Journal of Adolescent Health最新文献_第2页

Trends in Emergency Department Visits for Nonfatal Opioid Overdoses Among Adolescents. 青少年非致命性阿片类药物过量急诊就诊趋势

IF 5.5 2区医学

Journal of Adolescent Health Pub Date : 2025-04-24 DOI: 10.1016/j.jadohealth.2025.02.015

Michael S Toce, Kenneth A Michelson, Michael C Monuteaux, Florence T Bourgeois

{"title":"Trends in Emergency Department Visits for Nonfatal Opioid Overdoses Among Adolescents.","authors":"Michael S Toce, Kenneth A Michelson, Michael C Monuteaux, Florence T Bourgeois","doi":"10.1016/j.jadohealth.2025.02.015","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.02.015","url":null,"abstract":"Purpose: Opioid-related deaths are increasing among adolescents. An improved understanding of emergency department (ED) visits for nonfatal opioid overdoses may inform treatment strategies to prevent subsequent morbidity and mortality. The objective of this study was to investigate trends in ED visits for nonfatal opioid overdoses among adolescents and assess rates and characteristics of 1-year ED revisits.Methods: We performed a retrospective cohort study of the Pediatric Health Information System database involving adolescent (12-17 years) nonfatal opioid overdoses between January 2010 and December 2022. The primary outcome was 1-year ED revisit after nonfatal opioid overdose. Opioid overdose trends were assessed using a negative binomial regression model.Results: There were 1,874 ED visits for nonfatal opioid overdoses by adolescents. The majority (79.4%) of these were attributed to prescription opioids. Visits for opioid overdoses were stable over the course of the study period, with 32.7 and 30.3 opioid overdoses per 100,000 ED visits in 2010 and 2022 (incidence rate ratio 0.999 [95% confidence interval 0.981-1.017]), respectively. There were 516 (27.5%) visits associated with an ED revisit. Among these, 203 (39.3%) were for a mental health condition, 98 (19.0%) related to a traumatic injury, and 25 (4.8%) for a repeat opioid overdose.Discussion: ED visits for nonfatal opioid overdoses have remained stable among adolescents. The most commonly documented indication for revisits were due to a mental health complaint, highlighting the need to ensure that appropriate mental health services and referrals are consistently provided at these visits.","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":"144065210","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}

引用次数: 0

Adolescent Opioid Exposures Before and During the COVID-19 Pandemic. 青少年在COVID-19大流行之前和期间的阿片类药物暴露情况。

IF 5.5 2区医学

Journal of Adolescent Health Pub Date : 2025-04-24 DOI: 10.1016/j.jadohealth.2025.02.014

Shelby R Steuart, Victoria Bethel, Amanda J Abraham

{"title":"Adolescent Opioid Exposures Before and During the COVID-19 Pandemic.","authors":"Shelby R Steuart, Victoria Bethel, Amanda J Abraham","doi":"10.1016/j.jadohealth.2025.02.014","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.02.014","url":null,"abstract":"Purpose: To determine whether reports of selected opioid exposures reported to America's Poison Centers changed during the COVID-19 pandemic, among adolescents aged 12-17 years.Methods: We analyze all reported opioid exposures (n = 13,174) for adolescents aged 12-17 years in the United States, before and during COVID-19 (January 1, 2016-December 31, 2021). Outcome variables measured the rate of opioid exposures per 100,000 population, stratified by age, opioid type, and reason. We use linear regression to fit the time series for prepandemic outcomes and forecast exposures from March 2020 to December 2021, based on this trend. We compare forecasted and actual values to estimate the association between the pandemic and opioid exposures.Results: Reports of opioid exposure increased by 0.017 reports per 100,000 over the forecasted estimate (forecasted: 0.04 [95% confidence interval: 0.034-0.054], actual: 0.061, difference: 0.017, p < .05), equivalent to a 38.6% increase among adolescents aged 12-17 years. Reports due to intentional exposure and opioid misuse in adolescents aged 12-17 years increased.Discussion: Adolescents were at increased risk of opioid exposure following the COVID-19 pandemic and continue to be at risk despite many aspects of life returning to pre-COVID-19 normalcy.","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":"144051291","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}

引用次数: 0

Adolescent Experiences With Navigating Health Information on Social Media and Beyond: Using Qualitative Data to Inform a Model. 青少年在社交媒体及其他媒体上浏览健康信息的经历：使用定性数据来告知模型。

IF 5.5 2区医学

Journal of Adolescent Health Pub Date : 2025-04-24 DOI: 10.1016/j.jadohealth.2025.02.016

