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

{"title":"Identifying High-Risk Patients: Clinical and Demographic Characteristics Associated With Readmission in Adolescents Hospitalized for Eating Disorders.","authors":"Sarah J Calardo, Katherine Keck, Cara Reedy, David I Rappaport, Megen Vo","doi":"10.1016/j.jadohealth.2026.07.004","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.07.004","url":null,"abstract":"<p><strong>Purpose: </strong>Adolescents with eating disorders (EDs) are increasingly hospitalized in the United States and are at high risk for readmission for at least 1 year thereafter. We examined clinical and demographic factors associated with readmission in adolescents hospitalized for EDs between 2010 and 2024.</p><p><strong>Methods: </strong>This study built upon a prior study evaluating trends in patient hospitalization for EDs. We used the PEDSnet database to pull data from eight children's hospitals on patients aged 12-21 years hospitalized for an ED and analyzed the group readmitted for the ED within 1 year of initial hospitalization. We analyzed which factors were associated with readmission, focusing on patient demographics and clinical characteristics.</p><p><strong>Results: </strong>We assessed a cohort of 9,829 patients hospitalized between 2010 and 2024, of whom 7,505 were admitted once and 2,324 (23.6%) were readmitted within a year. Risk factors for readmission within a year included patients who were identified as female, had moderate or severe malnutrition, had anorexia nervosa, hypokalemia, bradycardia, and orthostatic hypotension (all p < .001). Patients with comorbidities of anxiety or depression (both with p < .05) and those with public insurance were also more likely to be readmitted (p < .001).</p><p><strong>Discussion: </strong>Adolescents hospitalized for EDs are at high risk for readmission within 1 year. Certain clinical and demographic characteristics are associated with increased risk for 1-year readmission in patients with EDs. Future studies should evaluate the publicly insured cohort further to elucidate if additional factors are associated with these patients' increased 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":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149019125","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":"Taking Complexity Seriously: Overcoming Barriers to Precision Intervention for Young Drivers.","authors":"Jessica Hafetz","doi":"10.1016/j.jadohealth.2026.06.019","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.06.019","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":"149019393","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 Use of Oral Nicotine Pouches in Adolescents: Systematic Review and Meta-Analysis.","authors":"Sayda Mohamed Elhag Sirelkhatim, Mustafa Abdelhamied Mohamed Mustafa Abugesiesa, Jadallah Osman Mohammedzein Ali, Ladin Salah Eldin Mohammed Ali, Asma Mohamed Sharif, Salma Ahmed Ali Ahmed","doi":"10.1016/j.jadohealth.2026.06.003","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.06.003","url":null,"abstract":"<p><p>Oral nicotine pouches (ONPs) have recently gained popularity among adolescents. This systematic review and meta-analysis aims to address the literature gap and public health implications of ONP use. Specifically, it focuses on the use prevalence, user characteristics, associated factors, and co-use with other substances. Following a comprehensive database search conducted until September 2025, 14 eligible studies were identified after title/abstract and full-text screening using Rayyan Software. Quality and risk of bias were assessed using the Joanna Briggs Institute Critical Appraisal Tools for cross-sectional studies. Data analysis consisted of a descriptive synthesis and 2 random-effects meta-analyses to estimate the pooled prevalence of ever and current nicotine pouch use among adolescents, followed by sex-stratified subgroup analyses to compare prevalence between males and females. Analysis showed that the ever use of ONPs was more prevalent than the current use. Key user characteristics were male gender, older age, and Hispanic ethnicity. Furthermore, ONP use was strongly associated with the co-use of other tobacco products and substances. ONP use among adolescents reflects rising experimentation, demographic disparities, and emerging health risks, underscoring the urgent need for targeted regulation and research.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148672044","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":"A Socioecological Approach to Adolescent Suicide Risk: The Roles of Social Bonds and Recognition.","authors":"Xue Zhang, Jonathan Wright","doi":"10.1016/j.jadohealth.2026.06.005","DOIUrl":"10.1016/j.jadohealth.2026.06.005","url":null,"abstract":"<p><strong>Purpose: </strong>Research on adolescents' suicide risk has mainly focused on individual/interpersonal risk. Relational protective factors (e.g. connectives and recognition for prosocial behavior) need more attention. Guided by a socioecological framework, we hypothesized that stronger social bonds and recognition are associated with lower suicide risk, directly and indirectly through associations with lower individual/interpersonal risk.