Journal of Adolescent Health最新文献

{"title":"The Effects of the Connecting All Generations Through the Gerontech (CARETech) Program on Motivating Young People to Enter the Elderly Care Sector","authors":"Arkers Kwan Ching Wong R.N., Ph.D. ,&nbsp;Jonathan Bayuo R.N., Ph.D. ,&nbsp;Ho Yi Wong ,&nbsp;Karen Kit Sum Chow M.Sc. ,&nbsp;Siu Man Wong M.Sc. ,&nbsp;Bonnie Bo Wong ,&nbsp;Bob Chung Man Liu ,&nbsp;David Chi Ho Lau M.Sc. ,&nbsp;Tobias Kowatsch Ph.D.","doi":"10.1016/j.jadohealth.2024.06.015","DOIUrl":"10.1016/j.jadohealth.2024.06.015","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to organize an intergenerational program to provide unemployed young people with operational skills related to gerontechnology and the experience required to deliver digital outreach rehabilitation services to community-dwelling older people.</div></div><div><h3>Methods</h3><div>A quasi-experimental research design was adopted. The young participants received a 12-session training program on the management of common chronic diseases, communication with older people, the functions and use of interactive games, and techniques to teach and match interactive games with older people. The perception of elderly outcomes (i.e., knowledge and attitude toward elderly care, willingness to care for the elderly), personal outcomes (i.e., life satisfaction, self-efficacy), and desired vocational outcomes (i.e., hours worked in the nongovernmental organization’s center, hours spent with older people) were evaluated preprogram and postprogram.</div></div><div><h3>Results</h3><div>Fifty-one young people joined the program. A statistically significant improvement was seen from preprogram to postprogram in their willingness to care for the elderly (<em>p</em> = .016) and life satisfaction (<em>p</em> = .005), as well as in the number of hours that they spent in the community center volunteering or engaged in social services for older people.</div></div><div><h3>Discussion</h3><div>The findings proved that the program could improve the willingness of young people to care for older people, as well as improve their own life satisfaction. Using gerontechnology can serve to bridge the intergenerational gap and bring benefits to both young adults and older people. It may provide policy makers with a way to address the manpower shortage in elderly care services and help frail older people to age in place.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 5","pages":"Pages 801-808"},"PeriodicalIF":5.5,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal Use Patterns of Technology Subtypes During the Transition Into Early Adolescence: Results From the Adolescent Brain Cognitive Development Study","authors":"Jacob T. Borodovsky Ph.D. ,&nbsp;Lindsay M. Squeglia Ph.D. ,&nbsp;Louise Mewton Ph.D. ,&nbsp;Lisa A. Marsch Ph.D.","doi":"10.1016/j.jadohealth.2024.06.020","DOIUrl":"10.1016/j.jadohealth.2024.06.020","url":null,"abstract":"<div><h3>Purpose</h3><div>Adolescents encounter a complex digital environment, yet existing data on youth technology use rarely differentiates technology subtypes. This study maps the evolution and intricacies of youth engagement with technology subtypes.</div></div><div><h3>Methods</h3><div>N = 11,868 participants in the Adolescent Brain Cognitive Development study followed from ages ∼9/10 to ∼13/14. We examined youths' self-reported hours per day (hr/day) of technology subtypes: TV/Movies, video games, YouTube, social media, video chat, and texting. We used descriptive statistics and multilevel logistic regression to assess cross-sectional and longitudinal use patterns of technology subtypes, agreement between child and parent reports on the child's technology use, and associations between each technology subtype and sociodemographics (child's biological sex, parent education, income, and marital status).</div></div><div><h3>Results</h3><div>At age 9/10, ∼75% of youth reported minimal (&lt;30 min/day) social technology use (social media, video chat, texting) and up to ∼1.5 hr/day of TV, video games, and YouTube. By age 13/14, TV trajectories were converging to &gt;2 hr/day, but social technology trajectories “fanned out” into a wide range of usage rates. Child and parent reports were weakly correlated (r_s range: 0.13–0.29). Using child-reported hours of technology use, increases in the subject-specific odds of using a technology &gt;2 hr/day ranged from 25% (YouTube; 95% CI: 1.16–1.35) to 234% (social media; 95% CI: 3.14–3.55). Compared with males, females had ∼100–200% greater odds of &gt;2 hr/day of social technologies, but ∼40–80% reduced odds of &gt;2 hr/day of video games and YouTube. Higher parent education and income predicted significantly lower odds of &gt;2 hr/day of use – regardless of technology subtype.