Journal of Adolescent Health最新文献

{"title":"Mental Health and Care Utilization Among Sexual and Gender Minority Youth by Race and Ethnicity","authors":"Hyemin Lee Ph.D., M.P.H. ,&nbsp;Jessica R. Abramson ,&nbsp;Arushee Bhoja ,&nbsp;Ryan J. Watson Ph.D. ,&nbsp;Ethan H. Mereish Ph.D.","doi":"10.1016/j.jadohealth.2024.11.244","DOIUrl":"10.1016/j.jadohealth.2024.11.244","url":null,"abstract":"<div><h3>Purpose</h3><div>Existing literature has provided limited and inconsistent findings regarding disparities in mental health and mental health care utilization among racial and ethnic subgroups of sexual and gender minority adolescents (SGMA). This study aimed to investigate racial and ethnic disparities in mental health and care utilization among SGMA.</div></div><div><h3>Methods</h3><div>Data from a large national sample of SGMA who participated in the 2022 <em>Lesbian, Gay, Bisexual, Transgender and Queer National Teen Survey</em> (N = 9,691) were analyzed. Symptoms of depression and anxiety were assessed using the patient health questionnaire-4. Mental health care utilization was classified as follow: (1) received; (2) wished for but not received (indicating unmet mental health care needs); and (3) neither wished for nor received.</div></div><div><h3>Results</h3><div>Compared to White SGMA, Black/African American SGMA were less likely to report anxiety symptoms (adjusted prevalence ratio = 0.89, 95% confidence intervals [CIs] = 0.82–0.97). No significant racial and ethnic differences in depression symptoms were observed among SGMA. Regarding mental health care utilization, Asian or Asian American (adjusted relative risk ratio [ARRR] = 2.07, 95% CIs = 1.62–2.64), Black/African American (ARRR = 1.80, 95% CIs = 1.41–2.28), and Hispanic/Latino SGMA (ARRR = 1.32, 95% CIs = 1.16–1.51) were more likely to report unmet mental health care needs than White SGMA.</div></div><div><h3>Discussion</h3><div>Despite the lack of major and consistent racial and ethnic differences in anxiety and depression symptoms documented in our sample, Asian or Asian American, Black/African American, and Hispanic/Latino SGMA were more likely to report unmet mental health care needs than their White counterparts. This finding highlights the need to address barriers to mental health care for racially and ethnically minoritized SGMA.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 4","pages":"Pages 592-598"},"PeriodicalIF":5.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411580","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":"Suicide Risk and Social Connectedness in Cisgender and Transgender Lesbian, Gay, Bisexual, and Queer/Questioning Youth in the Emergency Department","authors":"August X. Wei ,&nbsp;Annabelle M. Mournet M.S. ,&nbsp;Patrick C. Ryan ,&nbsp;Donna A. Ruch Ph.D. ,&nbsp;Maryland Pao M.D. ,&nbsp;Lisa M. Horowitz M.P.H., Ph.D ,&nbsp;Jeffrey A. Bridge Ph.D.","doi":"10.1016/j.jadohealth.2024.11.241","DOIUrl":"10.1016/j.jadohealth.2024.11.241","url":null,"abstract":"<div><h3>Purpose</h3><div>Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) youth are at high suicide risk. Family/peer connectedness may be protective factors; few studies assess social connectedness within cisgender lesbian, gay, bisexual, and queer (cis-LGBQ) and transgender and gender-diverse (TGD) samples. This study aims to identify associations between family/peer connectedness and suicidal thoughts/behaviors (STBs) among cisgender-LGBQ and TGD youth to better inform suicide prevention strategies.</div></div><div><h3>Methods</h3><div>This study utilized data from LGBTQ youth aged 12–17 in the Emergency Department Screen for Teens at Risk for Suicide study. Youth completed measures for STBs (Ask Suicide-Screening Questions and Columbia Suicide Severity Rating Scale) and family/peer connectedness (“low,” “moderate,” and “high”). Logistic regression analyses examined associations between family/peer connectedness and STBs in cis-LGBQ and TGD youth.</div></div><div><h3>Results</h3><div>53.2% (607/1,140) of cis-LGBQ and 69.7% (99/142) of TGD youth self-reported STBs. For cis-LGBQ youth, the odds of reporting STBs increased when comparing low/moderate versus high family connectedness (<em>p</em> &lt; .001, adjOR = 9.8[6.8–14.2]; <em>p</em> &lt; .001, adjOR = 3.5[2.7–4.7]) and low versus moderate (<em>p</em> &lt; .001, adjOR = 2.8[1.9–4.0]). Regarding cis-LGBQ peer connectedness, the odds of reporting STBs increased when comparing low/moderate versus high (<em>p</em> &lt; .01, adjOR = 1.8[1.2–2.7]; <em>p</em> &lt; .05, adjOR = 1.5[1.1–2.1]), not low versus moderate (<em>p</em> = .4). For TGD youth, the odds of reporting STBs significantly increased when comparing low/moderate versus high family connectedness (<em>p</em> &lt; .001, adjOR = 9.8[3.7–28.2]; <em>p</em> &lt; .001, adjOR = 7.7[2.8–22.8]), not when comparing low versus moderate (<em>p</em> = .7). Peer connectedness levels had no significant associations with TGD youths' STB rates (<em>p</em> = .2, <em>p</em> = .3, <em>p</em> = .8).