Journal of Adolescent Health最新文献

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38. Intimate Partner Violence and 3-Month STI Outcomes After Pelvic Inflammatory Disease: Results from the TECH-PN Trial 38. 亲密伴侣暴力和盆腔炎后3个月性传播感染结局：TECH-PN试验的结果

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.jadohealth.2025.12.040

Coco Lu AA , Jamie Perin PhD , Ashle Barfield BS , Steven Huettner BS , Pamela Matson PhD, MPH , Maria Trent MD, MPH

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35. Sexual Health Interventions for Young Adolescents: Insights from Community Stakeholders, Parents, and Older Adolescents in Western NY 35. 青少年性健康干预：来自纽约州西部社区利益相关者、父母和老年青少年的见解

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.jadohealth.2025.12.037

Sadandaula Muheriwa-Matemba PhD, MScMid, BScNEd, RNM , Natasha Crooks PhD, BSN , Sarah Abboud PhD, BSN. , Natalie LeBlanc PhD, MPH, BSN

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95. Preparation for ethical adolescent practice: a needs assessment of pediatric residents' adolescent care ethics training 95. 青少年伦理实践的准备：儿科住院医师青少年护理伦理培训的需求评估

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.jadohealth.2025.12.098

Nathaniel Kralik DO, MPH , Orquidia Torres MD, MS , Nomi Sherwin MD, MS , Eloho Ufomata MD, MS

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89. Role-play as a Tool for Teaching Adolescent Medicine Core Skills to Postgraduate Medical Students 89. 角色扮演在医学研究生青少年医学核心技能教学中的应用

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Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.jadohealth.2025.12.092

Eleni Kotanidou EPK, Vasiliki Rengina Tsinopoulou VRT, Evdoxia Sapountzi ES, Paraskevi Tatsiopoulou PT, Emmanuel Hatzipantelis EH, Assimina Galli-Tsinopoulou AGT

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Pilot Study of a Digital Health Intervention to Increase HIV and Sexually Transmitted Infection Testing Uptake and Reduce Condomless Sex and Substance Use Among Adolescents 数字健康干预的试点研究，以增加艾滋病毒和性传播感染检测的吸收和减少青少年无安全套性行为和物质使用。

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2025-07-22 DOI: 10.1016/j.jadohealth.2025.05.017

David Cordova Ph.D. , Jose A. Bauermeister Ph.D. , Sydni Warner M.S. , Zhuoxun Jiang M.S. , Frania Mendoza Lua Ph.D., M.S.W , Sarah Khreizat , Jennifer MacLeod , Patricia Wells M.D. , Torsten B. Neilands Ph.D. , Lauretta Ovadje Ph.D. , Jorge Delva Ph.D. , Kathryn B. Fessler M.D. , Versell A. Smith , Cherrie B. Boyer Ph.D.

Purpose

Enhancing HIV/sexually transmitted infection testing and reducing unsafe sexual behaviors and substance use are crucial for public health, particularly among youth. This pilot study examines the Storytelling 4 Empowerment (S4E) intervention's preliminary efficacy in these areas.

Methods

Using a community-engaged research approach, we conducted a randomized controlled trial with 100 adolescents and young adults (mean age = 19.27, standard deviation = 1.62) at a youth-focused clinic in Southeast Michigan. Participants were randomized to S4E, a brief digital health intervention, or usual care. Assessments occurred at baseline, postintervention, 3 and 6 months, with statistical analyses estimating effect sizes.

Results

S4E participants demonstrated higher HIV (52% vs. 12%; h = 0.95) and sexually transmitted infection (52% vs. 20.4%; h = 0.74) testing at 6-month follow-up. Reductions in condomless sex (12.9% vs. 1%; h = 0.35) and binge drinking (11.2% vs. 1.6%; h = 0.02) were reported at 3 months. Both youth and providers in the S4E group reported better clinician-youth communication than controls, and youth showed increased improvement over time (Cohen's d = 1.19 at 6 months).

Discussion

The S4E intervention demonstrated significant improvements in testing, risk behaviors, and communication. These findings suggest the need for larger-scaled randomized controlled trials to confirm the intervention's efficacy for youth in clinical settings.

目的：加强艾滋病毒/性传播感染检测和减少不安全的性行为和药物使用对公共卫生至关重要，特别是对青年而言。本试点研究考察了“讲故事赋权”（S4E）干预在这些领域的初步效果。方法：采用社区参与的研究方法，我们在密歇根州东南部的一家青少年诊所对100名青少年和年轻人（平均年龄= 19.27，标准差= 1.62）进行了随机对照试验。参与者被随机分配到S4E，一个简短的数字健康干预，或常规护理。评估分别在基线、干预后、3个月和6个月进行，并通过统计分析估计效应大小。结果：S4E参与者表现出更高的HIV (52% vs. 12%；H = 0.95)和性传播感染(52% vs. 20.4%；H = 0.74)，随访6个月。无安全套性行为减少(12.9%对1%；H = 0.35)和酗酒(11.2% vs. 1.6%；H = 0.02)。与对照组相比，S4E组的青少年和医疗服务提供者都报告了更好的医生与青少年之间的沟通，并且随着时间的推移，青少年表现出越来越多的改善（6个月时Cohen’s d = 1.19）。讨论：S4E干预在检测、危险行为和沟通方面显示出显著的改善。这些发现表明需要更大规模的随机对照试验来证实干预在临床环境中对青少年的有效性。