</div></div><div><h3>Discussion</h3><div>Distributions of youths' self-reported technology engagement are highly contingent on technology subtype, age, and biological sex. Future research on youth development and technology may benefit from considering youths' varied digital experiences.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 5","pages":"Pages 809-818"},"PeriodicalIF":5.5,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977381","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":"Physician Follow-Up of Pediatric and Young Adult Emergency Department Visits for Substance Use in Ontario, Canada","authors":"Tea Rosic M.D., Ph.D. ,&nbsp;Paula Cloutier M.A. ,&nbsp;Daniel Myran M.D., M.P.H. ,&nbsp;Haris Imsirovic M.Sc. ,&nbsp;Paul Kurdyak M.D., Ph.D. ,&nbsp;William Gardner Ph.D.","doi":"10.1016/j.jadohealth.2024.06.019","DOIUrl":"10.1016/j.jadohealth.2024.06.019","url":null,"abstract":"<div><h3>Purpose</h3><div>To study the proportion and predictors of outpatient physician follow-up within 60 days of substance-related emergency department (ED) visits for Ontario youth.</div></div><div><h3>Methods</h3><div>We examined administrative data on substance-related ED visits before and during the COVID-19 pandemic among youths aged 10–24 years in Ontario, Canada. Substance-related visits were identified using International Classification of Diseases-10-CA codes. We described demographic characteristics, receipt of mental health services in the year before the ED visit, disposition from the ED, and follow-up services within 60 days of the ED visit.</div></div><div><h3>Results</h3><div>Between April 1, 2017, and May 31, 2021, 64,236 youth had at least one ED visit for substance use. Visits for alcohol were the most common (49%), followed by cannabis (32.3%). ED visits for all substances were more prevalent during the pandemic than prepandemic, except visits for alcohol. The receipt of follow-up physician care for substance use was low (33.2% prepandemic) but increased during the pandemic (41.7%; adjusted odds ratio 1.34, 95% CI 1.28, 1.39) and varied between substances. Mental health service history in the year before the substance-related ED visit had the strongest association with receipt of follow-up physician care within 60 days (adjusted odds ratio 6.86, 95% CI 6.57, 7.17).</div></div><div><h3>Discussion</h3><div>Youth frequently do not receive physician follow-ups within two months of the substance-related ED visit, although higher follow-up proportions were seen during the pandemic after the implementation of virtual care. Further research is required to understand why follow-up is low and to examine interventions that can increase connection to care.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 5","pages":"Pages 757-765"},"PeriodicalIF":5.5,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977383","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":"Some Comments in Response to Chelliah et al","authors":"Kathleen McDeavitt M.D.","doi":"10.1016/j.jadohealth.2024.05.018","DOIUrl":"10.1016/j.jadohealth.2024.05.018","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 3","pages":"Page 521"},"PeriodicalIF":5.5,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141990666","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":"Global Use of Youth Risk Survey Systems – More Evidence the Global Action for Measurement of Adolescent Health Initiative is on the Right Track","authors":"Jonathan D. Klein M.D., M.P.H.","doi":"10.1016/j.jadohealth.2024.05.030","DOIUrl":"10.1016/j.jadohealth.2024.05.030","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 3","pages":"Pages 375-376"},"PeriodicalIF":5.5,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141990803","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":"Bullying in the Classroom: Teachers as Perpetrators","authors":"Robin M. Kowalski Ph.D.","doi":"10.1016/j.jadohealth.2024.06.009","DOIUrl":"10.1016/j.jadohealth.2024.06.009","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 3","pages":"Pages 