International Journal of Adolescent Medicine and Health最新文献

Objectives: Due to lack of information and deceptive advertising, young people widely consume energy drinks, although they should be careful because of their contents. Energy drinks contain high amounts of caffeine, sugar, and other additives that can stimulate the body. They can cause irritability, anxiety, insomnia and can increase heart rate, blood pressure and respiratory rate. Aim of this research was to study consumption of energy drinks among medical university students in Kazakhstan.

Methods: Cross-sectional study was conducted. A web-based questionnaire was used to collect information. Students enrolled in various courses at the medical university, including interns and residents, were invited to participate. A total of 764 respondents took part in the survey.

Results: Among the trainees, 41.4 % had consumed caffeinated energy drinks in the past six months, and at the time of the survey, 16.2 % of the respondents had consumed these drinks. Respondents who do not drink alcohol are 3 times (p<0.001) more likely not to use energy drinks compared to those who drink alcohol. Those who do not exercise are 4.7 times (p<0.001) more likely not to consume energy drinks compared to active athletes. Participants who had not consumed caffeinated energy drinks in the past six months were 1.8 times (p<0.001) more likely not to consume energy drinks compared to those who drank them.

Conclusions: Consumption of energy drinks by students can temporarily increase physical and mental performance, improve mood and raise energy levels, while at the same time, they also come with serious health risks. Therefore, educating students about the potential risks and the importance of a healthy lifestyle is essential.

Background: Motorcyclists constitute the highest proportion of victims of road traffic accidents. Riding a motorcycle without a license in teenagers is one of the accident-causing behaviors. Therefore, the current study was conducted with the aim of qualitatively investigating the obstacles and underlying factors of utilizing a motorcycle without a license among adolescent boys in Iran.

Methodology: The present research qualitative research employed the grounded theory approach. The study population of the current research included all teenagers aged 10-18 years old in Farsan City of Chaharmahal and Bakhtiari province in 2023. The sample size was 14 obtained on the principle of data saturation using the purposeful sampling method. Interviews with participants using a semi-structured questionnaire were conducted. For data coding, MAXQDA 2022 software was used, and data analysis was done with open, axial, and selective coding methods.

Results: The lowest age at the first experience riding a motorcycle was 10 years old. Most of the cases had their first experience of riding a motorcycle at the age of 14 years. By achieving theoretical saturation in the interviews, 51 open codes were identified, and our qualitative data analyses resulted in 7 obstacles to unlicensed motorcycling in 4 categories. "Traffic rules and the desire to get a license", "accidents and financial, life and insurance losses", "the existence of a suitable structure for motorcycle riding training", and "opposition of families and unavailability of motorcycles". Also, regarding the 15 factors underlying driving a motorcycle without a license, 7 categories, "disregarding traffic rules", "inappropriate educational structure", "excitement and pleasant feeling", "spending life and free time", "enthusiasm and love" Youth", "Encouragement and support of significant others and availability of motorcycles", "Economic problems" were obtained.

Conclusions: According to the findings, the obstacles and underlying factors of riding motorcycles without a license were identified from the perspective of teenagers, by focusing on these factors and also changing or modifying the things that can be changed, the occurrence of this behavior and ultimately the resulting injuries can be reduced.

Objectives: The main objective is to study gynecological and obstetrical emergencies among adolescents admitted to the emergency room in our department.

Methods: At the Farhat Hached University Hospital in Sousse's Obstetrics and Gynecology Department, we carried out a retrospective study. Sociodemographic and clinical characteristics of adolescents who consulted over a period of 12 months were described.

Results: We recorded 78 emergencies during the study period, representing a frequency of 0.39 %. Gynecological and obstetrical emergencies in adolescents are dominated by abdominal-pelvic pain (36 %), followed by pregnancy diagnoses (16.7 %), and dysmenorrhea in 10 % of cases. Admission decisions were made in only 6.4 % of cases.

Conclusions: Advances in adolescent gynecology highlight the importance of specialized care for this population, crucial for preventive healthcare. Evaluation and management rely on recognizing clinical challenges and understanding specific issues.

Objectives: We aimed to estimate the association between depressive symptoms' trajectories during adolescence and young adulthood and sleep quality in early adulthood.

Methods: Data from 802 participants of the EPITeen study, evaluated at 13, 17 and 21 years of age, were analysed. Depressive symptoms were assessed using the Beck Depression Inventory-II and three trajectory classes from adolescence to adulthood were previously identified (High, Moderate, Low). The prevalences of poor sleep quality, overall (score>5) and in its specific dimensions: subjective sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbance, use of sleep drugs and daytime dysfunction (score≥2), at 21 years of age were evaluated using the Pittsburgh Sleep Quality Index. Associations were estimated using adjusted odds ratio (OR) and the respective 95 % confidence intervals (CI).

