Journal of Adolescent Health最新文献

{"title":"A Randomized Controlled Trial of a Digital Intervention to Improve the Sexual Health of Adolescent and Young Adult Male Emergency Department Patients.","authors":"Lauren S Chernick, Mona Bugaighis, Daniel Hochster, Victoria Daylor, Prakash Gorroochurn, Rebecca Schnall, Melissa S Stockwell, David Bell","doi":"10.1016/j.jadohealth.2024.08.020","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.08.020","url":null,"abstract":"<p><strong>Purpose: </strong>To assess implementation outcomes and potential efficacy of a user-informed, theory-based digital health intervention developed to improve adolescent and young adult (AYA) male sexual health.</p><p><strong>Methods: </strong>We conducted a pilot randomized controlled trial of sexually active male emergency department (ED) patients aged 14-21 years. Participants were randomized to the intervention (Dr. Eric, Emergency Room Interventions to improve Care) or usual care. Dr. Eric consists of an ED-based sexual health app followed by 3 months of interactive text messages. We assessed the feasibility, adoption, and fidelity among users. Condom use, defined as the number of sexual encounters with condoms divided by the total number of sexual encounters over the past 4 weeks, was the primary efficacy outcome.</p><p><strong>Results: </strong>We enrolled 119 patients; mean age was 17.9 years, 87% were Hispanic, and half used condoms at last intercourse. Dr. Eric demonstrated feasibility, with high rates of consent (86.2%) and follow-up (81.5%). Intervention participants found Dr. Eric acceptable, liking (86.2%) and recommending (87.9%) the program. 98% of intervention participants interacted with all five app modules; one-quarter opted out of text messaging. At 6-week follow-up, the intervention group more often used a condom compared to the control group [OR 3.57, 95% confidence interval (1.93, 6.60)], p < .001]; however, this significant difference did not sustain at 13 weeks.</p><p><strong>Discussion: </strong>Dr. Eric was feasible to deliver and acceptable to male AYA patients. To our knowledge, Dr. Eric is the first intervention to demonstrate evidence of short-term efficacy for improving condom use among male AYA in the ED.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482019","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":"Mental Health Problems Among Indonesian Adolescents: Findings of a Cross-Sectional Study Utilizing Validated Scales and Innovative Sampling Methods","authors":"Minh D. Pham Ph.D. ,&nbsp;Nisaa R. Wulan M.P.H. ,&nbsp;Susan M. Sawyer Ph.D. ,&nbsp;Paul A. Agius M.Sc. ,&nbsp;Jane Fisher Ph.D. ,&nbsp;Thach Tran Ph.D. ,&nbsp;Bernie E. Medise M.D. ,&nbsp;Yoga Devaera M.D. ,&nbsp;Aida Riyanti M.D. ,&nbsp;Ansariadi Ansariadi Ph.D. ,&nbsp;Karly Cini MClinEpi ,&nbsp;Elissa Kennedy M.P.H. ,&nbsp;Budi Wiweko Ph.D. ,&nbsp;Stanley Luchters Ph.D. ,&nbsp;Fransiska Kaligis M.D. ,&nbsp;Tjhin Wiguna M.D. ,&nbsp;Peter S. Azzopardi Ph.D.","doi":"10.1016/j.jadohealth.2024.07.016","DOIUrl":"10.1016/j.jadohealth.2024.07.016","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to estimate the prevalence of mental health problems and identify potential risk and protective exposures for adolescents in Indonesia.</div></div><div><h3>Methods</h3><div>An innovative sampling approach was applied to simultaneously recruit school- and community-based adolescents aged 16–18 years old from Jakarta (urban megacity) and South Sulawesi (remote province). We used multistage cluster sampling for in-school (N = 1,337) and respondent driven sampling for out-of-school (N = 824) adolescents. Mental health was measured using two validated scales: Kessler-10 and Center for Epidemiologic Studies Depression Scale-Revised. Psychiatric interviews were conducted in a subsample (N = 196) of students from Jakarta to validate the self-report scales.</div></div><div><h3>Results</h3><div>The estimated population prevalence of psychological distress and depression were 24.3% (95% CI = 21.5–27.2) and 12.6% (10.5–14.4) for in-school and 23.7% (20.7–26.7) and 23.5% (20.4–26.5) for out-of-school adolescents, respectively. In participants who completed a psychiatric interview, common psychiatric morbidities were social anxiety, depression, and suicidality. Compared to in-school females, male in-school adolescents reported a lower prevalence of psychological distress (16.9% (13.1–20.7) vs. 30.4% (26.4–34.4)) and depression (10.1% (7.2–13.1) vs. 14.6 (11.4–17.8)). By contrast, for out-of-school adolescents, males reported a higher prevalence of psychological distress (25.2% (21.6–28.9) vs. 20.2% (15.1–25.3)) and depression (26.3% (22.5–30.1) vs. 16.9% (11.8–21.9)). In-school adolescents who did not seek healthcare despite a perceived need were more likely to report psychological distress and depression.