Journal of Adolescent Health最新文献

英文中文

Disrupting Cascades of Co-occurring Mental Health and Substance Use Problems With Social Support 破坏与社会支持共同发生的精神健康和物质使用问题的级联

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2025-12-05 DOI: 10.1016/j.jadohealth.2025.09.005

Caroline M. Barry Ph.D., M.P.H.

引用次数: 0

More Community Safety and Interpersonal Security are Linked to More Adolescent Sleep 更多的社区安全和人际安全与更多的青少年睡眠有关

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2025-12-05 DOI: 10.1016/j.jadohealth.2025.09.023

Heather E. Gunn Ph.D., Emily L. Ewing M.A., L.C. Heddinghaus

引用次数: 0

Parental Misperceptions, Communication, and Parent-Child Relational Factors: A Matched Parent-Child Study on Youth Vaping 父母误解、沟通与亲子关系因素：青少年电子烟的亲子配对研究。

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2025-12-05 DOI: 10.1016/j.jadohealth.2025.09.027

Sherri Jean Katz Ph.D. , Ashley Petersen Ph.D. , Hanjie Liu , Elisia Cohen Ph.D. , Dorothy Hatsukami Ph.D.

Purpose

While efforts have been made to reduce youth vaping rates through regulation, public health, and school initiatives, it is important to focus on the role of parents in vaping prevention.

Methods

A US national, matched parent-child survey with 1,792 middle school youth and their parents was conducted to determine whether child age and gender, parental smoking and/or vaping, and parent-child relational factors, including parenting style and experience communicating and difficulty communicating about vaping, are associated with the odds of parental misperceptions of whether their own child knows and is curious about vaping and has tried vaping and currently vapes.

Results

Parents with higher communication difficulty had higher odds of misperceiving whether their child tried vaping [odds ratio {OR}: 1.17 (confidence interval {CI}: 1.05–1.30)] and their child was more likely to have tried vaping [OR: 1.52 (CI: 1.39–1.66)] and vaped in the past 30 days [OR: 1.60 (CI: 1.43–1.78)]. Experience communicating about vaping was associated with lower parental misperceptions about their child's vaping knowledge [OR: 0.82 (CI: 0.75–0.90)] and a higher likelihood the child has tried [OR: 1.28 (CI: 1.13–1.45)] and currently vapes [OR: 1.21 (CI: 1.04–1.44)]. An authoritative parenting style was associated with a lower likelihood of parental misperceptions about their child's knowledge [OR: 0.64 (CI: 0.53–0.77)], curiosity [OR: 0.70 (CI: 0.58–0.83)], and use [OR: 0.72 (CI: 0.57–0.93)], while an authoritarian parenting style was associated with a higher likelihood the child currently vapes [OR: 1.32 (CI: 1.03–1.69)]. Parents who smoked and vaped (compared to those who did not) were more likely to have misperceptions about their child's curiosity [OR: 1.44 (CI: 1.13–1.84)] and use [OR: 2.45 (CI: 1.71–3.55)] and more likely to have a child who has tried vaping [OR: 3.73 (CI: 2.74–5.11)] and currently vapes [OR: 5.95 (CI: 3.79–9.68)].

Discussion

Strategies to facilitate parent-child communication about vaping and reduce parental use of tobacco/nicotine products may lower parental misperceptions and decrease the likelihood of youth vaping.

