Journal of Adolescent Health最新文献

{"title":"Trends and Sociodemographic Differences in Tobacco/Nicotine Transitions Among U.S. Adolescents and Young Adults Using e-cigarettes, 2014–2023","authors":"Rebecca J. Evans-Polce Ph.D. ,&nbsp;Jessica M. Mongilio Ph.D. ,&nbsp;Luisa Kcomt M.S.W., Ph.D. ,&nbsp;Bingxin Chen M.A. ,&nbsp;Sean Esteban McCabe M.S.W., Ph.D.","doi":"10.1016/j.jadohealth.2025.01.013","DOIUrl":"10.1016/j.jadohealth.2025.01.013","url":null,"abstract":"<div><h3>Purpose</h3><div>E-cigarette use among adolescents and young adults (AYAs) remains prevalent in the United States and is linked with combustible tobacco product use. This study examines sociodemographic differences (i.e., sex, age, sexual identity, transgender identity, race, ethnicity, and income) in transitions from e-cigarette use to other forms of tobacco use among AYAs from 2014 to 2023.</div></div><div><h3>Methods</h3><div>AYAs aged 14–25 years from the nationally representative Population Assessment of Tobacco and Health study waves 2–7 (2014/15–2022/23) were used to examine transitions in e-cigarette and combustible tobacco use over 1-to-2-year periods (n = 7,523). Using multinomial logistic regression models, we examined associations of sociodemographic characteristics and wave with e-cigarette and combustible tobacco transitions.</div></div><div><h3>Results</h3><div>Maintaining e-cigarette use only (21.2% in 2014/15–49.2% in 2022/23) and transitioning from e-cigarette and combustible use (i.e., dual use) to e-cigarettes only (7.6% in 2014/15–29.7% in 2022/23) increased over time. Simultaneously, transitioning from e-cigarettes to dual use (18.2% in 2014/15–17.9% in 2022/23) and maintaining dual use remained steady. Bisexual individuals were more likely to transition from e-cigarette use only to dual use (adjusted relative risk ratio = 2.07; 95% confidence interval = 1.44, 2.99) and maintain dual use (adjusted relative risk ratio = 2.01; 95% confidence interval = 1.43, 2.84), compared to heterosexual individuals. Female, Hispanic, and Black individuals were less likely to transition to dual use or maintain dual use compared to male, non-Hispanic, and White individuals, respectively.</div></div><div><h3>Discussion</h3><div>Findings identify important sociodemographic groups at greater risk of transitions to combustible tobacco use that warrant attention in future research and prevention strategies to reduce health disparities.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 920-927"},"PeriodicalIF":5.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451104","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 Role of Psychosocial Factors in Youth Sexting: A Multi-Country Analysis of Risk Perception","authors":"Floriza Gennari Dr.P.H. ,&nbsp;Moritz Büchi Ph.D. ,&nbsp;Alessandra Guedes M.A., M.Sc. ,&nbsp;Moa Schafer D.Phil. ,&nbsp;Daniel Kardefelt-Winther Ph.D.","doi":"10.1016/j.jadohealth.2025.01.008","DOIUrl":"10.1016/j.jadohealth.2025.01.008","url":null,"abstract":"<div><h3>Purpose</h3><div>Using nationally representative surveys with internet-using children aged 12–17 across 13 countries in Eastern and Southern Africa and Southeast Asia, the study aimed to examine attitudinal factors associated with sexting-related risk perception and analyze the extent to which risk perception is correlated with sexting behavior.</div></div><div><h3>Methods</h3><div>Multivariate linear regression with risk perception as the outcome variable was conducted. Slopes were plotted per country, with risk perception and sexting (having shared naked pictures or videos of self online in the past year) as the outcome, to examine the relationship between risk perception and sexting behavior across countries.</div></div><div><h3>Results</h3><div>More risk-averse attitudes were consistently positively associated with risk perception in almost all countries. Plotted slopes of risk perception and sexting, in turn, showed that higher risk perception was associated with reduced sexting, with similar directionality across all countries. However, the levels varied, e.g., in Thailand and Cambodia, risk perception had a similar effect on sexting (same slope) but at substantially different levels: those who sext in Thailand still have higher concerns (risk perception = 4) than those who do not sext in Cambodia (risk perception = 3).</div></div><div><h3>Discussion</h3><div>The finding that less restrictive attitudes and lower risk perception were correlated with sexting aligns with literature in the field, although the range of risk perception thresholds associated with sexting was noteworthy. The study provides some support for the importance of developing tailored approaches that take into consideration the psychological as well as contextual factors affecting sexting, as opposed to one-size-fits-all methods.