Journal of Adolescent Health最新文献

{"title":"Providing Survivorship Care for a Young Adult With a History of Blood Cancer","authors":"Lauren Boehm M.D. ,&nbsp;Nadine Linendoll Ph.D., M.Div., G.N.P. ,&nbsp;Rachel Murphy-Banks M.A. ,&nbsp;Jenica Upshaw M.D., M.S. ,&nbsp;In Baek ,&nbsp;Susan Parsons M.D., M.R.P.","doi":"10.1016/j.jadohealth.2024.07.020","DOIUrl":"10.1016/j.jadohealth.2024.07.020","url":null,"abstract":"<div><div>Adolescents and young adults (AYAs) with a history of cancer are at an increased risk for late effects from their cancer treatment and have higher rates of long-term morbidity and mortality compared to their age-matched peers. As a result, this vulnerable population needs attentive follow-up care, end-organ surveillance, and secondary cancer screening; however, a history of cancer can often become buried on a problem list or not addressed at all. This case report illustrates an AYA survivor of classic Hodgkin lymphoma who relocates to a new city and establishes care with a new primary care provider (PCP). The PCP's awareness of a prior cancer diagnosis and the previous treatment regimen is a critical component in providing comprehensive care. In this case, the PCP's first step is to reach out and collaborate with oncology providers to gather an accurate treatment summary and then consult evidence-based guidelines to develop a plan of care. Based on the patient's previous treatment with chemotherapy adriamycin, bleomycin, vinblastine, and dacarbazine, the PCP orders recommended testing, reviews results, and provides subsequent counseling on health promotion and psychosocial wellness. This case illustrates strategies healthcare providers can use to provide coordinated, evidence-based care for AYA cancer survivors.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 982-984"},"PeriodicalIF":5.5,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333403","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":"Telehealth for Reproductive Health Services for Economically Disadvantaged Youth","authors":"Meghna Raphael M.D. ,&nbsp;Allyssa Abacan Ph.D. ,&nbsp;Savannah Cotter M.D. ,&nbsp;Peggy B. Smith Ph.D. ,&nbsp;Mariam R. Chacko M.D.","doi":"10.1016/j.jadohealth.2024.07.027","DOIUrl":"10.1016/j.jadohealth.2024.07.027","url":null,"abstract":"<div><h3>Purpose</h3><div>There is a lack of studies describing reproductive health service use and outcomes with telehealth in publicly funded clinics in community settings for economically disadvantaged adolescents and young adults (AYA). This study sought to compare use of reproductive health services before and during the COVID-19 pandemic and analyze the types and quality of reproductive health-care services for patients who did and did not complete a telehealth visit.</div></div><div><h3>Methods</h3><div>Medical records were reviewed for AYA who sought reproductive health services at 9 urban family planning and school-based clinics. Visit-type differences and associated factors by year of service and among those who did and did not complete telehealth visits were analyzed.</div></div><div><h3>Results</h3><div>Twenty-seven thousand nine hundred sixty-one unique patients were served between 2019 and 2021. As compared to 2019, in 2020 and 2021, there were significantly fewer visits by minors (&lt;18 years old) versus young adults (18–24 years old) (<em>p</em> &lt; .001), and by those with male versus female natal sex (<em>p</em> &lt; .001). At least one telehealth visit was completed by 17.98% of patients. Telehealth visit completion was more likely in young adults, female, Black, non-Hispanic, and higher-income patients. Telehealth users were more likely to complete annual sexually transmitted infection testing, had a higher number of visits per year, and had higher odds of requiring a return visit within 2 weeks of the index visit (odds ratio 1.5, 95% confidence intervals 1.41–1.76).</div></div><div><h3>Discussion</h3><div>Our findings illustrate disparities in telehealth use in this population of economically disadvantaged AYA and provides pragmatic targets for future interventions.