Journal of Adolescent Health最新文献

{"title":"Unraveling the Complexities Between Reasons and Motivations Behind Suicide Behaviors: A Population-Based Study of Hong Kong Secondary School Students","authors":"Zixu Li M.S. ,&nbsp;Yu Cheng Hsu Ph.D. ,&nbsp;Paul Siu Fai Yip Ph.D.","doi":"10.1016/j.jadohealth.2025.01.005","DOIUrl":"10.1016/j.jadohealth.2025.01.005","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the importance of and interconnected nature between the reasons and motivations underlying suicide behaviors among adolescents in Hong Kong.</div></div><div><h3>Methods</h3><div>Suicide behaviors include suicidal ideation and suicide attempts. A subset of data was extracted for analysis from the 2016 wave of the Hong Kong Youth Sexuality Study. This subset comprised 1,744 adolescents who had considered, or attempted, suicide. Descriptive and network analysis was applied to explore the connections between suicide behavior reasons and motivations.</div></div><div><h3>Results</h3><div>Both the descriptive and network analyses revealed that Hong Kong adolescents experienced multiple reasons and motivations behind their suicidal thoughts and suicide attempts. The primary reasons were emotional problems, family-related issues, and academic pressures. The main motivations were to get relief from a terrible state of mind, to escape from an impossible situation, and to end suffering. While these three main motivations were prevalent across nearly all the reasons, distinctive associations also emerged. Desire to die was a key motivation when suicide behaviors stemmed from a sense of meaninglessness or financial problems. Expressing love was a significant motivation when suicide behavior was related to the loss of a loved one. Sex differences were observed in the patterns of reasons and motivations.</div></div><div><h3>Discussion</h3><div>The factors driving suicide behaviors among adolescents are complex and exhibit sex differences. Suicide behaviors may function as a coping mechanism for severe psychological distress. Distinctive reason-motivation connections underscore elevated risk levels among specific groups of adolescents and provide critical insights for designing targeted interventions.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 830-838"},"PeriodicalIF":5.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568916","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":"A Social Ecological Approach to Identifying Barriers and Proposing Interventions at Multiple Levels to Improve Healthcare for LGBTQIA+ Youths in the United States.","authors":"Julia Wickman, Sruti Mukherjee, Abby Mintz, Jennifer L Northridge","doi":"10.1016/j.jadohealth.2025.01.009","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.01.009","url":null,"abstract":"<p><p>Young people who identify as lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual, and other sexual and gender minorities (LGBTQIA+) in the United States experience poorer health than US youths overall. A social ecological approach that recognizes the multidimensional and multilevel influences on healthcare was used to identify barriers and propose interventions to achieve health equity for LGBTQIA+ adolescents and young adults. Database searches were conducted for original articles published within the last decade (2014-2024) that identified healthcare barriers for LGBTQIA+ individuals with participants aged 10-24 years and/or their family members or healthcare providers. The 36 studies included in this evidence-based, integrative review were conducted in 6 healthcare environments. Thirty-five barriers at the 6 levels of the Social Ecological Model were identified as follows: 5 individual, 10 interpersonal, 9 organizational, 6 community, 3 public policy, and 2 societal. The most frequently cited barrier was anti-LGBTQIA+ stigma at the societal level (21 studies). Findings point to interventions at multiple levels that would improve healthcare for LGBTQIA+ youths and youths overall: updating clinical education to address the needs of LGBTQIA+ youths, expanding Medicaid to cover costs of services in all US states, forming partnerships among LGBTQIA+ groups and healthcare organizations, and implementing inclusive intake forms.