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Perceptions of Long-Acting Reversible Contraception and Reproductive Health Counseling Among Adolescents and Young Adults With Chronic Medical Conditions: A Qualitative Study 慢性疾病青少年对长效可逆避孕和生殖健康咨询的认知:一项定性研究
IF 7.6 2区 医学 Q1 PEDIATRICS Pub Date : 2026-03-16 DOI: 10.1016/j.jadohealth.2026.01.009
Claudia Borzutzky M.D., Caitlin Sayegh Ph.D., Jessica Rocha M.A., Emily M. Johnson M.P.H., Emmy Jin M.D. M.P.H., Nichole Hinesley M.P.H., Diana Nielsen M.D., Ellen Iverson M.P.H.
To explore attitudes towards and perceived barriers to long-acting reversible contraceptives (LARCs) as contraception options among adolescents and young adults (AYAs) with chronic medical conditions (CMCs), and their reproductive health counseling experiences with pediatric subspecialty providers.
探讨慢性疾病(cmc)青少年和青壮年(AYAs)对长效可逆避孕药(LARCs)的态度和感知障碍,以及他们与儿科专科医生的生殖健康咨询经验。
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引用次数: 0
Addressing Antiretroviral Therapy Nonadherence for Youth With HIV via a Technology-Enhanced Community Nursing Intervention: Primary Results From the TECH2CHECK Randomized Trial 通过技术增强的社区护理干预解决青少年艾滋病毒感染者抗逆转录病毒治疗不依从问题:来自TECH2CHECK随机试验的主要结果
IF 7.6 2区 医学 Q1 PEDIATRICS Pub Date : 2026-03-14 DOI: 10.1016/j.jadohealth.2026.01.010
Allison Agwu, Elise Tirza Ohene-Kyei, Jamie Perin, Raina Smith, Jeanette Marchesi, Amanda Haines, Ashle Barfield, Julia Rowell, Kevon-Mark Jackman, Hasiya Yusuf, Jackie Toppins, Betty Johnson, Steven Huettner, Todd Fojo, Manaunk Shah, Lawrence D'Angelo, Mobeen Rathore, Maria Trent
PURPOSEAdherence to antiretroviral treatment (ART) among youth with HIV (YHIV) is critical for viral suppression (VS) and optimal outcomes. Many YHIV face barriers to engaging in standard-of-care (SOC) clinic-based interactions, compromising adherence.METHODSTECH2CHECK was a randomized controlled trial of a technology-enhanced community health nursing (CHN) intervention designed to address ART adherence versus SOC (#NCT03600103) conducted 2018-2024 in youth-serving HIV clinics in high-burden locales (Baltimore, Maryland, Washington DC, Jacksonville, Florida). Eligible participants, YHIV 12-25 years, prescribed ART, with viral load > 20 copies/ml, were randomized to CHN versus SOC. The intervention involved five unincentivized CHN visits over 24 weeks addressing adherence barriers, drawing monitor labs, and triage for urgent care needs, supplemented by the eMocha smartphone application with customized care reminders, adherence questions, and video upload for directly observed ART. The primary outcome was VS at 6, 12, and 18 months. Generalized linear mixed models with logistic regression analyses were performed to compare group differences in the proportions of subjects with VS at 6, 12, and 18 months postrandomization.RESULTSSeventy six YHIV were randomized (38 CHN, 38 SOC) across three sites; 64% male, 66% nonperinatal, 92% Black, median age 23.0 years. The median VL at enrollment was 119 copies/ml (interquartile range 34-2907); 26% had not been engaged in clinical care in >6 months. Per-protocol study visit completion rates were 77%, 94%, 95%, 96%, and 100% at the 1, 3, 6, 12, and 18-month visits, respectively. Completion rates for the unincentivized CHN visits were 77% (2 weeks), 78% (6 weeks), 81% (10 weeks), 95% (14 weeks), and 91% (26 weeks). Viral suppression tended to be higher in the intervention versus SOC at 6 (57% vs. 38%), 12 (43% vs. 30%), and 18 (75% vs. 33%) months postrandomization, although these differences were not statistically significant.DISCUSSIONTECH2CHECK demonstrated high feasibility, visit completion rates, including unincentivized CHN visits, and high VS rates, though the latter must be interpreted with caution as it was not statistically significant. This alternate paradigm of care may benefit YHIV who are at-risk for adverse outcomes.