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 958-964"},"PeriodicalIF":5.5,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333406","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":"Outness, Acceptance, and Victimization: A Longitudinal Study of Depressive Symptoms and Suicidality of Lesbian, Gay, and Bisexual and Transgender and Gender Diverse Youth.","authors":"André Gonzales Real, Stephen T Russell","doi":"10.1016/j.jadohealth.2024.08.009","DOIUrl":"10.1016/j.jadohealth.2024.08.009","url":null,"abstract":"<p><strong>Purpose: </strong>LGBTQ+ youth are at higher risk for poorer mental health. Studies are typically cross-sectional and categorize cisgender lesbian, gay, and bisexual (LGB) and transgender and gender diverse (TGD) youth as a combined group (i.e., LGBTQ+). There is a need for longitudinal studies that examine differences between LGB and TGD youth for a better understanding of their mental health needs.</p><p><strong>Methods: </strong>Data come from a 4-wave longitudinal community-based study collected between 2011 and 2015. Hierarchical Linear Models examined trajectories of depressive symptoms and suicidality, comparing LGB and TGD youth. Between-person and within-person associations were examined, accounting for cumulative experiences of victimization, outness to family, and family acceptance in association with depressive symptoms and suicidality.</p><p><strong>Results: </strong>The study included a diverse sample of 543 LGB and 118 TGD youth. Although TGD youth had, overall, higher levels of depression and suicidality, both LGB and TGD youth experienced improvement in mental health. Youth who were more out and accepted in family were less depressed and suicidal than youth who were less out and accepted in family. Within individuals, when youth become more out and accepted in family, they concurrently reported less depressive symptoms. The accumulation of victimization experiences was associated with higher levels of depression and suicidality, and more depression for youth across time.</p><p><strong>Discussion: </strong>TGD youth face higher stigmatization than LGB youth, contributing to poorer mental health and disparities. Findings suggest that both LGB and TGD youth develop resilience despite victimization, and many find support within their families to cope with stigma.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333399","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":"Symptoms Reported by Young Adults With Asthma During Wildfire Smoke Season","authors":"Julie Postma Ph.D., R.N. ,&nbsp;Ross Bindler Pharm.D. ,&nbsp;Hans C. Haverkamp Ph.D. ,&nbsp;Von Walden Ph.D.","doi":"10.1016/j.jadohealth.2024.07.026","DOIUrl":"10.1016/j.jadohealth.2024.07.026","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this article is to evaluate the relationship between exposure to poor air quality (AQ) and self-reported symptoms among young adults with asthma during wildfire smoke season.</div></div><div><h3>Methods</h3><div>Sixty seven young adults (aged 18–26 years) completed the Asthma Control Test and reported asthma symptoms at three time points (baseline, 4 weeks, and 8 weeks) during wildfire season as part of a clinical trial. Bivariate correlations between Asthma Control Test and AQ measures were examined followed by predictive linear regression. Multiple symptoms were compared between participants who experienced poor AQ and those who did not.</div></div><div><h3>Results</h3><div>Asthma control was inversely related to AQ with increased exposure to poor AQ tied to poor asthma control. A significantly greater proportion of participants reported critical respiratory symptoms when exposed to poor AQ than those who were not.</div></div><div><h3>Discussion</h3><div>Respiratory symptoms are key indicators that young adults can monitor to optimize their asthma management during wildfire smoke season.