目的：虽然已经通过监管、公共卫生和学校倡议努力降低青少年吸电子烟率，但重要的是要关注父母在预防吸电子烟方面的作用。方法：对美国1792名中学生和他们的父母进行了一项全国性的配对亲子调查，以确定孩子的年龄和性别、父母吸烟和/或吸电子烟，以及亲子关系因素，包括父母的方式、沟通经验和沟通困难，是否与父母对自己的孩子是否知道和好奇、是否尝试过吸电子烟以及目前正在吸电子烟的误解有关。结果：沟通困难程度越高的家长对孩子是否尝试过电子烟有较高的误解[比值比{OR}: 1.17（可信区间{CI}: 1.05-1.30）]，且孩子在过去30天内尝试过电子烟[OR: 1.52 (CI: 1.39-1.66)]和吸过电子烟[OR: 1.60 (CI: 1.43-1.78)]的可能性越大。与父母沟通有关电子烟的经验与父母对孩子电子烟知识的误解较低相关[OR: 0.82 (CI: 0.75-0.90)]，并且孩子尝试过[OR: 1.28 (CI: 1.13-1.45)]和目前正在吸电子烟的可能性较高[OR: 1.21 (CI: 1.04-1.44)]。权威型的父母方式与父母对孩子的知识（OR: 0.64 (CI: 0.53-0.77)）、好奇心（OR: 0.70 (CI: 0.58-0.83)）和使用（OR: 0.72 (CI: 0.57-0.93)）的误解的可能性较低相关，而权威型的父母方式与孩子目前吸烟的可能性较高相关[OR: 1.32 (CI: 1.03-1.69)]。吸烟和吸电子烟的父母（与不吸烟的父母相比）更有可能对孩子的好奇心[OR: 1.44 (CI: 1.13-1.84)]和使用[OR: 2.45 (CI: 1.71-3.55)]产生误解，更有可能让孩子尝试过吸电子烟[OR: 3.73 (CI: 2.74-5.11)]和目前正在吸电子烟[OR: 5.95 (CI: 3.79-9.68)]。讨论：促进关于电子烟的亲子沟通和减少父母使用烟草/尼古丁产品的策略可以降低父母的误解，降低青少年吸电子烟的可能性。

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引用次数: 0

Studying Youth Well-Being Through Minecraft Digital Construction: A Visual and Thematic Study 通过《我的世界》数字建设研究青少年福祉：一项视觉和主题研究。

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2025-11-21 DOI: 10.1016/j.jadohealth.2025.09.028

L. Cousin Cabrolier Ph.D. , L. Duconget Ph.D. , P. Martin Ph.D. , C. Collin , C. Eyraud , T. Contant , C. Alberti M.D., Ph.D. , B. Berthier M.Sc. , E. Le Roux Ph.D.

Purpose

To study adolescent gamers' representations of well-being using a Minecraft construction challenge as an innovative research tool.

Methods

A total of 12 participants recruited through a French streaming community created their ideal well-being spaces in Minecraft. A mixed-methods approach combining visual analysis of constructions and thematic analysis of presentations and chat interactions was conducted using the UN H6+ framework's five domains of adolescent well-being.

Results

Social connectedness and healthy lifestyle emerged as dominant domains in participants' representations of well-being (among 7 of 12 constructions), manifesting through communal spaces and health-promoting environments in most constructions. Learning and safety domains were moderately represented (respectively four and three constructions), while agency elements were minimal, limited to personal space customization.

Discussion

The findings highlight both a methodological contribution, demonstrating the potential of digital games for research on youth, and an empirical insight into how young gamers prioritize social and physical dimensions of well-being, challenging gaming stereotypes.

目的：利用《我的世界》构建挑战作为创新研究工具，研究青少年游戏玩家的幸福感表征。方法：通过法国流媒体社区招募的总共12名参与者在《我的世界》中创建了他们理想的幸福空间。使用联合国H6+框架的青少年福祉的五个领域，采用了一种混合方法，结合了结构的视觉分析、演示文稿的主题分析和聊天互动。结果：社会联系和健康的生活方式成为参与者幸福感表征的主导领域（在12个结构中的7个中），在大多数结构中通过公共空间和促进健康的环境表现出来。学习和安全领域被适度地代表（分别为四个和三个结构），而代理元素是最小的，仅限于个人空间定制。讨论：研究结果强调了方法上的贡献，展示了数字游戏在青少年研究中的潜力，以及对年轻玩家如何优先考虑幸福的社交和身体维度，挑战游戏刻板印象的经验见解。

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引用次数: 0

From Silence to Action: An Ethical Framework for Confronting the Medicalization of Female Genital Mutilation 从沉默到行动：面对女性生殖器切割医学化的伦理框架

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2025-11-21 DOI: 10.1016/j.jadohealth.2025.10.015

Yang Cao M.D. , Shiman Xie M.P.H. , Guochao Zhang M.D. , Yan Wang M.D. , Xuefei Wang M.D. , Hang Yi M.D.

