Nani Kim M.Ed. , Cara C. Young Ph.D. , Bo Ra Kim Ph.D. , Lynn Rew Ed.D. , Nicholas J. Westers Psy.D.
{"title":"Help-Seeking Behaviors in Adolescents and Young Adults Who Engage in Nonsuicidal Self-Injury: An Integrative Review","authors":"Nani Kim M.Ed. , Cara C. Young Ph.D. , Bo Ra Kim Ph.D. , Lynn Rew Ed.D. , Nicholas J. Westers Psy.D.","doi":"10.1016/j.jadohealth.2025.04.015","DOIUrl":"10.1016/j.jadohealth.2025.04.015","url":null,"abstract":"<div><h3>Purpose</h3><div>Nonsuicidal self-injury is a growing public health concern in adolescents and young adults, who are often reluctant to seek help. The purpose of this integrative review is to understand help-seeking behaviors in this population by identifying similarities and differences in its forms, components (i.e., antecedents, types of help received, frequency of help-seeking, sources of help, consequences), and influencing factors.</div></div><div><h3>Method</h3><div>Seven databases were searched for research reports on help-seeking behaviors in young adults and adolescents with nonsuicidal self-injury, published in English.</div></div><div><h3>Results</h3><div>Of 1,063 publications found, 16 were ultimately included for analysis. Three forms of help-seeking behaviors (disclosure, help-seeking, mental health service use) showed contextual variance. Components of and factors for help-seeking behaviors functioned either as facilitators or as barriers related to future help-seeking and outcomes. Overall, similar patterns of help-seeking behaviors were found in young adults and adolescents but with a greater prevalence in young adults.</div></div><div><h3>Discussion</h3><div>To promote early access to resources and improve health outcomes, it is important to recognize that help-seeking is complex, with developmental stages. Future research should consider additional contextual variables that may affect help-seeking, as well as include longitudinal designs to capture longer term mechanisms of help-seeking.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 2","pages":"Pages 191-210"},"PeriodicalIF":4.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328440","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 M.D. , Tammy Chang M.D., M.P.H., M.S. , Kendrin Sonneville Sc.D., R.D. , Mary Ellen Vajravelu M.D., M.S.H.P.
{"title":"Youth Perspectives on the Use of Medications for Weight Loss","authors":"Vaishnavi Peyyety , Margaret Jankowski , Sarah Apte , Jasmine Sindelar , Rawan Elrajabi M.D. , Tammy Chang M.D., M.P.H., M.S. , Kendrin Sonneville Sc.D., R.D. , Mary Ellen Vajravelu M.D., M.S.H.P.","doi":"10.1016/j.jadohealth.2025.02.011","DOIUrl":"10.1016/j.jadohealth.2025.02.011","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Discussion</h3><div>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.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 2","pages":"Pages 262-268"},"PeriodicalIF":4.5,"publicationDate":"2025-08-01","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}
{"title":"Sex-Specific Associations Between Depressive Disorder and Weight Status Transitions From Adolescence to Mid-Life: Evidence From the Add Health Cohort","authors":"Hyojun Park Ph.D., Eric N. Reither Ph.D.","doi":"10.1016/j.jadohealth.2025.04.016","DOIUrl":"10.1016/j.jadohealth.2025.04.016","url":null,"abstract":"<div><h3>Purpose</h3><div>Despite prior research on depression-obesity associations, the longitudinal effects of depression on subsequent transitions in weight status are not well understood. This study explored prospective sex-specific associations between depression and weight transitions and how these associations vary across life stages.</div></div><div><h3>Methods</h3><div><span><span><span>Data were gathered from 20,745 adolescents in the National Longitudinal Study of Adolescent to Adult Health, who were followed across five waves (1994–2018). Multilevel discrete-time models for recurrent transitions were employed to examine longitudinal effects of depression on subsequent changes in weight status. These transitions were defined as entry to and exit from elevated </span>body mass, including overweight, class I obesity, and class II obesity. </span>Depressive disorder was measured via self-reported depression status and age of diagnosis. Confounders included respondents' age, race or ethnicity, </span>adverse childhood experiences, and indicators of family socioeconomic status.</div></div><div><h3>Results</h3><div>Females with depressive disorder were 26% (95% confidence interval [CI]: 1.13, 1.42) more likely to enter into and 20% (95% CI: 0.65, 0.99) less likely to exit from class I obesity, relative to females without depressive disorder. They were also 1.37 times (95% CI: 1.20, 1.57) more likely than their counterparts to enter into class II obesity. These effects varied by life stage; as females aged, the risks of depression shifted from overweight to class II obesity. Such associations were not observed among males.</div></div><div><h3>Discussion</h3><div>Our findings underscore the risks that depression poses for weight gain<span><span> and obesity. Targeted public health interventions that address the </span>mental health of female adolescents could disrupt depression-obesity cycles and improve long-term health outcomes.</span></div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 2","pages":"Pages 269-276"},"PeriodicalIF":4.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337722","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., Kristen Huamani
{"title":"The Historical Impact of the Adolescent Immunization Platform in the United States","authors":"Amy B. Middleman M.D., M.S.Ed., M.P.H., Kristen Huamani","doi":"10.1016/j.jadohealth.2025.04.019","DOIUrl":"10.1016/j.jadohealth.2025.04.019","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 2","pages":"Pages S7-S10"},"PeriodicalIF":5.5,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144702200","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}
Nneka Holder M.D., Katy Smith M.P.A., Tamera Coyne-Beasley M.D., M.P.H.