Avery Salerno, Angela Calvin, Marina Jenkins, Megan A Moreno

{"title":"Adolescent Experiences With Navigating Health Information on Social Media and Beyond: Using Qualitative Data to Inform a Model.","authors":"Avery Salerno, Angela Calvin, Marina Jenkins, Megan A Moreno","doi":"10.1016/j.jadohealth.2025.02.016","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.02.016","url":null,"abstract":"Purpose: The purpose of this study was to understand the lived experience of adolescents as they seek, view, and evaluate health information using online and offline sources available to them.Methods: Adolescents aged 13-18 years were recruited using purposeful sampling to participate in virtual focus groups. Focus group questions were semistructured and addressed online and offline experiences with health information across a variety of health topics. Focus groups were recorded and transcribed verbatim. Three investigators were involved in the inductive analysis of the transcripts, identifying themes, and leveraging the full range of codes toward a conceptual model.Results: A total of 36 adolescents participated across 7 focus groups (Mage = 15.9, SD = 1.3). Adolescents were 69.4% female and 41.7% White. Thematic analysis revealed the following 2 major themes: (1) interconnectedness of online and offline sources and (2) challenges and strategies for navigating online health information. The conceptual model describes adolescents' processes in deciding how and whether to seek health information.Discussion: Adolescents rely on online sources to supplement offline sources, to address sensitive health questions, and to seek community, but they encounter challenges when assessing the credibility of online sources.","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":"144058569","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}

引用次数: 0

Climate Change Stress Among Adolescents In California: Associations With Psychological Distress, Suicide Ideation, and Social and Demographic Factors. 加州青少年的气候变化压力：与心理困扰、自杀意念、社会和人口因素的关系。

IF 5.5 2区医学

Journal of Adolescent Health Pub Date : 2025-04-24 DOI: 10.1016/j.jadohealth.2025.02.019

Grace M Hindmarch, Jocelyn Meza, Riti Shimkhada, D Imelda Padilla-Frausto, Daniel Eisenberg

{"title":"Climate Change Stress Among Adolescents In California: Associations With Psychological Distress, Suicide Ideation, and Social and Demographic Factors.","authors":"Grace M Hindmarch, Jocelyn Meza, Riti Shimkhada, D Imelda Padilla-Frausto, Daniel Eisenberg","doi":"10.1016/j.jadohealth.2025.02.019","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.02.019","url":null,"abstract":"Purpose: Extreme weather events related to climate change have negative impacts on mental health. Less is known about how the awareness of climate change, known as climate change stress, impacts adolescent mental health. This study explores the association between climate change stress and psychological distress and suicide ideation among adolescents in California and factors associated with climate change stress.Methods: This study uses cross-sectional data from the 2021 and 2022 California Health Interview Survey adolescent data set. All analyses used California Health Interview Survey weights to be representative of the statewide population. Pearson's Chi-squared tests and 2-sample t-tests were used to explore differences between adolescents reporting climate change stress or not. Binary logistic regressions were used to explore the association between climate stress and psychological distress and suicide ideation.Results: 38.1 percent of California's adolescents report climate change stress. Adolescents who report this stress are more likely to be female, gender nonconforming, White, from higher-income families, have adverse childhood experiences, frequently use social media, be involved in their community, and feel civic efficacy. Climate change stress is associated with 2.395 times greater odds of psychological distress in the past month and 1.853 times greater odds of suicide ideation in the past year.Discussion: Climate change stress is common for adolescents in California and associated with psychological distress and suicide ideation. This is an emerging topic that needs more focus. Researchers, policymakers, and mental health experts can work together to address the impacts of climate change on the mental well-being of adolescents.","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":"144058945","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}

引用次数: 0

Educating Teens and Parents on the Dangers of Fentanyl and Connecting Them to Naloxone Resources 教育青少年和家长芬太尼的危害，并将他们与纳洛酮资源联系起来

IF 5.5 2区医学

Journal of Adolescent Health Pub Date : 2025-04-24 DOI: 10.1016/j.jadohealth.2024.12.023

Daisy Albarran Garcia M.P.H., Padmaja Padalkar M.D., Jenny Lee D. Peregrino M.B.A., Sabine Mendoza, Alex Tsang, Noelle Mendoza, Thomas Tsang, Wynnyee Tom M.D.

