Journal of Adolescent Health最新文献

{"title":"The Changing Landscape of Adolescent and Young Adult Substance Use","authors":"Lauren A. Bell M.D., M.P.H. , Scott E. Hadland M.D., M.P.H., M.S.","doi":"10.1016/j.jadohealth.2024.07.024","DOIUrl":"10.1016/j.jadohealth.2024.07.024","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 5","pages":"Pages 706-708"},"PeriodicalIF":5.5,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302087","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":"Misinformation Related to Discontinuation and Regret Among Adolescents Receiving Gender-Affirming Care","authors":"Kacie M. Kidd M.D., M.S., Gina M. Sequeira M.D., M.S.","doi":"10.1016/j.jadohealth.2024.08.002","DOIUrl":"10.1016/j.jadohealth.2024.08.002","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 5","pages":"Pages 698-699"},"PeriodicalIF":5.5,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302085","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":"A Rare Answer to a Common Presentation: Gastric Neoplasm in a Teenager With Vomiting","authors":"Jonathan Lebowitz M.D. , Ariel Porto M.D. , Christine Nguyen Clarke D.O., M.A. , Elizabeth Sokol M.D. , John E. Fortunato M.D.","doi":"10.1016/j.jadohealth.2024.05.010","DOIUrl":"10.1016/j.jadohealth.2024.05.010","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 985-987"},"PeriodicalIF":5.5,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142147018","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 Gender Dysphoria, Eating Disorders, and Mental Health Diagnoses Among Adolescents","authors":"Liz Abernathey M.D., M.S.,&nbsp;Nicole F. Kahn Ph.D., M.Ed.,&nbsp;Gina M. Sequeira M.D., M.S.,&nbsp;Laura P. Richardson M.D., M.P.H.,&nbsp;Kym Ahrens M.D., M.P.H.","doi":"10.1016/j.jadohealth.2024.06.022","DOIUrl":"10.1016/j.jadohealth.2024.06.022","url":null,"abstract":"<div><h3>Purpose</h3><div>Transgender adolescents and adolescents with eating disorders (EDs) are known to have increased mental health comorbidity; however, little is understood about how gender dysphoria (GD), disordered eating and mental health disorders relate to each other. The purpose of this study was to examine associations between GD, ED, and mental health diagnoses among adolescents.</div></div><div><h3>Methods</h3><div>Data were extracted from the electronic health records of 57,353 patients aged 9-18 seen at a single pediatric health system between 2009 and 2022. Adjusted logistic regression models tested for associations between GD, ED, and mental health diagnoses.</div></div><div><h3>Results</h3><div>Youth with a GD diagnosis had significantly greater odds of also having an ED diagnosis compared to those without a GD diagnosis (adjusted odds ratio [aOR] = 3.72, 95% confidence interval [CI]: 2.98–4.64). Among those with an ED diagnosis, youth with a GD diagnosis had significantly lower odds of having an anorexia nervosa diagnosis (aOR = 0.34, 95% CI: 0.18–0.61) and significantly greater odds of having an unspecified or other specified ED diagnosis (aOR = 2.48, 95% CI: 1.56–3.93) compared to those without a GD diagnosis. Youth with both GD and ED diagnoses had significantly greater odds of also having a diagnosis of anxiety (aOR = 24.01, 95% CI: 14.85–38.83), depression (aOR = 48.41, 95% CI: 30.38–77.12), suicidality (aOR = 26.15, 95% CI: 16.65–41.05) and self-harm (aOR = 35.79, 95% CI: 22.48–56.98) as compared to those with neither a GD nor an ED diagnosis.</div></div><div><h3>Discussion</h3><div>Adolescents with co-occurring GD and ED diagnoses are at greater risk for anxiety, depression, suicidality, and self-harm as compared to youth with neither diagnosis. Further research is essential to understand the complex interplay of mental health concerns and EDs among gender diverse adolescents and to inform appropriate interventions.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 5","pages":"Pages 780-784"},"PeriodicalIF":5.5,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115481","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":"Who Plays and Who Doesn't? An Intersectional Examination of Disparities in Adolescent Sport and Physical Activity Lesson Participation","authors":"Sarah M. Kaja Ph.D. ,&nbsp;Samantha E. Lawrence Ph.D. ,&nbsp;Kay A. Simon Ph.D. ,&nbsp;Mi’Chael N. Wright M.A., Ph.D.