Journal of Adolescent Health最新文献

{"title":"Prospective Association of Sedentary Behavior With Psychological Distress Among Adolescents.","authors":"André O Werneck, Mats Hallgren, Brendon Stubbs","doi":"10.1016/j.jadohealth.2024.10.019","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.10.019","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the associations of different types and contexts of sedentary behavior during mid-adolescence (14 years) with later psychological distress (at 17 years).</p><p><strong>Methods: </strong>The data include 3,675 adolescents from the Millennium Cohort Study. During mid-adolescence, participants completed a time-use diary reporting time in different sedentary activities, which were also categorized into broader contexts (i.e., Leisure-based screen-time, leisure-based nonscreen time, and educational sedentary behavior). Participants reported psychological distress at the 17-year wave, through the Kessler scale. Gender, parent's education, family net income, parent's psychological distress, body mass index, physical activity, total sedentary time (time-use diary), depressive symptoms, and bullying victimization, all assessed during mid-adolescence, were used as covariates. Interaction terms were included to assess the effect-modification of gender.</p><p><strong>Results: </strong>Increasing 1 hour of playing video games, reading for leisure and total leisure-based screen-time was prospectively associated with a 3% (risk ratio: 1.03; 1.01-1.04), 5% (1.05; 1.01-1.08) and 2% (1.02; 1.01-1.03) higher psychological distress respectively. Only the groups with more than 180 min/day of leisure-based screen time were associated with higher psychological distress (180-300 min/day: 1.08; 95% confidence interval: 1.00-1.17. 300+ min/d: 1.13; 95% confidence interval: 1.03-1.23). Similarly, only higher levels of reading for leisure and playing video games were associated with higher psychological distress. Moderate (60-119 min) durations of homework (0.92; 0.86-0.99) and higher durations attending class (0.94; 0.89-0.99) were associated with lower psychological distress. There were only minor gender interactions.</p><p><strong>Discussion: </strong>Among adolescents, the association between sedentary behavior and psychological distress is domain-dependent. Future interventions should focus on reducing leisure-time screen-based behaviors to less than 3 h/day.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concordance of Traumatic Brain Injury Symptoms, Evaluation, and Diagnosis Between Teens and Parents: Data From the National Health Interview Survey-Teen.","authors":"Lindsey I Black, Amanda E Ng, Benjamin Zablotsky, Alexis Peterson, Jill Daugherty, Dana Waltzman, Jonaki Bose","doi":"10.1016/j.jadohealth.2024.10.018","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.10.018","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate differences in teen-reported and parent-reported lifetime prevalence estimates of traumatic brain injury (TBI) symptoms, TBI evaluation, and TBI diagnosis among a nationally representative sample of teenagers aged 12-17 years old and their parents.</p><p><strong>Methods: </strong>Parent-reported data from the 2021 to 2022 National Health Interview Survey linked with teen-reported data from the National Health Interview Survey-Teen July 2021-December 2022 (n = 1,153) were analyzed. Lifetime prevalence estimates for TBI symptoms (e.g., selected symptoms as a result of a blow or jolt to the head), history of evaluation by health professional for TBI (i.e., TBI evaluation), and TBI diagnosis stratified by sociodemographic characteristics and reporter type were produced, and z-tests were conducted to test for differences. Concordance measures were calculated to assess agreement between teen and parent survey responses to TBI measures.</p><p><strong>Results: </strong>Lifetime prevalence of TBI symptoms varied by reporter type across all sociodemographic characteristics with teen-report consistently producing higher estimates. Estimates of TBI evaluation varied by reporter type only among older teens, non-Hispanic teens, and teens who participated in sports; there was no difference for TBI diagnosis. Percent agreement between the 2 reporters ranged from 73% to 95%, prevalence-adjusted bias-adjusted kappa ranged from 0.45 to 0.90, and Cohen's kappa ranged from 0.22 to 0.63.</p><p><strong>Discussion: </strong>There was general agreement for observable outcomes TBI evaluation and TBI diagnosis, but discordance existed in reports of TBI symptoms. These findings suggest that youth self-report of TBI symptoms may enhance surveillance efforts.