Journal of Adolescent Health最新文献

{"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}

{"title":"Associations Between Policy and Health for Sexual and Gender Minority Youth in the United States: A Scoping Review","authors":"Jessica N. Fish Ph.D. ,&nbsp;Lauryn Dunkwu M.P.H. ,&nbsp;Nedelina Tchangalova M.S., M.L.S. ,&nbsp;Sydney McFarlane B.S.","doi":"10.1016/j.jadohealth.2025.02.018","DOIUrl":"10.1016/j.jadohealth.2025.02.018","url":null,"abstract":"<div><div>Strengthening policy research and its translation is essential to improving sexual and gender minority youth (SGMY) health. We conducted a scoping review of studies testing the relationship between policy and health for SGMY (aged 13–26) living in the United States to document the scope of research in this area and identify opportunities to advance research in SGMY health policy. Guided by the Population, Concept, and Context framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews checklist, we searched seven databases for English peer-reviewed studies published between 2000 and 2023 that tested the association between individual or composite measures of policy and mental health, substance use, or sexual health for SGMY aged 26 or younger. Twenty-one studies met the inclusion criteria. Most were cross-sectional and heavily relied on Youth Risk Behavior Survey data. Eighteen studies observed significant associations between policy and health for SGMY; only two assessed this association specifically for transgender youth. SGMY health and policy scholarship would advance through improved sexual orientation and (in particular) gender identity data collection in national data sources, measurement guidance and design testing, a greater use of longitudinal and quasiexperimental methods, and assessment of proximal mechanisms and implementation strategies through which policies impact health.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 15-28"},"PeriodicalIF":5.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153217","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":"Sexual and Reproductive Health in Sickle Cell Disease: A Qualitative Analysis of Pediatric Hematologist Perspectives","authors":"Anjali Rajkumari Oberoi M.D. ,&nbsp;Alison R. Clarke M.D. ,&nbsp;Seethal A. Jacob M.D. ,&nbsp;Traci M. Kazmerski M.D. ,&nbsp;Hannah Fassel M.D. ,&nbsp;Megan Askew M.D. ,&nbsp;Teonna Woolford ,&nbsp;Karol Walec ,&nbsp;Maayan Leroy-Melamed M.D.","doi":"10.1016/j.jadohealth.2025.03.008","DOIUrl":"10.1016/j.jadohealth.2025.03.008","url":null,"abstract":"<div><h3>Purpose</h3><div>Significant progress in managing sickle cell disease (SCD) has led to improved mortality and a growing population of people living with SCD. Sexual and reproductive health (SRH) for individuals with SCD is a critical but under-addressed aspect of care. This study characterizes clinicians' current practices in SRH care for adolescents with SCD.</div></div><div><h3>Methods</h3><div>In a cross-sectional qualitative study, we recruited clinicians who care for adolescents with SCD from a national professional listserv. Participants completed in-depth semistructured qualitative interviews over video conference from May 2022 to May 2023. The study involved 20 SCD providers (14 female and 6 male). Interviews explored the clinician's role, perceived barriers and facilitators, and recommendations for SRH care for adolescents with SCD.</div></div><div><h3>Results</h3><div>Key concerns identified included managing vaso-occlusive events during menstruation, priapism, and contraceptive choice. Clinicians expressed different readiness for incorporating SRH care in their practice and identified barriers, such as training, time, and subspecialist availability. While all participants acknowledged the priority of SRH care for adolescents with SCD, clearly outlined guidelines are needed to enhance counseling and the provision of SRH care. Clinicians with specific expertise or familiarity with the patient are best suited to providing aspects of SRH care.</div></div><div><h3>Discussion</h3><div>This study emphasizes clinician interest in comprehensive SRH care for individuals with SCD. Well-defined guidelines are necessary to aid clinicians in addressing the unique SRH needs in SCD. Further study is needed to understand patient attitudes and establish evidence-based guidelines for SRH in SCD.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 110-117"},"PeriodicalIF":5.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096810","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":"Navigating the Risks and Challenges of Advocacy to Improve Adolescent and Young Adult Health","authors":"Debra K. Katzman M.D. ,&nbsp;Elizabeth M. Bankah M.B.Ch.B., M.W.A.C.P., M.G.C.P.S., M.P.H. ,&nbsp;Susan M. Sawyer A.M., M.B.B.S., M.D., F.R.A.C.P.","doi":"10.1016/j.jadohealth.2025.04.004","DOIUrl":"10.1016/j.jadohealth.2025.04.004","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 13-14"},"PeriodicalIF":5.