Pub Date : 2024-09-28DOI: 10.1016/j.jadohealth.2024.08.004
Jennifer N. John , Rashi Kabra M.D., M.S.Ed. , Anne R. Cappola M.D., Sc.M.
{"title":"Counseling Adolescents About Intrauterine Device Insertional Pain in the Social Media Era: Reproductive Justice Principles","authors":"Jennifer N. John , Rashi Kabra M.D., M.S.Ed. , Anne R. Cappola M.D., Sc.M.","doi":"10.1016/j.jadohealth.2024.08.004","DOIUrl":"10.1016/j.jadohealth.2024.08.004","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 849-850"},"PeriodicalIF":5.5,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333383","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 : 2024-09-28DOI: 10.1016/j.jadohealth.2024.07.030
Elizabeth A Swedo, Kayla N Anderson, Glory Okwori, Lara DePadilla, Heather B Clayton, Andrés Villaveces, Colleen M Ray, Phyllis Holditch Niolon, Greta M Massetti
Purpose: Adverse childhood experiences (ACEs) increase the risk for poor mental health (MH) and substance use. We describe relationships between adolescents' ACEs, substance use, and poor MH occurring during the COVID-19 pandemic.
Methods: We conducted a secondary analysis of data among U.S. high school students aged <18 years, who participated in the nationally representative Adolescent Behaviors and Experiences Survey. Data were collected from January to June 2021. Bivariate and multivariable analyses assessed associations between individual ACEs (physical, emotional abuse by parent or caregiver, parent or caregiver job loss, food insecurity, sexual violence, physical dating violence, or cyber bullying) and cumulative ACEs (0, 1-2, 3, 4+) experienced during the pandemic and substance use; stratified analyses assessed effects of poor MH on associations between ACEs and substance use.
Results: Use of all substances was higher among adolescents with ACEs, particularly those who experienced both ACEs and poor MH during the COVID-19 pandemic. Prevalence of substance use was especially high among adolescents exposed to any sexual violence or physical dating violence. Compared to adolescents without ACEs, a higher percentage of adolescents with 4+ ACEs reported current use of alcohol (adjusted prevalence ratio [aPR], 5.32) or marijuana (aPR, 5.86), misuse of prescription pain medications (aPR, 8.82), binge drinking (aPR, 7.70), and increased alcohol (aPR, 6.54) or drug (aPR, 7.09) use during the pandemic.
Discussion: The individual and combined impact of ACEs and MH on adolescent substance use reinforce the need for trauma-informed care and primary prevention of ACEs to prevent and mitigate poor MH and substance use among adolescents.
{"title":"Adolescents' Adverse Childhood Experiences, Poor Mental Health, and Substance Use During the COVID-19 Pandemic.","authors":"Elizabeth A Swedo, Kayla N Anderson, Glory Okwori, Lara DePadilla, Heather B Clayton, Andrés Villaveces, Colleen M Ray, Phyllis Holditch Niolon, Greta M Massetti","doi":"10.1016/j.jadohealth.2024.07.030","DOIUrl":"10.1016/j.jadohealth.2024.07.030","url":null,"abstract":"<p><strong>Purpose: </strong>Adverse childhood experiences (ACEs) increase the risk for poor mental health (MH) and substance use. We describe relationships between adolescents' ACEs, substance use, and poor MH occurring during the COVID-19 pandemic.</p><p><strong>Methods: </strong>We conducted a secondary analysis of data among U.S. high school students aged <18 years, who participated in the nationally representative Adolescent Behaviors and Experiences Survey. Data were collected from January to June 2021. Bivariate and multivariable analyses assessed associations between individual ACEs (physical, emotional abuse by parent or caregiver, parent or caregiver job loss, food insecurity, sexual violence, physical dating violence, or cyber bullying) and cumulative ACEs (0, 1-2, 3, 4+) experienced during the pandemic and substance use; stratified analyses assessed effects of poor MH on associations between ACEs and substance use.</p><p><strong>Results: </strong>Use of all substances was higher among adolescents with ACEs, particularly those who experienced both ACEs and poor MH during the COVID-19 pandemic. Prevalence of substance use was especially high among adolescents exposed to any sexual violence or physical dating violence. Compared to adolescents without ACEs, a higher percentage of adolescents with 4+ ACEs reported current use of alcohol (adjusted prevalence ratio [aPR], 5.32) or marijuana (aPR, 5.86), misuse of prescription pain medications (aPR, 8.82), binge drinking (aPR, 7.70), and increased alcohol (aPR, 6.54) or drug (aPR, 7.09) use during the pandemic.</p><p><strong>Discussion: </strong>The individual and combined impact of ACEs and MH on adolescent substance use reinforce the need for trauma-informed care and primary prevention of ACEs to prevent and mitigate poor MH and substance use among adolescents.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333382","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 : 2024-09-28DOI: 10.1016/j.jadohealth.2024.09.009
Stephanie L. Budge Ph.D. , Roberto L. Abreu Ph.D. , Ryan E. Flinn Ph.D. , Kelly L. Donahue Ph.D. , Rebekah Estevez Ph.D. , Christy L. Olezeski Ph.D. , Jessica M. Bernacki Ph.D. , Sebastian Barr Ph.D. , Jay Bettergarcia Ph.D. , Richard A. Sprott Ph.D. , Brittany J. Allen M.D.
