Sam Beckwith Ph.D. , Venkatraman Chandra-Mouli M.B.B.S., M.Sc. , Robert Wm. Blum M.D., Ph.D., M.P.H.
{"title":"Trends in Adolescent Health: Successes and Challenges From 2010 to the Present","authors":"Sam Beckwith Ph.D. , Venkatraman Chandra-Mouli M.B.B.S., M.Sc. , Robert Wm. Blum M.D., Ph.D., M.P.H.","doi":"10.1016/j.jadohealth.2024.04.015","DOIUrl":"10.1016/j.jadohealth.2024.04.015","url":null,"abstract":"<div><h3>Purpose</h3><p>This review considers trends in some of the major adolescent health outcomes and contextual influences since 2010, and explores the relevance of recent cultural, societal, and public health developments on adolescent well-being.</p></div><div><h3>Methods</h3><p>Based on a review of major reports published since 2010, we identified key topics of impact on adolescent health and development across several domains (education, economic opportunity, sexual and reproductive health, nutrition, and mental health) and ecological levels (from individual- to macro-level influences). Within these areas, we synthesized findings to describe recent trends, noting variation across countries/regions, gender/sex, and other social stratifications when possible.</p></div><div><h3>Results</h3><p>Since 2010, progress in several areas of sexual and reproductive health has been most striking, with notable global declines in female genital mutilation/cutting, child marriage, HIV transmission, and adolescent childbearing. Participation and retention in school has increased, although the COVID-19 pandemic interrupted positive progress for many adolescents and contributed to social isolation and economic insecurity. The mental health and nutrition domains have clear challenges. Increased internalizing mental health issues have been observed cross-culturally, especially among girls. The prevalence of anemia has remained stagnant, while overweight and obesity rates are rising. Within domains, we highlight uneven progress across and within countries.</p></div><div><h3>Discussion</h3><p>Based on recent successes and emerging challenges in adolescent well-being, we find that more and better research is needed that consistently takes an intersectional perspective, and critically, action must be taken to consolidate the gains in sexual and reproductive health and extend them to other areas of adolescent health.</p></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 4","pages":"Pages S9-S19"},"PeriodicalIF":5.5,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1054139X24002234/pdfft?md5=2db00430a7c7d39e3886cb60cb28d05b&pid=1-s2.0-S1054139X24002234-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233787","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}
Sarah Baird Ph.D. , Saini Das Ph.D. , Sara Luckenbill , Erin Oakley Ph.D. , Prerna Banati Ph.D.
{"title":"Accelerating Well-being for Adolescents Through Transformative Public Policy: A Framework for Action","authors":"Sarah Baird Ph.D. , Saini Das Ph.D. , Sara Luckenbill , Erin Oakley Ph.D. , Prerna Banati Ph.D.","doi":"10.1016/j.jadohealth.2024.03.013","DOIUrl":"10.1016/j.jadohealth.2024.03.013","url":null,"abstract":"<div><h3>Purpose</h3><p>As governments around the world are shaping policy responses to advance adolescent well-being and protect their rights, the tools and resources to strengthen policy foundations, and ultimately improve their effectiveness, remain limited. This paper proposes a framework to support policy action with an explicit adolescent focus and applies it to two illustrative case studies to unpack the underlying policy conditions for success.</p></div><div><h3>Methods</h3><p>We develop an analytic framework with an adolescent lens that focuses on the full policy life-course, from development, to implementation, to evaluation. We then choose two illustrative case studies to apply this framework — 1) abolition of secondary school fees policy in Kenya and 2) age of marriage law in Mexico. These cases were chosen based on the existence of rigorous causal evidence of effect, alignment of salience with expert opinions, broad-based implications for adolescents across contexts, and varied levels of success at achieving intended outcomes.</p></div><div><h3>Results</h3><p>Our framework identified six key components as critical foundations for adolescent-focused policies: (1) policy features and costs, (2) implementation considerations, (3) participatory approach, (4) inclusion and coverage, (5) policy appropriateness, and (6) monitoring and evaluation, each with key adolescent-specific elements. We find that the majority of the essential policy elements are addressed in the school fees abolition policy (Kenya), but are sparser in the age of marriage law (Mexico). The results also highlight the lack of decentralized monitoring as well as meaningful adolescent engagement at any level of policy development as potential drivers of ineffectiveness of adolescent-centric policies.</p></div><div><h3>Discussion</h3><p>Our adolescent policy analysis framework can serve as an important tool to define principles in the development of effective adolescent policies. It also can serve as a useful evaluation tool to unpack the ‘black box’ of policy effectiveness when combined with robustly estimated effects.</p></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 4","pages":"Pages S37-S46"},"PeriodicalIF":5.5,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233789","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}
Peter Azzopardi Ph.D. , Terryann C. Clark R.N., Ph.D. , Larissa Renfrew M.S. , Marie Habito Ph.D. , Shanthi Ameratunga M.B.Ch.B., Ph.D., M.P.H.