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent Comfort With Sexual Orientation and Gender Identity Collection and Preferences for Electronic Health Record Documentation in the Ambulatory Setting","authors":"Jessica Pourian M.D. ,&nbsp;Jhanavi Kapadia ,&nbsp;Melinda Li ,&nbsp;Phinnara Has M.S. ,&nbsp;Jason Rafferty M.D., M.P.H. ,&nbsp;Syd Loiselle L.I.C.S.W. ,&nbsp;Abigail Donaldson M.D. ,&nbsp;Emily B. Allen M.D., M.P.H. ,&nbsp;Jack C. Rusley M.D., M.H.S.","doi":"10.1016/j.jadohealth.2025.03.006","DOIUrl":"10.1016/j.jadohealth.2025.03.006","url":null,"abstract":"<div><h3>Purpose</h3><div>Assessing sexual orientation and gender identity (SOGI) is a key element in delivering high quality health care to adolescents and young adults (AYAs). However, AYA perspectives on SOGI data collection remain understudied. Therefore, we aimed to assess perceived importance of and comfort with SOGI data collection.</div></div><div><h3>Methods</h3><div>AYA attending outpatient visits completed an anonymous survey. We assessed importance (Likert scale: 5 = strongly disagree to 1 = strongly agree) and comfort with various collection methods (yes/no), as well as willingness to share name and/or pronouns in the electronic health record (EHR) (yes/no). AYA were classified as transgender and gender diverse (TGD) versus cisgender; and lesbian, gay, bisexual, other versus heterosexual. Mean scores were calculated and t-tests used to compare importance across groups; Fisher's exact tests were used to compare comfort and EHR preferences across groups.</div></div><div><h3>Results</h3><div>Of 260 AYA ages 10 to 26, 50% were TGD and 52% were lesbian, gay, bisexual, other. The mean importance of gender identity among all AYA was 3.9, and TGD had higher ratings than cisgender AYA (4.4 vs. 3.6, <em>p</em> &lt; .001). There were no differences between cisgender and TGD AYA with respect to sexual orientationimportance (3.6 vs. 3.3, <em>p</em> = .08). Ninety-six percent of AYA were comfortable with one or more methods of SOGI collection. Nearly all (96%) TGD youth were willing to share both their name and pronouns in the EHR.</div></div><div><h3>Discussion</h3><div>Most AYA consider SOGI collection important and are comfortable being asked in clinic. Nearly all TGD youth preferred sharing both their name and pronouns in the EHR.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 59-65"},"PeriodicalIF":5.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087017","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":"Associations Among Sociodemographic and Contextual Factors and Youth Pregnancy Preferences","authors":"Sarah F. Nathan Ph.D. ,&nbsp;Susan A. Chapman Ph.D. ,&nbsp;Claire D. Brindis Dr.P.H. ,&nbsp;Corinne H. Rocca Ph.D.","doi":"10.1016/j.jadohealth.2025.03.017","DOIUrl":"10.1016/j.jadohealth.2025.03.017","url":null,"abstract":"<div><h3>Purpose</h3><div>Efforts to improve access to and use of contraception among young people have often inadequately accounted for the diversity in feelings youth hold about a potential pregnancy. Research using validated measures, is needed to investigate the distribution of pregnancy preferences among youth (15–24 years old) and identify contextual factors that may shape these preferences.</div></div><div><h3>Methods</h3><div>A series of bivariate regression models and one multivariate regression model were run using data from the Attitudes and Decision Making After Pregnancy Testing (ADAPT) study, including n = 1,020 assigned female at birth youth recruited from 23 health facilities in the southwestern United States. Pregnancy preferences were measured with the Desire to Avoid Pregnancy (DAP) scale, a prospective validated measure.</div></div><div><h3>Results</h3><div>A range of DAP scale scores (pregnancy preferences) were found, with a mean of 2.5 (standard deviation 1.1, 0 = greatest openness to pregnancy, 4 = strongest desire to avoid pregnancy). Parous (1.98 vs. 2.63 nulliparous; aCoeff. −0.38, <em>p</em> ≤ .001) and more religious youth (2.16 vs. 2.68 without religion; aCoeff. −0.47, <em>p</em> ≤ .001) were relatively more open to the prospect of pregnancy (e.g., lower DAP score). Those without a main partner (2.79 vs. 2.41 in a relationship; aCoeff. 0.37, <em>p</em> ≤ .001), who were in school (2.80 vs. 2.25 not in school; aCoeff. 0.45, <em>p</em> ≤ .001), and those experiencing depressive symptoms (2.70 vs. 2.40 not depressed; aCoeff. 0.19, <em>p</em> ≤ .01) expressed stronger desire to avoid pregnancy.</div></div><div><h3>Discussion</h3><div>Youth pregnancy preferences are diverse and shaped by their partnership status, prior childbearing, social context, and mental health.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 94-100"},"PeriodicalIF":5.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087020","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}