{"title":"Gender Affirming Care Is Evidence Based for Transgender and Gender-Diverse Youth","authors":"Stephanie L. Budge Ph.D. , Roberto L. Abreu Ph.D. , Ryan E. Flinn Ph.D. , Kelly L. Donahue Ph.D. , Rebekah Estevez Ph.D. , Christy L. Olezeski Ph.D. , Jessica M. Bernacki Ph.D. , Sebastian Barr Ph.D. , Jay Bettergarcia Ph.D. , Richard A. Sprott Ph.D. , Brittany J. Allen M.D.","doi":"10.1016/j.jadohealth.2024.09.009","DOIUrl":"10.1016/j.jadohealth.2024.09.009","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 851-853"},"PeriodicalIF":5.5,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333385","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 : 2024-09-27DOI: 10.1016/j.jadohealth.2024.07.017
Hong Chen M.Med. , Annie On Ni Yip M.Soc.Sc. , Yee Tak Derek Cheung Ph.D. , Sophia Siu Chee Chan Ph.D. , Tai Hing Lam M.D. , Man Ping Wang Ph.D. , Tzu Tsun Luk Ph.D.
Purpose
Using multipronged recruitment strategies is crucial for reaching diverse smokers, yet research specifically focusing on youths is lacking. This prospective study compared the characteristics and abstinence outcomes of youth smokers enrolled in a youth-centered cessation service by three different methods.
Methods
From December 2016 to February 2022, the Youth Quitline enrolled 1,197 smokers aged 10–25 (mean = 19.4) years through traditional method (incoming calls or referrals, n = 276), proactive outreach (n = 735), and online method (website or social media platforms, n = 186). Logistic regression was used to calculate the odds ratio (OR) of biochemically validated tobacco abstinence at 6 months by recruitment methods.
Results
Proportionally more participants recruited via online method than traditional method and outreach had moderate to heavy nicotine dependence (53.2% vs. 40.9% vs. 27.6%, p < .001), poor self-rated health (27.6% vs. 21.9% vs. 12.3%, p < .001), and risk of depression (51.4% vs. 42.5% vs. 37.4%, p = .003). More participants recruited by outreach (71.6%) had no intention to quit in 30 days than traditional (58.3%) and online (59.7%) methods (p < .001). Compared with traditional method, the 6-month validated abstinence rate was similar in smokers recruited by online method (crude OR 0.77, 95% confidence interval 0.44–1.34) but significantly lower in those recruited by outreach (crude OR 0.44, 95% confidence interval 0.28–0.67). Results were similar after adjusting for sociodemographic and baseline predictors of abstinence.
Discussion
Online recruitment can attract youth smokers with greater nicotine dependence and poorer health, whereas outreach can engage those with less motivation to quit. The lower quit rate in outreach-recruited participants indicated the need for more effective interventions.
