Karen W. Geletko M.P.H., Jon Mills Ph.D., Campbell Goff, Jeffrey Harman Ph.D.
{"title":"The Impact of Secondhand Vape Exposure on Adolescents' Willingness to Try E-Cigarettes","authors":"Karen W. Geletko M.P.H., Jon Mills Ph.D., Campbell Goff, Jeffrey Harman Ph.D.","doi":"10.1016/j.jadohealth.2025.04.006","DOIUrl":"10.1016/j.jadohealth.2025.04.006","url":null,"abstract":"<div><h3>Purpose</h3><div>Several factors impact the influenceability of adolescents to try electronic nicotine delivery systems; however, it is unknown how secondhand vape exposure influences their willingness to try these products. The aim of this study was to explore the impact of secondhand aerosol (SHA) exposure on willingness to try e-cigarettes among adolescents who have never vaped.</div></div><div><h3>Methods</h3><div>In this observational, cross-sectional study, we used data from the National Youth Tobacco Survey from 2022 to examine the association between exposure to SHA and willingness to try e-cigarettes among adolescent never-vapers. Multiple logistic regression was used to compare the odds of being willing to try e-cigarettes among participants exposed to SHA versus those unexposed to SHA, adjusting for age, race, ethnicity, gender, and mental health symptoms, online exposure to social media e-cigarette content, other nicotine use, perceptions of harmfulness of secondhand vapor, education performance, education level and family socioeconomic status.</div></div><div><h3>Results</h3><div>Exposure to SHA was associated with a 105% increase in the odds (odds ratio [OR] = 2.05; 95% confidence interval [CI] = 1.85–2.29) of being curious to try e-cigarettes, 75% increase in the odds (OR = 1.75; 95%: CI = 1.54–1.99) of being willing to try e-cigarettes soon, and 79% increase in the odds (OR = 1.85; 95%: CI = 1.57–2.18) of being willing to try e-cigarettes within the year.</div></div><div><h3>Discussion</h3><div>Adolescents exposed to SHA are more likely to consider vaping, highlighting a potential risk factor for youth initiation.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 144-150"},"PeriodicalIF":5.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086977","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}
Hui Yang M.D. , Anlan Cheng M.S. , Dongshan Zhu M.D. , Min Zhao M.D. , Bo Xi M.D.
{"title":"Childhood Smoking Initiation, Genetic Susceptibility, and Incident Cardiovascular Diseases in Adulthood","authors":"Hui Yang M.D. , Anlan Cheng M.S. , Dongshan Zhu M.D. , Min Zhao M.D. , Bo Xi M.D.","doi":"10.1016/j.jadohealth.2025.03.013","DOIUrl":"10.1016/j.jadohealth.2025.03.013","url":null,"abstract":"<div><h3>Purpose</h3><div>We aimed to assess the associations of age of smoking initiation and polygenic risk scores (PRSs), individually and jointly, with the incidence of overall cardiovascular diseases (CVDs), coronary artery disease (CAD), atrial fibrillation (AF), and stroke in adulthood.</div></div><div><h3>Methods</h3><div>Multivariable-adjusted accelerated failure time models were used to assess the impacts of age of smoking initiation and PRSs on incident overall CVDs, CAD, AF, and stroke in adulthood and to examine their joint effect on these outcomes.</div></div><div><h3>Results</h3><div>Compared with never smokers, the time ratio (TR) with a 95% confidence interval (CI) for incident overall CVDs was 0.80 (0.78–0.82) among participants who initiated smoking at age 5–14 years, and 0.85 (0.84–0.86) at age 15–17 years. The corresponding TRs (95% CIs) for CAD were 0.74 (0.72–0.76) and 0.81 (0.79–0.83), respectively; for AF were 0.89 (0.86–0.91) and 0.91 (0.89–0.93), respectively; and for stroke were 0.84 (0.80–0.87) and 0.87 (0.85–0.90), respectively. Notably, participants with high PRSs who initiated smoking at age 5–14 years (vs. never smokers with low PRSs) were the fastest ones to develop overall CVDs (TR = 0.63, 95% CI = 0.61–0.65), CAD (TR = 0.48, 95% CI = 0.46–0.51), AF (TR = 0.55, 95% CI = 0.53–0.57), and stroke (TR = 0.70, 95% CI = 0.66–0.75).</div></div><div><h3>Discussion</h3><div>Smoking initiation in childhood significantly accelerated the incidence of overall CVDs, CAD, AF, and stroke in adulthood. Of note, participants with high genetic susceptibility who initiated smoking in childhood had the earliest onset time of CVDs later in life.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 159-167"},"PeriodicalIF":5.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096801","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}
Christopher T. Fields Ph.D. , Carmen Black M.D. , Amanda J. Calhoun M.D. , Matthew Rosenblatt Ph.D. , Raimundo Rodriguez , Joseph Aina , Jannat K. Thind , Jalen Grayson , Fahmi Khalifa Ph.D. , Shervin Assari M.D., M.P.H. , Xin Zhou Ph.D. , Jason M. Nagata M.D., M.Sc. , Dylan G. Gee Ph.D.