(c) ,&nbsp;Marla E. Eisenberg Sc.D., M.P.H.","doi":"10.1016/j.jadohealth.2024.06.025","DOIUrl":"10.1016/j.jadohealth.2024.06.025","url":null,"abstract":"<div><h3>Purpose</h3><div>Few reports include more than 1–2 social identities when examining organized sport and physical activity (PA) participation among adolescents. We used a quantitative intersectional approach to examine disparities in adolescent sport and PA lesson participation.</div></div><div><h3>Methods</h3><div>Ninth and 11th grade 2022 Minnesota Student Survey participants (N = 62,940) self-reported social identities and team sport and PA lessons. Social identities included sex assigned at birth, gender modality, sexual identity, racial and ethnic identity, access to resources (i.e., economic status), weight status, and mental health/behavioral/emotional problems. We used Exhaustive Chi-square Automatic Interaction Detection to identify prevalence of participation among adolescents with different intersecting social identities.</div></div><div><h3>Results</h3><div>Half of the sample played sports and one-quarter participated in PA lessons. Participation varied substantially at the intersections of social identities. Whereas participants in the highest prevalence sports participation groups were predominantly White, heterosexual, and had high resource access, participants in the lowest prevalence groups held multiple marginalized social identities: only 12.8% of adolescents with least access to resources who were questioning their gender identity and sexual identity, or who reported a sexual identity not listed, participated in sports. Regarding PA lessons, youth in the highest prevalence groups were predominantly heterosexual, had highest access to resources, and were youth of color; by comparison, most of the lowest prevalence groups comprised youth who had medium/low resource access and/or high body mass index, and often a diverse sexual, gender, or racial/ethnic identity.</div></div><div><h3>Discussion</h3><div>Multiply marginalized adolescents are under-represented in sports and PA lessons. Organizations should address interlocking barriers to participation.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 5","pages":"Pages 827-835"},"PeriodicalIF":5.5,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142006044","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":"Difficulties Are Not Deficits","authors":"Brason Lee M.S.W., M.S.","doi":"10.1016/j.jadohealth.2024.06.027","DOIUrl":"10.1016/j.jadohealth.2024.06.027","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 5","pages":"Pages 842-843"},"PeriodicalIF":5.5,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996994","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":"A Prospective Study of the Relationship of COVID-19 Vaccination to Menstrual Cycle Characteristics in Adolescent Girls","authors":"Laura A. Payne Ph.D. ,&nbsp;Laura C. Seidman ,&nbsp;Steven W. Granger Ph.D. ,&nbsp;Alison Edelman M.D., M.P.H. ,&nbsp;Boyu Ren Ph.D.","doi":"10.1016/j.jadohealth.2024.06.023","DOIUrl":"10.1016/j.jadohealth.2024.06.023","url":null,"abstract":"<div><h3>Purpose</h3><div>The current study aimed to evaluate the impact of the COVID-19 booster vaccine on menstrual cycle characteristics in adolescent girls (aged 13–20) compared to those who did not receive a booster vaccine.</div></div><div><h3>Methods</h3><div>This prospective study measured menstrual cycle length for three cycles prior to and four cycles after vaccination (booster group), seven cycles without vaccination (control group). Menstrual flow, menstrual pain, and menstrual symptoms were assessed at baseline and monthly for 3 months. Stress was assessed at baseline using the PROMIS Pediatric Psychological Stress Experiences scale. Generalized linear mixed effects models were used to examine the changes in menstrual characteristics.