目的：采用多管齐下的招募策略对于帮助不同的吸烟者至关重要，但目前还缺乏专门针对青少年的研究。这项前瞻性研究比较了以青少年为中心的戒烟服务通过三种不同方法招募的青少年吸烟者的特征和戒烟结果：从2016年12月到2022年2月，"青少年戒烟热线 "通过传统方法（来电或转介，n = 276）、主动外联（n = 735）和在线方法（网站或社交媒体平台，n = 186）招募了1197名年龄在10-25岁（平均= 19.4）的吸烟者。采用逻辑回归法计算了不同招募方法的生化验证戒烟6个月的几率比（OR）：通过在线方式招募的参与者中，尼古丁依赖程度为中度至重度（53.2% vs. 40.9% vs. 27.6%，p < .001）、自我健康评价较差（27.6% vs. 21.9% vs. 12.3%，p < .001）和抑郁风险较高（51.4% vs. 42.5% vs. 37.4%，p = .003）的比例高于传统方式和外联方式。与传统方法（58.3%）和在线方法（59.7%）相比，更多通过外展方法招募的参与者（71.6%）在 30 天内无意戒烟（p < .001）。与传统方法相比，在线方法招募的吸烟者的6个月验证戒烟率相似（粗略OR为0.77，95%置信区间为0.44-1.34），但外展方法招募的吸烟者的6个月验证戒烟率明显较低（粗略OR为0.44，95%置信区间为0.28-0.67）。在对社会人口学因素和戒烟基线预测因素进行调整后，结果相似：讨论：在线招募可以吸引尼古丁依赖性较强、健康状况较差的青少年吸烟者，而外展招募则可以吸引戒烟动机较弱的青少年。外展招募参与者的戒烟率较低，表明需要更有效的干预措施。
{"title":"Reaching Youth Smokers Through a Multipronged Approach: Comparison of Three Recruitment Methods of a Youth Quitline in Hong Kong","authors":"Hong Chen M.Med. , Annie On Ni Yip M.Soc.Sc. , Yee Tak Derek Cheung Ph.D. , Sophia Siu Chee Chan Ph.D. , Tai Hing Lam M.D. , Man Ping Wang Ph.D. , Tzu Tsun Luk Ph.D.","doi":"10.1016/j.jadohealth.2024.07.017","DOIUrl":"10.1016/j.jadohealth.2024.07.017","url":null,"abstract":"<div><h3>Purpose</h3><div>Using multipronged recruitment strategies is crucial for reaching diverse smokers, yet research specifically focusing on youths is lacking. This prospective study compared the characteristics and abstinence outcomes of youth smokers enrolled in a youth-centered cessation service by three different methods.</div></div><div><h3>Methods</h3><div>From December 2016 to February 2022, the Youth Quitline enrolled 1,197 smokers aged 10–25 (mean = 19.4) years through traditional method (incoming calls or referrals, n = 276), proactive outreach (n = 735), and online method (website or social media platforms, n = 186). Logistic regression was used to calculate the odds ratio (OR) of biochemically validated tobacco abstinence at 6 months by recruitment methods.</div></div><div><h3>Results</h3><div>Proportionally more participants recruited via online method than traditional method and outreach had moderate to heavy nicotine dependence (53.2% vs. 40.9% vs. 27.6%, <em>p</em> < .001), poor self-rated health (27.6% vs. 21.9% vs. 12.3%, <em>p</em> < .001), and risk of depression (51.4% vs. 42.5% vs. 37.4%, <em>p</em> = .003). More participants recruited by outreach (71.6%) had no intention to quit in 30 days than traditional (58.3%) and online (59.7%) methods (<em>p</em> < .001). Compared with traditional method, the 6-month validated abstinence rate was similar in smokers recruited by online method (crude OR 0.77, 95% confidence interval 0.44–1.34) but significantly lower in those recruited by outreach (crude OR 0.44, 95% confidence interval 0.28–0.67). Results were similar after adjusting for sociodemographic and baseline predictors of abstinence.</div></div><div><h3>Discussion</h3><div>Online recruitment can attract youth smokers with greater nicotine dependence and poorer health, whereas outreach can engage those with less motivation to quit. The lower quit rate in outreach-recruited participants indicated the need for more effective interventions.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 883-889"},"PeriodicalIF":5.5,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333404","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 : 2024-09-27DOI: 10.1016/j.jadohealth.2024.07.014
Susette A. Moyers Ph.D. , Emily A. Doherty Ph.D. , Hannah Appleseth M.A. , Erica K. Crockett-Barbera M.P.H. , Julie M. Croff Ph.D., M.P.H.