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 847-855"},"PeriodicalIF":5.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451099","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":"Being Out: Impact of Disclosure on Sexual and Reproductive Healthcare Receipt in a Sample of Sexual Minority Women and Gender Diverse Youth","authors":"Jen Makrides M.D., M.A., M.H.S. ,&nbsp;Noya Galai Ph.D. ,&nbsp;Alexander Lopez L.S.W. ,&nbsp;Constance Trexler R.N., C.P.N., M.S.H.S. ,&nbsp;DaJaneil McCree Ph.D., M.S. ,&nbsp;Pamela A. Matson Ph.D., M.P.H. ,&nbsp;Maria Trent M.D., M.P.H. ,&nbsp;Arik V. Marcell M.D., M.P.H. ,&nbsp;Renata Arrington-Sanders M.D., M.P.H., Sc.M.","doi":"10.1016/j.jadohealth.2024.12.007","DOIUrl":"10.1016/j.jadohealth.2024.12.007","url":null,"abstract":"<div><h3>Purpose</h3><div>Sexual minority women and gender diverse youth in the United States experience disparities in sexual and reproductive health. We evaluated whether sexual partner type, identity, and attraction were associated with healthcare disclosure, and whether healthcare disclosure was associated with sexual and reproductive healthcare receipt in a sample of sexual minority and gender diverse youth aged 18–24 years assigned female at birth.</div></div><div><h3>Methods</h3><div>103 youth assigned female at birth completed a behavioral health survey. Data were analyzed to determine whether healthcare disclosure was associated with receipt of the human papillomavirus (HPV) vaccine, human immunodeficiency virus (HIV) testing, contraception method, and long-acting reversible contraception. We examined whether sexual partner type, identity, and attraction were associated with healthcare disclosure.</div></div><div><h3>Results</h3><div>Over half of the 103 participants self-identified as Black (78%) and had at least one female partner (55%); 14.6% identified as gender diverse. 51.5% received an HPV vaccine, 52.4% were HIV tested in the last year, 38.8% received any contraception method, and 19.4% received long-acting reversible contraception. The majority (63.1%) of youth reported healthcare disclosure. Healthcare disclosure was associated with sexual and reproductive healthcare receipt. Participants who had only male partners, identified as heterosexual or were unsure of their sexual identity were less likely to disclose their sexual orientation and receive HIV and HPV services.</div></div><div><h3>Discussion</h3><div>Reducing barriers to healthcare disclosure and care receipt will be critical to overcoming sexual and reproductive health disparities for all youth.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 4","pages":"Pages 622-631"},"PeriodicalIF":5.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451083","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":"Police Contact and the Mental Health of Young Adults in the United States","authors":"Dylan B. Jackson Ph.D. ,&nbsp;Farah Qureshi Sc.D. ,&nbsp;Alexander Testa Ph.D. ,&nbsp;Seth J. Prins Ph.D.","doi":"10.1016/j.jadohealth.2025.01.015","DOIUrl":"10.1016/j.jadohealth.2025.01.015","url":null,"abstract":"<div><h3>Purpose</h3><div>This study investigated mental health outcomes among young adults who experienced direct police contact — including unfair or aggressive policing — in the past year.</div></div><div><h3>Methods</h3><div>Data came from 2019 participants enrolled in the nationally representative 2021 Transition to Adulthood Supplement of the Panel Study of Income Dynamics. Descriptive analyses provided population-based prevalence estimates of police contact measures (including being stopped unfairly, being frisked or searched, and officer verbal or physical aggression) in the overall sample and stratified by key sociodemographic factors. Linear regression models quantified associations between police contact and mental health domains (i.e., psychological distress, depressive symptoms, anxiety symptoms, and well-being), adjusting for sociodemographic factors and participants' history of arrest.</div></div><div><h3>Results</h3><div>Males, lesbian, gay, or bisexual individuals, and those with lower levels of education reported the highest prevalence of frequent police contact (i.e., ≥2 times in a 12-month period). When considering aggressive policing, stark racial disparities emerged, with Black young adults exhibiting the highest prevalence. Net of covariates, more frequent police contact was associated with poorer mental health, with comparable effect estimates observed across all outcome domains. When considering unfair and aggressive policing, experiencing an unfair stop was the most strongly and consistently associated with higher levels of psychological distress (β = 0.44, 95% confidence interval [CI] = 0.00, 0.88), depression (β = 0.48, 95% CI = 0.15, 0.81), and anxiety (β = 0.53, 95% CI = 0.17, 0.90).