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Teen Secure Messaging is Associated With Use of Sexual and Reproductive Health Services in One Health System.","authors":"Andrea J Hoopes, Kara Cushing-Haugen, R Yates Coley, Sharon Fuller, Gina S Sucato, Rita Mangione-Smith, James D Ralston","doi":"10.1016/j.jadohealth.2024.10.016","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.10.016","url":null,"abstract":"<p><strong>Purpose: </strong>Patient portal use may improve access to or use of sexual and reproductive health (SRH) services for adolescents. We examined the association between adolescent secure messaging on a portal and use of SRH services in one health system.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study using electronic health records of adolescents aged 13-17 at Kaiser Permanente Washington from 2019 to 2021. Using month of observation as our unit of analysis, we estimated unadjusted and adjusted odds ratios and 95% confidence intervals (CIs) for associations between secure messages sent and 3 outcomes: (1) sexually transmitted infection (STI) tests ordered in the observed month, and among pregnancy-capable individuals; (2) pregnancy tests; and (3) prescription contraceptive methods ordered.</p><p><strong>Results: </strong>Thirty-seven thousand eight hundred eighteen unique individuals contributed 667,678 months of individual observation. Among observed months with STI testing, 6.1% sent secure messages compared to 1.1% in months with no STI testing. Observed months with secure messaging had significantly greater odds of STI tests ordered than months without messaging, after adjusting for covariates (adjusted odds ratio (aOR) 3.5, 95% CI 2.9-4.3). Among observed months with prescription contraceptive orders, 5.0% sent a portal message compared to 1.4% without prescription contraceptive orders. Observed months with secure messaging among pregnancy-capable individuals had significantly greater odds of pregnancy tests (aOR 2.6, 95% CI 2.2-3.1) and prescription contraceptive orders (aOR 1.9, 95% CI 1.7-2.2) than months without messaging.</p><p><strong>Discussion: </strong>The use of secure messaging by adolescents was more common among those with concurrent SRH care needs.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Insufficient Sleep on White Matter Development in Late Childhood and Early Adolescence.","authors":"João Paulo Lima Santos, Adriane M Soehner, Cecile D Ladouceur, Amelia Versace","doi":"10.1016/j.jadohealth.2024.10.007","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.10.007","url":null,"abstract":"<p><strong>Purpose: </strong>Sleep is vital for brain development. Animal models have suggested that insufficient sleep affects axons and dendrites (known as neurites). However, the effects of insufficient sleep on neurites during brain development in humans remain understudied. Deriving neurite density index and orientation dispersion index (ODI) in a large sample (N = 1,016; 47.44% girls), we aimed to identify the effects of insufficient sleep on white matter development between late childhood (mean age [standard deviation] = 9.96 [0.62] years) and early adolescence (mean age [standard deviation] = 11.94 [0.64] years).</p><p><strong>Methods: </strong>Longitudinal Latent Class Analysis was used to derive longitudinal classes based on sleep duration from the Sleep Disturbance Scale for Children. The Child Behavior Checklist characterized behavioral (internalizing: anxious/depressed, withdrawn/depressed, somatic; externalizing: social, thought, attention, rule-breaking, and aggressive) problems. Regression analyses evaluated the effects of sleep classes on neurite density index, ODI, and standard tensor-based metrics (Fractional Anisotropy) changes over time, the focal or widespread effects along the tracts, and whether these effects were associated with behavioral problems.</p><p><strong>Results: </strong>Insufficient (<9 hours; N = 569) and sufficient sleep (>9 hours; N = 447) groups were identified. Insufficient sleep was associated with worsening fiber coherence (greater ODI) in most tracts, including cingulum bundle (F_(1,982) = 9.22, p = .002, Q = 0.009), forceps minor (F_(1,982) = 5.30, p = .021, Q = 0.026), and superior longitudinal fasciculus (F_(1,982) = 7.41, p = .007, Q = 0.015). These effects were focal, particularly in the frontal portions of the tracts. No other metric was affected (p > .050). In addition, greater ODI in the cingulum bundle was associated with more anxious/depressed problems (β = 0.10, p = .012, Q = 0.036).</p><p><strong>Discussion: </strong>Our findings suggest that insufficient sleep during this sensitive period affects white matter development, which in turn affects internalizing problems. Our findings support the importance of promoting sufficient sleep during early adolescence.