目的:青年HIV感染者坚持抗逆转录病毒治疗(ART)对病毒抑制(VS)和最佳结果至关重要。许多艾滋病毒感染者在参与基于临床的标准护理(SOC)互动方面面临障碍,从而影响了依从性。方法:stech2check是一项随机对照试验,旨在解决ART依从性与SOC (#NCT03600103)的技术增强社区卫生护理(CHN)干预,于2018-2024年在高负担地区(马里兰州巴尔的摩、华盛顿特区、佛罗里达州杰克逊维尔)的青年HIV诊所进行。符合条件的参与者,艾滋病毒12-25岁,处方ART,病毒载量bbb20拷贝/ml,随机分为CHN组和SOC组。干预包括在24周内进行5次无激励的CHN访问,以解决依从性障碍,绘制监测实验室,并为紧急护理需求进行分诊,辅以eMocha智能手机应用程序,该应用程序具有定制的护理提醒,依从性问题和直接观察ART的视频上传。6个月、12个月和18个月时的主要终点是VS。采用广义线性混合模型和逻辑回归分析比较随机化后6、12和18个月VS受试者比例的组间差异。结果在3个地点随机抽取76例YHIV(38例CHN, 38例SOC);64%男性,66%非围产期,92%黑人,中位年龄23.0岁。入组时的中位VL为119拷贝/毫升(四分位数范围34-2907);26%的患者在6个月内未从事临床护理。在第1、3、6、12和18个月的访问中,每个方案的研究访问完成率分别为77%、94%、95%、96%和100%。非激励CHN访问的完成率分别为77%(2周)、78%(6周)、81%(10周)、95%(14周)和91%(26周)。在随机化后6个月(57%对38%)、12个月(43%对30%)和18个月(75%对33%)时,干预组的病毒抑制倾向于高于SOC,尽管这些差异没有统计学意义。DISCUSSIONTECH2CHECK显示了高可行性、访问完成率(包括非激励的CHN访问)和高VS率,尽管后者必须谨慎解释,因为它没有统计学意义。这种替代的护理模式可能使有不良后果风险的艾滋病毒感染者受益。
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引用次数: 0
Outcomes of an Opt-Out Chlamydia Testing Program Across 21 Northern California Pediatric Clinics 选择退出衣原体检测项目在21个北加州儿科诊所的结果
IF 7.6 2区 医学 Q1 PEDIATRICS Pub Date : 2026-03-14 DOI: 10.1016/j.jadohealth.2026.01.022
Adam Carl Sukhija-Cohen, Amandeep Kaur Grewal, Jane Vu, Pragati Kenkare, Alger Baldwin Chapman, Stephanie Che-Wei Chiang, Vanessa Marie Horn, Sarina Kumari Behera
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引用次数: 0
The Impact of Motivational Factors on Dietary Behaviors in Parent-Adolescent Dyads: The Moderating Role of Family Meal Structure in the FLASHE Study 动机因素对亲子双元饮食行为的影响:家庭膳食结构在flash研究中的调节作用
IF 7.6 2区 医学 Q1 PEDIATRICS Pub Date : 2026-03-14 DOI: 10.1016/j.jadohealth.2026.01.016
Lijie Niu, Nouf Alhomaidhi, Kim Reynolds, Bin Xie
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引用次数: 0
Flourishing in Early Adulthood Among Victimized Children: A Longitudinal Cohort Study 受害儿童成年早期的繁荣:一项纵向队列研究
IF 7.6 2区 医学 Q1 PEDIATRICS Pub Date : 2026-03-14 DOI: 10.1016/j.jadohealth.2026.02.010
Flora Blangis, Louise Arseneault, Andrea Danese, Rachel M. Latham, Terrie E. Moffitt, Stefan Sprinckmoller, Yichang Wang, J. Kathy Xie, Helen L. Fisher
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引用次数: 0
Sleeping Less Than Usual is Associated With Greater Daily Depression and Higher Reactivity to Negative Interpersonal Events Among Suicidal Adolescents 在有自杀倾向的青少年中,睡眠少于平时与更大的日常抑郁和对负面人际事件的更高反应有关
IF 7.6 2区 医学 Q1 PEDIATRICS Pub Date : 2026-03-14 DOI: 10.1016/j.jadohealth.2026.02.009
Delainey L. Wescott, Tina R. Goldstein, Joud Hijazi, Dawn Rice, Noelle Rode, Kim Poling, Jamie Zelazny, David Brent, Peter L. Franzen
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引用次数: 0
Adolescent and Young Adult Period Poverty: A Systematic Review 青少年和青年时期贫困:系统回顾
IF 7.6 2区 医学 Q1 PEDIATRICS Pub Date : 2026-03-14 DOI: 10.1016/j.jadohealth.2026.01.024
Julie G. Samuels, Chana Liberow, Elizabeth M. Alderman, Michael D. Cabana
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引用次数: 0