</div></div><div><h3>Discussion</h3><div>Our findings underscore the need to implement policies and procedures that curtail frequent, unfair, and aggressive policing and surveillance of U.S. young adults – especially in minoritized and underresourced communities.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 813-820"},"PeriodicalIF":5.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451096","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":"Transitions in Gender Identity Among Youth: Trajectories of Perceptions of Family Acceptance","authors":"André Gonzales Real M.D., M.Sc.,&nbsp;Stephen T. Russell Ph.D.","doi":"10.1016/j.jadohealth.2025.01.012","DOIUrl":"10.1016/j.jadohealth.2025.01.012","url":null,"abstract":"<div><h3>Purpose</h3><div>Family acceptance is a crucial protective factor for transgender and gender diverse (TGD) youth well-being. Few studies examine how families react to gender transitions by youth. This study aimed to examine whether families react differently when youth report different gender identities or when youth report gender-nonconforming expressions.</div></div><div><h3>Methods</h3><div>Data from 92 TGD youth from a community-based sample participated in up to 4 waves of surveys, 9 months apart (2012–2015). Three gender identity trajectories were identified: (1) youth who consistently identified as TGD (consistent TGD); (2) youth who were initially cisgender (CIS) but later identified as TGD (CIS→TGD); and (3) youth who identified as TGD but later identified as CIS (TGD→CIS). Patterns of family acceptance over time were analyzed using hierarchical linear modeling, including within-person (time-varying) and between-person associations.</div></div><div><h3>Results</h3><div>Youth who reported consistent TGD identities reported less family acceptance at baseline, and stable and low family acceptance across time; youth who initially identified as CIS and later as TGD reported a pattern of decreasing family acceptance (<em>b</em> = −0.41, <em>p</em> = .004). Current gender nonconformity (but not gender nonconformity in childhood) was associated with lower family acceptance (between-person level: <em>b</em> = −0.22, <em>p</em> = .005; within-person level: <em>b</em> = −0.12, <em>p</em> = .058).</div></div><div><h3>Discussion</h3><div>In a community-based sample of gender-diverse youth, family acceptance corresponds to gender identity and current gender expression (rather than gender expression earlier in childhood). Interventions should help families of TGD youth, particularly of those whose gender expression is nonconforming, understand gender-diverse identities.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 863-870"},"PeriodicalIF":5.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451101","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":"Weight Stigma in Adolescents With Obesity From Low-Income Backgrounds: Qualitative Perspectives From Adolescents and Caregivers","authors":"Katherine E. Darling Ph.D.,&nbsp;Emily Panza Ph.D.,&nbsp;Jennifer Warnick Ph.D.,&nbsp;Emma Small,&nbsp;Annabelle Derrick,&nbsp;Elissa Jelalian Ph.D.","doi":"10.1016/j.jadohealth.2024.12.019","DOIUrl":"10.1016/j.jadohealth.2024.12.019","url":null,"abstract":"<div><h3>Purpose</h3><div>Weight stigma is a common experience for adolescents at high weight statuses. Prior research regarding experiences of weight stigma in adolescence has been in primarily homogenous samples. The present study sought to characterize weight stigma experiences and internalization in adolescents from low-income backgrounds. This was done by reporting on teen's experiences of weight stigma in daily life and in conversations with health-care professionals, and examining the effect of internalization of this stigma.</div></div><div><h3>Methods</h3><div>This study is a secondary analysis of semi-structured qualitative interviews conducted with adolescents with high weight from low-income backgrounds who had been referred to weight management, as well as their caregivers. Data was analyzed using applied thematic analysis.</div></div><div><h3>Results</h3><div>Fifty-five participants (29 adolescents and 26 caregivers) from low-income backgrounds participated in semi-structured interviews. Given the broader focus of the primary study, weight stigma was not a focus of interviews. However, almost all participants identified weight stigma and bias as influencing their lives and medical care. Identified themes included the following: (1) difficulty identifying preferences regarding weight-related terminology; (2) commonality of experienced weight stigma; and (3) significant effect of internalized weight bias on adolescent daily living.