Results: At 21 years of age, 29.8 % young adults presented poor sleep quality, which was significantly different between those in the Low and High depressive trajectories (14.3 and 53.1 %, respectively, p<0.001). Compared with participants in the Low trajectory, those in the High trajectory were more likely to present poorer sleep quality at 21 years of age (OR=6.34 95 % CI: 3.94-10.21), particularly worse levels of sleep disturbance (OR=5.89 95 % CI: 2.84-12.21), daytime dysfunction (OR=7.63 95 % CI: 3.63-16.06) and subjective sleep quality (OR=6.61 95 % CI: 3.69-11.85).

Conclusions: Poor sleep quality in early adulthood was more frequent among individuals who had high levels of depressive symptoms since adolescence. Monitoring depression until adulthood may help to identify those at higher risk of sleep problems which, in turn, can lead to worse health outcomes over time.

Objectives: This qualitative study explored perceptions of anemia prevention among adolescent girls from low- to mid-socioeconomic backgrounds to identify educational needs for effective intervention.

Methods: This qualitative study employed focus group discussions (FGDs) for data collection. Participants were recruited through purposive sampling based on specific criteria, with each FGD comprising 7-9 participants. A total of 3 FGDs were conducted, involving 23 high school female students. The discussions, guided by an interview guide, took place in classrooms at two different schools. Verbatim transcripts were created from the FGD recordings and analyzed using a thematic analysis approach.

Results: The study revealed several information gaps, including an incomplete understanding of anemia, prevention strategies, and its consequences. Comprehensive knowledge about the causes and effects of anemia, along with the importance of iron supplementation, was identified as essential educational needs for adolescent girls. Support from family members and teachers was deemed crucial during the implementation of anemia prevention strategies. The participants recognized anemia as a serious health issue and emphasized the importance of prevention.

Conclusions: Key aspects of anemia prevention need to be integrated into nutrition education programs for adolescents. Addressing these information gaps can enhance the promotion of anemia prevention strategies and improve adherence among adolescents.

Objectives: The tobacco epidemic is more than just a health concern. It is a socioeconomic one with far-reaching effects. Smoking being the most common mode of tobacco use worldwide, has an impact on human life and well-being. Hence, this study aimed to seek the knowledge and awareness of adolescents about e-cigarettes and spread awareness about the harmful effects of vapig so as to reduce the ongoing rise in cigarette consumption among these individuals.

Methods: A questionnaire-based cross-sectional survey was conducted among 100 teenage children of urban schools in Delhi NCR of age group 14-17 years which collected information on teenage vaping practices, views about vaping, and their accessibility to vaping items. The data were analyzed using the Statistical Program for Social Sciences - SPSS version 25 through frequency and percent, graphs, Bar chart and Chi-squared test.

Results: A total 100 participants took part in the survey out of which of 59 were males and 41 were females. A significant proportion of the participants (94 %) possessed knowledge of e-cigarettes, and 14 % had actually used them at some point. Most of the participants were aware of the disposable variety of e-cigarettes and most of them thought that e-cigarettes were less addictive.

Conclusions: A significant portion of educated young adults who have never vaped are susceptible to using e-cigarettes in the future. It is also discovered that e-cigarettes are still available and being promoted in spite of the restrictions. In addition to good health education for minors, more stringent enforcement of current rules and monitoring could help prevent larger uptake in the future.

Objectives: Health education programmes that utilizes multicomponent classroom teaching strategies have the potential to enhance knowledge, attitudes, and actions of adolescents concerning health risk behaviors (HRBs). This study assessed the effect of a school-based context-specific health education intervention (CsHEI) on knowledge of HRBs among in-school adolescents in public- and private-owned secondary schools in Nigeria.

Methods: In-school adolescents were recruited into this quasi-experimental study using stratified random sampling from secondary schools in Ile-Ife, Osun-State, Nigeria. Knowledge of HRBs was assessed pre- and post-implementation of a CsHEI. The intervention was a four-week instructor-led health education class on HRBs, delivered over a 2-h class activity per week. Data was summarized using descriptive statistics as well as Inferential statistics.

Results: With a mean age of 14.9 ± 1.56 years, a total of 145 females (54.3 %) and 122 males (45.7 %) participated in this study. Over 70 % of the participants had good knowledge of HRBs prior to the intervention with the pre-test mean general knowledge of HRB (t=-3.13, p=0.002) and knowledge of personal safety (t=-2.99, p=0.003) being significantly lower between students in public-schools compared to their private-school counterparts. Post-intervention, a significant improvement in participants' knowledge was observed in all HRB domains with over 90 % of participants having a good knowledge of HRBs.

Conclusions: The CsHEI improved knowledge of in-school adolescents in public- and private-owned secondary schools in Osun state, Nigeria in all domains of HRBs. Integrating the CsHEI with other health behavioral change strategies can mitigate prevalence of HRBs among adolescents, thereby improving health-outcomes and well-being of adolescents.