Purpose
Experiencing multiple adverse childhood experiences (ACEs) is associated with alcohol use in female adolescents and emerging adults. Protective and compensatory experiences (PACEs) have been theorized to off-set the health and behavioral consequences from the accumulation of ACEs throughout childhood. This study examines the association between protective experiences and subsequent alcohol and binge alcohol use frequency over one month among female adolescent and emerging adults reporting high and low levels of two ACE dimensions (household dysfunction and emotional abuse/neglect).
Methods
One hundred 43 females between the ages of 15–24 who indicated at least one binge episode in the past two weeks completed the six-item ACEs scale, the PACEs scale, and demographics at baseline. Alcohol consumption was measured prospectively over the next month during weekly appointments using the timeline follow back approach.
Results
Two PACEs factors had significant direct associations, a source of unconditional love was associated with less frequent alcohol use (β = −0.437, 95% confidence interval [CI] -0.744, −0.131, exp(β) = 0.65, p = .005) in the context of high household dysfunction; and having a trusted adult to count on for help and advice (β = −1.373, 95% CI -2.283, −0.464, exp(β) = 0.25, p = .003) predicted fewer binge occasions in the context of high emotional abuse/neglect. Regardless of ACE dimension exposure, nonsport social group membership was associated more frequent alcohol use over the month across all ACE dimensions (β = 0.11-0.74, 95% CI -0.11, 0.74, exp(β) = 1.37 – 1.62, p ≤ .002); and having a trusted adult to count on for help and advice was associated with a 5.7 times more frequent of alcohol use among those with low household dysfunction (β = 1.74, 95% CI 0.83, 2.65, exp(β) = 5.70, p < .001).
Discussion
Few PACE items are associated with direct reductions in alcohol outcomes. Indeed, there is consistently heightened risk associated with nonsport group membership for alcohol use frequency, regardless of experiences of childhood adversity. Future research should identify which protective factors have the most potential to off-set alcohol use by ACE dimension.
{"title":"Positive Childhood Experiences are Associated With Alcohol Use in Adolescent and Emerging Adult Females by Adverse Childhood Experiences Dimension","authors":"Susette A. Moyers Ph.D. , Emily A. Doherty Ph.D. , Hannah Appleseth M.A. , Erica K. Crockett-Barbera M.P.H. , Julie M. Croff Ph.D., M.P.H.","doi":"10.1016/j.jadohealth.2024.07.014","DOIUrl":"10.1016/j.jadohealth.2024.07.014","url":null,"abstract":"<div><h3>Purpose</h3><div>Experiencing multiple adverse childhood experiences (ACEs) is associated with alcohol use in female adolescents and emerging adults. Protective and compensatory experiences (PACEs) have been theorized to off-set the health and behavioral consequences from the accumulation of ACEs throughout childhood. This study examines the association between protective experiences and subsequent alcohol and binge alcohol use frequency over one month among female adolescent and emerging adults reporting high and low levels of two ACE dimensions (household dysfunction and emotional abuse/neglect).</div></div><div><h3>Methods</h3><div>One hundred 43 females between the ages of 15–24 who indicated at least one binge episode in the past two weeks completed the six-item ACEs scale, the PACEs scale, and demographics at baseline. Alcohol consumption was measured prospectively over the next month during weekly appointments using the timeline follow back approach.</div></div><div><h3>Results</h3><div>Two PACEs factors had significant direct associations, a source of unconditional love was associated with less frequent alcohol use (<em>β</em> = −0.437, 95% confidence interval [CI] -0.744, −0.131, exp(<em>β</em>) = 0.65, <em>p</em> = .005) in the context of high household dysfunction; and having a trusted adult to count on for help and advice (<em>β</em> = −1.373, 95% CI -2.283, −0.464, exp(<em>β</em>) = 0.25, <em>p</em> = .003) predicted fewer binge occasions in the context of high emotional abuse/neglect. Regardless of ACE dimension exposure, nonsport social group membership was associated more frequent alcohol use over the month across all ACE dimensions (<em>β</em> = 0.11-0.74, 95% CI -0.11, 0.74, exp(<em>β</em>) = 1.37 – 1.62, <em>p</em> ≤ .002); and having a trusted adult to count on for help and advice was associated with a 5.7 times more frequent of alcohol use among those with low household dysfunction (<em>β</em> = 1.74, 95% CI 0.83, 2.65, exp(<em>β</em>) = 5.70, <em>p</em> < .001).</div></div><div><h3>Discussion</h3><div>Few PACE items are associated with direct reductions in alcohol outcomes. Indeed, there is consistently heightened risk associated with nonsport group membership for alcohol use frequency, regardless of experiences of childhood adversity. Future research should identify which protective factors have the most potential to off-set alcohol use by ACE dimension.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 890-903"},"PeriodicalIF":5.5,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333402","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 : 2024-09-27DOI: 10.1016/j.jadohealth.2024.07.013
Kirsten Marchand, Roxanne Turuba, Daphne Hui, Holly Gunn, Mary Doug Wright, Tyler Marshall, Danya Fast, Rodney Knight, David C Marsh, Roberto Sassi, Steve Mathias, Skye Barbic
Purpose: This scoping review synthesizes the characteristics and outcomes of recent evidence-based treatments and services for youth with nonmedical opioid use/opioid use disorder in the context of the ongoing opioid crisis in Canada and the United States.
Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses - Extension for Scoping Reviews guidelines, empirical health databases were searched for literature describing treatments or health-related services for nonmedical opioid use/opioid use disorder among youth (ages 12-25). Two independent reviewers conducted study screening, selection, and data extraction. A deductive content analysis further synthesized the interventions' characteristics following the Consolidated Framework for Implementation Research and an inductive content analysis synthesized the interventions' efficacy/effectiveness outcomes.
Results: Twenty-five articles met inclusion from 2,761 screened; 88% described opioid agonist treatment (alone or in combination with nonpharmacological treatment). Following the Consolidated Framework for Implementation Research, commonly identified adaptable characteristics included treatment decision-making processes, integrated health and social services, and treatment settings. Efficacy/effectiveness outcomes most frequently included substance use and treatment engagement.
Discussion: This study informs future development, implementation, and evaluation of practices and policies that could be tailored to improve the quality of opioid agonist treatment for youth at risk of significant harms from nonmedical opioid use.
{"title":"A Scoping Review of Evidence-Based Interventions and Health-Related Services for Youth Who Use Nonmedical Opioids in Canada and the United States.","authors":"Kirsten Marchand, Roxanne Turuba, Daphne Hui, Holly Gunn, Mary Doug Wright, Tyler Marshall, Danya Fast, Rodney Knight, David C Marsh, Roberto Sassi, Steve Mathias, Skye Barbic","doi":"10.1016/j.jadohealth.2024.07.013","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.07.013","url":null,"abstract":"<p><strong>Purpose: </strong>This scoping review synthesizes the characteristics and outcomes of recent evidence-based treatments and services for youth with nonmedical opioid use/opioid use disorder in the context of the ongoing opioid crisis in Canada and the United States.</p><p><strong>Methods: </strong>Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses - Extension for Scoping Reviews guidelines, empirical health databases were searched for literature describing treatments or health-related services for nonmedical opioid use/opioid use disorder among youth (ages 12-25). Two independent reviewers conducted study screening, selection, and data extraction. A deductive content analysis further synthesized the interventions' characteristics following the Consolidated Framework for Implementation Research and an inductive content analysis synthesized the interventions' efficacy/effectiveness outcomes.</p><p><strong>Results: </strong>Twenty-five articles met inclusion from 2,761 screened; 88% described opioid agonist treatment (alone or in combination with nonpharmacological treatment). Following the Consolidated Framework for Implementation Research, commonly identified adaptable characteristics included treatment decision-making processes, integrated health and social services, and treatment settings. Efficacy/effectiveness outcomes most frequently included substance use and treatment engagement.</p><p><strong>Discussion: </strong>This study informs future development, implementation, and evaluation of practices and policies that could be tailored to improve the quality of opioid agonist treatment for youth at risk of significant harms from nonmedical opioid use.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333381","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 : 2024-09-27DOI: 10.1016/j.jadohealth.2024.08.001
Ilgusu Oksuz, Meryem Seyda Ozcan, Ayfer Dost-Gözkan, Yasemin Kisbu
Purpose: Current literature on prevention and intervention programs for European adolescents who engage in health risk behaviors is limited. Few studies have utilized latent profile analysis methods and internationally comparative data on adolescents and their health risk behaviors, highlighting the need for more comprehensive research using internationally comparative data. The current study aimed to examine the health risk behavior profiles and identify subgroups of adolescents with similar patterns of health risk behaviors using a representative sample of European countries. Findings will inform better targeted prevention strategies for this population.