</div></div><div><h3>Discussion</h3><div>Adolescent mental health problems are highly prevalent in Indonesia, with substantial variation by gender, geography, and school enrolment. This study and its approach to sampling and measurement may serve as a model to improving mental health surveillance across other settings.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 929-938"},"PeriodicalIF":5.5,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482023","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":"Use of Continuous Oral Drospirenone for Menstrual Suppression in Adolescents.","authors":"Garrett Garbo, Ellis Barrera, Jessica Y Shim, Elizabeth R Boskey, Frances W Grimstad","doi":"10.1016/j.jadohealth.2024.09.004","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.09.004","url":null,"abstract":"<p><strong>Purpose: </strong>To describe experiences of adolescents taking continuous drospirenone (DRSP-C) oral contraceptives, without placebo, for menstrual suppression, including breakthrough bleeding and other side-effects.</p><p><strong>Methods: </strong>This was a retrospective chart review of adolescents prescribed DRSP-C for menstrual suppression. Demographics and indications for DRSP-C were collected on the visit where DRSP-C was prescribed. Data through the final follow-up visit during the study period included documented effects and side-effects of DRSP-C and continuation of therapy. Statistical analyses were primarily descriptive.</p><p><strong>Results: </strong>Patients prescribed DRSP-C were included (n = 136). Dysmenorrhea was the most common indication for DRSP-C (58.8%, n = 80/136) followed by endometriosis (44.8%, n = 61/136). The median time on DRSP-C for the 116 patients who were able to initiate treatment was 12.3 months (interquartile range [IQR] 6.8, 17.4). Patients trialed, on average, 2 other forms of menstrual management before starting DRSP-C (IQR 1, 3). Pelvic pain or dysmenorrhea resolution or improvement was reported in 84.6% (44/52) of dysmenorrhea patients, and 77.8% (28/36) of pelvic pain patients. Almost half of patients reported breakthrough bleeding on DRSP-C (41.3%, n = 48/116); however, only 11 patients (42%, 11/26) discontinued DRSP-C because of it. Within the study period, 22.4% (n = 26/116) of patients discontinued DRSP-C, with a median treatment duration of 101 days (IQR 71, 157). Among patients who discontinued DRSP-C, the most common reason was breakthrough bleeding (42%, n = 11/26).</p><p><strong>Discussion: </strong>DRSP-C for menstrual suppression was well tolerated in adolescents, with most patients reporting resolution or improvement of their indication for taking DRSP-C. Findings demonstrate DRSP-C is a viable option for menstrual suppression in adolescents.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482027","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":"Recruitment of a U.S. Nation-Wide Sample of Transgender and Gender Diverse Youth","authors":"Melissa K. Holt Ph.D. ,&nbsp;Lynsie R. Ranker Ph.D. ,&nbsp;Aidan D. Kraus Ed.M. ,&nbsp;Ziming Xuan Sc.D. ,&nbsp;Jennifer Greif Green Ph.D. ,&nbsp;Sabra L. Katz-Wise Ph.D. ,&nbsp;Karen Morales","doi":"10.1016/j.jadohealth.2024.07.021","DOIUrl":"10.1016/j.jadohealth.2024.07.021","url":null,"abstract":"<div><h3>Purpose</h3><div>Transgender and gender diverse youth (TGDY) can be a challenging population to reach because of limitations related to parental/guardian consent and concerns about privacy. This pilot study's purpose was to assess the feasibility of recruiting a US nation-wide longitudinal sample of TGDY through social media, and to compare participants who completed the Wave 1 survey only to TGDY who completed both Wave 1 and Wave 2 surveys.</div></div><div><h3>Methods</h3><div>Adolescents (aged 14–17 years) who identified as TGDY were recruited through social media and invited to complete two online surveys across a 3-month period. Surveys included measures of mental health, substance use, and community connection.</div></div><div><h3>Results</h3><div>The Wave 1 sample included 252 TGDY, with 183 (73%) retained at Wave 2. There were few differences (i.e., gender identity; sex assigned at birth) between Wave 1–only participants and those retained at Wave 2.</div></div><div><h3>Discussion</h3><div>Findings demonstrate the feasibility of recruiting a U.S. nation-wide longitudinal sample of TGDY through social media, providing an important platform for conducting research to improve well-being of TGDY.