引用次数: 0

Disability and Bullying Victimization Among Adolescents in Nepal: The Influence of Community Gender Norms. 尼泊尔青少年的残疾与霸凌受害：社区性别规范的影响。

IF 5.5 2区医学

Journal of Adolescent Health Pub Date : 2025-04-24 DOI: 10.1016/j.jadohealth.2025.03.001

Zarmeen Shakil, Alexandria Ree Hadd, Abbie Shervinskie, Cari Jo Clark

{"title":"Disability and Bullying Victimization Among Adolescents in Nepal: The Influence of Community Gender Norms.","authors":"Zarmeen Shakil, Alexandria Ree Hadd, Abbie Shervinskie, Cari Jo Clark","doi":"10.1016/j.jadohealth.2025.03.001","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.03.001","url":null,"abstract":"Purpose: Bullying victimization affects the well-being and academic success of children and adolescents, especially those with disabilities. However, bullying victimization is underexplored in low-middle-income countries. This study investigates the relationship between disability status and bullying victimization while exploring the role of gender norms on this relationship and examining gender differences in Nepal.Methods: The sample consisted of 593 Nepali school-going adolescents across 19 municipalities. Logistic regression analyses were conducted to examine the relationship between disability status, measured by Washington Group Short Set on Functioning, and bullying victimization, measured by Reduced-Aggression-Victimization Scale. We then tested if community gender norms moderated this relationship. Subgroup analyses were then conducted by gender.Results: Eight percent of adolescents reported disabilities and bullying, respectively. Adolescents with disabilities had significantly higher odds of experiencing bullying victimization compared to their nondisabled peers (B = 0.99, p = 0.01). Community gender norms moderated this relationship, such that adolescents with disabilities living in communities with more gender unequal norms had a heightened risk of bullying victimization (B = 6.84, p = 0.02). Subgroup analysis indicated that the relationship between disability status and bullying victimization was stronger for boys than girls.Discussion: Our findings highlight the vulnerability of adolescents with disabilities to bullying victimization and the need for gender-sensitive interventions in schools and communities. Targeting harmful gender norms in schools may mitigate bullying victimization for students with disabilities. Further research is needed in low-middle-income countries to explore the role of gender norms on bullying victimization in larger and diverse samples.","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":"144027802","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}

引用次数: 0

Timing of Bullying Experiences and Sexual Orientation Differences in Depressive Symptoms From Late Childhood to Adolescence: A Prospective Cohort Study. 儿童期晚期至青春期抑郁症状的欺凌经历时间和性取向差异：一项前瞻性队列研究。

IF 5.5 2区医学

Journal of Adolescent Health Pub Date : 2025-04-24 DOI: 10.1016/j.jadohealth.2025.02.010

Yin Xu, Qazi Rahman

{"title":"Timing of Bullying Experiences and Sexual Orientation Differences in Depressive Symptoms From Late Childhood to Adolescence: A Prospective Cohort Study.","authors":"Yin Xu, Qazi Rahman","doi":"10.1016/j.jadohealth.2025.02.010","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.02.010","url":null,"abstract":"Purpose: Lesbian, gay, and bisexual (LGB) adolescents report more bullying and depressive symptoms than their heterosexual peers, but there are no longitudinal studies on how changes in bullying over time influence changes in depressive symptoms from childhood to adolescence. We tested sexual orientation differences in the developmental trajectories of depressive symptoms from age 11 to 17 and the influence of increases in being bullied from age 11 to 13 upon increased sexual orientation differences in depressive symptoms.Methods: The Avon Longitudinal Study of Parents and Children, a prospective birth cohort from the United Kingdom, was used (N = 5,037, 53.38% female, 87.53% White). Analyses were performed using structural equation modeling.Results: LGB adolescents reported significantly more depressive symptoms than heterosexual adolescents at ages 11, 13, 14, and 17, and these group differences increased from age 11 to 17, ranging from 0.21 to 0.84. Depressive symptoms increased from age 11 to 17 for both heterosexual and LGB adolescents, with a greater increase observed in LGB adolescents, total effect (standardized regression coefficient, β) = 0.82. Sexual orientation differences in the rate of increases in depressive symptoms were partially explained by greater increases in being bullied from age 11 to 13 reported by LGB than heterosexual adolescents, indirect effect = 0.14.Discussion: Greater increases in being bullied from late childhood to early adolescence are associated with a greater rate of increases in depressive symptoms from age 11 to 17 among LGB adolescents compared to heterosexual adolescents.","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":"144047415","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}

引用次数: 0

Concerning Caffeine: Are Highly Caffeinated Youth at Risk for Conduct Problems? 关于咖啡因：大量摄入咖啡因的青少年有行为问题的风险吗？

IF 5.5 2区医学

Journal of Adolescent Health Pub Date : 2025-04-24 DOI: 10.1016/j.jadohealth.2025.02.005

Jack Peltz Ph.D., Assaf Oshri Ph.D.