Association Between Perceived Parent Attitudes and Teen Cannabis and Alcohol Use 感知父母态度与青少年大麻和酒精使用之间的关系
IF 7.6 2区 医学 Q1 PEDIATRICS Pub Date : 2026-03-14 DOI: 10.1016/j.jadohealth.2026.01.017
Emily Nields, Machiko Minegishi, Melissa Brogna, Elissa R. Weitzman, Sharon Levy
PURPOSETo evaluate the association between teen substance use and neutral or conflicting messages from parents.METHODSSecondary analysis using multivariable generalized linear mixed-effect logit models examining associations between middle and high school students self-reported past-year alcohol/cannabis use and parental attitudes.RESULTSOf 4,802 participants (mean age 13.6 years, 48.9% female, 63.8% White, 86.9% non-Hispanic) most reported parental disapproval of teen alcohol (78.3%) and cannabis (80.5%) use. Participants who reported neutral or conflicting parental attitudes were more likely to report past-year alcohol (adjusted odds ratio: 3.35, 95% confidence interval: 2.81-4.00, p < .0001) or cannabis (adjusted odds ratio: 4.23, 95% confidence interval: 3.37-5.31, p < .0001) use. There was no difference in the odds of past-year substance use between those who reported parental "approval" of teen alcohol/cannabis use versus "disagree/have differing perspectives" or "neutral/don't care".DISCUSSIONNeutral or conflicting parental attitudes toward teen substance use appear to have similar impact on teen behavior as frank approval.
目的评价青少年药物使用与父母中性或矛盾信息之间的关系。方法采用多变量广义线性混合效应logit模型进行二次分析,考察初高中学生自述过去一年的酒精/大麻使用情况与父母态度之间的关系。结果在4802名参与者(平均年龄13.6岁,48.9%女性,63.8%白人,86.9%非西班牙裔)中,大多数报告父母不赞成青少年饮酒(78.3%)和使用大麻(80.5%)。报告父母态度中立或冲突的参与者更有可能报告过去一年的酒精(调整优势比:3.35,95%置信区间:2.81-4.00,p < 0.0001)或大麻(调整优势比:4.23,95%置信区间:3.37-5.31,p < 0.0001)使用情况。那些报告父母“批准”青少年使用酒精/大麻的人与“不同意/有不同观点”或“中立/不在乎”的人在过去一年中使用药物的几率没有差异。讨论父母对青少年药物使用的中立或矛盾的态度似乎与坦率的认可对青少年行为的影响相似。
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引用次数: 0
Learning to Stay 学会留下来
IF 7.6 2区 医学 Q1 PEDIATRICS Pub Date : 2026-03-14 DOI: 10.1016/j.jadohealth.2026.01.013
Abi Fa'izzarahman Prabawa, Eni Rindi Antika
{"title":"Learning to Stay","authors":"Abi Fa'izzarahman Prabawa, Eni Rindi Antika","doi":"10.1016/j.jadohealth.2026.01.013","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.01.013","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"12 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147448372","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}
引用次数: 0
Urban-Rural Variation in the Efficacy of a Mobile Health Anxiety Treatment for Young Adults: Secondary Analysis of a Randomized Clinical Trial 青少年流动健康焦虑治疗效果的城乡差异:一项随机临床试验的二次分析
IF 7.6 2区 医学 Q1 PEDIATRICS Pub Date : 2026-03-14 DOI: 10.1016/j.jadohealth.2026.02.008
Jeremy Mennis, J. Douglas Coatsworth, Aaron Brown, Nikola Zaharakis, Michael Russell, Michael J. Mason
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引用次数: 0
期刊
Journal of Adolescent Health
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