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between Physical Activity and Symptoms of Mental Health Disorders in Adolescence: Evidence From the Longitudinal Swedish Twin Register.","authors":"Camilla A Wiklund, Maria M Ekblom, Rui Wang, Örjan Ekblom","doi":"10.1016/j.jadohealth.2024.10.017","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.10.017","url":null,"abstract":"<p><strong>Purpose: </strong>The transition phase between childhood and adolescence is critical, given the observation of increased mental health issues during this period, coupled with the absence of efficient intervention tools. This study aims to examine a possible effect of physical activity on mental health symptoms in adolescents during this transitional age.</p><p><strong>Methods: </strong>We used data from a large-scale population-based Swedish twin sample of 14,083 individuals to investigate cross-sectional and longitudinal associations between physical activity and mental health problems during childhood and adolescence. We examine different aspects of mental health symptoms, including internalizing and externalizing symptoms. We applied generalized estimating equations to investigate the associations and explored potential familial confounding using within-twin pair analysis.</p><p><strong>Results: </strong>We found high physical activity intensity and frequency to be associated with better mental health throughout childhood and adolescence, cross-sectionally and longitudinally. Compared to those who reported low, those reporting high physical activity intensity and frequency in both childhood and/or adolescence had significantly lower symptoms of mental health at age 15. This association was statistically significant for both internalizing and externalizing symptoms. The within-twin pair analysis showed that familial confounding factors can largely explain the association with the externalizing scale, but not the internalizing scale.</p><p><strong>Discussion: </strong>Physical activity in childhood and adolescence may play an essential role in reducing the risk of developing mental health problems, especially internalizing symptoms. Implementing acceptable, low-risk, and cost-effective interventions to promote physical activity could effectively safeguard young individuals from these symptoms.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Provision of Adolescent Confidential Care in a Pediatric Tertiary Care Hospital.","authors":"Holly Agostino, Brett Burstein","doi":"10.1016/j.jadohealth.2024.10.008","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.10.008","url":null,"abstract":"<p><strong>Purpose: </strong>Adolescents are more likely to disclose sensitive health information if confidentiality is assured. We sought to evaluate the frequency, quality, and factors associated with provision of confidential care to adolescent patients at a pediatric teaching hospital.</p><p><strong>Methods: </strong>We undertook a cross-sectional survey of adolescents presenting to a tertiary pediatric hospital from January 2019 to January 2020. A convenience sample of adolescents eligible for confidential care under Quebec legislation (aged 14-18 years) were surveyed either following their emergency department (ED) or inpatient care. Participants completed a self-administered electronic questionnaire regarding the confidential care provided at their initial ED or inpatient medical encounter. Multivariable logistic regression was used to identify factors associated with the provision of confidential care.</p><p><strong>Results: </strong>Overall, 406 adolescents completed the survey (335 ED; 71 inpatient); 137 (33.7%) endorsed being offered and 95 (69%) accepted confidential time. Among adolescents receiving confidential care, 43% reported that the limits of confidentiality were reviewed and 23% reported that private issues were still discussed in front of family members. Multivariable analysis revealed inpatient setting (adjusted odds ratio [aOR] 2.28, 1.04-5.01), female gender (aOR 2.02, 1.21-3.38), age (aOR 1.67, 1.03-2.69), psychiatric diagnosis (aOR 8.10, 1.47-44.6), resident involvement (aOR 1.96, I.09-3.53) were all positively associated with the provision of confidential care.</p><p><strong>Discussion: </strong>Survey results suggest inadequate provision of confidential care in an academic pediatric hospital. The limits of confidentiality were not consistently explained, and breaches in confidentiality were not infrequent. Confidentiality-specific education initiatives are necessary to improve the frequency and quality of confidential care for adolescents in tertiary care settings.