Methods: The study used a quantitative approach and implemented secondary data analysis using the Health Behavior in School-Aged Children survey 2017/2018 from 43 European countries to understand the prevalence of health risk behaviors among European adolescents and yield latent profiles regarding their health risk behaviors by sex.
Results: Five latent profiles of health risk behaviors were identified for boys and six for girls. For both boys and girls, low-risk (83.4% and 85.7%), poor lifestyle, smoking (6.2% and 5.1%), balanced lifestyle, aggressive acts (5.4% and 3.7%), poor lifestyle, high substance use (2% and 1%), moderate lifestyle, and moderate substance use (3% and 0.9%) were common profiles. A moderate lifestyle and low substance use profile (3.6%) was only specific to girls.
Discussion: The current study provides important insights regarding European adolescents' health risk behaviors. The findings suggest the need for better targeted prevention programming.
{"title":"Health Risk Behaviors of Adolescents in Europe: A Latent Profile Analysis of Health Behavior in School-Aged Children Survey Data From 43 Countries.","authors":"Ilgusu Oksuz, Meryem Seyda Ozcan, Ayfer Dost-Gözkan, Yasemin Kisbu","doi":"10.1016/j.jadohealth.2024.08.001","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2024.08.001","url":null,"abstract":"<p><strong>Purpose: </strong>Current literature on prevention and intervention programs for European adolescents who engage in health risk behaviors is limited. Few studies have utilized latent profile analysis methods and internationally comparative data on adolescents and their health risk behaviors, highlighting the need for more comprehensive research using internationally comparative data. The current study aimed to examine the health risk behavior profiles and identify subgroups of adolescents with similar patterns of health risk behaviors using a representative sample of European countries. Findings will inform better targeted prevention strategies for this population.</p><p><strong>Methods: </strong>The study used a quantitative approach and implemented secondary data analysis using the Health Behavior in School-Aged Children survey 2017/2018 from 43 European countries to understand the prevalence of health risk behaviors among European adolescents and yield latent profiles regarding their health risk behaviors by sex.</p><p><strong>Results: </strong>Five latent profiles of health risk behaviors were identified for boys and six for girls. For both boys and girls, low-risk (83.4% and 85.7%), poor lifestyle, smoking (6.2% and 5.1%), balanced lifestyle, aggressive acts (5.4% and 3.7%), poor lifestyle, high substance use (2% and 1%), moderate lifestyle, and moderate substance use (3% and 0.9%) were common profiles. A moderate lifestyle and low substance use profile (3.6%) was only specific to girls.</p><p><strong>Discussion: </strong>The current study provides important insights regarding European adolescents' health risk behaviors. The findings suggest the need for better targeted prevention programming.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333386","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 : 2024-09-25DOI: 10.1016/j.jadohealth.2024.07.019
Deinera Exner-Cortens Ph.D., M.P.H. , Jeniffer Nicole Camacho Soto M.Sc. , Keith Owen Yeates Ph.D. , Paul van Donkelaar Ph.D. , Wendy M. Craig Ph.D.
Purpose
In adults, intimate partner violence victimization and traumatic brain injuries, including concussion, are strongly connected. However, no prior research has explored this association among youth. This study explores the association between teen dating violence (TDV) and concussion to inform clinical care for these at-risk groups.
Methods
We used data from ninth and 10th grade youth in the 2017/18 Health Behavior in School-Aged Children nationally representative Canadian dataset (N = 2,926). TDV in the past 12 months was measured using three items for victimization and three for perpetration. Youth were asked if they had been told by a doctor or nurse that they had had a concussion in the past 12 months and where they were and what they were doing when they had the concussion. We used coarsened exact matching to create equivalent groups of TDV victims and nonvictims, and then explored the association between TDV and concussion using doubly robust logistic regression models. We also explored effect modification by gender.
