Journal of Adolescent Health最新文献

{"title":"Operation Triple Zero: Implementation, Processes, and Outcomes of an Asset-Based Approach to Achieving Viral Suppression Among Adolescents and Young Persons Living With HIV in Kenya, 2017-2021.","authors":"Immaculate Mutisya, Anthony Waruru, Raphael Ondondo, Lennah Omoto, Susan Hrapcak, Jessica Gross, Deborah Carpenter, George Odingo, Davies Kimanga, Stella Njuguna, Odylia Muhenje, Evelyn Ngugi, Abraham Katana, Lucy Ng'ang'a","doi":"10.1016/j.jadohealth.2024.12.017","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.12.017","url":null,"abstract":"<p><strong>Purpose: </strong>The 2018 Kenya Population-based HIV Impact Assessment revealed gaps in HIV care among adolescents and young people living with HIV (AYPLHIV) aged 10-24 years, with only 70.6% aware of their status, of these, 93.1% on antiretroviral therapy (ART), and 79.2% of those on treatment had achieved viral load suppression (VLS). Operation Triple Zero (OTZ) aims to address these gaps by fostering intrinsic motivation in AYPLHIV to achieve good health outcomes, emphasizing zero missed appointments, zero missed medication, and zero viral load. We examine clinical outcomes of VLS, ART adherence, and retention among AYPLHIV aged 10-24 enrolled in OTZ from 2017 to 2021.</p><p><strong>Methods: </strong>Data from 20 early adopter OTZ sites were analyzed for ART adherence, retention, viral load testing, and VLS. We compared demographic and clinical characteristics at enrollment and end line by sex, using Pearson's chi-square test for categorical variables, McNemar chi-square test, and Wilcoxon rank-sum for baseline versus end-line comparisons.</p><p><strong>Results: </strong>Of 1,569 AYPLHIV enrolled in OTZ, 1,372 (87.4%) had complete records. The median age at OTZ enrollment was 12 years (interquartile range: 14-16). VLS improved from 72.7% to 88.5% (p < .001), and 96% of AYPLHIV were retained on ART. Among virally suppressed AYPLHIV at baseline (n = 958), 92.4% sustained VLS (91.9% females, 92.9% males), notably 100% among those on once-a-day dolutegravir or atazanavir. Re-suppression rate for viremic AYPLHIV at baseline (n = 360) was 78.3%. Satisfactory adherence correlated with higher re-suppression rates.</p><p><strong>Discussion: </strong>OTZ implementation led to improved HIV treatment outcomes among AYPLHIV, contributing to sustained epidemic control efforts complementing other interventions.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765720","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":"Brief Internet-Delivered Cognitive-Behavioral Intervention for Children and Adolescents With Emotional Symptoms in Brazil: A Randomized Clinical Trial.","authors":"Caio Borba Casella, Luis Carlos Farhat, Eunice Monteiro Labbadia, Pedro Fonseca Zuccolo, Daniel Fatori, Adriana Argeu, Giovanni Abrahão Salum, Guilherme V Polanczyk","doi":"10.1016/j.jadohealth.2025.01.021","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.01.021","url":null,"abstract":"<p><strong>Purpose: </strong>Emotional symptoms impose a significant burden on children and adolescents, particularly in low- and middle-income countries, where treatment options are limited. Addressing this gap, we developed and assessed a brief cognitive-behavioral internet-delivered intervention targeting anxiety and depression symptoms in Brazilian youth.</p><p><strong>Methods: </strong>We conducted a single-blind, two-arm, parallel-group, randomized controlled trial in youth aged 8-17 with a total T-score ≥70 on the 25-item version of the Revised Children's Anxiety and Depression Scale, parent (RCADS-P) and child report (RCADS-C). Participants were randomly assigned (1:1) to cognitive-behavioral intervention (5 weekly sessions conducted by videoconference focused on skills training) or psychoeducation. Sessions were conducted with youth and their caregivers jointly. Participants were assessed at baseline, at post-treatment and at the 30-day follow-up. The primary outcome was the change from baseline to post-treatment on RCADS-P and RCADS-C scores. This trial is registered with ClinicalTrials.gov, NCT05139433.</p><p><strong>Results: </strong>Between October 15, 2021, and February 27, 2023, 280 participants were randomized, with 231 completing post-treatment and 214 completing follow-up assessments. In comparison to participants in the psychoeducation group, participants in the intervention group showed greater reductions in emotional symptoms according to youths (mean difference = 4.3, p = .013, standardized mean difference (SMD) = 0.25 [95% confidence interval (CI) 0.05-0.44]) and parents (mean difference = 3.6, p = .023, SMD = .21 [95% CI 0.03-0.40]), as well as in anxiety scores according to youths (mean difference = 4.4, p = .0043, SMD = 0.28 [95% CI 0.09-0.47]) and parents (mean difference = 3.2, p = .030, SMD = 0.21 [95% CI 0.02-0.40]). There were no significant differences in depression scores at post-treatment according to youth (mean difference = 2.9, p = .063, SMD = 0.19 [95% CI -0.01 to 0.39]) or parents (mean difference = 2.2, p = .15, SMD = 0.15 [95% CI -0.05 to 0.33]), but effects emerged at the 30-day follow-up. No serious adverse events were reported.