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568910","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":"Proximity of Crisis Pregnancy Centers to Colleges and Universities in the United States, 2021","authors":"Nicole Luisi M.P.H., M.S.,&nbsp;Danielle Lambert Ph.D., M.P.H.,&nbsp;Erin Johnson Ph.D., M.P.H.,&nbsp;Andrea Swartzendruber Ph.D., M.P.H.","doi":"10.1016/j.jadohealth.2025.01.007","DOIUrl":"10.1016/j.jadohealth.2025.01.007","url":null,"abstract":"<div><h3>Purpose</h3><div>Since Crisis Pregnancy Centers (CPCs) are known to target college and university (CU) students, the purpose of this analysis was to describe the spatial proximity between CUs and CPCs in the United States by driving distance.</div></div><div><h3>Methods</h3><div>Using 2021 data from CPC Map and the US Department of Education's Integrated Postsecondary Education Data System survey, we generated buffer zones around each public and private not-for-profit CU based on driving distance (miles) and examined CPC locations within each buffer. We calculated distances from each CU to the nearest CPC nationally and by state. We then calculated the total number and percentage of female undergraduate students enrolled in CUs with at least one CPC within 3 miles.</div></div><div><h3>Results</h3><div>A total of 2,546 CPCs and 3,391 CUs were included in the analyses. Nationally, the median driving distance to the nearest CPC was 3.5 miles. In 67% of states, the minimum driving distance to the nearest CPC was less than 0.5 miles. Most (51.5%) undergraduate women were enrolled in a CU with a CPC within 3 miles. Percentages of CUs with at least one CPC within 3 driving miles were highest among private-not-for-profit institutions, CUs with higher student enrollment, doctoral degree conferring CUs, and CUs located in the West South Central and Middle Atlantic subregions.</div></div><div><h3>Discussion</h3><div>CPCs were located in close proximity to CUs. Efforts to increase awareness about CPCs and their risks and assist students in finding quality sources of care and information may be warranted.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 871-878"},"PeriodicalIF":5.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476960","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":"A Sociocultural Perspective of HPV Vaccine-Related Decision Making Among Immigrant Mothers in the United States","authors":"Obianuju Aliche Ph.D. ,&nbsp;Mia Liza A. Lustria Ph.D. ,&nbsp;Mary A. Gerend Ph.D.","doi":"10.1016/j.jadohealth.2025.01.011","DOIUrl":"10.1016/j.jadohealth.2025.01.011","url":null,"abstract":"<div><h3>Purpose</h3><div>The U.S. immigrants are at high risk for human papillomavirus (HPV) infection and death from HPV-related diseases. Children of immigrants have lower HPV vaccine initiation and completion rates compared to children of U.S.-born parents. Previous research suggests that sociocultural factors may play a role in these disparities, but this is still largely understudied. This study examines the relationship between sociocultural factors and immigrant mothers' HPV vaccine-related decision-making.</div></div><div><h3>Methods</h3><div>An online survey was administered to 272 immigrant women (18+ years) residing in the United States with children ages 9–25 years. Multivariate logistic regression was employed to determine sociocultural predictors (i.e., acculturation) of HPV vaccine initiation and refusal. We also examined the relationship between HPV vaccination behaviors and vaccine-related decision-making in immigrant households.</div></div><div><h3>Results</h3><div>Immigrant mothers who had a greater orientation toward their home culture were less likely to initiate HPV vaccination for their children (odds ratio [OR] = 0.92; 95% CI [0.87, 0.98]). Mothers who made vaccination decisions for their families either solely (OR = 0.37; 95% CI [−0.99, 0.47]) or jointly with their partners (OR = 0.24; 95% CI [−1.42, 0.46]) were less likely to refuse HPV vaccination for their children compared to mothers who relied solely on their partners to make these decisions. Lastly, mothers who were more adapted to the United States were more likely to make vaccination decisions jointly with their partners (OR = 1.03; 95% CI [1.01, 1.06]).</div></div><div><h3>Discussion</h3><div>Findings show that acculturation and decision-making processes in immigrant households are significantly associated with HPV vaccination. Culturally appropriate interventions that address both partners' perceived barriers to HPV vaccination are needed.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 897-904"},"PeriodicalIF":5.