{"title":"The Improving Evidence Base for Gender-Affirming Medical Care in Adolescence","authors":"Kristina R. Olson Ph.D.","doi":"10.1016/j.jadohealth.2025.01.001","DOIUrl":"10.1016/j.jadohealth.2025.01.001","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 4","pages":"Pages 527-528"},"PeriodicalIF":5.5,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682452","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":"Do it Together, Get it Done Better: Making Our Voices Heard","authors":"Bonnie Halpern-Felsher Ph.D.","doi":"10.1016/j.jadohealth.2025.01.002","DOIUrl":"10.1016/j.jadohealth.2025.01.002","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 4","pages":"Pages 744-747"},"PeriodicalIF":5.5,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682434","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}
Sarah E. Laurent Ph.D., M.P.H. , Lorraine Halinka Malcoe Ph.D., M.P.H. , Linnea Laestadius Ph.D., MPP , Colter Mitchell Ph.D., M.S. , Luke W. Hyde Ph.D., M.S. , Christopher S. Monk Ph.D. , Helen C.S. Meier Ph.D., M.P.H.
{"title":"Historic Structural Racism and Perceived Stress in Adolescents","authors":"Sarah E. Laurent Ph.D., M.P.H. , Lorraine Halinka Malcoe Ph.D., M.P.H. , Linnea Laestadius Ph.D., MPP , Colter Mitchell Ph.D., M.S. , Luke W. Hyde Ph.D., M.S. , Christopher S. Monk Ph.D. , Helen C.S. Meier Ph.D., M.P.H.","doi":"10.1016/j.jadohealth.2025.01.014","DOIUrl":"10.1016/j.jadohealth.2025.01.014","url":null,"abstract":"<div><h3>Purpose</h3><div>This study is the first to examine the impact of structural racism from historic redlining practices on present-day perceived stress in adolescents.</div></div><div><h3>Methods</h3><div>Data come from the Study of Adolescent to Adult Neural Development. Adolescents aged 15–17 years (N = 213) completed the Perceived Stress Scale (PSS-14). Regression models examined associations between redlining scores, a measure of residential security risk, and PSS-14. Structural equation modeling was used to examine the indirect effect of present-day neighborhood inequities.</div></div><div><h3>Results</h3><div>After adjusting for covariates, adolescents living in high redlined tracts (52.1%) reported higher PSS-14 values than those living in ungraded tracts (β: 2.47, 95% confidence interval: 0.35, 4.59). Analyses subset to non-Hispanic Black adolescents showed similar results. There was an indirect effect of redlining on perceived stress through neighborhood poverty (<em>p</em> = .043).</div></div><div><h3>Discussion</h3><div>Findings indicate that institutional discriminatory lending practices from the early 20th century continue to impact present-day neighborhood poverty, resulting in increased adolescent stress.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 935-938"},"PeriodicalIF":5.5,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143675062","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}
Tricia M. Peters M.D., Ph.D. , Tuck Seng Cheng Ph.D. , Soren Brage Ph.D. , Ken K. Ong M.B.B.Chir., Ph.D.
{"title":"Physical Activity by Accelerometry is Prospectively Associated With Lower Testosterone and Hirsutism Score Among Adolescent Girls","authors":"Tricia M. Peters M.D., Ph.D. , Tuck Seng Cheng Ph.D. , Soren Brage Ph.D. , Ken K. Ong M.B.B.Chir., Ph.D.","doi":"10.1016/j.jadohealth.2024.11.015","DOIUrl":"10.1016/j.jadohealth.2024.11.015","url":null,"abstract":"<div><h3>Purpose</h3><div>Physical activity (PA) is recommended for the management of women with polycystic ovary syndrome (PCOS). However, it is not known whether PA modulates the risk of components of PCOS diagnostic criteria during adolescence.</div></div><div><h3>Methods</h3><div>We included participants from the Avon Longitudinal Study of Parents and Children prospective cohort with objective measurement of PA and sedentary behavior using accelerometry between ages 11 and 15 years, biochemical and clinical measures of hyperandrogenism (serum total testosterone level at 15 years and self-reported hirsutism at 19 years), and self-reported menstrual regularity at 17 years. Two-stage regression models evaluated the association of repeated measures of PA and sedentary behavior with components of PCOS diagnostic criteria.</div></div><div><h3>Results</h3><div>Among 1,526 singleton girls with accelerometer data and testosterone samples, time spent in light PA was inversely associated with total testosterone (ß = −0.070, 95% CI −0.114, −0.025; nmol/L, per 60 minutes) and continuous hirsutism score (ß = −0.756, 95% CI −1.41, −0.103; per 60 minutes). Conversely, time spent sedentary was associated with higher total testosterone level (ß = 0.052, 95% CI 0.013, 0.090; per 60 minutes) and hirsutism score (ß = 0.668, 95% CI 0.103, 1.23; per 60 minutes). Associations were independent of adiposity, but results for hirsutism were attenuated following adjustment for age at menarche and after stratification by hormonal contraceptive use. No associations were observed with menstrual irregularity, for other PA intensity components, or among users of hormonal contraceptives.</div></div><div><h3>Discussion</h3><div>More time spent in light intensity physical activity and less time spent sedentary during early adolescence is associated with lower testosterone concentrations and lower hirsutism scores in late adolescence.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 4","pages":"Pages 672-679"},"PeriodicalIF":5.5,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682486","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}
Sugandha Jauhari M.D. , Monika Agarwal M.D. , Pratyaksha Pandit M.D. , Prashant K. Bajpai M.D. , Abhishek Singh Ph.D. , Christopher D. James M.B.B.S.