</p><p><strong>Discussion: </strong>The cognitive-behavioral intervention was effective in reducing emotional symptoms in children and adolescents in Brazil. This intervention holds promise for enhancing access to mental health care within a stepped-care model in public health contexts.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765673","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":"Development of an Aspirational Strategic Plan for the Society for Adolescent Health and Medicine","authors":"Jessica A. Kahn M.D., M.P.H. ,&nbsp;Manuel A. Oscós-Sánchez M.D. ,&nbsp;Matt C. Aalsma Ph.D. ,&nbsp;Anisha A. Abraham M.D. ,&nbsp;Nicholas Chadi M.D., M.P.H. ,&nbsp;Tamera Coyne-Beasley M.D., M.P.H. ,&nbsp;Errol L. Fields M.D., M.P.H., Ph.D. ,&nbsp;Nuray Kanbur M.D. ,&nbsp;Paritosh Kaul M.D. ,&nbsp;Risa A. Turetsky N.P., M.P.H. ,&nbsp;Tornia J.S. Wyllie M.D. ,&nbsp;Bonnie Halpern-Felsher Ph.D.","doi":"10.1016/j.jadohealth.2025.02.006","DOIUrl":"10.1016/j.jadohealth.2025.02.006","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 761-766"},"PeriodicalIF":5.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765716","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 Provider Attitudes, Practices, and Barriers to Extra-Genital Testing for Neisseria Gonorrheae and Chlamydia Trachomatis Infections Among Adolescents and Young Adults","authors":"Roman Babayev M.D. ,&nbsp;James DeCuir ,&nbsp;Constance M. Wiemann Ph.D. ,&nbsp;Stefani Ricondo M.D. ,&nbsp;Jason Zucker M.D. ,&nbsp;Paul Richards M.P.H. ,&nbsp;Albert Hergenroeder M.D. ,&nbsp;Meghna Raphael M.D.","doi":"10.1016/j.jadohealth.2024.12.021","DOIUrl":"10.1016/j.jadohealth.2024.12.021","url":null,"abstract":"<div><h3>Purpose</h3><div>Despite increasing rates of <em>Neisseria gonorrheae</em> and <em>Chlamydia trachomatis</em> nationally, prior studies indicate suboptimal screening in pediatric and young adult settings. This study surveyed provider attitudes, knowledge, practices, and barriers around sexually transmitted infection testing to identify potential contributing factors.</div></div><div><h3>Methods</h3><div>Pediatric providers at a large urban hospital system across different levels of practice and settings completed a survey anonymously via Research Electronic Data Capture. Likert scales and Fisher's exact test were used to quantify and compare provider responses.</div></div><div><h3>Results</h3><div>Analysis of the 130 respondents indicated discomfort with asking adolescents about their sexual behaviors (61.5% residents vs. 40.0% attendings, <em>p</em> = .002). 50.0% of residents and 73.3% of attendings felt trained to talk about sexual practices (<em>p</em> = .02). Resident (30.8%) and attending (36.0%) physicians were not likely to counsel patients regarding safer sex practices. Attendings (30.8%) and advanced practice providers (48.0%) responded correctly that either providers or patients can self-collect vaginal/rectal and pharyngeal samples. Outpatient and inpatient providers reported some barrier to extra-genital testing, including confidentiality concerns (46.4% and 43.1%, respectively), lack of swabs (41.1% and 31.4%, respectively), and lack of knowledge on performing/ordering the test (57.1% and 49.0%, respectively).</div></div><div><h3>Discussion</h3><div>Provider discomfort, knowledge and practice gaps, and barriers to extra-genital <em>Neisseria gonorrheae</em>/<em>Chlamydia trachomatis</em> testing were widespread in our study population. Potential targets for improvement include addressing logistic challenges to sample collection, reducing confidentiality concerns, and improving provider training in counseling and clinical decision-making related to adolescent sexual health.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 889-896"},"PeriodicalIF":5.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent Time Use and Cardiometabolic Health: A Cross-Sectional Compositional Analysis to Explore Associations Between 24-Hour Activity Behaviors and Biomarkers of Cardiometabolic Health.","authors":"Gráinne Hayes, Leonard D Browne, Kieran P Dowd, Ciarán MacDonncha, Brian P Carson, Helen Purtill, Matthew P Herring, Eibhlís M O' Connor, Clodagh S O'Gorman, Alan E Donnelly","doi":"10.1016/j.jadohealth.2025.01.020","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.01.020","url":null,"abstract":"<p><strong>Purpose: </strong>The health effects of time spent in daily activity behaviors, such as sleep, sedentary time, standing, light-intensity physical activity (LIPA), and moderate-to-vigorous intensity physical activity (MVPA), have been widely examined. Typically, these behaviors have been studied in isolation. However, daily time is composed of activities undertaken in a fixed 24-hour cycle; thus, time spent in each activity behavior is codependent. A focus on increase in one behavior in isolation ignores the consequent changes in time spent in other behaviors. This study aimed to examine the relationship between adolescent activity behaviors and indicators of cardiometabolic health by using compositional data analysis.