</div></div><div><h3>Discussion</h3><div>LGBTQ, especially TGD youth, are at elevated suicide risk. High levels of family connectedness may especially help mitigate suicide risk in TGD youth. Future research should replicate findings in larger TGD samples and adapt LGBTQ-specific, family-based emergency department interventions.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 4","pages":"Pages 599-605"},"PeriodicalIF":5.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411776","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":"Daily Oppression-Based Stressors, Social Support, Suicide Ideation, and Nonsuicidal Self-Injury Ideation Among Sexual and Gender Minority Adolescents","authors":"Ethan H. Mereish Ph.D. ,&nbsp;Hyemin Lee Ph.D. ,&nbsp;Arushee Bhoja ,&nbsp;Jessica R. Abramson ,&nbsp;Jessica R. Peters Ph.D. ,&nbsp;Shirley Yen Ph.D.","doi":"10.1016/j.jadohealth.2024.12.008","DOIUrl":"10.1016/j.jadohealth.2024.12.008","url":null,"abstract":"<div><h3>Purpose</h3><div>Sexual and gender minority adolescents (SGMA) are at heighted risk for suicide ideation (SI) and nonsuicidal self-injury ideation (NSSII) compared to their heterosexual and cisgender counterparts. Oppression-based stressors are posited to explain these disparities. However, there is limited research examining protective factors that mitigate the impact of oppression-based stressors. We conducted a 28-day daily diary study to test the moderating effects of daily general and SGM-affirmative social support on the associations between oppression-based stressors and SI and NSSII among SGMA.</div></div><div><h3>Methods</h3><div>Participants were 92 SGMA, ages 12–19 years (M = 16.28; standard deviation = 1.77; 52% cisgender; 61% White, non-Hispanic/Latine). Participants completed one daily survey per day over a 28-day monitoring period and demonstrated high compliance.</div></div><div><h3>Results</h3><div>On days SGMA experienced greater oppression-based stressors than their average, they had a greater likelihood of reporting same-day SI and NSSII. On days SGMA had greater SGM-affirmative social supports than their average, they had a lower likelihood of endorsing samde-day SI but not NSSII. General social supports were not associated with a lower likelihood of endorsing SI or NSSII. The interactions between all social supports and oppression-based stressors were not significant for SI or NSSII.</div></div><div><h3>Discussion</h3><div>The novel results underscore the harm oppression-based stressors inflict on SGMA's mental health, and highlight the unique importance of SGM-affirmative support in reducing risk for daily SI. Suicide interventions for this population may need to target SGM-affirmative social supports and exposure to or impact of oppression-based stressors.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 4","pages":"Pages 613-621"},"PeriodicalIF":5.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411915","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":"Longitudinal Associations Between Prosocial Behavior, Internalizing Symptoms, and Suicide Risk During the Transition to Adulthood","authors":"Laura M. Padilla-Walker Ph.D.,&nbsp;Katey Workman M.S.,&nbsp;Corinne Archibald M.S.","doi":"10.1016/j.jadohealth.2024.12.006","DOIUrl":"10.1016/j.jadohealth.2024.12.006","url":null,"abstract":"<div><h3>Purpose</h3><div>Rates of internalizing symptoms and suicide risk are increasing among emerging adult populations. The current study highlighted resiliency factors, including prosocial behavior and self-esteem, and their longitudinal associations with depressive symptoms, anxiety symptoms, and suicidal risk.</div></div><div><h3>Methods</h3><div>Participants included 472 emerging adults at 2 time points (Time 1 <em>M</em> age = 18.37, 52% women; Time 2 <em>M</em> age = 23.31).</div></div><div><h3>Results</h3><div>Results from path analyses suggested that prosocial behavior toward family members at Time 1 was associated with lower levels of depressive symptoms and suicidal risk at Time 2 via emerging adults’ self-esteem.</div></div><div><h3>Discussion</h3><div>Findings highlight the importance of family relationships during the transition to adulthood in protecting against internalizing symptoms and suicide risk.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 4","pages":"Pages 632-637"},"PeriodicalIF":5.