{"title":"Effectiveness of Educational Interventions on Adolescent Knowledge and Practices for Preventing Noncommunicable Diseases in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis","authors":"Sugandha Jauhari M.D. , Monika Agarwal M.D. , Pratyaksha Pandit M.D. , Prashant K. Bajpai M.D. , Abhishek Singh Ph.D. , Christopher D. James M.B.B.S.","doi":"10.1016/j.jadohealth.2024.12.014","DOIUrl":"10.1016/j.jadohealth.2024.12.014","url":null,"abstract":"<div><div>Noncommunicable diseases (NCDs) such as cardiovascular diseases, diabetes, and cancers are major global health concerns, disproportionately impacting low- and middle-income countries (LMICs). Adolescents in LMICs are particularly vulnerable due to urbanization, lifestyle changes, and limited preventive care access. This study evaluates the effectiveness of educational interventions in improving adolescents' knowledge, and behaviors, for NCD prevention in LMICs. The systematic review and meta-analysis followed patient, intervention, comparison, outcome and preferred reporting items for systematic reviews and meta-analyses guidelines, targeting studies involving adolescents aged 10–19 who received educational interventions for NCD prevention. A comprehensive search across 5 databases identified 22 eligible studies. Study quality was assessed using the Cochrane risk-of-bias tool, and statistical analyses were conducted in R, with effect sizes expressed as risk ratios and mean differences, calculated with 95% confidence intervals (CIs). Educational interventions significantly improved knowledge about the health benefits of fruit consumption (mean difference: 0.52; 95% CI: 0.31–0.74; <em>p</em> < .001) and awareness of the harms of deep-fried foods (mean difference: 0.60; 95% CI: 0.43–0.76; <em>p</em> < .001). Interventions also reduced screen time (mean difference: 534.09 minutes; 95% CI: 345.39–722.80). However, changes in body mass index (mean difference: 0.04; 95% CI: −0.02 to 0.11; <em>p</em> = .193) and waist circumference (mean difference: 0.06; 95% CI: −0.33 to 0.45; <em>p</em> = .778) were not statistically significant. Multisession interventions involving parents and teachers showed greater improvements in physical fitness, dietary habits, and quality of life. Single-session interventions were effective mainly when involving parents. Educational interventions improve knowledge and reduce screen time among adolescents, laying a foundation for healthier behaviors. However, achieving sustained behavior change requires targeted strategies beyond education alone. Future programs should incorporate skill-building, follow-up, family or community involvement to support adolescents in adopting and maintaining healthy habits. Comprehensive, multicomponent interventions are essential for fostering long-term lifestyle changes and reducing NCD risk among adolescents in LMICs.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 767-780"},"PeriodicalIF":5.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659815","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}
Aaron H Rodwin, Deborah Layman, Molly Finnerty, Sadiq Y Patel, Junghye Jeong, Qingxian Chen, Michelle R Munson
{"title":"Prevalence and Geographic Variation of Serious Mental Illness Among Young Adults Enrolled in Medicaid in New York State.","authors":"Aaron H Rodwin, Deborah Layman, Molly Finnerty, Sadiq Y Patel, Junghye Jeong, Qingxian Chen, Michelle R Munson","doi":"10.1016/j.jadohealth.2025.01.010","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.01.010","url":null,"abstract":"<p><strong>Purpose: </strong>To estimate the prevalence and geographic variation of serious mental illness (SMI) among young adults enrolled in Medicaid and to identify individual and community-level factors associated with SMI.</p><p><strong>Methods: </strong>We used New York Medicaid data for over 1.6 million young adults aged 18-34 years with continuous Medicaid enrollment from April 2021 through March 2022. We merged 3 additional county and zip code-level datasets, including the Distressed Communities Index, Area Health Resource File, and New York homelessness data. We used descriptive analyses, data visualization methods, and multivariable logistic regression to estimate the prevalence of SMI and identify individual- (sex, race and ethnicity, age, disability aid, and homelessness) and community-level (geography, community distress, number of hospital beds, and community mental health centers per capita) factors associated with SMI.</p><p><strong>Results: </strong>The 12-month prevalence of SMI was 8.3% in New York State, with wide geographic variation by zip codes, ranging from 0% to 39%. Young adults identifying as Asian, Black, and Latinx (compared to White), and those living in zip codes with the most community distress were associated with lower odds of SMI, odds ratios (OR) ranged from 0.47 (Asian) (95% confidence interval [CI] [0.46-0.49]) to 0.95 (Latinx) (CI [0.93-0.97]). Young adults identifying as female (compared to male), receiving disability, experiencing homelessness, and rural residence were associated with higher odds of SMI, ORs ranged from 1.64 (female) (95% CI [1.62-1.66]) to 5.49 (homelessness) (95% CI [5.33-5.66]).</p><p><strong>Discussion: </strong>SMI prevalence varies by individual- and community-level factors, including homelessness and rural residence, signaling the need for specific interventions and policies.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659818","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}
Vanessa Iribarrem Avena Miranda Ph.D. , Carolina V.N. Coll Ph.D. , Alicia Matijasevich Ph.D. , Ina S. Santos Ph.D. , Helen Gonçalves Ph.D. , Aluisio J.D. Barros Ph.D. , Luciana Tovo-Rodrigues Ph.D. , Joseph Murray Ph.D.