{"title":"Advancing Impactful Research for Adolescent Health and Wellbeing: Key Principles and Required Technical Investments","authors":"Peter Azzopardi Ph.D. , Terryann C. Clark R.N., Ph.D. , Larissa Renfrew M.S. , Marie Habito Ph.D. , Shanthi Ameratunga M.B.Ch.B., Ph.D., M.P.H.","doi":"10.1016/j.jadohealth.2024.04.001","DOIUrl":"10.1016/j.jadohealth.2024.04.001","url":null,"abstract":"<div><h3>Purpose</h3><p>Substantial progress in adolescent health research has been made over recent decades, but important knowledge gaps remain.</p></div><div><h3>Methods</h3><p>Informed by targeted reviews of the literature, expert consultation, and authors' collective experiences, we propose future directions in adolescent health research.</p></div><div><h3>Results</h3><p>We identified five key principles on <em>how</em> future research must be approached alongside <em>what</em> technical investments are required to act on them. Principles: 1. Research with adolescents must be <em>decolonizing in practice</em>, dismantling systems of oppression, exploitation, and cultural dominance; 2. Research must <em>recognize socio-political, structural, and commercial determinants of adolescent health</em>; 3. Research must be <em>developmentally and contextually appropriate,</em> reflecting adolescents’ evolving capacities and increasingly complex and intersecting determinants of health; 4. Research must be <em>strengths-based</em> – moving away from problematizing adolescents and/or their behaviours toward focusing on their strengths as levers for change; and 5. Research must be <em>built on a foundation of respectful partnerships</em> <em>as a right</em>, and because adolescents have unique knowledge and skills to contribute. Technical investments: 1. Sampling techniques and approaches that provide <em>equity of opportunity for all</em> to participate; 2. <em>High-quality descriptive studies</em> from all nations to understand adolescents' ever-evolving contexts, needs and assets; 3. Investment in <em>what works within each context and for whom</em> through trials and robust assessments/evaluations; and 4. Implementation science research strategies.</p></div><div><h3>Discussion</h3><p>Adolescent health research will require reorientation and innovation in both <em>how</em> we approach research and <em>what</em> technical investments are required to improve the health and wellbeing of adolescents now and into the future.</p></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 4","pages":"Pages S47-S61"},"PeriodicalIF":5.5,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1054139X24001708/pdfft?md5=b2dfd299a33a2378b1a7819e70260cb9&pid=1-s2.0-S1054139X24001708-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233790","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}
Caroline W. Kabiru M.P.H., Ph.D. , Helen H. Habib M.P.H., Ph.D. , Sam Beckwith Ph.D. , Anthony Idowu Ajayi M.Sc., Ph.D. , Sheila Mukabana M.Dev. , Beryl Nyatuga Machoka M.Sc. , Robert Wm Blum M.D., M.P.H., Ph.D. , Anna E. Kågesten M.P.H., Ph.D.
{"title":"Risk and Protective Factors for the Sexual and Reproductive Health of Young Adolescents: Lessons Learnt in the Past Decade and Research Priorities Moving Forward","authors":"Caroline W. Kabiru M.P.H., Ph.D. , Helen H. Habib M.P.H., Ph.D. , Sam Beckwith Ph.D. , Anthony Idowu Ajayi M.Sc., Ph.D. , Sheila Mukabana M.Dev. , Beryl Nyatuga Machoka M.Sc. , Robert Wm Blum M.D., M.P.H., Ph.D. , Anna E. Kågesten M.P.H., Ph.D.","doi":"10.1016/j.jadohealth.2024.03.007","DOIUrl":"10.1016/j.jadohealth.2024.03.007","url":null,"abstract":"<div><h3>Purpose</h3><p>To review the published literature on what has been reported on risk and protective factors for early adolescent sexual and reproductive health (SRH) in the recent decade.</p></div><div><h3>Methods</h3><p>A scoping review of English language, peer-reviewed literature on risk and protective factors for early adolescent (aged 10–14 years) SRH published between January 2010 and January 2023 using Medline, Web of Science, PsycInfo, CINAHL, and Google Scholar. Articles reporting only on nonmodifiable demographic factors, or on the effect of interventions, were beyond the scope of this review.</p></div><div><h3>Results</h3><p>Of 11,956 screened records, 118 were included of which half (49.2%) were published since 2018. Most articles (44.9%) presented research conducted in North America, followed by sub-Saharan Africa (20.3%) and East Asia and Pacific (16.1%). Five percent were based on multicountry studies or reported on pooled global data. Two-thirds (61.0%) reported on quantitative cross-sectional research designs, and 78.8% included both females and males. The most common SRH outcomes were sexual behaviors (34.7%); sexual and dating violence (28.8%); and sexual attitudes, beliefs, and intentions (19.5%). Most (83.0%) articles reported on risk/protective factors at the individual level, followed by interpersonal (family 58.5%, peers 33.0%, partners 11.9%), school (21.2%), and community (15.2%) factors. None of the included articles reported on macro/structural-level factors.</p></div><div><h3>Discussion</h3><p>While there has been growing attention to risk/protective factors for early adolescent SRH, gaps remain with regards to study contexts (mainly North America), focus (mostly individual factors), and conceptualizations (generally risk-oriented). We offer recommendations for research priorities over the coming decade.</p></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 4","pages":"Pages S20-S36"},"PeriodicalIF":5.5,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1054139X24001630/pdfft?md5=d784d060aea4cde24fca4b6491debb53&pid=1-s2.0-S1054139X24001630-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233788","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}
Kristin Mmari Dr.P.H. , Callie Simon M.P.H. , Ravi Verma Ph.D.
