Journal of Adolescent Health最新文献

{"title":"The Co-Occurring Prevalence of Non-Suicidal Self-Injury and Disordered Eating Among Adolescents and Young Adults: A Systematic Review","authors":"Sarah R. Eisenman M.Sc. ,&nbsp;Isabella Jackson ,&nbsp;Lee D. Hudson Ph.D. ,&nbsp;Adriana Vázquez-Vázquez Ph.D.","doi":"10.1016/j.jadohealth.2025.01.016","DOIUrl":"10.1016/j.jadohealth.2025.01.016","url":null,"abstract":"<div><div>Disordered eating (DE) and non-suicidal self-injury (NSSI) are transdiagnostic phenomena particularly prevalent among youth; but documentation of the prevalence of DE/NSSI comorbidity is limited. This review aimed to (1) synthesize existing prevalence data on comorbid DE/NSSI among this population and (2) describe co-occurring NSSI and specific DE behaviors where possible. PubMed, PsycINFO, EMBASE, and Web of Science were searched; 15 studies were included in this review. The Newcastle-Ottawa Scale adapted for cross-sectional studies was used to assess the risk of bias; five studies were rated as low risk of bias and 10 as moderate risk of bias. The weighted average comorbid prevalence of DE/NSSI was 4.46%, and differences across gender, age, DE behaviors, and measure types are discussed. There was limited available data for the characteristics of NSSI within comorbid DE. Clinicians should screen for comorbidity when either DE or NSSI is present. The primary methodological issue of included studies was the variance in reliability and validity of DE and NSSI measures; future research should address these issues and prioritize inclusion of non-White, non-Western, and gender/sexual minority youth.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 6","pages":"Pages 985-994"},"PeriodicalIF":5.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588044","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":"National Coverage of Adolescent Opioid Overdose Prevention Content in Pediatrics Clerkships","authors":"Nitin Vidyasagar ,&nbsp;Elena Whitney ,&nbsp;Sarah Shapiro ,&nbsp;Dima K. Halabi ,&nbsp;Manish Pathuri ,&nbsp;Mim Ari M.D. ,&nbsp;Maria A. Alkureishi M.D.","doi":"10.1016/j.jadohealth.2025.02.012","DOIUrl":"10.1016/j.jadohealth.2025.02.012","url":null,"abstract":"<div><h3>Purpose</h3><div>Amidst rising fentanyl-related adolescent overdose deaths, pediatricians’ confidence in addressing opioid overdose risk and opioid use disorder is lacking, possibly due to inadequate training. Teaching opioid overdose prevention in the Pediatrics clerkship can address knowledge gaps and raise awareness of this public health emergency; however, it is necessary to assess its current coverage.</div></div><div><h3>Methods</h3><div>A cross-sectional web-based survey was administered to Pediatrics clerkship directors of U.S. allopathic and osteopathic medical schools in April 2024.</div></div><div><h3>Results</h3><div>Eighty-five of 189 schools responded (45%). Less than two-thirds (54 of 85) cover any related content, and none teach all essential areas, highlighting opportunities for curricular expansion. While topics like screening for opioid use and medications for opioid use disorder are occasionally addressed (41.2%, 9.4%), using the HEADSS (Home, Education, Activities, Drugs, Suicidality, Sex) assessment to address critical aspects like naloxone and fentanyl test kits remain largely untaught (4.8%, 3.7%).</div></div><div><h3>Discussion</h3><div>These findings underscore the need for curricular tools to enhance opioid overdose prevention education in Pediatrics clerkships.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 6","pages":"Pages 1117-1121"},"PeriodicalIF":5.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046807","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":"Timing of Bullying Experiences and Sexual Orientation Differences in Depressive Symptoms From Late Childhood to Adolescence: A Prospective Cohort Study","authors":"Yin Xu Ph.D. ,&nbsp;Qazi Rahman Ph.D.","doi":"10.1016/j.jadohealth.2025.02.010","DOIUrl":"10.1016/j.jadohealth.2025.02.010","url":null,"abstract":"<div><h3>Purpose</h3><div>Lesbian, gay, and bisexual (LGB) adolescents report more bullying and depressive symptoms than their heterosexual peers, but there are no longitudinal studies on how changes in bullying over time influence changes in depressive symptoms from childhood to adolescence. We tested sexual orientation differences in the developmental trajectories of depressive symptoms from age 11 to 17 and the influence of increases in being bullied from age 11 to 13 upon increased sexual orientation differences in depressive symptoms.</div></div><div><h3>Methods</h3><div>The Avon Longitudinal Study of Parents and Children, a prospective birth cohort from the United Kingdom, was used (N = 5,037, 53.38% female, 87.53% White). Analyses were performed using structural equation modeling.