{"title":"Time Trends and Socioeconomic Inequalities in Parental Physical Aggression and Adolescent Physical Fighting: Three Brazilian Birth Cohort Studies Over Twenty Years, 2000–2020","authors":"Vanessa Iribarrem Avena Miranda Ph.D. , Carolina V.N. Coll Ph.D. , Alicia Matijasevich Ph.D. , Ina S. Santos Ph.D. , Helen Gonçalves Ph.D. , Aluisio J.D. Barros Ph.D. , Luciana Tovo-Rodrigues Ph.D. , Joseph Murray Ph.D.","doi":"10.1016/j.jadohealth.2025.01.019","DOIUrl":"10.1016/j.jadohealth.2025.01.019","url":null,"abstract":"<div><h3>Purpose</h3><div>Violence prevention requires robust data on trends in different forms of violence and measures of progress toward reduction across subgroups of the population. This study aimed to investigate trends and related socioeconomic inequalities in parental physical aggression and involvement in physical fights among adolescents.</div></div><div><h3>Methods</h3><div>Three population-based birth cohorts were conducted, including all births in the calendar years 1982, 1993, and 2004 in Pelotas city, Southern Brazil, with over 4,200 births in each cohort. Confidential self-report questionnaires were used to measure parental physical aggression (ages 11 and 15 years) and involvement in physical fights (ages 11, 15, and 18). The prevalence of violence outcomes was estimated, stratifying by sex and family income group for each cohort, and income-related inequalities were assessed through time.</div></div><div><h3>Results</h3><div>There were significant reductions in parental physical aggression between cohorts, at ages 11 (prevalence ratio (PR): 0.83) and 15 years (PR: 0.70), and there was some evidence of reductions in income-related inequality regarding harsh parenting, mainly for boys. Considering physical fighting, there was a small increase through time for boys at age 11 (PR: 1.22), but no change for either sex at age 15, and declines for girls at age 18 years (PR: 0.50). There were income inequalities in physical fighting for girls at ages 11 and 15 (with a higher prevalence among the poorest adolescent girls in comparison to the richest), which persisted through time. However, income inequality in fighting among girls at age 18 reduced through time. There was little income inequality in fighting among boys at any age in any cohort.</div></div><div><h3>Discussion</h3><div>Encouraging declines in parental physical aggression have occurred over the past 2 decades in this population of adolescents, but there is less clear evidence of changes in physical fights. Continued monitoring is vital to inform violence prevention policies.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 821-829"},"PeriodicalIF":5.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588290","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}
Sarah R Eisenman, Isabella Jackson, Lee D Hudson, Adriana Vázquez-Vázquez
{"title":"The Co-Occurring Prevalence of Non-Suicidal Self-Injury and Disordered Eating Among Adolescents and Young Adults: A Systematic Review.","authors":"Sarah R Eisenman, Isabella Jackson, Lee D Hudson, Adriana Vázquez-Vázquez","doi":"10.1016/j.jadohealth.2025.01.016","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.01.016","url":null,"abstract":"<p><p>Disordered eating (DE) and non-suicidal self-injury (NSSI) are transdiagnostic phenomena particularly prevalent among youth; but documentation of the prevalence of DE/NSSI comorbidity is limited. This review aimed to (1) synthesize existing prevalence data on comorbid DE/NSSI among this population and (2) describe co-occurring NSSI and specific DE behaviors where possible. PubMed, PsycINFO, EMBASE, and Web of Science were searched; 15 studies were included in this review. The Newcastle-Ottawa Scale adapted for cross-sectional studies was used to assess the risk of bias; five studies were rated as low risk of bias and 10 as moderate risk of bias. The weighted average comorbid prevalence of DE/NSSI was 4.46%, and differences across gender, age, DE behaviors, and measure types are discussed. There was limited available data for the characteristics of NSSI within comorbid DE. Clinicians should screen for comorbidity when either DE or NSSI is present. The primary methodological issue of included studies was the variance in reliability and validity of DE and NSSI measures; future research should address these issues and prioritize inclusion of non-White, non-Western, and gender/sexual minority youth.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588044","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}