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 969-973"},"PeriodicalIF":5.5,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482025","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":"Responding to the Impact of Climate Change on Adolescent and Young Adult Health: A Position Paper of the Society for Adolescent Health and Medicine and the International Association for Adolescent Health.","authors":"","doi":"10.1016/j.jadohealth.2024.09.015","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.09.015","url":null,"abstract":"<p><p>The Society for Adolescent Health and Medicine and the International Association for Adolescent Health recognize that climate change impacts multiple dimensions of health and well-being for adolescents and young adults. According to the World Health Organization, climate change is one of the top 10 health threats facing humanity. No aspect of adolescent health is spared from the consequences of climate change: food and housing insecurity, heat-related morbidity and mortality, water-borne diseases, infectious diseases, including sexually transmitted infections and HIV, mental health disorders, gender-based violence, conflict, internal displacement, and migration are all impacted. Vulnerable populations, such as adolescents and young adults, and those living in lower- to middle-income countries and environmental justice communities, are the ones whose health will be most affected. The Society for Adolescent Health and Medicine and the International Association for Adolescent Health call for urgent action in alignment with the United Nations Sustainable Development Goals and the Convention on the Rights of the Child to avert the irreversible consequences of climate change. Health professionals and health-care organizations can and should help lead global climate action along with youth, supporting mitigation and adaptation strategies that protect young people. Adolescent health professionals and organizations must advocate for climate justice and equitable resources, urge health systems to mitigate their adverse impacts on the environment, advocate for health organizations to focus on green investments, be leaders in climate education of the next generation of adolescent health professionals, and focus research on equitable strategies to reduce climate harms.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482026","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":"Adolescents' Depression Symptoms After Social Distancing and Restrictions: The EpiCoV French Longitudinal Population-Based Cohort","authors":"Marie C. Navarro Ph.D. ,&nbsp;Charline Galesne M.P.H. ,&nbsp;Marion Bailhache Ph.D. ,&nbsp;Flore Moulin M.D., Ph.D. ,&nbsp;Camille Davisse Ph.D. ,&nbsp;Bruno Falissard M.D., Ph.D. ,&nbsp;Stéphanie Vandentorren M.D., Ph.D. ,&nbsp;Josiane Warszawski Ph.D. ,&nbsp;Cécile Vuillermoz Ph.D. ,&nbsp;Arthur Descarpenty M.Sc. ,&nbsp;Maria Melchior Ph.D. ,&nbsp;Alexandra Rouquette M.D., Ph.D. ,&nbsp;Cédric Galera M.D., Ph.D.","doi":"10.1016/j.jadohealth.2024.07.018","DOIUrl":"10.1016/j.jadohealth.2024.07.018","url":null,"abstract":"<div><h3>Purpose</h3><div>The recent worldwide health pandemic and related social distancing and restrictions negatively impacted adolescents' mental health, including depression, underscoring the need for comprehensive understanding beyond immediate impacts. We aimed to identify factors assessed during the first and second lockdowns that were associated with depression symptoms 2 years after restrictions easing.</div></div><div><h3>Methods</h3><div>This study included 1,946 adolescents, aged 15–18 years, involved in the French <em>Epidémiologie et Conditions de Vie</em> population-based cohort. Depression symptoms were assessed twice, with the nine-item Patient Health Questionnaire, at the beginning of restrictions easing and 1 year later. Logistic regressions were used to estimate associations among sociodemographic, socioeconomics, health, substance use, lockdown conditions, and pandemic-related factors, self-reported during the first and second lockdowns in France, and depression symptoms. Elastic-Net regression was used to study the joint effect of characteristics assessed during both lockdowns.</div></div><div><h3>Results</h3><div>A total of 472 (25.25%) adolescents reported depression symptoms in the restrictions easing period, 369 (78.18%) were girls and 103 (21.82%) were boys. Factors associated with a higher risk of reporting depression symptoms included being a girl, a smoker, frequently consuming alcohol, having spent lockdowns in a place without outdoor space, poor perceived health, and pre-existing mental disorders.