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 974-977"},"PeriodicalIF":5.5,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333405","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":"How Are Extended Reality Technologies Being Used for Behavioral Prevention and Health Promotion With Children and Adolescents? A Scoping Review","authors":"Samuel Tomczyk M.Sc. ,&nbsp;Signe Gottschalk M.Sc.","doi":"10.1016/j.jadohealth.2024.07.028","DOIUrl":"10.1016/j.jadohealth.2024.07.028","url":null,"abstract":"<div><div>In prevention and health promotion with children and adolescents, extended reality (XR) technologies (including virtual reality, augmented reality, augmented virtuality, and mixed reality) are of interest, as they were shown to enhance learning in educational contexts. However, unlike in clinical research, there is no clear overview of its use for these purposes. Therefore, this scoping review provides an overview of XR in behavioral prevention and health promotion in childhood and adolescence. For this purpose, 10 databases were systematically searched for relevant entries, combined with outreach to professional societies and associations, and experts in the field. As a result, 27 reports were included that describe XR applications (mostly virtual reality) in different areas of prevention (e.g., substance use, violence, emotion regulation, road/fire/water safety). XR is often co-created through participatory action and seems to achieve good acceptance and feasibility, yet most studies so far are pilot studies with small and selective samples with mixed results. Although participatory research principles were often implemented, many dimensions of health equity and public health impact were also not considered. In conclusion, XR may be promising for behavioral prevention, but more rigorous efficacy studies using larger, representative samples and longitudinal observations are urgently needed to advance the field.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 856-873"},"PeriodicalIF":5.5,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333387","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":"Doxycycline Postexposure Prophylaxis as a Preventive Method to Combat the Sexually Transmitted Infection Epidemic","authors":"Yasaman Ahmadieh D.O., M.P.H. ,&nbsp;Jonathan Warus M.D.","doi":"10.1016/j.jadohealth.2024.09.010","DOIUrl":"10.1016/j.jadohealth.2024.09.010","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 854-855"},"PeriodicalIF":5.5,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333384","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":"Counseling Adolescents About Intrauterine Device Insertional Pain in the Social Media Era: Reproductive Justice Principles","authors":"Jennifer N. John ,&nbsp;Rashi Kabra M.D., M.S.Ed. ,&nbsp;Anne R. Cappola M.D., Sc.M.","doi":"10.1016/j.jadohealth.2024.08.004","DOIUrl":"10.1016/j.jadohealth.2024.08.004","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 849-850"},"PeriodicalIF":5.5,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescents' Adverse Childhood Experiences, Poor Mental Health, and Substance Use During the COVID-19 Pandemic.","authors":"Elizabeth A Swedo, Kayla N Anderson, Glory Okwori, Lara DePadilla, Heather B Clayton, Andrés Villaveces, Colleen M Ray, Phyllis Holditch Niolon, Greta M Massetti","doi":"10.1016/j.jadohealth.2024.07.030","DOIUrl":"10.1016/j.jadohealth.2024.07.030","url":null,"abstract":"<p><strong>Purpose: </strong>Adverse childhood experiences (ACEs) increase the risk for poor mental health (MH) and substance use. We describe relationships between adolescents' ACEs, substance use, and poor MH occurring during the COVID-19 pandemic.</p><p><strong>Methods: </strong>We conducted a secondary analysis of data among U.S. high school students aged <18 years, who participated in the nationally representative Adolescent Behaviors and Experiences Survey. Data were collected from January to June 2021. Bivariate and multivariable analyses assessed associations between individual ACEs (physical, emotional abuse by parent or caregiver, parent or caregiver job loss, food insecurity, sexual violence, physical dating violence, or cyber bullying) and cumulative ACEs (0, 1-2, 3, 4+) experienced during the pandemic and substance use; stratified analyses assessed effects of poor MH on associations between ACEs and substance use.