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476858","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":"Understanding Reasons to Quit or Reduce Vaping and Associations With Quitting Outcomes Among High School Adolescents in Connecticut.","authors":"Krysten W Bold, Grace Kong, Meghan E Morean, Akshika Sharma, William Courtney, Wei Li, Danielle R Davis, Deepa Camenga, Rachel Ouellette, Suchitra Krishnan-Sarin","doi":"10.1016/j.jadohealth.2025.01.004","DOIUrl":"10.1016/j.jadohealth.2025.01.004","url":null,"abstract":"<p><strong>Purpose: </strong>Understanding youth experiences quitting vaping is important for informing youth-focused e-cigarette cessation interventions to improve public health. This study aims to examine reasons for quitting/reducing vaping and associations with quitting outcomes.</p><p><strong>Methods: </strong>We surveyed high school students in Connecticut in 2022 using a brief, anonymous online questionnaire assessing e-cigarette use. Adolescents (N = 756; mean age = 15.9, SD = 1.2) who reported lifetime e-cigarette use answered questions about previous experiences trying to quit or reduce vaping, including reasons for quitting/reducing and quitting outcomes.</p><p><strong>Results: </strong>Among adolescents who had ever vaped, 56.8% only vaped a few times and did not continue, while 32.2% reported seriously trying to quit or reduce vaping. Common reasons for quitting/reducing vaping included concerns about health (50.2%), addiction (45.5%), and cost (42.5%). Additional reasons cited were impacting ability to play sports (30.0%), spending too much time vaping (23.2%), and resetting tolerance (21.5%). Among those who tried to quit, 40.3% reported they were successful, 39.6% reported continuing vaping, and 20.1% reported quitting vaping but using other nicotine/tobacco products (e.g., cigarettes, cigarillos, blunts, nicotine pouches). Quitting due to influence of friends was associated with success quitting (vs. still vaping or using other nicotine/tobacco products, p ≤ .02), while quitting due to punishment (e.g., suspension) or losing e-cigarette access temporarily (e.g., family vacation) were associated with continued vaping (p ≤ .03).</p><p><strong>Discussion: </strong>Adolescents endorse many reasons for quitting or reducing vaping that may help inform e-cigarette interventions. Interventions should consider encouraging cessation of all nicotine/tobacco products while leveraging peer support strategies and minimizing punitive measures to support quitting.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477003","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":"Identifying the Changing Landscape of Younger Adult Mortality in the United States from 1999 to 2021","authors":"Virginia Cafferky M.P.H. ,&nbsp;Shufang Sun Ph.D. ,&nbsp;Frances B. Saadeh M.P.H. ,&nbsp;Eric B. Loucks Ph.D.","doi":"10.1016/j.jadohealth.2024.11.247","DOIUrl":"10.1016/j.jadohealth.2024.11.247","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate temporal trends and drivers of mortality among younger adults (aged 18–39), from 1999 to 2021.</div></div><div><h3>Methods</h3><div>Observational study using nationally representative United States mortality data from 1999 to 2021, acquired via the US Centers for Disease Control Wide-ranging Online Data for Epidemiologic Research database. Exposure of interest was cause of death. Primary outcomes were population-level mortality rates and percent increase from 1999 to 2021. Secondary outcomes were cause-specific and subgroup-specific (sex, race, ethnicity) mortality rates and percent increases.</div></div><div><h3>Results</h3><div>From 1999 to 2021, US younger adults aged 18–39 experienced a 54.1% increase in annual mortality (from 113.4 deaths per 100,000 in 1999 to 174.7 deaths per 100,000 in 2021; Cochran-Armitage <em>p</em> &lt; .0001). Before COVID, from 1999 to 2019, younger adults experienced a 10.8% increase in mortality, compared to a 1.5% increase among the broader US population. The top driver of increased younger adult mortality, from 1999 through 2021, was accidental poisoning and exposure to noxious substances. Mortality trends varied by demographic variables with notable increases among American Indian/Alaskan Native Americans.</div></div><div><h3>Discussion</h3><div>US younger adults are suffering from rising premature mortality. Resources should be calibrated to better support this generation.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 4","pages":"Pages 571-583"},"PeriodicalIF":5.