377-378"},"PeriodicalIF":5.5,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141990804","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":"Fertility Perspectives and Concerns in Adolescents With PCOS Compared to Controls","authors":"Hiba Salhah M.D. ,&nbsp;Andrea Bonny M.D. ,&nbsp;Jason Benedict M.S. ,&nbsp;Leena Nahata M.D.","doi":"10.1016/j.jadohealth.2024.06.021","DOIUrl":"10.1016/j.jadohealth.2024.06.021","url":null,"abstract":"<div><h3>Purpose</h3><div>Polycystic ovary syndrome (PCOS) is prevalent in young females and is known to affect fertility. Minimal research has examined fertility perspectives in adolescents with PCOS, despite adult research revealing relationships between infertility and psychosocial well-being and quality of life. We examined fertility perspectives/concerns in adolescents with PCOS and an age- and body mass index (BMI)–matched control group and explored associations with quality of life.</div></div><div><h3>Methods</h3><div>This was a cross-sectional study of female adolescents (13–21 years of age) with PCOS (n = 50) and age- and BMI-matched controls (n = 50), recruited at a large Midwestern pediatric center. Surveys assessed sociodemographics, hirsutism, fertility perspectives and quality of life. Descriptive statistics and Welch's 2-sample t-tests were used to examine fertility perspectives and quality of life.</div></div><div><h3>Results</h3><div>Of the 103 approached, 100 participants were enrolled (97% recruitment rate), with 50 participants in each group. Parenthood goals did not significantly differ between groups; &gt;70% expressed desire to have biological children. However, PCOS participants reported significantly higher concerns about future fertility (<em>p</em> &lt; .01) without differences in fertility knowledge or support (<em>p</em> = .53). Most PCOS participants stated they would feel angry if their provider withheld this information and reported wanting more information. Quality of life did not differ between groups.</div></div><div><h3>Discussion</h3><div>Our study suggests that irrespective of PCOS status, most adolescents aspire to parenthood. Notably, many with PCOS lack awareness of infertility risks but express heightened concerns. In contrast to adult studies, fertility concerns among adolescents with PCOS were not associated with decreased quality of life, suggesting that earlier fertility counseling may improve outcomes.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 5","pages":"Pages 836-841"},"PeriodicalIF":5.5,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Youth Participation in Strengthening the Quality of Child, Adolescent, and Youth Mental Health in the World Health Organization European Region","authors":"Jennifer Hall Clin.Psy.D. ,&nbsp;Samantha Nesrallah M.P.H. ,&nbsp;Dion Ras ,&nbsp;Anna Bailie,&nbsp;Hannah Brunskill M.A.,&nbsp;Eef Jutten M.Sc.,&nbsp;Ana Marques Domingues,&nbsp;Cătălina-Maria Popoviciu M.Sc.,&nbsp;Inês Mália Sarmento,&nbsp;Penny Kalpaxi,&nbsp;Anastasia Giannaki Ph.D.,&nbsp;João Breda Ph.D.,&nbsp;Cassie Redlich M.P.H.,&nbsp;Ledia Lazeri P.h.D","doi":"10.1016/j.jadohealth.2024.04.025","DOIUrl":"10.1016/j.jadohealth.2024.04.025","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 3","pages":"Pages 519-521"},"PeriodicalIF":5.5,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141990864","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":"Targeting Rural Adolescent Pregnancy: Modifiable Protective Factors and Contraceptive Use","authors":"Carolyn G. Curry M.D. ,&nbsp;Devon J. Hensel Ph.D., M.S. ,&nbsp;Teresa M. Imburgia Ph.D., M.P.H. ,&nbsp;Mary A. Ott M.D., M.A.","doi":"10.1016/j.jadohealth.2024.06.018","DOIUrl":"10.1016/j.jadohealth.2024.06.018","url":null,"abstract":"<div><h3>Purpose</h3><div>Rural adolescent pregnancy is a serious public health issue, largely due to low contraceptive use. Existing data focuses on urban populations. Using a positive youth development framework, we examine associations between modifiable protective factors and birth control use in a rural population.