</div></div><div><h3>Results</h3><div>65 adolescent girls (47 booster; 18 control) were recruited via social media and from ongoing studies in the United States. Girls in the booster group experienced shorter postbooster cycles by an average 5.35 days (<em>p</em> = .03) compared to prebooster cycle lengths, specifically in the second postbooster cycle, while the control group did not show any changes in cycle length pre-to postbooster. Participants who received the booster in the follicular phase had shorter mean postbooster cycle length (<em>p</em> = .0157) compared to their prebooster cycle length. Higher stress was associated with shorter cycles (<em>p</em> = .03) and increased menstrual symptoms (<em>p</em> = &lt;.001), regardless of group. There were no differences in menstrual flow, menstrual pain, or menstrual symptoms in either group.</div></div><div><h3>Discussion</h3><div>The COVID-19 booster vaccine was associated with shorter cycles in adolescent girls. These data demonstrate the need for further investigation regarding potential mechanisms of these observed changes.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 5","pages":"Pages 819-826"},"PeriodicalIF":5.5,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996993","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":"Lessons Learned From a Retrospective Analysis of Medicolegal Risks for Physicians Treated Adolescents and Young Adults With Medical Complexity","authors":"Rana Aslanova M.D., M.Sc., Ph.D. ,&nbsp;Laura Payant M.Sc.N. ,&nbsp;Richard Liu M.Sc. ,&nbsp;Karen Pacheco M.Sc. ,&nbsp;Jacqueline H. Fortier M.Sc. ,&nbsp;Gary E. Garber M.D.","doi":"10.1016/j.jadohealth.2024.06.026","DOIUrl":"10.1016/j.jadohealth.2024.06.026","url":null,"abstract":"<div><h3>Purpose</h3><div>Adolescent and young adult patients occupy a clinically transitional space between pediatric and adult care. Youth with chronic conditions and special healthcare needs may have trouble accessing and receiving appropriate care in this transition, which may lead to patient safety issues and medicolegal risks for physicians. The objectives of this article were to explore patient safety issues and identify medicolegal risks for physicians.</div></div><div><h3>Methods</h3><div>A national repository was retrospectively searched for medicolegal cases (MLCs) involving complaints from youth. The study included MLCs closed at the Canadian Medical Protective Association between 2013 and 2022 involving youth. The study participants were adolescents and young adults aged ≥ 15 and ≤ 21 years with medical complexity. The frequencies and proportions of patient safety events and medicolegal risks for physicians were calculated by exploring factors that contributed to each incident using established frameworks.</div></div><div><h3>Results</h3><div>A total of 182 eligible MLCs were identified. Of 206 involved physicians, 55 were psychiatrists. The most common reasons for patient complaints were deficient assessment, diagnostic error, and communication breakdown with the patient and/or family. More than half of the cases were related to a harmful incident. Peer experts reviewed the cases and identified factors such as a deficient assessment, a failure to perform a test or intervention, failure to refer the patient, and insufficient provider knowledge/skill as contributing to the patient safety event.</div></div><div><h3>Discussion</h3><div>The impact of our findings is to identify gaps in care delivery to youth that can inform practitioners of ways to mitigate the gaps and improve patient care and health outcomes.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 5","pages":"Pages 750-756"},"PeriodicalIF":5.5,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996995","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":"School Absenteeism Among Racially and Ethnically Minoritized Transgender High School Students and Their Peers: A Cross-Sectional Study","authors":"Anita V. Chaphekar D.O. ,&nbsp;Jae Sevelius Ph.D. ,&nbsp;Dave Glidden Ph.D. ,&nbsp;Stanley R. Vance Jr. M.D.","doi":"10.1016/j.jadohealth.2024.06.028","DOIUrl":"10.1016/j.jadohealth.2024.06.028","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore absenteeism among racially and ethnically minoritized transgender youth (trans REMY) compared to their White transgender (trans WY) and racially and ethnically minoritized cisgender (cis REMY) peers and identify associated psychosocial factors.