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476941","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":"Assessing the Impact of a Routine Requirement for In-Person Abortion Care for Adolescents in England and Wales: A Prepost Evaluation.","authors":"Hannah McCulloch, Sarah Salkeld, Melissa J Palmer, Kayleigh Hills, Jonathan Lord, Amy Green, Patricia A Lohr","doi":"10.1016/j.jadohealth.2024.12.016","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.12.016","url":null,"abstract":"<p><strong>Purpose: </strong>No-test medication abortion involves a teleconsultation, gestational age dating by last menstrual period (LMP), and home-use of medicines. In England and Wales, British Pregnancy Advisory Service (BPAS) and MSI Reproductive Choices UK (MSIUK) began offering no-test medication abortion to patients of all ages with pregnancies ≤69 days' gestation in April 2020. In May 2021, BPAS changed policy; adolescents aged 15 years and less could initiate care via teleconsultation but must have an in-person safeguarding assessment review (screening for harm/abuse/neglect), and an ultrasound. We assessed the impact of this change on accessibility, safeguarding, and gestational age estimation.</p><p><strong>Methods: </strong>We compared waiting time from first contact to abortion, abortions conducted at ≤6 and ≤10 weeks' gestation, and safeguarding referrals to support organizations using routine data from BPAS or MSIUK for abortion patients aged 15 years and less over 5 months before and after BPAS' policy change. For BPAS patients postpolicy change, we determined safeguarding referral source (teleconsultation/in-person) and diagnostic accuracy of LMP and other menstrual history features versus ultrasound for determining gestational age.</p><p><strong>Results: </strong>Between December 1, 2020 and September 30, 2021, 614 adolescents were treated. Postpolicy change, median waiting time from the first contact to abortion at BPAS significantly increased (7 vs. 11 days, p < .001) and proportion of abortions provided within 1 week of contact decreased (52.7% vs. 25.9%, p < .01). Both were stable at MSIUK (9 vs. 9 days [p = .59]; 38.2% vs. 39.2% [p = .99]). At BPAS, all indicated safeguarding referrals were identified at initial teleconsultation. Ten of 201 BPAS patients (5.0%) became ineligible for medication abortion (gestation > 69 days) while waiting for routine ultrasound; both LMP and ultrasound dating suggested eligibility (gestation ≤ 69 days) at first contact.</p><p><strong>Discussion: </strong>Requiring in-person adolescent consultation is associated with reduced access to medication abortion without enhancing safeguarding.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451034","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":"Culture and COVID-19 Related Impacts on Alcohol-Exposed Pregnancy Risk Among Urban American Indian and Alaska Native Young Adults: A Path Analysis.","authors":"Carina Stavish, Nicole Tuitt, Michelle Sarche, Nancy L Asdigian, Nicole D Reed, Carol E Kaufman","doi":"10.1016/j.jadohealth.2025.01.018","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.01.018","url":null,"abstract":"<p><strong>Purpose: </strong>We investigated the influence of COVID-19 pandemic-related factors and cultural identification on indicators of alcohol-exposed pregnancy (AEP) risk among urban American Indian and Alaska Native (AIAN) youth ages 16-20.</p><p><strong>Methods: </strong>Path analysis was used to evaluate associations among measures collected at baseline of the Native WYSE CHOICES, an intervention study to reduce AEP risk among urban AIAN youth. Data were collected nationally from 439 female-at-birth AIAN youth (mean age 18.1 years) residing in urban areas.</p><p><strong>Results: </strong>Identification with Native American culture and heritage was significantly and positively associated with self-efficacy to abstain from alcohol (β = 0.178; p < .001), and, indirectly, significantly and negatively associated with the risk of AEP (β = -0.046; p = .001). Alternatively, distress about the pandemic's consequences for Native American communities and experiencing economic impacts exacerbated by the COVID-19 pandemic were significantly and negatively associated with self-efficacy to abstain from alcohol (respectively: β = -0.165, p < .01; β = -0.126, p < .01) and, indirectly, significantly and positively associated with risk of AEP (respectively: β = 0.043, p < .01; β = 0.033, p < .05).</p><p><strong>Discussion: </strong>Results underscore the protective role that connectedness to Native American culture and heritage plays directly and indirectly in AEP risk potential. Conversely, the experience of economic barriers and distress over loss of Native American population and culture are direct and indirect risk factors for potential AEP risk. Development of future AEP interventions for urban AIAN young adults should consider Native American cultural identification, historical trauma, and economic impacts in program design and implementation.