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411063","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":"Effect of a Multicomponent Intervention to Improve Menstrual Health and Hygiene and School Attendance Among Adolescent Girls in the Gambia (MEGAMBO Trial).","authors":"Vishna Shah, Wolf Schmidt, Bakary Sonko, Edrisa Sinjanka, Francois Mendy, Julie Hennegan, Penelope Phillips-Howard, Belen Torondel","doi":"10.1016/j.jadohealth.2024.12.018","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.12.018","url":null,"abstract":"<p><strong>Purpose: </strong>Evidence on the effect of menstrual health and hygiene (MHH) interventions on education is scarce. This trial assessed the effect of a multicomponent intervention on school attendance, urogenital health, and other wellbeing outcomes among schoolgirls in rural Gambia.</p><p><strong>Methods: </strong>A cluster-randomised controlled trial was conducted between July 2019 and December 2020 in 50 villages across 2 regions of The Gambia, selecting one school per village. Using restricted randomisation, half of the villages received a 3-month NGO-led intervention, which included Peer education camps, Mother's outreach sessions, Community meetings and improving school water, sanitation, and hygiene (WASH). The other 25 villages received no intervention. The primary outcome was self-reported schoolgirls' absenteeism of at least one-day due to last period. Secondary outcomes included: urinary tract infections measured with symptoms and biochemical markers, reproductive tract infections symptoms, menstruation-related wellbeing, social support and knowledge, attitudes, and practices toward menstruation. All menstruating schoolgirls 13 years and older were eligible for outcome assessment. We analyzed data on an intention-to-treat basis.</p><p><strong>Results: </strong>Outcome assessment included 3556 schoolgirls (1832 [51.5%] in the intervention group and 1724 [48.5%] in the control group). Self-reported school absenteeism was only slightly lower in the intervention arm than the control arm (15.6% vs. 17.1%, risk difference = -1.4%, 95% CI = -4.6%-1.9%). The intervention had no effect on urogenital health but had broad positive effects on menstrual knowledge, attitudes, wellbeing, and social support.</p><p><strong>Discussion: </strong>The multicomponent MHH intervention had no effect on absence due to last period, but achieved improvements in MHH knowledge, experiences, and needs.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411918","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 Effect of Preadmission Energy Balance on Short-Term Medical Outcomes: Findings From the Study of Refeeding to Optimize Inpatient Gains","authors":"Amanda E. Downey M.D. ,&nbsp;Cynthia J. Kapphahn M.D., M.P.H. ,&nbsp;Sasha Gorrell Ph.D. ,&nbsp;Siena S. Vendlinski ,&nbsp;Jing Cheng M.D., Ph.D. ,&nbsp;Daniel Le Grange Ph.D. ,&nbsp;Erin C. Accurso Ph.D. ,&nbsp;Sara M. Buckelew M.D., M.P.H. ,&nbsp;Anna Kreiter Psy.D. ,&nbsp;Brooke Marsal R.D. ,&nbsp;Paige Wright M.S., R.D. ,&nbsp;Neville H. Golden M.D. ,&nbsp;Andrea K. Garber Ph.D., R.D.","doi":"10.1016/j.jadohealth.2024.11.245","DOIUrl":"10.1016/j.jadohealth.2024.11.245","url":null,"abstract":"<div><h3>Purpose</h3><div>Caloric restriction and excessive exercise create an energy imbalance with medical sequelae in restrictive eating disorders. We examined the effect of acute and chronic energy imbalance on admission illness severity and refeeding outcomes in adolescents and young adults with anorexia nervosa (AN) and atypical AN.</div></div><div><h3>Methods</h3><div>Secondary data analysis from the Study of Refeeding to Optimize Inpatient Gains, a multicenter randomized trial comparing higher- versus lower-calorie refeeding in 120 youth with AN or atypical AN hospitalized with medical instability. Vital signs were measured daily. Acute energy balance was calculated as caloric output (exercise recall plus estimated resting energy expenditure) subtracted from caloric input (dietary recall) before admission. Chronic energy imbalance variables included magnitude, rate, and duration of weight loss before admission. Regression analyses examined associations among energy balance, illness severity, and refeeding outcomes; dominance analyses examined the relative importance of energy balance.</div></div><div><h3>Results</h3><div>Among 82 participants (91% female), admission mean (SD) age was 16.5 (2.5) years, %median body mass index was 85 (10) and acute energy balance was −898 (678) kilocalories. Those with more negative acute energy balance before admission required more days (−0.18, [95% CI, −0.35, −0.02] <em>p</em> = .03) and kilocalories to restore medical stability (−431.10, [95% CI, −857.06, −5.13] <em>p</em> = .047). Acute energy balance was a more important predictor than weight suppression in determining these outcomes.