</div></div><div><h3>Discussion</h3><div>Overall, the present study identified nearly ubiquitous experiences of weight stigma for a sample of youth from low-income backgrounds living in larger bodies. This highlights the pervasive presence of weight stigma and bias throughout adolescents' lives, including in health-care settings. These findings are particularly stark, given that weight stigma was not a topic within the interview guide.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 928-934"},"PeriodicalIF":5.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451106","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":"Under-Representation of Asian-American Youth in Research Obscures the Heterogeneity of This Population","authors":"Rick Yang","doi":"10.1016/j.jadohealth.2024.08.016","DOIUrl":"10.1016/j.jadohealth.2024.08.016","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 3","pages":"Page 517"},"PeriodicalIF":5.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143402665","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":"Sleep as a Protective Factor: Multiple Forms of Discrimination and Substance Use Intention Among Racially and Ethnically Minoritized United States Youth","authors":"Yijie Wang Ph.D. ,&nbsp;Zhenqiang Zhao Ph.D. ,&nbsp;Meng-Run Zhang Ph.D. ,&nbsp;Youchuan Zhang Ph.D. ,&nbsp;Jinjin Yan Ph.D. ,&nbsp;Elizabeth Jelsma Ph.D. ,&nbsp;Heining Cham Ph.D. ,&nbsp;Margarita Alegría Ph.D. ,&nbsp;Tiffany Yip Ph.D.","doi":"10.1016/j.jadohealth.2024.12.004","DOIUrl":"10.1016/j.jadohealth.2024.12.004","url":null,"abstract":"<div><h3>Purpose</h3><div>Research has rarely examined biobehavioral factors in mitigating substance use (SU) risks associated with discrimination among racially and ethnically minoritized youth. This study investigated sleep duration as a potential moderator of the association between multiple forms of discrimination based on race and ethnicity, sexual orientation, and weight (i.e., multiple discrimination) and subsequent SU intention in this population.</div></div><div><h3>Methods</h3><div>Data were drawn from a national, longitudinal sample of racially and ethnically minoritized early adolescents (N = 3,495, <em>M</em>_age = 11.52 years) participating in the Adolescent Brain Cognitive Development Study. Multiple discrimination was assessed through aggregated youth reports at 1-year follow-up (Y1) and 2-year follow-up (Y2). Sleep duration was assessed at Y2 via self-reports in the full sample and actigraphy over 3 weeks in a subsample (N = 1,404). Youth reported SU intention at Y2 and 3-year follow-up (Y3). Relevant sociodemographic and psychosocial covariates were included.</div></div><div><h3>Results</h3><div>Path analyses showed that more exposure to multiple discrimination was associated with greater subsequent SU intention, controlling for prior SU intention levels. However, this association was only significant among adolescents with shorter sleep duration on weekdays, not among those who slept longer (above 9.6 hours based on self-reports or 7.5 hours based on actigraphy) on weekdays. Actigraphy sleep duration mean and variability also exhibited nuanced linkages with subsequent SU intention.</div></div><div><h3>Discussion</h3><div>Findings highlighted sleep duration as a promising lever of change for preventative interventions aiming to curb SU among racially and ethnically minoritized youth in early development.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 4","pages":"Pages 718-726"},"PeriodicalIF":5.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411774","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":"Describing How Childhood Physical Activity Predicts Mental Health in Adolescence: It's All in the Details","authors":"Mathieu Bélanger Ph.D.","doi":"10.1016/j.jadohealth.2024.11.009","DOIUrl":"10.1016/j.jadohealth.2024.11.009","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 3","pages":"Pages 341-342"},"PeriodicalIF":5.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143402441","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":"Pediatric Traumatic Brain Injury: Lessons Learned During the First Five Years","authors":"Brason Lee M.S.W., M.S.","doi":"10.1016/j.jadohealth.2025.01.017","DOIUrl":"10.1016/j.jadohealth.2025.01.017","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 942-943"},"PeriodicalIF":5.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411644","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}