引用次数: 0

Risks Associated With Sexual Orientation Change Efforts on Youth: A European Cross-National Study 改变青少年性取向的风险：一项欧洲跨国研究

IF 7.6 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2025-11-21 DOI: 10.1016/j.jadohealth.2025.10.004

Sara Costa, Giulia Graziano, Stephen T. Russell, Salvatore Ioverno

PURPOSESexual orientation change efforts (SOCE) are harmful practices linked to adverse mental health outcomes among sexual minority (SM) individuals. We investigated the associations between (1) sociodemographic factors and exposure to SOCE; (2) SOCE experiences and the risk for depression, anxiety, and suicidality; (3) SOCE characteristics-recency, frequency, and the person responsible-and mental health outcomes.METHODSData were collected from 11,642 SM adolescents across 12 European countries via an online survey between 2020 and 2022. Depression, anxiety, and suicidality symptoms were assessed using the Patient Health Questionnaire-2, the Generalized Anxiety Disorder-2, and the Suicide Behaviors Questionnaire-Revised, respectively.RESULTSAbout 10% of the sample reported experiencing SOCE, with higher prevalence among younger and immigrant participants, and those from religious families. SOCE were associated with higher levels of anxiety, depression, and suicidality. More SOCE experiences were associated with higher anxiety (β = 0.11, p < .05, CI: 0.02-0.20) and suicidality (β = 0.32, p < .01, CI: 0.10-0.54), whereas recent SOCE was associated with higher anxiety (β = 0.09, p < .05, CI: 0.01-0.17) and multiple practitioners with higher depression (β = 0.55, p < .01, CI: 0.18-0.92). Over half of participants who experienced SOCE 2 years prior were at high risk of adverse mental health outcomes, with younger age, recency, number of SOCE, family-initiated SOCE, and multiple practitioners associated with higher risks.DISCUSSIONThe findings support the need for policies and interventions to prevent SOCE and address their harmful effects on SM youth.

目的性取向改变努力（SOCE）是与性少数（SM）个体不良心理健康结果相关的有害做法。我们调查了(1)社会人口因素与暴露于SOCE之间的关系；(2) SOCE经历与抑郁、焦虑和自杀风险的关系；(3) SOCE特征——发生频率、频率和责任人——与心理健康结果的关系。方法通过2020年至2022年的在线调查，收集了来自12个欧洲国家的11,642名SM青少年的数据。分别使用患者健康问卷-2、广泛性焦虑障碍问卷-2和自杀行为问卷-修订版对抑郁、焦虑和自杀症状进行评估。结果大约10%的样本报告经历过SOCE，在年轻人和移民参与者以及来自宗教家庭的参与者中患病率更高。SOCE与较高水平的焦虑、抑郁和自杀倾向有关。更多的SOCE经历与更高的焦虑（β = 0.11, p < 0.05, CI: 0.02-0.20）和自杀（β = 0.32, p < 0.01, CI: 0.10-0.54）相关，而最近的SOCE经历与更高的焦虑（β = 0.09, p < 0.05, CI: 0.01-0.17）和多重从业人员有更高的抑郁（β = 0.55, p < 0.01, CI: 0.18-0.92）相关。在2年前经历过SOCE的参与者中，超过一半的人有较高的不良心理健康结果风险，年龄较小、最近发生、SOCE次数、家庭发起的SOCE以及多名从业者与较高的风险相关。讨论：研究结果支持制定政策和干预措施的必要性，以预防SOCE，并解决其对SM青年的有害影响。

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引用次数: 0

PrEP Delivery for US Adolescents and Young Adults: A Systematic Review and Narrative Synthesis 美国青少年和年轻人的PrEP交付：系统回顾和叙事综合

IF 7.6 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2025-11-21 DOI: 10.1016/j.jadohealth.2025.10.017

India Willis, Camille Bundy, Natasha Crooks, Randi B. Singer, Sabrina Figueiredo

Despite proven efficacy in preventing human immunodeficiency virus (HIV) transmission, pre-exposure prophylaxis (PrEP) remains underutilized among adolescents and young adults (AYA) in the United States (US). This systematic review and narrative synthesis examined approaches for delivering PrEP to AYA aged 12-24 years. A comprehensive search of four major databases identified 10 studies meeting the predefined inclusion criteria. Across studies, successful implementation approaches were often multimodal, integrating technology, provider support, and personalized navigation. Technology-enhanced delivery strategies, particularly those using interactive messaging, were associated with improved PrEP adherence and clinic engagement, while provider-focused interventions that integrated clinical decision support systems within workflows facilitated PrEP prescribing. Personalized navigation services were consistently identified as valuable for improving engagement among marginalized AYA. The literature also revealed ongoing implementation gaps, indicating a need for coordinated, multi-level strategies to address the barriers AYA face.