</p><p><strong>Results: </strong>Use of all substances was higher among adolescents with ACEs, particularly those who experienced both ACEs and poor MH during the COVID-19 pandemic. Prevalence of substance use was especially high among adolescents exposed to any sexual violence or physical dating violence. Compared to adolescents without ACEs, a higher percentage of adolescents with 4+ ACEs reported current use of alcohol (adjusted prevalence ratio [aPR], 5.32) or marijuana (aPR, 5.86), misuse of prescription pain medications (aPR, 8.82), binge drinking (aPR, 7.70), and increased alcohol (aPR, 6.54) or drug (aPR, 7.09) use during the pandemic.</p><p><strong>Discussion: </strong>The individual and combined impact of ACEs and MH on adolescent substance use reinforce the need for trauma-informed care and primary prevention of ACEs to prevent and mitigate poor MH and substance use among adolescents.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333382","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":"Gender Affirming Care Is Evidence Based for Transgender and Gender-Diverse Youth","authors":"Stephanie L. Budge Ph.D. ,&nbsp;Roberto L. Abreu Ph.D. ,&nbsp;Ryan E. Flinn Ph.D. ,&nbsp;Kelly L. Donahue Ph.D. ,&nbsp;Rebekah Estevez Ph.D. ,&nbsp;Christy L. Olezeski Ph.D. ,&nbsp;Jessica M. Bernacki Ph.D. ,&nbsp;Sebastian Barr Ph.D. ,&nbsp;Jay Bettergarcia Ph.D. ,&nbsp;Richard A. Sprott Ph.D. ,&nbsp;Brittany J. Allen M.D.","doi":"10.1016/j.jadohealth.2024.09.009","DOIUrl":"10.1016/j.jadohealth.2024.09.009","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 851-853"},"PeriodicalIF":5.5,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333385","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":"Reaching Youth Smokers Through a Multipronged Approach: Comparison of Three Recruitment Methods of a Youth Quitline in Hong Kong","authors":"Hong Chen M.Med. ,&nbsp;Annie On Ni Yip M.Soc.Sc. ,&nbsp;Yee Tak Derek Cheung Ph.D. ,&nbsp;Sophia Siu Chee Chan Ph.D. ,&nbsp;Tai Hing Lam M.D. ,&nbsp;Man Ping Wang Ph.D. ,&nbsp;Tzu Tsun Luk Ph.D.","doi":"10.1016/j.jadohealth.2024.07.017","DOIUrl":"10.1016/j.jadohealth.2024.07.017","url":null,"abstract":"<div><h3>Purpose</h3><div>Using multipronged recruitment strategies is crucial for reaching diverse smokers, yet research specifically focusing on youths is lacking. This prospective study compared the characteristics and abstinence outcomes of youth smokers enrolled in a youth-centered cessation service by three different methods.</div></div><div><h3>Methods</h3><div>From December 2016 to February 2022, the Youth Quitline enrolled 1,197 smokers aged 10–25 (mean = 19.4) years through traditional method (incoming calls or referrals, n = 276), proactive outreach (n = 735), and online method (website or social media platforms, n = 186). Logistic regression was used to calculate the odds ratio (OR) of biochemically validated tobacco abstinence at 6 months by recruitment methods.</div></div><div><h3>Results</h3><div>Proportionally more participants recruited via online method than traditional method and outreach had moderate to heavy nicotine dependence (53.2% vs. 40.9% vs. 27.6%, <em>p</em> &lt; .001), poor self-rated health (27.6% vs. 21.9% vs. 12.3%, <em>p</em> &lt; .001), and risk of depression (51.4% vs. 42.5% vs. 37.4%, <em>p</em> = .003). More participants recruited by outreach (71.6%) had no intention to quit in 30 days than traditional (58.3%) and online (59.7%) methods (<em>p</em> &lt; .001). Compared with traditional method, the 6-month validated abstinence rate was similar in smokers recruited by online method (crude OR 0.77, 95% confidence interval 0.44–1.34) but significantly lower in those recruited by outreach (crude OR 0.44, 95% confidence interval 0.28–0.67). Results were similar after adjusting for sociodemographic and baseline predictors of abstinence.</div></div><div><h3>Discussion</h3><div>Online recruitment can attract youth smokers with greater nicotine dependence and poorer health, whereas outreach can engage those with less motivation to quit. The lower quit rate in outreach-recruited participants indicated the need for more effective interventions.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 883-889"},"PeriodicalIF":5.5,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333404","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}