</p><p><strong>Methods: </strong>Using the 2023 Pennsylvania Youth Survey (190,151 students), suicide risk was measured by four dichotomous variables: suicidal ideation, plan, attempt, and injury by attempt. Individual and interpersonal risk factors included substance use, depression, and bullying victimization. Relational protective factors included social bonds and recognition across family, school, and community domains. Rurality and demographic covariates were included. Generalized structural equation modeling estimated direct and indirect pathways.</p><p><strong>Results: </strong>Most common suicide risk was suicidal ideation (16%), followed by plan (13%), attempt (5%), and injury by attempt (1%). While substance use, depression, bullying victimization, and rurality were associated with higher suicide risk, stronger social bonds and recognition were directly and indirectly associated with lower risk. Among social bonds, family attachment had the largest direct association. School commitment showed the largest indirect association through lower individual/interpersonal risk. Among social recognition, community domains had the largest direct association. Family recognition had the largest indirect association via social bonds and lower risk factors.</p><p><strong>Discussion: </strong>Social bonds and recognition across family, school, and community domains are key relational protective factors for adolescent suicide risk through interconnected pathways. Prevention efforts require coordinated, multisector collaboration to build supportive relational environments, with attention to rural adolescents.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13440016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148672038","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":"The Evolution of Individual-Level Crash Risk Among Novice Young Drivers Can Tell Us Much More Than We Know Now.","authors":"Siwei Hu, Pnina Gershon, Kaigang Li, Federico E Vaca","doi":"10.1016/j.jadohealth.2026.04.024","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.04.024","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":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623837","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":"Intersectional Trends in Method-Specific Suicide Among Adolescents in the United States, 2006-2023: A Pooled Cross-Sectional Study.","authors":"Ying-Chen Chi, Joh-Jong Huang, Shu-Yu Tai, Ichiro Kawachi, Ying-Yeh Chen, Tsung-Hsueh Lu","doi":"10.1016/j.jadohealth.2026.05.009","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.05.009","url":null,"abstract":"<p><strong>Purpose: </strong>Suicide rates among adolescents in the United States (US) are rising. We examined intersectional trends in method-specific suicide by race/ethnicity, sex, and age (10-14 vs. 15-19 years) from 2006 to 2023.</p><p><strong>Methods: </strong>Using US national mortality data, we calculated method-specific suicide rates among adolescents aged 10-19 years across three periods (2006-2011, 2012-2017, and 2018-2023) by race/ethnicity, sex, and age group. Rate ratios with 95% confidence intervals (CIs) were estimated using non-Hispanic (NH) White adolescents as the reference.</p><p><strong>Results: </strong>Across 60 intersectional groups (sex × age × race/ethnicity × period), hanging was the leading suicide method in 51 groups. Suicide rates increased in most groups, but the magnitude varied. Firearm suicide rates rose 10-fold among NH Black girls aged 10-14 years, from 0.06 per 100,000 in 2006-2011 to 0.60 in 2018-2023 versus a three-fold increase among NH White girls (0.15-0.47). The rate ratio for NH Black versus NH White girls increased from 0.40 (95% CI: 0.17-0.93) to 1.28 (95% CI: 0.93-1.76). Poisoning suicide rates increased among NH Black, Hispanic, and Asian and Pacific Islander adolescents aged 15-19 years. Asian and Pacific Islander adolescents aged 15-19 years had the highest rates of suicide by jumping across racial/ethnic groups.</p><p><strong>Discussion: </strong>Method-specific suicide rates are rising among US adolescents, particularly among racial/ethnic minority groups and certain age-sex subgroups. These findings highlight the need for targeted, culturally informed suicide prevention strategies that restrict access to lethal means.</p>","PeriodicalId":520803,"journal":{"name":"The Journal of adolescent health : official publication of the Society for Adolescent Medicine","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148428630","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":"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":"53-60"},"PeriodicalIF":4.5,"publicationDate":"2026-01-01","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":"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":"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":"492-498"},"PeriodicalIF":4.5,"publicationDate":"2025-09-01","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":"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":"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}