</div></div><div><h3>Discussion</h3><div>More acute negative energy balance was associated with a need for more intensive refeeding, which supports the inclusion of preadmission dietary recall and exercise assessments, alongside weight history, to inform individualized refeeding protocols.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 4","pages":"Pages 702-709"},"PeriodicalIF":5.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411777","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":"Drinking Motives Among 15–16-Year-Old School-Going Students in 16 European Countries","authors":"Louise Pigeaud M.D., M.Sc. ,&nbsp;Ingeborg Rossow Ph.D. ,&nbsp;Karin Monshouwer Ph.D. ,&nbsp;Nico van der Lely Ph.D.","doi":"10.1016/j.jadohealth.2024.12.009","DOIUrl":"10.1016/j.jadohealth.2024.12.009","url":null,"abstract":"<div><h3>Purpose</h3><div>Investigating drinking motives among minors across various countries is crucial for understanding the broader social context of alcohol consumption. Thus, this study aimed to examine the differences and similarities in drinking motives among 15–16-year-old adolescents who consume alcohol across 16 European countries.</div></div><div><h3>Methods</h3><div>The data were obtained from the European School Survey Project on Alcohol and Other Drugs database. The analysis focused on 15–16-year-old school-going students across 16 European countries (Denmark, Estonia, Finland, Germany, Greece, Iceland, Italy, Latvia, Lithuania, The Netherlands, Norway, Poland, Portugal, Romania, Sweden, and Spain). The students were presented with a series of questions pertaining to drinking motives, aimed at elucidating the reasons behind their alcohol consumption within the past 12 months.</div></div><div><h3>Results</h3><div>A total of 52,141 students participated, with 75.2% reporting lifetime alcohol consumption and 65.8% reporting alcohol consumption in the past year. Among those who drank in the past year (n = 34,295), 3 distinct drinking motive factor groups were identified: enhancement and social motives, coping motives, and conformity motives. Enhancement and social motives were most prevalent across all countries, followed by coping motives, with conformity motives less common.</div></div><div><h3>Discussion</h3><div>This largest drinking motive study, conducted to date, examined drinking motives among 15–16-year-old students across 16 European countries. There is a significant positive correlation between alcohol intoxication prevalence and mean score on enhancement and social motives at an aggregate level, which suggests a stronger presence of enhancement and social motives in cultures with a more intoxication-oriented drinking pattern.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 4","pages":"Pages 734-741"},"PeriodicalIF":5.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411917","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":"Global, Regional, and National Epidemiology of Opioid Use Disorder Among Adolescents and Young Adults, 1990-2019.","authors":"Fulei Han, Bixuan Liu, Ligang Wang, Shuai Zhu, Xiaohui Li, Shan Kang, Xiao Niu, Jinlian Song, Yili Wu","doi":"10.1016/j.jadohealth.2024.12.015","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.12.015","url":null,"abstract":"<p><strong>Purpose: </strong>Opioid use disorder (OUD) is a growing public health crisis. However, no study to date has systematically evaluated the burden of OUD among adolescents and young adults (AYAs). We aimed to report the global level and trends of OUD burden among AYAs.</p><p><strong>Methods: </strong>Data were obtained from the Global Burden of Disease study 2019, which was conducted from 1990 to 2019 in 204 countries. AYAs were defined as individuals aged 15-39 years, and the study period was 1990-2019. The burden of OUD was evaluated in terms of case numbers and age-standardized rates per 100,000 population.</p><p><strong>Results: </strong>In 2019, there were 2,396,734 incident cases, 14,502,031 prevalent cases, 43,447 deaths, and 8,651,931 disability-adjusted life years of OUD among AYAs globally. High-income North America had the greatest regional burden, with the United States having the highest burden nationally. From 1990 to 2019, age-standardized incidence rate (ASIR), age-standardized prevalence rate, age-standardized mortality rate, and age-standardized disability-adjusted life years rate (ASDR) showed upward trends, with average annual percentage change of 0.62, 0.81, 1.55, and 1.01, respectively. Despite the burden of OUD was higher in males than in females, the increment in ASIR was greater in females than in males after 2014. Nationally, OUD burden showed increasing trends in ASIR, age-standardized prevalence rate, and ASDR across 150+ countries, with the United States experiencing the greatest increase in age-standardized mortality rate and ASDR. Meanwhile, there was a positive correlation between sociodemographic index and OUD burden, with higher sociodemographic index associated with a higher burden of OUD in 2019.