</p><p><strong>Methods: </strong>Participants (N = 222; 16.3 years [0.92], mean [±standard deviation]; 49% male) provided measures of body composition (height, weight, waist-to-hip ratio, 4-site skinfold thickness), cardiorespiratory fitness [CRF], grip strength, blood pressure [BP], blood lipids (low-density lipoprotein cholesterol [LDL-C], high-density lipoprotein cholesterol [HDL-C], total cholesterol [TC], and triglycerides) and markers of glucose control. Device-based measures of activity behavior were obtained from the activPAL 3 micro. Compositional linear regression models were used to examine the relationship between activity behaviors and health indicators while controlling for age, sex, and school location.</p><p><strong>Results: </strong>LIPA (relative to the remaining behaviors) was associated with the sum-of-skinfold thickness (β = -13.9; p < .05), CRF (β = 3.9; p < .05), and diastolic BP (β = -8.3; p < .05). Sedentary time and standing time were associated with lower grip strength (β = -5.4; p < .05) and LDL-C (β = -0.38; p < .05), respectively. MVPA was associated with HDL-C (β = 0.7; p < .05) and triglycerides (β = -0.1; p < .05). Reallocating 30 minutes from sleep, sedentary time, or standing time to LIPA or MVPA was associated with significant improvements in cardiometabolic health indicators.</p><p><strong>Discussion: </strong>This is the first study to apply compositional data analysis in adolescents that has included all activity behaviors on the physical activity continuum. The findings reinforce the health benefits of MVPA for adolescents but also provide evidence to support that increasing LIPA and standing through decreasing sitting time will improve measures of adiposity, CRF, diastolic BP, and LDL-C. Future interventional research is required to confirm the present findings.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765745","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 Story Untold: An Adolescents Journey of the Scottish Care System.","authors":"Craig Houston, Ruth Emond","doi":"10.1016/j.jadohealth.2025.01.022","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.01.022","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Nonlethal Violent Victimization, Police Reporting, and Sensory Disabilities Among Adolescents.","authors":"Amanda M Hinson-Enslin, Luis Enrique Espinoza, Heather F McClintock","doi":"10.1016/j.jadohealth.2024.12.022","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.12.022","url":null,"abstract":"<p><strong>Purpose: </strong>Adolescents with sensory disabilities are disproportionately affected by nonlethal violent victimization (NVV) more than adolescents without sensory disabilities, but little is known about NVV in the United States. The purpose of the current study is to determine whether adolescents' sensory disability (SD) status (no disability, vision disability, hearing disability, both disabilities) are associated with NVV, the number of crime episodes reported, and police reporting of crime.</p><p><strong>Methods: </strong>Data were analyzed from the 2016-2021 National Crime Victimization Survey. Logistic and linear regression was used to examine the association between SD status type of NVV, police reporting of the crime, and number of NVV episodes.</p><p><strong>Results: </strong>A sample of 1,953 adolescents were in the analysis. Of the sample, 43.4% of adolescents with no disability experienced NVV, 24.7% of adolescents with vision disability experienced NVV, and 44.4% of adolescents with hearing disability experienced NVV. Adolescents with vision disability had fewer episodic NVV than those without SDs, unlike those with hearing disability (adjusted odds ratio [aOR]: 0.42; 95% confidence interval [CI]: 0.41, 0.42; aOR: 1.09; 95%CI: 1.08, 1.11 respectively). Adolescents with vision disability are more likely to report their crime to police than adolescents without SD and similarly found among adolescents with hearing disability (aOR: 1.35; 95% CI: 1.33, 1.37; aOR: 1.17; 95% CI: 1.15, 1.19, respectively).</p><p><strong>Discussion: </strong>These findings can be used to enhance initiatives in reducing incidence of NVV among adolescents with hearing disability, vision disability, and both disabilities. To confirm results, agencies can collaborate and develop uniform terminology for data collection.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694231","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":"Announcing Adolescent Immunization Week","authors":"Judy Klein","doi":"10.1016/j.jadohealth.2025.01.003","DOIUrl":"10.1016/j.jadohealth.2025.01.003","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 4","pages":"Page 742"},"PeriodicalIF":5.5,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The 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}