-Hydroxymitragynine and the Threat of Emerging Opioids.","authors":"Kyrra Engle, Amanda E Downey, Simone Vais, Marissa Raymond-Flesch","doi":"10.1016/j.jadohealth.2026.06.027","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.06.027","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":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027453","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":"Food Insecurity, Housing Instability, and Neighborhood Context: Pathways to Adolescent Mental Health.","authors":"Shipra Singh, Mounika Polavarapu, Anisha Shrestha, Syed Shehryar Azeem","doi":"10.1016/j.jadohealth.2026.07.003","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.003","url":null,"abstract":"<p><strong>Purpose: </strong>Adolescent mental health challenges in the United States have reached critical levels. This is a sensitive developmental period during which exposure to household-level hardships, such as food insecurity and housing instability, and adverse neighborhood environments may heighten vulnerability to mental, emotional, developmental, and behavioral health (MEDBH). This study examined the pathways through which household-level and neighborhood factors influence adolescent MEDBH.</p><p><strong>Methods: </strong>Using cross-sectional data from the 2022 National Survey of Children's Health, logistic regression models assessed the independent associations of food insecurity, housing instability, and neighborhood factors (social cohesion, detractors, and amenities) with MEDBH outcomes. Generalized structural equation modeling was then used to evaluate direct and indirect pathways linking household-level hardship to MEDBH through neighborhood factors as mediators.</p><p><strong>Results: </strong>Overall, 34.22% of adolescents experienced at least one MEDBH condition. Adjusted logistic regression analyses showed that food insecurity (adjusted odds ratio [aOR] = 1.50; 95% confidence interval [CI]: 1.29-1.74), housing instability (aOR = 1.54; 95% CI: 1.30-1.83), and neighborhood vandalism (aOR = 1.28; 95% CI: 1.09-1.50) were significantly associated with adverse MEDBH outcomes. Generalized structural equation modeling analyses demonstrated significant direct and indirect effects, with neighborhood factors mediating the associations between food insecurity (β = .024, p = .004), housing instability (β = .027, p = .004), and adolescent MEDBH.</p><p><strong>Discussion: </strong>Food insecurity and housing instability as individual-level factors contribute to adolescent MEDBH, with flourishing neighborhood factors acting as a protective community-level mediator. This reinforces the need for multilevel interventions to address both household-level hardships and broader structural inequities.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027478","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}