</p><p><strong>Discussion: </strong>OUD in AYAs is a major global public health issue, and the burden of OUD is increasing. This alarming trend underscores the urgent need for comprehensive prevention strategies, targeted interventions, and effective treatment options tailored to younger populations.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411922","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":"Longitudinal Behavioral Transitions in Adolescent Electronic Nicotine Delivery Systems Use: Markov Multistate Transition Model.","authors":"Shieun Lee, Dong-Chul Seo","doi":"10.1016/j.jadohealth.2024.12.020","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.12.020","url":null,"abstract":"<p><strong>Purpose: </strong>Many prior studies on adolescent electronic nicotine delivery systems (ENDS) did not differentiate regular users from light users or experimenters. This study was conducted to investigate the longitudinal behavioral transitions among adolescent ENDS users.</p><p><strong>Methods: </strong>Data were drawn from Waves 2, 3, 4, 4.5, and 5 (October 2014-November 2019) of the Population Assessment of Tobacco and Health (PATH) Study and analyzed in 2023. A total of 894 participants (1) who reported at least one day of ENDS use within the past 30 days at any of the waves; and (2) who had ENDS use data on at least 2 different waves were retained in the final analysis sample (N = 894). Markov multistate models were fitted to estimate transition hazard rates between experimental use, nonfrequent use, frequent use, and no use.</p><p><strong>Results: </strong>Whereas experimental use grew from 2.6% at Wave 2 to 15.4% at Wave 5, nonfrequent use grew from 2.9% to 18.9%, and frequent use grew from 0.3% to 18.8%. Sixty-five percent of experimental use reverted to no use whereas 20% of experimental use progressed to either nonfrequent (12%) or frequent ENDS use (8%) in a year. Once ENDS use is initiated, the percentage progressing to frequent ENDS use jumped to 19% while 20% staying as nonfrequent use in a year. The average past 30-day use frequency of those who reported \"fairly regular\" use increased over time (6.2 days at Wave 2 to 15.7 days at Wave 5).</p><p><strong>Discussion: </strong>These findings demonstrate worrisome tendency of increasing intensity of ENDS use in today's adolescents.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384138","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":"Childhood Adversity and Civic Engagement During Emerging Adulthood.","authors":"Lauren M Klein, Sara B Johnson, David W Sosnowski, Naomi N Duke","doi":"10.1016/j.jadohealth.2024.12.010","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.12.010","url":null,"abstract":"<p><strong>Purpose: </strong>Childhood adversity is linked to poorer adult health; prior research has established a reciprocal association between health and civic engagement. However, little research has examined the relationship between adverse childhood experiences (ACEs) and civic engagement. We examined whether ACEs are associated with civic engagement at ages 18-26 years and evaluated the potential moderating role of perceived survival expectations (PSE) (i.e., likelihood of living to age 35).</p><p><strong>Methods: </strong>Data are from Waves I, III, and IV of the National Longitudinal Study of Adolescent to Adult Health. Multivariable linear regression using survey weights was used to model associations between experiencing 0, 1, 2-3, or 4+ ACEs and civic engagement (composite score) overall and by type of ACE (i.e., child maltreatment, violent victimization in the community, family member suicide, family substance abuse, divorce, household member incarceration, and family member death). An ACE by PSE interaction term was tested.</p><p><strong>Results: </strong>Twelve thousand two hundred eighty eight participants were included. Experiencing 2-3 ACEs (β = -0.14; confidence interval [CI]: -0.23, -0.043) and 4+ ACEs (β = -0.17; CI: -0.32, -0.025) were each associated with lower civic engagement compared to experiencing no ACEs. Violent victimization (β = -0.14; CI: -0.22, -0.058) and family substance abuse (β = -0.13; CI: -0.21, -0.049) were negatively associated with civic engagement, accounting for multiple comparisons. There was no evidence of moderation by PSE.</p><p><strong>Discussion: </strong>ACEs, particularly violent victimization in the community and family substance abuse, may shape civic development. Interventions could promote civic engagement and lessen the impact of childhood adversity on individual and community health.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384214","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}