</div></div><div><h3>Results</h3><div>LGB adolescents reported significantly more depressive symptoms than heterosexual adolescents at ages 11, 13, 14, and 17, and these group differences increased from age 11 to 17, ranging from 0.21 to 0.84. Depressive symptoms increased from age 11 to 17 for both heterosexual and LGB adolescents, with a greater increase observed in LGB adolescents, total effect (standardized regression coefficient, <em>β</em>) = 0.82. Sexual orientation differences in the rate of increases in depressive symptoms were partially explained by greater increases in being bullied from age 11 to 13 reported by LGB than heterosexual adolescents, indirect effect = 0.14.</div></div><div><h3>Discussion</h3><div>Greater increases in being bullied from late childhood to early adolescence are associated with a greater rate of increases in depressive symptoms from age 11 to 17 among LGB adolescents compared to heterosexual adolescents.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 6","pages":"Pages 1090-1097"},"PeriodicalIF":5.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047415","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":"Evaluating Clinician Experience in Health Care Transition: Results From Six Health Systems","authors":"Ariadne Lie M.D. ,&nbsp;Marybeth Jones M.D., M.S. ,&nbsp;Julie Corder C.N.P. ,&nbsp;Carrie Cuomo D.N.P. ,&nbsp;Lauren Galpin M.D. ,&nbsp;Reem Hasan M.D., Ph.D. ,&nbsp;Terri Hickam M.S.W. ,&nbsp;Lisa Lestishock D.N.P. ,&nbsp;Stephanie Pratt M.S.W. ,&nbsp;Emily Rosenthal M.D. ,&nbsp;Andrea M. Baran M.S. ,&nbsp;Patience White M.D., M.A.","doi":"10.1016/j.jadohealth.2024.11.011","DOIUrl":"10.1016/j.jadohealth.2024.11.011","url":null,"abstract":"<div><h3>Purpose</h3><div>There is a paucity of evidence examining clinician experiences with structured health-care transition (HCT) programs. Among HCT Learning Collaborative participants, this study describes clinician experiences with implementation of a structured HCT process: Got Transition’s 6 Core Elements.</div></div><div><h3>Methods</h3><div>Representative members from 6 health systems designed a survey to collect clinician feedback regarding HCT and demographic and practice information. The survey included adapted Got Transition Current Assessment of HCT Activities Level 4 and Clinician Feedback surveys as well as the following factors: clinical role, care setting, status, time involved in HCT process implementation, presence of champion, and partnership between pediatric and adult systems. Surveys were distributed across pediatric and adult clinical settings to 855 clinicians involved in HCT process implementation efforts during August and September 2022. Statistical analysis was performed to identify relationships between key clinician demographic data and responses on the survey.</div></div><div><h3>Results</h3><div>A total of 272 clinicians provided feedback (31% response rate) on implementing a structured HCT process. About two-thirds reported that fidelity to a structured HCT process was present. The 6 Core Elements most implemented processes included transition policy, tracking, and transition planning. The majority of clinicians agreed that a structured HCT process improves safety and quality of care, as well as both patient and clinician experiences. Time invested in HCT processes was significantly associated with securing senior leadership buy-in. Presence of an identifiable institutional HCT process improvement champion was significantly associated with positive clinician experiences.</div></div><div><h3>Discussion</h3><div>Clinicians found positive benefits in providing a structured HCT process using the 6 Core Elements and having a champion in their health system. They acknowledge that added time and continued investment in practice-wide HCT processes are needed.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 6","pages":"Pages 995-1000"},"PeriodicalIF":5.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043762","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":"National Trends of Suicidal Thoughts and Behaviors Among Asian American Young Adults Between 2008 and 2019: The Intersection of Sex and Sexual Identity","authors":"Hyeouk Chris Hahm Ph.D., L.C.S.W. ,&nbsp;Seungbin Oh Ph.D. ,&nbsp;Brian TaeHyuk Keum Ph.D. ,&nbsp;Cindy H. Liu Ph.D. ,&nbsp;Madison Kitchen Ed.M., M.S.W. ,&nbsp;Julia Starrett ,&nbsp;Michael Tang M.P.H. ,&nbsp;Thomas Joiner Ph.D.","doi":"10.1016/j.jadohealth.2025.03.009","DOIUrl":"10.1016/j.jadohealth.2025.03.009","url":null,"abstract":"<div><h3>Purpose</h3><div>There is insufficient literature examining the intersections among sex, sexual orientation, and suicidal thoughts and behaviors (STBs) among Asian American (AA) young adults.