尽管在预防人类免疫缺陷病毒（HIV）传播方面已被证明有效，但暴露前预防（PrEP）在美国青少年和年轻人（AYA）中仍未得到充分利用。本系统综述和叙述综合研究了为12-24岁青少年提供PrEP的方法。对四个主要数据库进行全面检索，确定了10项符合预定义纳入标准的研究。在研究中，成功的实现方法通常是多模式的，集成了技术、提供者支持和个性化导航。技术增强的交付策略，特别是那些使用交互式信息传递的策略，与提高PrEP依从性和临床参与有关，而将临床决策支持系统整合到工作流程中的以提供者为中心的干预措施促进了PrEP处方。个性化导航服务一直被认为对提高边缘化的AYA的参与度很有价值。文献还揭示了正在进行的实施差距，表明需要协调，多层次的战略来解决AYA面临的障碍。

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引用次数: 0

Adolescents or “Imposters”? 青少年还是“骗子”？

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2025-11-21 DOI: 10.1016/j.jadohealth.2025.10.013

Angie Pitt M.Sc. , G. James Rubin Ph.D. , Louise E. Smith Ph.D.

引用次数: 0

Susceptibility to E-Cigarette and Cigarette Use Among U.S. Adolescents 美国青少年对电子烟和香烟使用的易感性。

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2025-11-21 DOI: 10.1016/j.jadohealth.2025.10.009

Jiani Zhang M.S. , Neal L. Benowitz M.D. , Hongying Daisy Dai Ph.D.

Purpose

This study aimed to assess the risk and protective factors associated with susceptibility to e-cigarette and cigarette use among U.S. adolescents.

Methods

Data were obtained from the Adolescent Brain Cognitive Development study at year 3 follow-up (2019–2021; ages 12–13 years). Susceptibility to tobacco use was based on self-reported curiosity and willingness to try e-cigarettes and cigarettes. Participants were grouped into four distinct categories: not susceptible, susceptible to e-cigarettes only, cigarettes only, or both. Multinomial logistic regression examined associations between susceptibility and demographics, impulsivity, parental substance use, environment, and psychosocial factors.

Results

Among 9,326 adolescents (mean age = 154.9 months), 7,232 were not susceptible (weighted 76.8%), whereas 526 (6.1%) were susceptible to e-cigarettes only, 566 (6.1%) to cigarettes only, and 1,002 (11.0%) to both. Susceptibility to e-cigarette-only and dual use was associated with being older (closer to age 13 years), female, and having a history of substance use. Impulsivity traits, particularly negative urgency and sensation seeking, were linked to susceptibility across both products, whereas positive urgency and lack of perseverance were more strongly associated with e-cigarette-only and dual use. Protective factors across all susceptibility groups included higher levels of parental monitoring and a supportive school environment. In addition, parental use of other drugs and youth psychopathology were specifically linked to e-cigarette susceptibility, whereas a more favorable perceived neighborhood environment was protective against cigarette susceptibility.

Discussion

Findings emphasize the importance of psychosocial, environmental, and parental factors in adolescent tobacco susceptibility. Prevention should address impulsivity-related risk factors, improve parental involvement, and strengthen school and community interventions.

目的：本研究旨在评估美国青少年对电子烟和香烟使用易感性的风险和保护因素。方法：数据来自第三年随访（2019-2021年，12-13岁）的青少年大脑认知发展研究。对烟草使用的易感性是基于自我报告的好奇心和尝试电子烟和香烟的意愿。参与者被分为四个不同的类别：不受电子烟影响、只受电子烟影响、只受香烟影响或两者兼而有之。多项逻辑回归检验了易感性与人口统计学、冲动性、父母物质使用、环境和社会心理因素之间的关系。结果：在9,326名青少年（平均年龄= 154.9个月）中，7232名不易感（权重为76.8%），而526名（6.1%）仅对电子烟易感，566名（6.1%）仅对香烟易感，1002名（11.0%）对两者都易感。仅使用电子烟和双重使用电子烟的易感性与年龄较大（接近13岁）、女性和有药物使用史有关。冲动特征，尤其是消极的紧迫感和寻求感觉，与两种产品的易感性有关，而积极的紧迫感和缺乏毅力与只使用电子烟和双重使用电子烟的关系更密切。所有易感人群的保护因素包括更高水平的父母监督和支持性的学校环境。此外，父母使用其他药物和青少年精神病理与电子烟易感性特别相关，而更有利的感知邻里环境对香烟易感性有保护作用。讨论：研究结果强调了心理社会、环境和父母因素在青少年烟草易感性中的重要性。预防应解决冲动相关的风险因素，提高父母的参与，并加强学校和社区的干预。