{"title":"The Adolescent Immunization Platform: The Past and Future","authors":"Nneka Holder M.D., Katy Smith M.P.A., Tamera Coyne-Beasley M.D., M.P.H.","doi":"10.1016/j.jadohealth.2025.05.002","DOIUrl":"10.1016/j.jadohealth.2025.05.002","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 2","pages":"Pages S11-S13"},"PeriodicalIF":5.5,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144702201","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":"Early Adolescent Immunization Schedule Preferences: U.S. National Online Survey of Parents of Children Aged 9–10 Years","authors":"Gregory Zimet Ph.D. , Eunjung Lim Ph.D. , Masako Matsunaga Ph.D., M.P.H. , Erica Liebermann Ph.D., R.N., N.P. , Melanie Kornides Sc.D., R.N., N.P. , Holly B. Fontenot Ph.D., R.N., N.P.","doi":"10.1016/j.jadohealth.2025.05.003","DOIUrl":"10.1016/j.jadohealth.2025.05.003","url":null,"abstract":"<div><h3>Purpose</h3><div>This study elicited parent/guardian preferences regarding immunization schedules for their 9–10-year-old children.</div></div><div><h3>Methods</h3><div>As part of a US survey of parents/guardians of children aged 9–10 years, we elicited preferences across 4 early adolescent vaccination schedule scenarios, including the currently recommended schedule and schedules including administration of human papillomavirus (HPV) at age 9. Chi-square tests evaluated differences in preferences by the child’s HPV vaccination status and by parental intent to vaccinate.</div></div><div><h3>Results</h3><div>Most parents/guardians preferred the current schedule (52.1%) and most chose early initiation of HPV vaccination (i.e., HPV at age 9, second dose at age 10, with tetanus, diphtheria, and acellular pertussis and meningococcal ACWY at age 11) as least preferred (53.9%). Preferences varied significantly by the child’s current HPV vaccination status and by the intent to vaccinate.</div></div><div><h3>Discussion</h3><div>Given the variability in preferences, expanding the targeted ages for routine HPV vaccination to 9–12 years may ensure the broadest acceptance of HPV vaccination as part of the early adolescent schedule.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 2","pages":"Pages S14-S17"},"PeriodicalIF":5.5,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144702706","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}
Elizabeth A. Onugha M.D., M.S.C.I. , Deepali K. Ernest M.P.H. , Ankona Banerjee M.S. , Kenneth J. Nobleza M.S. , Duc T. Nguyen M.D., Ph.D. , Omar Rosales M.S. , Abiodun Oluyomi Ph.D. , Jayna M. Dave Ph.D. , Joshua A.Q. Samuels M.D., M.P.H.
{"title":"Race or Place: Neighborhood Determinants of Adolescent Obesity","authors":"Elizabeth A. Onugha M.D., M.S.C.I. , Deepali K. Ernest M.P.H. , Ankona Banerjee M.S. , Kenneth J. Nobleza M.S. , Duc T. Nguyen M.D., Ph.D. , Omar Rosales M.S. , Abiodun Oluyomi Ph.D. , Jayna M. Dave Ph.D. , Joshua A.Q. Samuels M.D., M.P.H.","doi":"10.1016/j.jadohealth.2025.03.005","DOIUrl":"10.1016/j.jadohealth.2025.03.005","url":null,"abstract":"<div><h3>Purpose</h3><div>Area-based socioeconomic factors contribute significantly to the complex relationship between neighborhood characteristics and obesity. This study examined the relationship between socioeconomic characteristics of school neighborhoods and the prevalence of obesity among adolescents in the United States.</div></div><div><h3>Methods</h3><div>We analyzed data for 21,392 students from a school-based blood pressure–screening project. Students were clustered into 28 neighborhoods based on their school matriculation, and weighted Area Deprivation Index measures were generated to represent each school's catchment area. The Area Deprivation Index was categorized into quartiles, with quartile 1 (Q1) representing schools in less-disadvantaged neighborhoods, and quartile 4 (Q4) representing schools in more disadvantaged neighborhoods. Logistic regression analyses were used to examine bivariate and adjusted associations.</div></div><div><h3>Results</h3><div>There was a stepwise increase in obesity prevalence, with the lowest prevalence in Q1 and the highest in Q4 among Hispanic students and Black students. White and Asian students attending schools in Q1 had the lowest prevalence of obesity. Multivariable regression analysis showed that younger age, male sex, race/ethnicity, high blood pressure status, and school neighborhood were significantly associated with obesity.</div></div><div><h3>Discussion</h3><div>Hispanic and Black students attending schools in high-poverty areas had the highest rates of obesity. Our findings suggest that, in addition to race/ethnicity, neighborhood-level poverty is a significant predictor of obesity rates, emphasizing the relationship between environmental and biological determinants of obesity.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"77 4","pages":"Pages 685-691"},"PeriodicalIF":4.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144693157","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}