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451088","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":"Young People Are Willing to Intervene Against Rape Myths Online: A Simulated Social Media Experiment","authors":"Sydney Nicolla Ph.D. ,&nbsp;Ashley Hedrick McKenzie Ph.D. ,&nbsp;Allison J. Lazard Ph.D. ,&nbsp;Dominic DiFranzo Ph.D. ,&nbsp;Zhila Aghajari M.S. ,&nbsp;Chenchen Mao M.S. ,&nbsp;Nabarun Dasgupta Ph.D.","doi":"10.1016/j.jadohealth.2025.01.006","DOIUrl":"10.1016/j.jadohealth.2025.01.006","url":null,"abstract":"<div><h3>Purpose</h3><div>Social media present opportunities to intervene on harmful rape myth beliefs among adolescents and young adults, such as through digital bystander intervention.</div></div><div><h3>Methods</h3><div>We conducted a digital experiment to examine young peoples' willingness to intervene on rape myth comments in a simulated social media environment. Participants were adolescents and young adults (<em>n</em> = 712) aged 18–25 years (<em>M</em> = 22.14, <em>SD</em> = 1.92). Participants randomly viewed social media posts with the following: (1) rape myth comments, (2) rape myth comments <em>with</em> bystander intervention comments, or (3) control condition with only neutral comments. Participants then reported willingness to intervene, gender stereotype agreement, alcohol rape myth acceptance, and perceived normativity of bystander behavior.</div></div><div><h3>Results</h3><div>Rape myth comments (with or without bystander comments) led to greater willingness to intervene among participants. Alcohol rape myth acceptance, perceived normativity of bystander behavior, and gender (women vs. men) were all significant moderators of this relationship. Participants susceptible to alcohol rape myths and those who were men were less willing to intervene in the rape myth and rape myth + bystander conditions. Participants who perceived bystander behavior to be less normal were more willing to intervene in the rape myth-only condition.</div></div><div><h3>Discussion</h3><div>This study explored attitudes of young people exposed to harmful rape myth comments on social media. Future studies should continue this work, especially pursuing ways to reduce undesirable moderation effects of alcohol rape myths and gender.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 839-846"},"PeriodicalIF":5.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451108","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":"Knowledge, Attitudes, and Practices Regarding Meningococcal B Vaccination Since the 2015 Recommendation: A Review","authors":"Oscar Herrera-Restrepo Ph.D. ,&nbsp;Diana E. Clements M.D. ,&nbsp;Tosin Olaiya M.B.Ch.B., M.Sc. ,&nbsp;Gary S. Marshall M.D.","doi":"10.1016/j.jadohealth.2024.11.248","DOIUrl":"10.1016/j.jadohealth.2024.11.248","url":null,"abstract":"<div><div>The United States Advisory Committee on Immunization Practices recommends routine vaccination against meningococcal serogroups A, C, W, and Y for all aged 11–12 years (with a booster dose for age 16 years) and vaccination against meningococcal serogroup B (MenB) for ages 16–23 years under shared clinical decision-making (SCDM). Considering the Advisory Committee on Immunization Practices' ongoing revision of the adolescent meningococcal vaccine schedule, it is important to capture the perspectives of key stakeholders (adolescents and young adults, parents, and health-care providers) in order to understand barriers to meningococcal vaccination. We conducted a targeted literature search and narrative review of survey-based studies to consolidate available evidence on knowledge, attitudes, and practices among these stakeholders since the MenB recommendation in 2015. Our study identified persistent knowledge gaps regarding invasive meningococcal disease (IMD) risks, MenB, and SCDM among patients, parents, and health-care providers, suggesting that SCDM may not be consistently taking place. Simplifying the meningococcal vaccination schedule may more broadly protect United States adolescents and young adults against IMD and should be accompanied by efforts to increase knowledge and awareness among patients and parents regarding IMD and MenB.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 4","pages":"Pages 558-570"},"PeriodicalIF":5.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451092","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}