Journal of Adolescent Health最新文献

{"title":"Navigating the Risks and Challenges of Advocacy to Improve Adolescent and Young Adult Health.","authors":"Debra K Katzman, Elizabeth M Bankah, Susan M Sawyer","doi":"10.1016/j.jadohealth.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.04.004","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086974","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":"Adolescent Comfort With Sexual Orientation and Gender Identity Collection and Preferences for Electronic Health Record Documentation in the Ambulatory Setting.","authors":"Jessica Pourian, Jhanavi Kapadia, Melinda Li, Phinnara Has, Jason Rafferty, Syd Loiselle, Abigail Donaldson, Emily B Allen, Jack C Rusley","doi":"10.1016/j.jadohealth.2025.03.006","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.03.006","url":null,"abstract":"<p><strong>Purpose: </strong>Assessing sexual orientation and gender identity (SOGI) is a key element in delivering high quality health care to adolescents and young adults (AYAs). However, AYA perspectives on SOGI data collection remain understudied. Therefore, we aimed to assess perceived importance of and comfort with SOGI data collection.</p><p><strong>Methods: </strong>AYA attending outpatient visits completed an anonymous survey. We assessed importance (Likert scale: 5 = strongly disagree to 1 = strongly agree) and comfort with various collection methods (yes/no), as well as willingness to share name and/or pronouns in the electronic health record (EHR) (yes/no). AYA were classified as transgender and gender diverse (TGD) versus cisgender; and lesbian, gay, bisexual, other versus heterosexual. Mean scores were calculated and t-tests used to compare importance across groups; Fisher's exact tests were used to compare comfort and EHR preferences across groups.</p><p><strong>Results: </strong>Of 260 AYA ages 10 to 26, 50% were TGD and 52% were lesbian, gay, bisexual, other. The mean importance of gender identity among all AYA was 3.9, and TGD had higher ratings than cisgender AYA (4.4 vs. 3.6, p < .001). There were no differences between cisgender and TGD AYA with respect to sexual orientationimportance (3.6 vs. 3.3, p = .08). Ninety-six percent of AYA were comfortable with one or more methods of SOGI collection. Nearly all (96%) TGD youth were willing to share both their name and pronouns in the EHR.</p><p><strong>Discussion: </strong>Most AYA consider SOGI collection important and are comfortable being asked in clinic. Nearly all TGD youth preferred sharing both their name and pronouns in the EHR.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087017","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 Among Sociodemographic and Contextual Factors and Youth Pregnancy Preferences.","authors":"Sarah F Nathan, Susan A Chapman, Claire D Brindis, Corinne H Rocca","doi":"10.1016/j.jadohealth.2025.03.017","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.03.017","url":null,"abstract":"<p><strong>Purpose: </strong>Efforts to improve access to and use of contraception among young people have often inadequately accounted for the diversity in feelings youth hold about a potential pregnancy. Research using validated measures, is needed to investigate the distribution of pregnancy preferences among youth (15-24 years old) and identify contextual factors that may shape these preferences.</p><p><strong>Methods: </strong>A series of bivariate regression models and one multivariate regression model were run using data from the Attitudes and Decision Making After Pregnancy Testing (ADAPT) study, including n = 1,020 assigned female at birth youth recruited from 23 health facilities in the southwestern United States. Pregnancy preferences were measured with the Desire to Avoid Pregnancy (DAP) scale, a prospective validated measure.</p><p><strong>Results: </strong>A range of DAP scale scores (pregnancy preferences) were found, with a mean of 2.5 (standard deviation 1.1, 0 = greatest openness to pregnancy, 4 = strongest desire to avoid pregnancy). Parous (1.98 vs. 2.63 nulliparous; aCoeff. -0.38, p ≤ .001) and more religious youth (2.16 vs. 2.68 without religion; aCoeff. -0.47, p ≤ .001) were relatively more open to the prospect of pregnancy (e.g., lower DAP score). Those without a main partner (2.79 vs. 2.41 in a relationship; aCoeff. 0.37, p ≤ .001), who were in school (2.80 vs. 2.25 not in school; aCoeff. 0.45, p ≤ .001), and those experiencing depressive symptoms (2.70 vs. 2.40 not depressed; aCoeff. 0.19, p ≤ .01) expressed stronger desire to avoid pregnancy.</p><p><strong>Discussion: </strong>Youth pregnancy preferences are diverse and shaped by their partnership status, prior childbearing, social context, and mental health.