Journal of Adolescent Health最新文献

{"title":"Parents' Perspectives on Confidentiality in Clinical Preventive Services for Adolescents","authors":"Elizabeth Anne McKay Ph.D., M.Ed., R.N. ,&nbsp;Pooja Brar Ph.D. ,&nbsp;Christopher J. Mehus Ph.D. ,&nbsp;Renee E. Sieving Ph.D., R.N.","doi":"10.1016/j.jadohealth.2025.05.015","DOIUrl":"10.1016/j.jadohealth.2025.05.015","url":null,"abstract":"<div><h3>Purpose</h3><div>Confidentiality is central to the delivery of high-quality adolescent clinical preventive services. Previous research documents that parents have complex and often conflicting opinions about confidentiality. This study aims to describe parents' opinions and underlying beliefs about confidentiality in adolescent preventive services.</div></div><div><h3>Methods</h3><div>This study examined in-depth interviews conducted with a purposive sample of 35 parents in a Midwestern state as part of a larger study of primary care clinicians (PCCs), adolescent patients from their practices, and their parents. Thematic analysis was used to identify themes.</div></div><div><h3>Results</h3><div>Most parents held mixed opinions of confidentiality. Examination of underlying beliefs yielded multiple themes, including parents' expectations of PCCs, parents' trust in PCCs, parents' perception of the parental role, parent–adolescent relationship qualities, parents' beliefs about adolescent autonomy development, parents' opinions about the appropriate age for confidentiality, and parents' expectations about confidentiality limits. Although all parents expected PCCs to inform them if their child was in danger of harm, opinions varied on when confidentiality should be broken. The data suggested that trust in PCCs and open parent–adolescent relationships increased support of confidentiality, whereas concerns about providing adequate support and seeing adolescents as dependent minors reduced support.</div></div><div><h3>Discussion</h3><div>Parents have nuanced views on confidentiality. Although most parents acknowledged the need for confidential care, particularly for adolescents who live in unsupportive homes, they also expressed hesitations around confidential care. Findings highlight the importance of PCCs routinely discussing adolescent confidentiality and its limits with parents, addressing their concerns, validating their perspectives, and answering their questions thoroughly.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 4","pages":"Pages 602-609"},"PeriodicalIF":4.5,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503765","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":"Social-Ecological Risk and Protective Factors for Insufficient Sleep in Adolescents: A Nationally Representative Investigation","authors":"Emily L. Feldman M.S., Danica C. Slavish Ph.D.","doi":"10.1016/j.jadohealth.2025.03.002","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.03.002","url":null,"abstract":"To explore the impact of risk and protective factors on insufficient sleep among adolescents and to investigate whether these associations vary by race/ethnicity.","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"93 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503770","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":"Shock Unleashed by Recent US Administrative Actions Cannot Lead to Paralysis","authors":"Venkatraman Chandra-Mouli M.B.B.S. M.Sc. Ph.D., Robert Wm. Blum M.D. Ph.D. M.P.H., Luchuo Engelbert Bain Ph.D. M.Sc. M.P.H. M.B.A.","doi":"10.1016/j.jadohealth.2025.05.007","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.05.007","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"54 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503767","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":"Severe Maternal Morbidity Among Adolescents Aged 10–19 in California, 2001–2020","authors":"Marina N. Carvalho Magalhães Ph.D., Jennifer S. Soh M.S., Jonathan M. Snowden Ph.D., Elliott K. Main M.D., Peiyi Kan M.S., Suzan L. Carmichael Ph.D.","doi":"10.1016/j.jadohealth.2025.03.018","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.03.018","url":null,"abstract":"To examine the prevalence of severe maternal morbidity (SMM) and the indicators (i.e., morbidities and procedures) that comprise the SMM composite among adolescents and to compare risks between adolescents and adults.","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"46 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503768","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":"Association Between Sexual Orientation and Gender Identity Discrimination and Youth Physical Health: Findings From a Nationally Representative Sample","authors":"Carlos E. Meléndez García M.D. M.S., Gretchen E. White Ph.D. M.P.H., Christina Huerta Ph.D. M.S.W., Kristin N. Ray M.D. M.S., César Escobar-Viera