{"title":"Gender-Transformative Interventions for Young Adolescents: What Have We Learned and Where Should We Go?","authors":"Kristin Mmari Dr.P.H. , Callie Simon M.P.H. , Ravi Verma Ph.D.","doi":"10.1016/j.jadohealth.2024.04.016","DOIUrl":"10.1016/j.jadohealth.2024.04.016","url":null,"abstract":"<div><h3>Purpose</h3><p>To identify the key facilitators and barriers to implementing gender-transformative interventions among young adolescents (ages 10–14 years) in low- and middle-income countries and provide recommendations for guiding the next generation of intervention approaches.</p></div><div><h3>Methods</h3><p>A scoping review of the literature was first conducted to identify articles that contained the following inclusion criteria: (1) included 10- to 14-year-olds as a target population; (2) addressed gender inequality as a pathway to improved health; (3) implemented in a low- and middle-income country context; and (4) published between 2010 and 2023. Two databases, Scopus and PubMed, were searched as well as the gray literature. Additionally, to collect critical reflections on gender-transformative interventions, two expert meetings and four key informant interviews were conducted.</p></div><div><h3>Results</h3><p>Among the 59 articles which were retrieved and reviewed, 30 were evaluations of specific gender-transformative interventions and the remaining 29 included literature reviews or critical reflections of gender-transformative interventions. Three key themes emerged from our analysis: (1) tailoring approaches for both boys and girls; (2) incorporating multilevel approaches; and (3) engaging multiple sectors, such as health, education, and sports. In each theme, we highlight the primary challenges as well as promising practices for implementation.</p></div><div><h3>Discussion</h3><p>Efforts should continue unpacking the characteristics of intervention approaches where positive results are found among boys and girls in both implementation and impact. In terms of both multilevel and multisectoral programming, more evidence is needed to help identify which intervention activities should target which populations at what levels and how much to achieve positive impacts among young adolescents.</p></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 4","pages":"Pages S62-S80"},"PeriodicalIF":5.5,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1054139X24002246/pdfft?md5=aa08dd397b57f936541c36e5175449e5&pid=1-s2.0-S1054139X24002246-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233791","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}
André Gonzales Real M.D., M.Sc., Stephen T. Russell Ph.D.
{"title":"Why Do Adolescents and Young Adults Discontinue Gender-Affirming Medical Treatments? There Is No Simple Answer","authors":"André Gonzales Real M.D., M.Sc., Stephen T. Russell Ph.D.","doi":"10.1016/j.jadohealth.2024.07.009","DOIUrl":"10.1016/j.jadohealth.2024.07.009","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 4","pages":"Pages 525-527"},"PeriodicalIF":5.5,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239331","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}
Amy B. Middleman M.D., M.S.Ed., M.P.H. , Gregory D. Zimet Ph.D.
{"title":"Potential Changes to the Adolescent Immunization Schedule: Implications for the Stability of Adolescent Immunization Platform Visits","authors":"Amy B. Middleman M.D., M.S.Ed., M.P.H. , Gregory D. Zimet Ph.D.","doi":"10.1016/j.jadohealth.2024.07.010","DOIUrl":"10.1016/j.jadohealth.2024.07.010","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 4","pages":"Pages 538-542"},"PeriodicalIF":5.5,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239335","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":"Looking at Global Mental Health Models to Prevent Youth Suicide in the United States","authors":"Carolina Vélez-Grau Ph.D., L.C.S.W. , Kiara Alvarez Ph.D.","doi":"10.1016/j.jadohealth.2024.07.022","DOIUrl":"10.1016/j.jadohealth.2024.07.022","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 5","pages":"Pages 700-702"},"PeriodicalIF":5.5,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302084","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}