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087020","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 Secondhand Vape Exposure on Adolescents' Willingness to Try E-Cigarettes.","authors":"Karen W Geletko, Jon Mills, Campbell Goff, Jeffrey Harman","doi":"10.1016/j.jadohealth.2025.04.006","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.04.006","url":null,"abstract":"<p><strong>Purpose: </strong>Several factors impact the influenceability of adolescents to try electronic nicotine delivery systems; however, it is unknown how secondhand vape exposure influences their willingness to try these products. The aim of this study was to explore the impact of secondhand aerosol (SHA) exposure on willingness to try e-cigarettes among adolescents who have never vaped.</p><p><strong>Methods: </strong>In this observational, cross-sectional study, we used data from the National Youth Tobacco Survey from 2022 to examine the association between exposure to SHA and willingness to try e-cigarettes among adolescent never-vapers. Multiple logistic regression was used to compare the odds of being willing to try e-cigarettes among participants exposed to SHA versus those unexposed to SHA, adjusting for age, race, ethnicity, gender, and mental health symptoms, online exposure to social media e-cigarette content, other nicotine use, perceptions of harmfulness of secondhand vapor, education performance, education level and family socioeconomic status.</p><p><strong>Results: </strong>Exposure to SHA was associated with a 105% increase in the odds (odds ratio [OR] = 2.05; 95% confidence interval [CI] = 1.85-2.29) of being curious to try e-cigarettes, 75% increase in the odds (OR = 1.75; 95%: CI = 1.54-1.99) of being willing to try e-cigarettes soon, and 79% increase in the odds (OR = 1.85; 95%: CI = 1.57-2.18) of being willing to try e-cigarettes within the year.</p><p><strong>Discussion: </strong>Adolescents exposed to SHA are more likely to consider vaping, highlighting a potential risk factor for youth initiation.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086977","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":"We Kept Going.","authors":"Maliha Khan","doi":"10.1016/j.jadohealth.2025.03.020","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.03.020","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082426","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":"Are Adolescents Sensitive About Sensitive Data? Exploring Student Concerns About Privacy, Confidentiality, and Data Use in Health Research.","authors":"Emma Soneson, Mina Fazel, Puneetha S Goli, Simon R White","doi":"10.1016/j.jadohealth.2025.03.004","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.03.004","url":null,"abstract":"<p><strong>Purpose: </strong>We quantitively explored adolescents' concerns about privacy, confidentiality, and data use in health research and their potential impact on the accuracy of self-report data.</p><p><strong>Methods: </strong>We analyzed data from 17,729 secondary school students who participated in the 2023 OxWell Student Survey. The survey assessed 5 concerns about privacy, confidentiality, and data use and asked students whether these concerns impacted the accuracy of their answers. We calculated the proportions who (a) endorsed each concern and (b) reported inaccuracies associated with their concern(s). We then examined associations of concerns and self-reported inaccuracies with nonresponse and score distributions on sensitive measures of mental illness (depression/anxiety and disordered eating) and adversity (child maltreatment) using logistic regression.</p><p><strong>Results: </strong>46.0% (8,160/17,729) of students endorsed ≥1 concern, and of these, 29.2% (2,379/8,160) reported associated inaccuracies. Relative to boys, concerns were more common amongst gender diverse adolescents (adjusted odds ratio [aOR] = 5.71, 95% confidence interval [CI] 4.40-7.48), gender nondisclosing adolescents (aOR = 4.36, 95% CI 3.62-5.26), and girls (aOR = 2.52, 95% CI 2.36-2.69), with smaller differences in self-reported inaccuracies. Students with self-reported inaccuracies were significantly more likely to have nonresponse on the 3 measures of mental illness and adversity (aORs = 1.53-3.38), whilst score distributions on those measures varied substantially according to whether students reported concerns.</p><p><strong>Discussion: </strong>Concerns about privacy, confidentiality, and data use were common amongst student participants, as were self-reported inaccuracies. Substantial differences in nonresponse and score distributions on sensitive measures highlight potential impacts of these concerns. Co-designing and implementing strategies to address these concerns might help to support evidence-based decision-making by improving representativeness and data quality in adolescent health research.