</div></div><div><h3>Discussion</h3><div>Factors associated with depression symptoms after restrictions easing were well known and mostly not related to social distancing and restrictions, suggesting that already vulnerable youth were more likely to be impacted by the stressful pandemic context. Special caution is needed for these adolescents to limit pandemic's impact on long-lasting mental health. These results also underscore the importance of early identification of at-risk adolescents and the development of interventions to enhance their resilience and support in case of future crises.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 921-928"},"PeriodicalIF":5.5,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482020","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":"Gaps in Awareness of the United States Minimum Legal Age of E-Cigarette and Cigarette Sales: Implications for Public Health Messaging.","authors":"Devin M McCauley, Bonnie Halpern-Felsher","doi":"10.1016/j.jadohealth.2024.08.017","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.08.017","url":null,"abstract":"<p><strong>Purpose: </strong>In 2019, the United States raised the minimum legal age (MLA) of sales for all tobacco products from 18 to 21. Public awareness of the federal MLA of tobacco sales overall and by demographics is understudied.</p><p><strong>Methods: </strong>A national, cross-sectional 2023 survey in which 6,098 participants aged 13-40 years responded to the question, \"at which age is it legal to purchase [e-cigarettes; cigarettes; alcohol] in the United States?\" Participants also reported age, sex, race/ethnicity, and prior use of each substance.</p><p><strong>Results: </strong>Sixty-one percent, 64.6%, and 88.7% correctly identified the MLA of sales for e-cigarettes, cigarettes, and alcohol, respectively. Differences in awareness of the MLA were found by age, sex, race/ethnicity, and prior use status.</p><p><strong>Discussion: </strong>Gaps in awareness of the MLA of tobacco sales, particularly among adolescents and adults, suggest messaging regarding the federal Tobacco 21 law is needed.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482022","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":"Exposure to Multiple Natural Disasters and Externalising and Internalising Behavior: A Longitudinal Study of Adolescents.","authors":"Paul Campbell, Ben Edwards, Matthew Gray","doi":"10.1016/j.jadohealth.2024.08.019","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.08.019","url":null,"abstract":"<p><strong>Purpose: </strong>As natural disasters become more frequent and more severe, there is a corresponding need to understand their relationship with child and adolescent mental health, and in particular, to understand exposure to multiple natural disasters. This study assesses the relationship between exposure to both single and multiple disasters and adolescent internalising and externalising behavior.</p><p><strong>Methods: </strong>The study used five waves of a nationally representative longitudinal Australian dataset. Exposure to sudden-onset (fires, floods, storms) and slow-onset (drought) disasters was collected across five waves. Adolescent internalising and externalising behavior collected in the final three waves using the self-reported Strengths and Difficulties Questionnaire. Random effects regressions assessed sudden- and slow-onset disasters and multiple disaster exposure, controlling for geographic and socioeconomic variables.</p><p><strong>Results: </strong>Exposure to multiple disasters was associated with adverse adolescent outcomes. Two or more sudden- and slow-onset disaster exposures in the last 12 months was related to more conduct problems. Exposure to multiple sudden-onset disasters in the current and previous waves was related to increased problems with peers. A single exposure to either sudden- or slow-onset disasters was not associated with Strengths and Difficulties Questionnaire outcomes.</p><p><strong>Discussion: </strong>The study findings suggest that multiple exposure to disasters has a negative association with adolescent wellbeing. These findings suggest that, rather than adapting to disasters, youth exposed to multiple disasters suffer more than their peers, including peers exposed to a single disaster.