</div></div><div><h3>Methods</h3><div>Biennial California Healthy Kids Survey 2017-2019 data was analyzed with a weighted sample of California's secondary school population. Students reported past 30-day absences due to mental health and harassment, depressive symptoms, suicidal ideation, cyberbullying, victimization, and school connectedness. Poisson and linear regression compared absenteeism and psychosocial factors among peer groups. For trans REMY, Poisson regression assessed associations between absenteeism and psychosocial factors. Analyses were adjusted for grade, sex, and socioeconomic status.</div></div><div><h3>Results</h3><div>The analytical sample (n = 25,085) included 206 trans REMY, 64 trans WY, and 24,815 cis REMY. Trans REMY had higher relative risk of absenteeism due to mental health concerns and harassment compared to cis REMY (adjusted relative risk 2.9, 95% confidence interval 2.1–4.0 and adjusted relative risk 8.1, 95% confidence interval 4.0–16.6, respectively) but similar risk when compared to trans WY. For trans REMY, depressive symptoms, suicidal ideation, and victimization were associated with higher relative risk of absenteeism due to mental health concerns. Cyberbullying was associated with a higher risk of absenteeism due to harassment. Higher school connectedness was associated with lower risk of absenteeism due to mental health concerns.</div></div><div><h3>Discussion</h3><div>Trans REMY reported higher rates of school absenteeism due to mental health concerns and harassment compared to some of their peers. Mental health symptoms, victimization, cyberbullying, and school connectedness were associated with absenteeism among trans REMY.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 5","pages":"Pages 785-791"},"PeriodicalIF":5.5,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996996","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":"Trends in Gonorrhea and Chlamydia Testing and Infections Across the COVID-19 Pandemic in Adolescents and Young Adults in an Integrated Health System","authors":"Alex Pelliccione M.D., M.P.H. ,&nbsp;Sharareh Modaressi M.D., M.P.H. ,&nbsp;Bruce Fireman M.A. ,&nbsp;Evan Layefsky ,&nbsp;Nicola P. Klein M.D., Ph.D. ,&nbsp;Mitchell N. Luu M.D. ,&nbsp;Ousseny Zerbo Ph.D.","doi":"10.1016/j.jadohealth.2024.06.029","DOIUrl":"10.1016/j.jadohealth.2024.06.029","url":null,"abstract":"<div><h3>Purpose</h3><div>The COVID-19 pandemic impacted testing and incidence of sexually transmitted infections (STIs), with some studies showing uneven effects across sociodemographic groups. We aim to determine whether rates of gonorrhea and chlamydia testing and infections were affected by the pandemic, overall and by subgroups, defined by sociodemographic factors and comorbidities.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study from January 1, 2016, through December 31, 2022, among adolescents and young adults ages 15–29 years within Kaiser Permanente Northern California (KPNC). We determined the rate of testing for gonorrhea/chlamydia, and the incident rates of infections before and during the COVID-19 pandemic by sociodemographic factors. We compared incidence rates of gonorrhea/chlamydia testing and infection before and during the pandemic using Poisson regression.</div></div><div><h3>Results</h3><div>Gonorrhea/chlamydia testing during the pandemic was 19% lower than prepandemic baseline. Testing among Black patients was 1.8-fold higher than White patients. Black patients had 5.5 and 3.6-fold higher rate of gonorrhea and chlamydia infections, respectively, compared with White patients. Patients living in more deprived neighborhoods also had higher rates of infection compared to those in the least deprived neighborhoods. In multivariable analyses stratified by the period before and during the COVID-19 pandemic, there were no significant differences in the incidence rate ratios of testing or infections for any specific sociodemographic factor.</div></div><div><h3>Discussion</h3><div>STI testing in adolescents and young adults dropped dramatically after the start of the pandemic and has not recovered to its prior levels. Preexisting disparities in STI testing and infections were not exacerbated by the pandemic.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 952-957"},"PeriodicalIF":5.5,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996998","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}