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引用次数: 0

Campaign-Targeted Attitudes Towards Vaping-Related Anxiety, Depression, and Stress and Associations With Stages of Quitting E-cigarettes 对与电子烟相关的焦虑、抑郁和压力的态度以及与戒烟阶段的关系。

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2025-12-30 DOI: 10.1016/j.jadohealth.2025.11.003

Elizabeth K. Do Ph.D., M.P.H. , Kennedy Sarvis , Tatum L. McKay M.P.H. , Joslynn A. Watkins M.P.H. , Jessica M. Rath Ph.D. , Elizabeth C. Hair Ph.D.

Purpose

Given that many youth and young adults who use e-cigarettes report intentions to quit, there is a need to explore mechanisms that influence behavioral changes toward e-cigarette cessation.

Methods

Data were obtained from youth and young adults (aged 15–24 years at enrollment) participating in the Truth Longitudinal Cohort, who indicated past 30-day use of e-cigarettes and were surveyed between August and December 2023 (N = 734). Participants were asked how much they agree with campaign-targeted messages highlighting nicotine's potential to amplify feelings of anxiety, depression, and stress, as well as whether and when they intended to quit e-cigarettes (precontemplation = no plans to quit; contemplation = plan to quit in the next 6 months; preparation = plan to quit in the next 30 days; action = already quit). Multinomial logistic regression models were used to predict participants' stage of quitting based on their agreement with campaign-targeted attitudes toward vaping-related effects on anxiety, depression, and stress.

Results

The largest proportion of participants were in the precontemplation stage (46.9%), followed by the contemplation stage (25.5%), action stage (17.3%), and preparation stage (10.2%). Estimated odds ratios for associations between agreement with attitudes toward vaping-related anxiety, depression, and stress increased in effect size, further along the quit stage (e.g., contemplation, preparation, and action vs. precontemplation stages).

Discussion

Results indicate that campaign messages focused on associations between vaping nicotine and anxiety, depression, and stress may be relevant to and resonate with users of e-cigarettes, in a way that addresses their need for a reason to quit.

目的：鉴于许多使用电子烟的青少年和年轻人报告了戒烟的意图，有必要探索影响电子烟戒烟行为变化的机制。方法：数据来自参加Truth纵向队列的青年和年轻成年人（入组时年龄为15-24岁），这些人在2023年8月至12月期间表示使用过30天的电子烟（N = 734）。参与者被问及他们在多大程度上同意运动的目标信息，强调尼古丁可能会放大焦虑、抑郁和压力的感觉，以及他们是否以及何时打算戒烟（预考虑=没有戒烟计划；考虑=计划在未来6个月内戒烟；准备=计划在未来30天内戒烟；行动=已经戒烟）。使用多项逻辑回归模型来预测参与者的戒烟阶段，基于他们对电子烟对焦虑、抑郁和压力的影响的认同。结果：前思考阶段占比最高（46.9%），其次是思考阶段（25.5%）、行动阶段（17.3%）和准备阶段（10.2%）。在戒烟阶段（例如，沉思、准备和行动阶段与沉思前阶段），对与电子烟相关的焦虑、抑郁和压力的态度的认同之间的关联的估计比值比在效应大小上有所增加。讨论：结果表明，关注电子烟尼古丁与焦虑、抑郁和压力之间联系的活动信息可能与电子烟用户相关，并引起他们的共鸣，以某种方式解决他们对戒烟理由的需求。

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引用次数: 0

PrEP Delivery for U.S. 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 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2025-11-20 DOI: 10.1016/j.jadohealth.2025.10.017

India Willis M.P.H., M.S.N. , Camille Bundy M.P.H., M.S.N. , Natasha Crooks Ph.D. , Randi B. Singer Ph.D. , Sabrina Figueiredo Ph.D.

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

87. Contraception Conversations: Educating Patients, Empowering Providers 87. 避孕对话：教育患者，授权提供者

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.jadohealth.2025.12.090

Elizabeth Fitch MD

引用次数: 0

88. Experiences and Perceptions of LGBTQ+ Inclusivity in School-based Sex Education Among LGBTQ+ Youth 88. LGBTQ+青少年校本性教育中LGBTQ+包容性的经验与认知

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.jadohealth.2025.12.091

Elizabeth McKay MEd, PhD, Natthapan Phianthanyakam MS, RN, Winai Trainattawan MS, RN, Jason Rydberg PhD, Ainat Koren PhD, DNP

引用次数: 0

25. Adolescents’ Awareness, Knowledge, and Perceptions of an Over-the-Counter Oral Contraceptive Pill 25. 青少年对非处方口服避孕药的认识、知识和认知

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.jadohealth.2025.12.027

Alana Otto MD, MPH , Lotte Brewer MPH , Victoria Tsao BS , Bianca Allison MD, MPH , Julie Maslowsky PhD

引用次数: 0

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