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382570","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":"An Analysis of Fertility Preservation Offerings for Transgender Youth on United States Pediatric Hospital Websites.","authors":"Isabelle C Band, Bethany Dubois, Atoosa Ghofranian, Katrina S Nietsch, Joseph A Lee, Jenna Friedenthal, Alan B Copperman, Samantha L Estevez","doi":"10.1016/j.jadohealth.2024.08.008","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.08.008","url":null,"abstract":"<p><strong>Purpose: </strong>To survey United States (U.S.) pediatric hospital websites for information about fertility preservation (FP) for transgender patients. Secondarily, to identify hospital characteristics associated with higher likelihood of publishing transgender-specific FP content on websites.</p><p><strong>Methods: </strong>This cross-sectional study included all U.S. pediatric hospitals from Children's Hospital Association excluding specialty hospitals. From September-December 2023, 2 independent researchers surveyed websites for: geographic location, academic affiliation, religious affiliation, presence of general and transgender-specific FP information, and specialties of FP providers. Fisher's exact and Pearson's Chi-square tests were used.</p><p><strong>Results: </strong>Of 177 websites surveyed, 41% (n = 73) published FP information, largely targeted to oncology patients (90%, n = 66). Only 8% (n = 15) of all websites mentioned FP for transgender youth. Based on website information, most fertility programs included a medical oncologist (80%, n = 53); fewer included a urologist (32%, n = 21), pediatric gynecologist (27%, n = 18) or reproductive endocrinologist (RE, 21%, n = 14). About half (n = 31) referred to affiliate REs. Presence of transgender-specific FP website content ranged from 0% to 5% in Southern divisions to 20% in New England (median = 10%). Secular (p < .001) and academic (p = .04) hospital websites were significantly more likely to include FP content.</p><p><strong>Discussion: </strong>Our findings highlight a gap in access to FP information for transgender youth on U.S. pediatric hospital websites. Few websites identify FP teams that include an RE or pediatric gynecologist, who specialize in FP for patients with ovaries. Access to FP information is critical to transgender youth who may desire genetically related children later in life. Strategies to assure this information is widely available are needed.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373553","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":"Changes in Mental Health Among Adolescents in South Korea Before and After COVID-19: An Interrupted Time Series Analysis From 2015 to 2022.","authors":"Yeonjae Kim, Hyewon Park, YooWha Bhan, Donghwan Lee, Chang-Mo Oh, Weon Young Lee, Bomi Park","doi":"10.1016/j.jadohealth.2024.07.032","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.07.032","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine changes in mental health among adolescents by comparing data from the period following the onset of the COVID-19 pandemic with the period before the pandemic.</p><p><strong>Methods: </strong>We estimated the annual prevalence of stress perception, depressive symptoms, and suicidal ideation among middle and high school students using data from the Korean Youth Health Behavior Survey spanning from 2015 to 2022. We then compared mental health status across 2 periods-pre-COVID-19 (2015-2019) and during COVID-19 (2020-2022)-employing an interrupted time series analysis. We adjusted for covariates, such as household economic status, residence type, self-rated health, and history of hospitalization, due to violence.</p><p><strong>Results: </strong>We analyzed data from 472,385 adolescents (242,819 boys and 230,016 girls). Stress perception, depressive symptoms, and suicidal ideation showed an increasing trend during the pre-COVID-19 period, followed by a decrease in the first year of the pandemic and an increasing trend in the second and third years. Boys experienced a faster increase in stress and depressive symptoms during the second and third years of the pandemic compared with the pre-COVID-19 period, whereas girls showed trends similar to those observed before the pandemic. Middle school students experienced a more rapid increase in these indicators than high school students during the second and third years.</p><p><strong>Discussion: </strong>Adolescents' mental health initially improved in the first year of COVID-19 but worsened during the second and third years of the pandemic. This suggests a need for intervention policies and programs to support adolescent mental health.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373649","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}