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082425","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":"Effects of a Middle School Dating Violence Prevention Program on Depression at 5-Year Follow-Up.","authors":"Jeff R Temple, Elizabeth R Baumler, Leila Wood","doi":"10.1016/j.jadohealth.2025.03.007","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.03.007","url":null,"abstract":"<p><strong>Purpose: </strong>We examined long-term mental health benefits of Fourth R, an intervention designed to teach healthy relationship skills and prevent adolescent relationship abuse. While we previously showed it to prevent relationship violence, the potential crossover effects on broader mental health outcomes, such as depression and anxiety, remain unexplored.</p><p><strong>Methods: </strong>We randomized Texas middle schools to receive either Fourth R (n = 12; n = 1,332) or standard health curricula (n = 12; n = 1,533) and assessed racially/ethnically diverse participants at baseline and 5 years postintervention.</p><p><strong>Results: </strong>After accounting for age, gender, race/ethnicity, adverse childhood experiences, and baseline distress, we found that students receiving the intervention were less likely to be depressed at the 5-year follow-up (odds ratio = 0.69, 95% confidence interval: 0.49, 0.97) compared to students in control schools.</p><p><strong>Discussion: </strong>Findings suggest that promoting healthy relationship skills in middle school can have enduring benefits for mental health, offering schools a cost-effective way to address multiple behavioral health challenges.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045230","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":"Education as Advocacy to Improve Adolescent and Young Adult Health.","authors":"Renee E Sieving, Carol A Ford, Abigail English, Lynn M Bretl, Joanna Brown, Jelina M Castillo, Ellie Cowal, Tamera Coyne-Beasley, Shelby Davies, Devon J Hensel, Charles E Irwin, Amelia Knopf, Alisa Koyama, Lisa Mihaly, Sarah A B Pitts, Stefani Ricondo, Arlene Schneir, Sara Sherer, Amy C Traylor","doi":"10.1016/j.jadohealth.2025.02.017","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.02.017","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008076","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 Texting While Driving in Association With All-Driver and Young-Driver Cellphone Laws.","authors":"Motao Zhu, Marco H Benedetti, Yuhan Pan, Bo Lu, Jingzhen Yang, Gary Smith","doi":"10.1016/j.jadohealth.2025.02.020","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.02.020","url":null,"abstract":"<p><strong>Purpose: </strong>Cellphone-related driver distraction claimed 402 lives, over 26,000 injuries, and $10 billion in economic costs including medical costs in 2022 in the United States. Young drivers exhibit a disproportionately higher prevalence of cellphone use while driving and are over-represented in traffic injuries. We assessed the impact of all-driver and young-driver cellphone laws on teen drivers' texting behaviors.</p><p><strong>Methods: </strong>Participants were 110,193 high school students from the 2013, 2015, 2017, and 2019 state Youth Risk Behavior Survey across 42 states. We utilized survey-weighted modified Poisson regression with robust standard errors to estimate the associations.</p><p><strong>Results: </strong>Approximately 54% of high school student drivers reported texting while driving monthly. The presence of both an all-driver texting law and a young-driver cellphone law was not associated with less texting while driving, compared to states without such laws. However, an all-driver comprehensive handheld ban, without a young-driver cellphone law, was associated with a 26% lower prevalence of texting while driving (adjusted prevalence ratio: 0.74, 95% confidence interval: 0.68-0.80) compared to states with an all-driver texting law and a young-driver cellphone law. In contrast, a young-driver cellphone law without an all-driver cellphone law was not associated with less texting (adjusted prevalence ratio: 1.04, 95% confidence interval: 0.98-1.11).</p><p><strong>Discussion: </strong>Young-driver cellphone laws showed limited effectiveness in reducing texting while driving, while all-driver handheld cellphone bans were effective. Our findings underscore the safety benefits of implementing all-driver handheld bans in the 22 states that have yet to enact such legislation.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041937","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":"Impact of Chest Binding on Respiratory Health: Clinical Considerations and Perspectives for Future Research","authors":"Nuray Kanbur M.D.,&nbsp;Sinem Akgül M.D., Ph.D.,&nbsp;Melis Pehlivantürk Kızılkan M.D., Ph.D.,&nbsp;Koray Başar M.D.,&nbsp;Zeynep Tüzün Ph.D.","doi":"10.1016/j.jadohealth.2025.01.025","DOIUrl":"10.1016/j.jadohealth.2025.01.025","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 939-940"},"PeriodicalIF":5.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869296","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}