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引用次数: 0

Philadelphia's Adolescent Vaccine Self-Consent Regulation: Provider Perspectives, Implementation Barriers, and Implications for Practice 费城青少年疫苗自我同意条例：提供者观点、实施障碍和实践意义

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2025-11-20 DOI: 10.1016/j.jadohealth.2025.10.001

Marva M. Schödel Dr.P.H., M.S., M.B.A. , Gregory D. Zimet Ph.D., M.A. , Erika R. Cheng Ph.D., M.P.A. , Mary A. Ott M.D., M.A.

Purpose

Philadelphia's adolescent self-consent regulation, adopted in 2007, permits youth aged 11–18 who are capable of informed consent to authorize immunizations that prevent reportable diseases. Despite its potential to reduce barriers and advance equity, the regulation's visibility and use remain poorly understood. This study explores healthcare provider perspectives on the awareness of the regulation, utility, and implementation challenges.

Methods

We conducted semi-structured interviews with 13 Philadelphia-based clinicians (pediatrics, family medicine, nurse practitioners, medical director; September 2024–January 2025). Interviews (45–60 minutes) were recorded, transcribed, and thematically analyzed using Braun and Clarke's six-phase approach, with reflexive memoing, peer debriefing, and an audit trail to enhance trustworthiness.

Results

Five themes emerged: (1) Limited awareness: most participants were unfamiliar with the regulation and discussed hypothetical “what if” scenarios; (2) Ethical tensions: support for adolescent autonomy was tempered by concerns about parental trust and ongoing relationships; (3) Institutional barriers: electronic health record templates, intake protocols, and standing clinic policies defaulted to parental involvement; (4) Communication challenges: providers feared conflict and lacked scripts/training to navigate disagreements; and (5) Equity potential: participants recognized benefits for youth facing parental absence, hesitancy, or structural barriers, yet noted that current workflows rarely enable independent access.

Discussion

The regulation remains under-recognized and under-implemented due to low awareness, relational ethics concerns, and misaligned clinic systems. Actionable implementation supports, targeted dissemination, provider training, electronic health record/workflow adjustments, and clear public health guidance are needed to translate adolescent self-consent rights into equitable access and improved uptake.

目的：2007年通过的费城青少年自我同意条例允许有知情同意能力的11-18岁青年授权预防可报告疾病的免疫接种。尽管它有可能减少障碍和促进公平，但对监管的可见性和使用仍然知之甚少。本研究探讨了医疗保健提供者对监管、效用和实施挑战的认识。方法对13名费城临床医生（儿科、家庭医学、执业护士、医疗主任；2024年9月- 2025年1月）进行半结构化访谈。访谈（45-60分钟）被记录、转录，并使用Braun和Clarke的六阶段方法进行主题分析，并使用反射性备忘录、同行汇报和审计跟踪来提高可信度。结果：(1)意识有限：大多数参与者对监管不熟悉，讨论假设的“如果”情景；(2)伦理紧张：对父母信任和持续关系的担忧缓和了对青少年自主的支持；(3)制度障碍：电子病历模板、入院协议和不允许家长参与的常规诊所政策；(4)沟通挑战：供应商害怕冲突，缺乏应对分歧的脚本/培训；(5)公平潜力：与会者认识到，面对父母缺席、犹豫或结构性障碍的年轻人有好处，但指出目前的工作流程很少允许独立访问。由于意识不高、相关伦理问题和临床系统失调，该法规仍未得到充分认识和实施。需要可操作的实施支持、有针对性的传播、提供者培训、电子健康记录/工作流程调整以及明确的公共卫生指导，以将青少年的自我同意权转化为公平获取和改进吸收。

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