M.D. Ph.D.","doi":"10.1016/j.jadohealth.2025.03.012","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.03.012","url":null,"abstract":"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.","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"53 66 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503769","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":"Youth Initiation of Cannabis Vaping is Associated With State Cannabis Policy and E-Cigarette Use","authors":"Mike Vuolo Ph.D., Maria M. Orsini Ph.D., Jeremy Staff Ph.D., Jennifer L. Maggs Ph.D., Brian C. Kelly Ph.D.","doi":"10.1016/j.jadohealth.2025.03.016","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.03.016","url":null,"abstract":"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.","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"21 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503875","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 Loneliness: A Call for Global Research and Public Health Action","authors":"Mariko Hosozawa M.D., Ph.D.,&nbsp;Syudo Yamasaki Ph.D.,&nbsp;Kenta Igami M.D.,&nbsp;Noriko Cable Ph.D.","doi":"10.1016/j.jadohealth.2025.04.001","DOIUrl":"10.1016/j.jadohealth.2025.04.001","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 5-6"},"PeriodicalIF":5.5,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289037","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 Gender-Affirming Hormone Therapy on the Emotional Health of Trans and Nonbinary Youth","authors":"John S. Adams M.D., M.P.H.","doi":"10.1016/j.jadohealth.2025.04.003","DOIUrl":"10.1016/j.jadohealth.2025.04.003","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 1-2"},"PeriodicalIF":5.5,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289035","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 Sexual Health and Teen Pregnancy Prevention Programs Are Complex and Require Careful Design","authors":"Karin K. Coyle Ph.D.,&nbsp;Pamela M. Anderson Ph.D.","doi":"10.1016/j.jadohealth.2025.04.002","DOIUrl":"10.1016/j.jadohealth.2025.04.002","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 3-4"},"PeriodicalIF":5.5,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289036","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":"Smaller Subcortical Volume in Reward Processing Regions Precedes Weight Gain in Youth With High Financial Adversity: Findings From the Adolescent Brain Cognitive Development Study","authors":"Shana Adise Ph.D. ,&nbsp;Christopher J. Machle M.S. ,&nbsp;Kevin P. Myers Ph.D. ,&nbsp;Jonatan Ottino-González Ph.D. ,&nbsp;Joshua Millstein Ph.D. ,&nbsp;Michael I. Goran Ph.D. ,&nbsp;Elizabeth R. Sowell Ph.D.","doi":"10.1016/j.jadohealth.2025.03.019","DOIUrl":"10.1016/j.jadohealth.2025.03.019","url":null,"abstract":"<div><h3>Purpose</h3><div>Financial adversity has been associated with altered subcortical neurodevelopment and obesity risk. However, no studies have examined these relationships in tandem. Food intake is influenced by the subcortex; thus, we examined whether financial adversity moderated bidirectional relationships between neurodevelopment and body mass index (BMI) in early adolescence.</div></div><div><h3>Methods</h3><div>Data were gathered from the Adolescent Brain Cognitive Development Study (n_T0 = 3,606 [9/10 years, 100% healthy weight, 50.8% male; 71.4% White, 15.6% Latino, 869 youth with financial adversity]; n_T2 = 2,395 [11/12 years, 11.2% overweight/obese]; no siblings). Financial adversity was assessed on a seven-item binary response questionnaire. Population-level effects of Financial Adversity∗Subcortical Volume (8 bilateral regions)∗Time on BMI were examined with mixed models, while individual differences and temporal precedence of cross-domain couples were examined with a Multiple Indicator Bivariate Latent Change Score model.</div></div><div><h3>Results</h3><div>By 11/12 years, higher financial adversity was associated with a greater increase in BMI (i.e., weight gain) and a negative association with volume in the bilateral accumbens, caudate, and right pallidum. The Bivariate Latent Change Score model showed that smaller subcortical volume preceded and predicted greater weight gain among youth with three or more financial adverse experiences.</div></div><div><h3>Discussion</h3><div>Our findings suggest that financial adversity may alter subcortical development regions associated with reward processing and food intake control, and potentially contribute to greater weight gain (i.e., increased BMI trajectory over a 2-year period). By elucidating these mechanisms within the natural progression of weight gain, we highlight a potential neurosocioeconomic risk factor for obesity development.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 134-143"},"PeriodicalIF":5.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210726","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}