Pub Date : 2026-03-16DOI: 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.
{"title":"Perceptions of Long-Acting Reversible Contraception and Reproductive Health Counseling Among Adolescents and Young Adults With Chronic Medical Conditions: A Qualitative Study","authors":"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.","doi":"10.1016/j.jadohealth.2026.01.009","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.01.009","url":null,"abstract":"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.","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"130 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147465495","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}
Pub Date : 2026-03-14DOI: 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.
{"title":"Addressing Antiretroviral Therapy Nonadherence for Youth With HIV via a Technology-Enhanced Community Nursing Intervention: Primary Results From the TECH2CHECK Randomized Trial","authors":"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","doi":"10.1016/j.jadohealth.2026.01.010","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.01.010","url":null,"abstract":"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.","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"192 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147447392","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}
Pub Date : 2026-03-14DOI: 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
{"title":"Outcomes of an Opt-Out Chlamydia Testing Program Across 21 Northern California Pediatric Clinics","authors":"Adam Carl Sukhija-Cohen, Amandeep Kaur Grewal, Jane Vu, Pragati Kenkare, Alger Baldwin Chapman, Stephanie Che-Wei Chiang, Vanessa Marie Horn, Sarina Kumari Behera","doi":"10.1016/j.jadohealth.2026.01.022","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.01.022","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"52 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147447399","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}
Pub Date : 2026-03-14DOI: 10.1016/j.jadohealth.2026.01.016
Lijie Niu, Nouf Alhomaidhi, Kim Reynolds, Bin Xie
{"title":"The Impact of Motivational Factors on Dietary Behaviors in Parent-Adolescent Dyads: The Moderating Role of Family Meal Structure in the FLASHE Study","authors":"Lijie Niu, Nouf Alhomaidhi, Kim Reynolds, Bin Xie","doi":"10.1016/j.jadohealth.2026.01.016","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.01.016","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"9 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147447396","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}
Pub Date : 2026-03-14DOI: 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
{"title":"Flourishing in Early Adulthood Among Victimized Children: A Longitudinal Cohort Study","authors":"Flora Blangis, Louise Arseneault, Andrea Danese, Rachel M. Latham, Terrie E. Moffitt, Stefan Sprinckmoller, Yichang Wang, J. Kathy Xie, Helen L. Fisher","doi":"10.1016/j.jadohealth.2026.02.010","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.02.010","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"15 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147447398","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}
Pub Date : 2026-03-14DOI: 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
{"title":"Sleeping Less Than Usual is Associated With Greater Daily Depression and Higher Reactivity to Negative Interpersonal Events Among Suicidal Adolescents","authors":"Delainey L. Wescott, Tina R. Goldstein, Joud Hijazi, Dawn Rice, Noelle Rode, Kim Poling, Jamie Zelazny, David Brent, Peter L. Franzen","doi":"10.1016/j.jadohealth.2026.02.009","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.02.009","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"9 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147447401","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}
Pub Date : 2026-03-14DOI: 10.1016/j.jadohealth.2026.01.024
Julie G. Samuels, Chana Liberow, Elizabeth M. Alderman, Michael D. Cabana
{"title":"Adolescent and Young Adult Period Poverty: A Systematic Review","authors":"Julie G. Samuels, Chana Liberow, Elizabeth M. Alderman, Michael D. Cabana","doi":"10.1016/j.jadohealth.2026.01.024","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.01.024","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"57 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147447400","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}
Pub Date : 2026-03-14DOI: 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.
{"title":"Association Between Perceived Parent Attitudes and Teen Cannabis and Alcohol Use","authors":"Emily Nields, Machiko Minegishi, Melissa Brogna, Elissa R. Weitzman, Sharon Levy","doi":"10.1016/j.jadohealth.2026.01.017","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.01.017","url":null,"abstract":"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.","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"40 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147448370","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}
Pub Date : 2026-03-14DOI: 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}
Pub Date : 2026-03-14DOI: 10.1016/j.jadohealth.2026.02.008
Jeremy Mennis, J. Douglas Coatsworth, Aaron Brown, Nikola Zaharakis, Michael Russell, Michael J. Mason
{"title":"Urban-Rural Variation in the Efficacy of a Mobile Health Anxiety Treatment for Young Adults: Secondary Analysis of a Randomized Clinical Trial","authors":"Jeremy Mennis, J. Douglas Coatsworth, Aaron Brown, Nikola Zaharakis, Michael Russell, Michael J. Mason","doi":"10.1016/j.jadohealth.2026.02.008","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2026.02.008","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"9 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147448371","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}