</div></div><div><h3>Methods</h3><div>Data from the National Survey of Drug Use and Health (2008–2019), focusing on AAs aged 18–25 (n = 8,600), were analyzed, with sexual identity questions included in the 2015–2019 data. A total of 268 (7.45%_wt) respondents identified themselves as lesbian, gay, or bisexual. Joinpoint regression analysis was used to examine trends over time, and predictive modeling was used to assess the impact of intersecting identities on STBs. Logistic regression was used to test the association between STBs and sex, sexual orientation, and the intersection of sex and sexual orientation.</div></div><div><h3>Results</h3><div>Trends for STBs showed an upward trajectory. Joinpoint regression analysis revealed a significant increase in suicidal thoughts, plans, and attempts, with annual percentage changes of 3.34% per year (<em>p</em> = .03), 7.45% per year (<em>p</em> = .002), and 7.52% per year (<em>p</em> = .04), respectively. There was a clear disparity based on sexual identity: while trends for STBs among heterosexuals were flat across all STBs, for sexual minorities, the annual percentage changes for suicidal thoughts, plans, and attempts were 11.27% (<em>p</em> = .43), 42.4% (<em>p</em> = .06), and 64.9% (<em>p</em> = .23), respectively, although these increases were not statistically significant.</div></div><div><h3>Discussion</h3><div>It is crucial to develop effective suicide prevention strategies or address mental health disparities for AA young adults while <em>accounting</em> for the intersection of sex and sexual minority status.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 76-83"},"PeriodicalIF":5.5,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201366","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":"Trends in Adolescent Births in Mexico in the Context of a National Adolescent Pregnancy Prevention Program, 2008–2019","authors":"Evelyn Fuentes-Rivera M.Sc. ,&nbsp;Raffaela Schiavon M.D. ,&nbsp;Blair G. Darney Ph.D., M.P.H.","doi":"10.1016/j.jadohealth.2025.03.021","DOIUrl":"10.1016/j.jadohealth.2025.03.021","url":null,"abstract":"<div><h3>Purpose</h3><div>We describe very young adolescent (VYA, 10–14) and adolescent (15–19) births in Mexico before and after the implementation of the National Strategy for the Prevention of Adolescent Pregnancy (ENAPEA in Spanish) in 2015, which has as the goal to halve adolescents' overall fertility and eradicate births in those under 15.</div></div><div><h3>Methods</h3><div>We used administrative birth certificate data, 2008–2019 and calculated the proportions of births and birthrates by age group over time. We then calculated the change in proportion of births and in birthrates before (2008–2014) and after (2015–2019) ENAPEA at national and state level. We used linear regression models to assess association between changes in birthrates and the implementation of ENAPEA. We also calculated the proportion of births that were first versus second- or higher-order births.</div></div><div><h3>Results</h3><div>Overall, about 20% of births in Mexico are to VYA and adolescents, with little change over time. VYA and adolescent births increased or were stable in the pre-ENAPEA (2008–2014) period and declined in the post-ENAPEA period (2015–2019). Small but significant reductions in birthrates for both age groups are associated with the beginning of the implementation of ENAPEA. There were important reductions in the proportion of births that are second order or higher.</div></div><div><h3>Discussion</h3><div>Our results provide some key insights to help understand declines in adolescent births in the context of ENAPEA, with a particular focus on VYA mothers and a novel insight on first and second-/third-order births.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 101-109"},"PeriodicalIF":5.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188820","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":"Life's Essential 8 and Depression: A National Cross-Sectional Analysis in US Emerging Adults","authors":"Yanwei You Ph.D. ,&nbsp;Kefeng Zheng M.S. ,&nbsp;Alimjan Ablitip M.S. ,&nbsp;Dizhi Wang Ph.D. ,&nbsp;Chaofan Chen ,&nbsp;Yajing Liu ,&nbsp;Yuquan Chen Ph.D. ,&nbsp;Xindong Ma Ph.D.","doi":"10.1016/j.jadohealth.2025.03.023","DOIUrl":"10.1016/j.jadohealth.2025.03.023","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine the association between adherence to Life's Essential 8 (LE8) and depression in a nationally representative sample of US emerging adults, including both overall and subgroup analyses by gender, age, and other sociodemographic factors.