{"title":"Longitudinal and Geographic Trends in Perceived Racial Discrimination Among Adolescents in the United States: The Adolescent Brain Cognitive Development Study","authors":"Christopher T. Fields Ph.D. , Carmen Black M.D. , Amanda J. Calhoun M.D. , Matthew Rosenblatt Ph.D. , Raimundo Rodriguez , Joseph Aina , Jannat K. Thind , Jalen Grayson , Fahmi Khalifa Ph.D. , Shervin Assari M.D., M.P.H. , Xin Zhou Ph.D. , Jason M. Nagata M.D., M.Sc. , Dylan G. Gee Ph.D.","doi":"10.1016/j.jadohealth.2025.03.014","DOIUrl":"10.1016/j.jadohealth.2025.03.014","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess longitudinal and geographic variation in perceived discrimination from ages 10–11 to 13–14 years in the Adolescent Brain Cognitive Development cohort, and to examine how these experiences are shaped by contextual factors such as neighborhood segregation and state-level racial bias.</div></div><div><h3>Methods</h3><div>Data were drawn from the longitudinal Adolescent Brain Cognitive Development Study (release 5.1), analyzing years 1, 2, and 4, corresponding to approximate ages 10–11, 11–12, and 13–14 years. Perceived discrimination was assessed using items adapted from the Perceived Discrimination Scale. Mixed-effects logistic regression models examined how perceived discrimination varied across time, demographic factors, and contextual variables, with models weighted using American Community Survey raked propensity scores to ensure national representativeness.</div></div><div><h3>Results</h3><div>Black, Asian American and Pacific Islander, and Other/Multiracial non-Hispanic youth showed increasing trajectories of perceived discrimination over time, while Native American and White non-Hispanic youth exhibited decreasing trends. Significant geographic variation emerged, with Black youth reporting elevated discrimination across all regions, particularly in the West and South. Youth living in areas with concentrated poor Black households and in states with high anti-Black bias reported higher discrimination. Youth with immigrant backgrounds generally reported higher levels of perceived discrimination across most racial/ethnic groups.</div></div><div><h3>Discussion</h3><div>Perceived discrimination follows distinct developmental trajectories during early adolescence that vary significantly by race, ethnicity, geography, and structural context. These findings highlight the critical need for targeted interventions during this developmental period, particularly for Black, Asian American and Pacific Islander, and Other/Multiracial youth. Context-specific approaches to addressing racism are essential for mitigating its harmful effects on adolescent development.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 118-127"},"PeriodicalIF":5.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096805","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}
Jeff R. Temple Ph.D., Elizabeth R. Baumler Ph.D., Leila Wood Ph.D.