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Juvenile Injuries and Deaths From Shootings by Police in the United States, 2015-2020.","authors":"Dylan B Jackson, Alexander Testa, Daniel C Semenza, Cassandra K Crifasi, Julie A Ward","doi":"10.1016/j.jadohealth.2024.10.011","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.10.011","url":null,"abstract":"<p><strong>Purpose: </strong>The present study describes juveniles injured in fatal and nonfatal shootings by the police from 2015 to 2020, compares characteristics of juvenile victimizations to adult victimizations, and estimates the odds of a shooting victim being a juvenile v. adult, given known characteristics.</p><p><strong>Methods: </strong>From July 2021 to April 2023, we manually reviewed publicly available records on all 2015-2020 injurious shootings by the US police, identified from Gun Violence Archive. We first calculated counts and proportions of victim, incident, and response characteristics among juvenile and adult injured people, then estimated the odds of juvenile (vs. adult) victimization associated with each characteristic in multilevel logistic regression models with random intercepts to account for state- and incident-level correlation.</p><p><strong>Results: </strong>97 percent of shootings involved presumed on-duty officers and victims whose categorical age status (i.e., juvenile or adult) was reported (n = 10,382). Included among these injured people were 317 juveniles, 33% of whom were fatally injured (mean reported juvenile age = 15.5 years). Several patterns differentiated juveniles from adult police shooting victims, including multiple demographic characteristics (e.g., race or ethnicity and gender) and the outcomes of and circumstances surrounding these events (e.g., fatality, victim weapon status, and single-officer response).</p><p><strong>Discussion: </strong>Findings point to a critical need to identify and implement public health and policing strategies that greatly reduce the number of juveniles shot by the police every year, so that all children have the opportunity to thrive into adulthood.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial Interventions for Preventing Mental Health Conditions in Adolescents With Emotional Problems: A Meta-Analysis.","authors":"Stefani Du Toit, Mark Tomlinson, Christina A Laurenzi, Sarah Gordon, Laura Hartmann, Nina Abrahams, Melissa Bradshaw, Amanda Brand, G J Melendez-Torres, Chiara Servili, Tarun Dua, David A Ross, Joanna Lai, Sarah Skeen","doi":"10.1016/j.jadohealth.2024.09.030","DOIUrl":"10.1016/j.jadohealth.2024.09.030","url":null,"abstract":"<p><p>Mental health conditions constitute a major burden of disease for adolescents globally and can lead to significant adverse consequences. This systematic review aimed to identify if psychosocial interventions are effective in preventing mental health conditions in adolescents already experiencing emotional problems. We searched for randomized controlled trials comparing psychosocial interventions for preventing mental health conditions with care as usual in adolescents aged 10-19 who are experiencing symptoms of emotional problems. We searched PubMed/Medline, PsycINFO, ERIC, EMBASE, and ASSIA databases to identify studies. We found 82 eligible studies (n = 13,562 participants). Findings show that interventions can reduce mental health conditions and increase positive mental health. Across all reported time points, psychosocial interventions showed significant, small-to moderate-sized beneficial effects on preventing mental health conditions (SMD: -0.26, 95% CI [-0.42, -0.19] and small positive effects on positive mental health (SMD: 0.17, 95% CI [0.097, 0.29]. There were no statistically significant pooled findings suggesting that psychosocial interventions had either a positive or negative effect on self-harm or suicide; aggressive, disruptive and oppositional behavior; substance use; or school attendance. Despite the positive findings, a critical gap exists in the design of effective psychosocial interventions to reduce self-harm and suicide, and other risk behaviors in adolescents with symptoms of emotional problems.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Invited Reflections After Reading the Letter by Rick Yang","authors":"Daniel Tan-Lei Shek Ph.D.","doi":"10.1016/j.jadohealth.2024.09.013","DOIUrl":"10.1016/j.jadohealth.2024.09.013","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 988-989"},"PeriodicalIF":5.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Unexpected Opportunity: How the COVID-19 Pandemic Can Help Us Better Support Adolescents in the Future","authors":"Tor D. Berg,&nbsp;Carol A. Ford M.D.","doi":"10.1016/j.jadohealth.2024.09.016","DOIUrl":"10.1016/j.jadohealth.2024.09.016","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 847-848"},"PeriodicalIF":5.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}