</div></div><div><h3>Methods</h3><div>Prior to an evidence-based health education program, students in 10th grade health class in two low-to-middle income rural schools completed surveys. For contraceptive use at last sex, students could check all methods that applied which were collapsed into three rank-ordered categories: none, condoms only, and hormonal contraception. Predictor variables included sexual self-efficacy (six items, α = 0.66, “able to say no”), parent connectedness (five items, α = 0.94, “satisfaction with your parent/guardian?”), language acculturation (one item, “in your home do you speak…”), school connectedness (five items, α = 0.85, “I feel close to people at my school”) and adverse childhood experiences (eight item score). These variables were entered into a multivariable logistic ordinal regression.</div></div><div><h3>Results</h3><div>The sample (N = 287) was 52% female, 48% LatinX and 49% white. Higher sexual self-efficacy and parent connectedness scores significantly increased the odds of using more effective birth control. Higher language acculturation (more likely to speak another language at home) suggested less likely to use more effective birth control. School connection and adverse childhood experiences were not significant in the final model.</div></div><div><h3>Discussion</h3><div>Contraception focused interventions in rural communities should address modifiable protective factors, such as self-efficacy and parent connection. Interventions need to be trauma-informed and language accessible.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 947-951"},"PeriodicalIF":5.5,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977384","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":"Evidence Gaps in Economic Evaluations of HIV Interventions Targeting Young People: A Systematic Review","authors":"Armand Zimmerman M.Sc.G.H. ,&nbsp;Ayodamope Fawole B.D.S., M.Sc.G.H. ,&nbsp;Minahil Shahid M.P.P. ,&nbsp;Dorothy Dow M.D. ,&nbsp;Osondu Ogbuoji M.B.B.S., M.P.H., Sc.D.","doi":"10.1016/j.jadohealth.2024.06.013","DOIUrl":"10.1016/j.jadohealth.2024.06.013","url":null,"abstract":"<div><h3>Purpose</h3><div>Young people living with HIV (YPLWH) face the burden of navigating the unique physical, psychological, and social challenges of adolescence while coping with a stigmatized infectious disease that requires lifelong care. Consequently, YPLWH experience worse HIV outcomes compared to children and adults. This systematic review seeks to collate evidence on the health and economic impact of HIV interventions targeting YPLWH and to identify gaps in the available evidence that may inform future economic evaluations of interventions for YPLWH.</div></div><div><h3>Methods</h3><div>We searched the MEDLINE, Embase, Scopus, and Global Index Medicus databases for peer-reviewed articles published through April 24, 2022 (PROSPERO ID: CRD42022356244). Our inclusion criteria encompassed economic evaluations of HIV interventions that report health and economic outcomes among individuals ages 10–24 years. Three investigators screened articles at the title, abstract, and full-text levels. The data were extracted in accordance with the Consolidated Health Economic Evaluation Reporting Standards 2022.</div></div><div><h3>Results</h3><div>Of the 3,735 unique articles retrieved through our search, 32 met our inclusion criteria. Of these 32 articles, 8 (25%) evaluated a behavioral, educational, or financial intervention, 6 (19%) voluntary medical male circumcision, 5 (16%) HIV screening or testing, 4 (13%) pre-exposure prophylaxis, 3 (9%) a hypothetical HIV vaccine, 2 (6%) antiretroviral therapy, 1 (3%) condom distribution, and 3 (9%) a combination of interventions. Twenty-two studies (69%) focused on Africa, 9 (28%) on North America, and 1 (3%) on Europe. Thirty studies (94%) were cost-effectiveness analyses and 2 (6%) were cost-utility analyses. Of the intervention types captured by this review, most were deemed cost-saving or cost-effective. Only two studies—one evaluating a financial intervention and one evaluating HIV testing—concluded that the intervention was not cost-effective.</div></div><div><h3>Discussion</h3><div>Evidence presented by this review suggests that investments in HIV prevention and treatment for young people can be a cost-effective, and sometimes cost-saving, solution to combating the global HIV epidemic. However, additional evaluations of HIV interventions targeting young people, which adhere to standardized reporting practices, are needed to permit comparability of cost-effectiveness outcomes between interventions and settings.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 5","pages":"Pages 709-724"},"PeriodicalIF":5.5,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977346","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}