Objectives: Polycystic Ovary Syndrome (PCOS) is a complex hormonal disorder that affects the endocrine glands and reproductive processes in adolescent girls, potentially impacting their quality of life. This study aims to compare the quality of life between adolescent girls with PCOS and those without PCOS.

Methods: The present study is an analytical cross-sectional study. It involved 12-18-year-old girls who were diagnosed with PCOS based on the Rotterdam criteria for the case group. An ordinal logistic regression model was employed to assess the impact of the studied variables on different levels of quality of life, and Odds Ratio (OR) values were determined for predictor variables.

Results: The findings of the study revealed that the control group had a significantly higher percentage of individuals with excellent quality of life (score 209-260) compared to the group with polycystic ovary syndrome (p<0.05). The results of the ordinal logistic regression analysis indicated that age variables (OR=0.64, CI 95 %; 0.44-0.93), menstrual disorders (OR=0.07, CI 95 %; 0.01-0.38), and micromastia (OR=0.03, CI 95 %; 0.004-0.34) were identified as factors influencing the quality of life of girls with polycystic ovary syndrome.

Conclusions: It was concluded that patients with PCOS had a lower quality of life score. The variables of age, menstrual disorders, and micromastia were determined as influencing factors the quality of life. The results of this study are significant and warrant further research in this area, particularly with regard to the financial resources of patients in the challenging economic circumstances facing the nation - the majority of which are brought on by economic sanctions.

Objectives: The tools to measure knowledge, attitudes, and self-efficacy related to adolescent sexual and reproductive health have been developed, but with adolescent subjects over 15 years old and with specific topics. The needs and focus of SRH education in adolescents are different from those of young adults. This study aimed to develop a valid and reliable tool to measure adolescents' knowledge, attitude, and self-efficacy regarding SRH.

Methods: A total of 100 items were developed based on a literature search, focus group discussion, and expert panel encompassing three domains: knowledge, attitude, and self-efficacy. The Adolescent Sexual and Reproductive Health - Knowledge, Attitude, and Self-Efficacy Questionnaires (ASRH-KASeQ) then underwent a validation process that included content validity, face validity, and internal consistency reliability. This study was conducted on adolescents aged 12-15 years in secondary school in Yogyakarta, Indonesia. All statistical methods were analyzed using STATA software.

Results: The average content validity (S-CVI/Ave) and face validity (S-FVI/Ave) for knowledge, attitude, and self-efficacy demonstrated good validity with scores of 0.93 and 0.94, 0.92 and 0.96, and 0.95 and 0.96, respectively. The internal consistency reliability using Cronbach's alpha for the knowledge, attitude, and self-efficacy domains exceeded 0.6, with results of 0.7, 0.81, and 0.89, which were considered acceptable.

Conclusions: The final set of ASRH-KASeQ consisted of 100 items measuring knowledge (40 items), attitude (30 items), and self-efficacy (30 items) of adolescents SRH. ASRH-KASeQ was shown to be a reliable and valid tool for Indonesian adolescents, especially those aged 12-15 years.

Objectives: Adolescent suicide is a significant global public health concern. Although numerous studies have investigated factors that influence the risk of suicide among adolescents around the world, limited data are available in the Malaysian context, especially among the diverse ethnic communities of Sarawak. This study aimed to determine the factors associated with the risk of suicide among adolescents in Sarawak, Malaysia.

Methods: A community-based cross-sectional study was conducted among 1,344 adolescents in Sarawak using face-to-face interviews. Hierarchical binary logistic regression analysis was performed to identify factors that determine the risk of suicide among adolescents.

Results: Two predictive models were constructed. Both models revealed that being female (OR=1.578, 95 % CI: 1.191, 2.092, p=0.001), having Malay ethnicity (OR=1.733, 95 % CI: 1.236, 2.429, p=0.001) and having a disease significantly increased the risk of suicide (OR=1.895, 95 % CI: 1.221, 2.942, p=0.004). In particular, Model 2, which showed a better fit, found that occasional religious practice (OR=1.610, 95 % CI: 1.126, 2.303, p=0.009), poor parental relationships (OR=1.739, 95 % CI: 1.035, 2.922, p=0.037) and higher addiction (OR=1.015, 95 % CI: 1.008, 1.022, p=0.001), depression (OR=1.919, 95 % CI: 1.241, 2.968, p=0.003), and stress (OR=2.707, 95 % CI: 1.689, 4.340, p=0.001) scores were significantly associated with an increased risk of suicide.

Conclusions: This study sheds light on multiple factors that contribute to the risk of suicide among adolescents in Sarawak. These findings underscore the importance of holistic prevention strategies, including psychological and social dimensions, to mitigate the risk of suicide in this population. Further research is warranted to understand the complex interplay of these factors and guide the development of targeted interventions.