</div></div><div><h3>Methods</h3><div>Data from 2,219 emerging adults from the National Health and Nutrition Examination Survey (2007–2018) were analyzed. Depression was measured using the Patient Health Questionnaire-9, with scores ≥10 indicating depression. LE8 scores were calculated based on cardiovascular health factors, and covariates included demographic and behavioral variables. Weighted logistic regression was used to assess associations between LE8 and depression.</div></div><div><h3>Results</h3><div>Participants with higher LE8 scores had lower odds of depression. In the fully adjusted model, which adjusted for sociodemographic variables, the odds of depression were significantly lower in the highest quartile of LE8 adherence (odds ratio (OR) = 0.252, 95% confidence interval (CI): 0.233–0.289, <em>p</em> &lt; .001) compared to the lowest quartile. Continuous LE8 scores were also inversely associated with depression (OR = 0.961, 95% CI: 0.949–0.974, <em>p</em> &lt; .001). Gender-stratified analyses showed that the protective effect of higher LE8 scores was more pronounced in males (OR = 0.956, 95% CI: 0.934–0.979, <em>p</em> &lt; .001) than in females (OR = 0.960, 95% CI: 0.945–0.975, <em>p</em> &lt; .001).</div></div><div><h3>Discussion</h3><div>Better cardiovascular health, as indicated by higher LE8 scores, was strongly linked to lower depression in emerging adults. Targeted interventions promoting key behaviors like sleep and physical activity could effectively reduce depression in this population.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 84-93"},"PeriodicalIF":5.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188817","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":"Race and Ethnicity Moderates the Relationship Between Family Income Level and Allostatic Load Among Adolescents in the United States","authors":"Karen Jennings Mathis Ph.D. ,&nbsp;Laura R. Stroud Ph.D. ,&nbsp;Samantha R. Rosenthal Ph.D. ,&nbsp;Hannah N. Ziobrowski Ph.D., M.P.H.","doi":"10.1016/j.jadohealth.2025.03.015","DOIUrl":"10.1016/j.jadohealth.2025.03.015","url":null,"abstract":"<div><h3>Purpose</h3><div>People from low-income households are at risk of high allostatic load (AL) in adulthood, which is linked to poor physical and mental health outcomes. It is unclear how early the income–AL link develops and whether this association differs by race and/or ethnicity. We examined associations of family income with high AL among adolescents and whether race and/or ethnicity modified associations.</div></div><div><h3>Methods</h3><div>Cross-sectional, nationally representative data came from 748 US adolescents (aged 12–17 years) who participated in the prepandemic 2017–March 2020 National Health and Nutrition Examination Survey. Family income was measured using poverty–income ratio (PIR) and categorized as low income (PIR &lt;1.0), middle income (PIR 1.0–4.0), and high income (PIR &gt;4.0). AL was derived from 9 biomarkers. Modified Poisson regression models estimated prevalence ratios (PRs) for associations of family income with high AL overall and stratified by race and/or ethnicity (non-Hispanic White, non-Hispanic Black, and Hispanic).</div></div><div><h3>Results</h3><div>Nearly 1 in 5 adolescents (19.7%) met the criteria for high AL. Compared to high-income peers, middle-income adolescents had more than twice the prevalence of high AL (PR: 2.16; 95% confidence interval: 1.13–4.13), and low-income adolescents had nearly triple the prevalence of high AL (PR: 2.98; 95% confidence interval: 1.76–5.04). Stratified models observed these associations only for non-Hispanic White adolescents, while for non-Hispanic Black and Hispanic youth, associations were attenuated and nonsignificant.</div></div><div><h3>Discussion</h3><div>Higher family income was protective against high AL only for non-Hispanic White adolescents. Minority youth may face additional stressors that diminish the protective effects of higher income.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 128-133"},"PeriodicalIF":5.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188819","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 and Wellbeing Outcomes Among Trans Young People in Australia Who Are Supported to Affirm Their Gender","authors":"Natalie Amos Ph.D. ,&nbsp;Ruby Grant Ph.D. ,&nbsp;Ashleigh Lin Ph.D. ,&nbsp;Adam O. Hill Ph.D. ,&nbsp;Ken C. Pang Ph.D. ,&nbsp;S. Rachel Skinner Ph.D. ,&nbsp;Teddy Cook ,&nbsp;Marina Carman M.A. (Research) ,&nbsp;Adam Bourne Ph.D.","doi":"10.1016/j.jadohealth.2025.03.011","DOIUrl":"10.1016/j.jadohealth.2025.03.011","url":null,"abstract":"<div><h3>Purpose</h3><div>Young trans people face elevated rates of poor mental health and well-being outcomes. Affirming their gender in ways that are meaningful to them has important implications for these outcomes. However, limited research has examined the role of feeling supported to affirm their gender.