引用次数: 0

Youth Perspectives on the Use of Medications for Weight Loss. 青少年对使用药物减肥的看法。

IF 5.5 2区医学

Journal of Adolescent Health Pub Date : 2025-04-23 DOI: 10.1016/j.jadohealth.2025.02.011

Vaishnavi Peyyety, Margaret Jankowski, Sarah Apte, Jasmine Sindelar, Rawan Elrajabi, Tammy Chang, Kendrin Sonneville, Mary Ellen Vajravelu

{"title":"Youth Perspectives on the Use of Medications for Weight Loss.","authors":"Vaishnavi Peyyety, Margaret Jankowski, Sarah Apte, Jasmine Sindelar, Rawan Elrajabi, Tammy Chang, Kendrin Sonneville, Mary Ellen Vajravelu","doi":"10.1016/j.jadohealth.2025.02.011","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.02.011","url":null,"abstract":"Purpose: Semaglutide (Ozempic, Wegovy) has surged in popularity for its weight loss effects. Its widespread media coverage may have an outsized impact on adolescents and young adults due to their higher engagement in social media and their vulnerability to unintended consequences of weight-related discourse (e.g., body dissatisfaction, disordered eating, weight stigma). This study aimed to determine youth familiarity with and opinions about use of medications such as Ozempic and Wegovy for weight loss.Methods: Five open-ended questions were asked to 753 youth participants (14-24 years) in the MyVoice nationwide text message poll in March 2024. Responses were analyzed using content analysis and coding differences resolved by consensus. Differences by demographic characteristics were explored using chi-square tests.Results: Overall, 547 (73%) youth responded; average age was 20.4 ± 2.5 years, with 50.3% identifying as female. Nearly three-quarters (73.6%) had heard of medications like Ozempic and Wegovy, but the majority (57.5%) stated that these medications should not be used by youth. Three primary concerns arose: (1) safety; (2) inappropriate use; and (3) role of personal responsibility for healthy lifestyle (a belief that was more common among males than females or other gender).Discussion: Awareness about semaglutide was high, but perceptions of use were generally negative or hesitant, particularly among males, who emphasized the importance of healthy lifestyle behaviors. Hesitancy due to safety concerns and the role of weight stigma should be explored to determine the potential impact on users of such medications when medically indicated.","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059888","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}

引用次数: 0

National Coverage of Adolescent Opioid Overdose Prevention Content in Pediatrics Clerkships. 全国覆盖青少年阿片类药物过量预防内容儿科办事员。

IF 5.5 2区医学

Journal of Adolescent Health Pub Date : 2025-04-23 DOI: 10.1016/j.jadohealth.2025.02.012

Nitin Vidyasagar, Elena Whitney, Sarah Shapiro, Dima K Halabi, Manish Pathuri, Mim Ari, Maria A Alkureishi

{"title":"National Coverage of Adolescent Opioid Overdose Prevention Content in Pediatrics Clerkships.","authors":"Nitin Vidyasagar, Elena Whitney, Sarah Shapiro, Dima K Halabi, Manish Pathuri, Mim Ari, Maria A Alkureishi","doi":"10.1016/j.jadohealth.2025.02.012","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.02.012","url":null,"abstract":"Purpose: Amidst rising fentanyl-related adolescent overdose deaths, pediatricians' confidence in addressing opioid overdose risk and opioid use disorder is lacking, possibly due to inadequate training. Teaching opioid overdose prevention in the Pediatrics clerkship can address knowledge gaps and raise awareness of this public health emergency; however, it is necessary to assess its current coverage.Methods: A cross-sectional web-based survey was administered to Pediatrics clerkship directors of U.S. allopathic and osteopathic medical schools in April 2024.Results: Eighty-five of 189 schools responded (45%). Less than two-thirds (54 of 85) cover any related content, and none teach all essential areas, highlighting opportunities for curricular expansion. While topics like screening for opioid use and medications for opioid use disorder are occasionally addressed (41.2%, 9.4%), using the HEADSS (Home, Education, Activities, Drugs, Suicidality, Sex) assessment to address critical aspects like naloxone and fentanyl test kits remain largely untaught (4.8%, 3.7%).Discussion: These findings underscore the need for curricular tools to enhance opioid overdose prevention education in Pediatrics clerkships.","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046807","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}

引用次数: 0