Results
TDV was related to higher odds of concussion, both overall and when restricted to nonsport settings. In nonsport settings, youth who reported mutual TDV reported the highest odds of past-year concussion (adjusted odds ratio = 2.14, 95% confidence interval: 1.07, 4.28, p = .032). We also found that girls and nonbinary youth reported elevated risk of concussion in the context of TDV.
Discussion
We found that TDV was associated with increased risk for concussion. Findings can be used to inform future research and may assist adolescent health providers who treat youth with concussion.
{"title":"The Association Between Teen Dating Violence and Concussion","authors":"Deinera Exner-Cortens Ph.D., M.P.H. , Jeniffer Nicole Camacho Soto M.Sc. , Keith Owen Yeates Ph.D. , Paul van Donkelaar Ph.D. , Wendy M. Craig Ph.D.","doi":"10.1016/j.jadohealth.2024.07.019","DOIUrl":"10.1016/j.jadohealth.2024.07.019","url":null,"abstract":"<div><h3>Purpose</h3><div>In adults, intimate partner violence victimization and traumatic brain injuries, including concussion, are strongly connected. However, no prior research has explored this association among youth. This study explores the association between teen dating violence (TDV) and concussion to inform clinical care for these at-risk groups.</div></div><div><h3>Methods</h3><div>We used data from ninth and 10th grade youth in the 2017/18 Health Behavior in School-Aged Children nationally representative Canadian dataset (N = 2,926). TDV in the past 12 months was measured using three items for victimization and three for perpetration. Youth were asked if they had been told by a doctor or nurse that they had had a concussion in the past 12 months and where they were and what they were doing when they had the concussion. We used coarsened exact matching to create equivalent groups of TDV victims and nonvictims, and then explored the association between TDV and concussion using doubly robust logistic regression models. We also explored effect modification by gender.</div></div><div><h3>Results</h3><div>TDV was related to higher odds of concussion, both overall and when restricted to nonsport settings. In nonsport settings, youth who reported mutual TDV reported the highest odds of past-year concussion (adjusted odds ratio = 2.14, 95% confidence interval: 1.07, 4.28, <em>p</em> = .032). We also found that girls and nonbinary youth reported elevated risk of concussion in the context of TDV.</div></div><div><h3>Discussion</h3><div>We found that TDV was associated with increased risk for concussion. Findings can be used to inform future research and may assist adolescent health providers who treat youth with concussion.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 939-946"},"PeriodicalIF":5.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-17DOI: 10.1016/j.jadohealth.2024.07.023
Sandra A. Brown Ph.D. , Hugh Garavan Ph.D. , Terry L. Jernigan Ph.D. , Susan F. Tapert Ph.D. , Rebekah S. Huber Ph.D. , Daniel Lopez Ph.D. , Traci Murray Ph.D., M.P.H., R.N., N.H.D.P.-B.C., C.P.H. , Gayathri Dowling Ph.D. , Elizabeth A. Hoffman Ph.D. , Lucina Q. Uddin Ph.D.
{"title":"Responsible Use of Population Neuroscience Data: Toward Standards of Accountability and Integrity","authors":"Sandra A. Brown Ph.D. , Hugh Garavan Ph.D. , Terry L. Jernigan Ph.D. , Susan F. Tapert Ph.D. , Rebekah S. Huber Ph.D. , Daniel Lopez Ph.D. , Traci Murray Ph.D., M.P.H., R.N., N.H.D.P.-B.C., C.P.H. , Gayathri Dowling Ph.D. , Elizabeth A. Hoffman Ph.D. , Lucina Q. Uddin Ph.D.","doi":"10.1016/j.jadohealth.2024.07.023","DOIUrl":"10.1016/j.jadohealth.2024.07.023","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 5","pages":"Pages 703-705"},"PeriodicalIF":5.5,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302086","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 : 2024-09-16DOI: 10.1016/j.jadohealth.2024.07.001
Justin W. Patchin Ph.D., Sameer Hinduja Ph.D.
{"title":"Addressing Youth Sexting Through Rational Legislation and Education","authors":"Justin W. Patchin Ph.D., Sameer Hinduja Ph.D.","doi":"10.1016/j.jadohealth.2024.07.001","DOIUrl":"10.1016/j.jadohealth.2024.07.001","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 4","pages":"Pages 530-532"},"PeriodicalIF":5.5,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239333","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}
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