</div></div><div><h3>Methods</h3><div>This study used the data of 1,697 trans youth drawn from a large survey of LGBTQA+ 14–21-year-olds in Australia. Regression analyses examined how feeling supported to affirm gender medically, legally, or socially, among those who expressed a desire to do so, was associated with mental health and well-being outcomes.</div></div><div><h3>Results</h3><div>Participants who felt supported to affirm their gender medically, legally, or socially, reported less suicidal ideation and self-harm in the past 12 months as well as lower psychological distress, lower anxiety, and greater happiness. Support for medical and legal affirmation was associated with less suicide attempt in the past 12 months. Support for each form of gender affirmation was associated with lower odds of experiencing bias-based verbal and sexual harassment in the past 12 months, with support for legal and social affirmation associated with lower odds of experiencing bias-based physical harassment. Support for each form of gender affirmation was associated with lower odds of experiencing homelessness.</div></div><div><h3>Discussion</h3><div>Supporting trans youth to affirm their gender in the ways that are meaningful to them is key to their health and well-being. Those who are in a position to provide support to young trans people to affirm their gender must be encouraged and equipped to do so.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 51-58"},"PeriodicalIF":5.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188818","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":"Time-Specific Predictors of E-Cigarette and Cigarette Use Trajectory Classes From Preadolescence to Late Adolescence (2013–2020) of the Population Assessment of Tobacco and Health (PATH) Study","authors":"Cassandra A. Stanton Ph.D. ,&nbsp;Zhiqun Tang Ph.D. ,&nbsp;Eva Sharma Ph.D. ,&nbsp;Anikah H. Salim Dr.P.H. ,&nbsp;MeLisa R. Creamer Ph.D. ,&nbsp;Andrea L. Ruybal Ph.D. ,&nbsp;Daniela Marshall Ph.D. ,&nbsp;Ibrahim Zaganjor Ph.D. ,&nbsp;Marushka L. Silveira Ph.D. ,&nbsp;Derick L. Rivers Ph.D. ,&nbsp;Babita Das Ph.D. ,&nbsp;Charles Deljohn Carr Pharm.D., M.P.H. ,&nbsp;Janine C. Delahanty Ph.D. ,&nbsp;Jia Wang M.P.H. ,&nbsp;Heather L. Kimmel Ph.D. ,&nbsp;Wilson M. Compton M.D. ,&nbsp;Andrew J. Hyland Ph.D. ,&nbsp;Jennifer L. Pearson Ph.D.","doi":"10.1016/j.jadohealth.2025.03.010","DOIUrl":"10.1016/j.jadohealth.2025.03.010","url":null,"abstract":"<div><h3>Purpose</h3><div>In the US, youth e-cigarette use is more prevalent than cigarette use. Among younger adolescents in US middle schools, use of any nicotine/tobacco product is on the rise. Different factors may drive transitions from susceptibility to initiation, and less is known about early adolescent transitions.</div></div><div><h3>Methods</h3><div>Data were drawn from US early adolescents (aged 12–13 years) at Wave (W) 1 of the Population Assessment of Tobacco and Health (PATH) Study across 7 waves (2013–2020) into older adolescents (aged 18–19 years). Unweighted longitudinal latent class analyses identified trajectory classes of e-cigarette and cigarette susceptibility and use in separate models. Weighted multinomial logistic regression analyses examined time-specific predictors of divergent trajectories.</div></div><div><h3>Results</h3><div>Five e-cigarette classes (weighted 45.1% <em>Never Use</em>, 15.4% <em>Susceptible</em>, 6.9<em>% Initiated only</em>, 19.9% <em>W5 Progressed/discontinued</em>, and 12.7% <em>Progressed/persisted</em>) and 4 cigarette classes (weighted 61.2% <em>Never Use,</em> 21.3% <em>Susceptible</em>, 10.6% W4.5 <em>Progressed/discontinued,</em> and 6.9% <em>Former Use</em>) were identified. In 2020 (the first year of the COVID-19 pandemic), discontinued use of both products was observed. Only the e-cigarette model identified a class with persistent use through 2020. Daily social media use and advertising exposure were specifically important to susceptibility and initiation of e-cigarettes among younger adolescents. Best friend use, low perceptions of product harm, and substance use problems showed strong associations with trajectories of e-cigarettes and cigarettes.</div></div><div><h3>Discussion</h3><div>Trajectories for both products revealed a period of susceptibility before use that may be particularly amenable to early intervention. It is important to monitor daily social media use and advertising exposure to prevent e-cigarette susceptibility and initiation.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 151-158"},"PeriodicalIF":5.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176438","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}