{"title":"Effects of a Middle School Dating Violence Prevention Program on Depression at 5-Year Follow-Up","authors":"Jeff R. Temple Ph.D., Elizabeth R. Baumler Ph.D., Leila Wood Ph.D.","doi":"10.1016/j.jadohealth.2025.03.007","DOIUrl":"10.1016/j.jadohealth.2025.03.007","url":null,"abstract":"<div><h3>Purpose</h3><div>We examined long-term mental health benefits of <em>Fourth R</em>, an intervention designed to teach healthy relationship skills and prevent adolescent relationship abuse. While we previously showed it to prevent relationship violence, the potential crossover effects on broader mental health outcomes, such as depression and anxiety, remain unexplored.</div></div><div><h3>Methods</h3><div>We randomized Texas middle schools to receive either <em>Fourth R</em> (n = 12; n = 1,332) or standard health curricula (n = 12; n = 1,533) and assessed racially/ethnically diverse participants at baseline and 5 years postintervention.</div></div><div><h3>Results</h3><div>After accounting for age, gender, race/ethnicity, adverse childhood experiences, and baseline distress, we found that students receiving the intervention were less likely to be depressed at the 5-year follow-up (odds ratio = 0.69, 95% confidence interval: 0.49, 0.97) compared to students in control schools.</div></div><div><h3>Discussion</h3><div>Findings suggest that promoting healthy relationship skills in middle school can have enduring benefits for mental health, offering schools a cost-effective way to address multiple behavioral health challenges.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 1","pages":"Pages 168-170"},"PeriodicalIF":5.5,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045230","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}
Daisy Albarran Garcia M.P.H., Padmaja Padalkar M.D., Jenny Lee D. Peregrino M.B.A., Sabine Mendoza, Alex Tsang, Noelle Mendoza, Thomas Tsang, Wynnyee Tom M.D.
{"title":"Educating Teens and Parents on the Dangers of Fentanyl and Connecting Them to Naloxone Resources","authors":"Daisy Albarran Garcia M.P.H., Padmaja Padalkar M.D., Jenny Lee D. Peregrino M.B.A., Sabine Mendoza, Alex Tsang, Noelle Mendoza, Thomas Tsang, Wynnyee Tom M.D.","doi":"10.1016/j.jadohealth.2024.12.023","DOIUrl":"10.1016/j.jadohealth.2024.12.023","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"76 5","pages":"Pages 940-941"},"PeriodicalIF":5.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869297","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}
Vaishnavi Peyyety, Margaret Jankowski, Sarah Apte, Jasmine Sindelar, Rawan Elrajabi, Tammy Chang, Kendrin Sonneville, Mary Ellen Vajravelu
{"title":"Youth Perspectives on the Use of Medications for Weight Loss.","authors":"Vaishnavi Peyyety, Margaret Jankowski, Sarah Apte, Jasmine Sindelar, Rawan Elrajabi, Tammy Chang, Kendrin Sonneville, Mary Ellen Vajravelu","doi":"10.1016/j.jadohealth.2025.02.011","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.02.011","url":null,"abstract":"<p><strong>Purpose: </strong>Semaglutide (Ozempic, Wegovy) has surged in popularity for its weight loss effects. Its widespread media coverage may have an outsized impact on adolescents and young adults due to their higher engagement in social media and their vulnerability to unintended consequences of weight-related discourse (e.g., body dissatisfaction, disordered eating, weight stigma). This study aimed to determine youth familiarity with and opinions about use of medications such as Ozempic and Wegovy for weight loss.</p><p><strong>Methods: </strong>Five open-ended questions were asked to 753 youth participants (14-24 years) in the MyVoice nationwide text message poll in March 2024. Responses were analyzed using content analysis and coding differences resolved by consensus. Differences by demographic characteristics were explored using chi-square tests.</p><p><strong>Results: </strong>Overall, 547 (73%) youth responded; average age was 20.4 ± 2.5 years, with 50.3% identifying as female. Nearly three-quarters (73.6%) had heard of medications like Ozempic and Wegovy, but the majority (57.5%) stated that these medications should not be used by youth. Three primary concerns arose: (1) safety; (2) inappropriate use; and (3) role of personal responsibility for healthy lifestyle (a belief that was more common among males than females or other gender).</p><p><strong>Discussion: </strong>Awareness about semaglutide was high, but perceptions of use were generally negative or hesitant, particularly among males, who emphasized the importance of healthy lifestyle behaviors. Hesitancy due to safety concerns and the role of weight stigma should be explored to determine the potential impact on users of such medications when medically indicated.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059888","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}