Journal of Adolescent Health最新文献

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68. Confidently Navigating Care: Mental Health and Healthcare Transition Skills among Gender-Diverse Adolescents and Young Adults 68. 自信地导航护理：不同性别的青少年和年轻人的心理健康和保健过渡技能

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Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.jadohealth.2025.12.071

Kelly Donahue PhD , Taryn Fledderman MSW, LCSW , Shamika Morales MSW, LCSW, LCAC , Lafayette Slaydon BSW , José Chimelis-Santiago MS

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84. Sexual Assault and Substance Use Among Youth Experiencing Homelessness: A Cross-Sectional Study 84. 在经历无家可归的青少年中性侵犯和物质使用：一项横断面研究

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Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.jadohealth.2025.12.087

Diane Santa Maria DrPH, MSN, RN, PHNA-BC, ACRN, FSAHM, FAAN , Nikhil Padhye PhD , Adeline Nyamathi PhD, ANP , Marguerita Lightfoot PhD , Mary Paul MD , Michael Businelle PhD , Jennifer Jones MPH , Yasmeen Quadri MD, MPH

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23. A Model for Training Pediatric Healthcare Workers on Adolescent Opioid Use 23. 青少年阿片类药物使用儿科医护人员培训模型

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Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.jadohealth.2025.12.024

Thomas Agostini MD , Adriana Herrera MD , Janis Sethness MD, MPH , Kym Ahrens MD, MPH , Chris Buresh MD, MPH

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93. Sexual Orientation and Gender Identity Screening: the adolescent and young adult perspective 93. 性倾向和性别认同筛选：青少年和青年的视角

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Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.jadohealth.2025.12.096

Katie Brown MD , Jennifer Carlson MD , Holly Lung MPH , Rachel Goldstein MD

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Immigrant Concentration in Schools and Youth Mental Health: The Role of School Loneliness and Belonging 学校移民集中与青少年心理健康：学校孤独感和归属感的作用。

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Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2025-12-29 DOI: 10.1016/j.jadohealth.2025.11.012

Mahdis Kamali Ph.D., M.Sc. , Katherine Cost Ph.D. , Ruth Repchuck Ph.D. , Eric Duku Ph.D. , Laura N. Anderson Ph.D. , Katholiki Georgiades Ph.D.

Purpose

This study examined the association between youth immigrant generation background and mental health outcomes (internalizing and externalizing symptoms), the extent to which these associations were moderated by school immigrant concentration and the potential mediating role of school loneliness and sense of belonging in these associations.

Methods

Data come from a population-based cross-sectional study of 1,449 immigrant and nonimmigrant youth aged 9–15 years and their caregivers from 36 schools in Hamilton, Ontario, Canada. Multilevel hierarchical linear regression and multilevel structural equation models were run separately for parent and youth reported internalizing and externalizing symptoms.

Results

First- and second-generation immigrant youth had lower levels of parent and youth reported externalizing symptoms and parent reported internalizing symptoms than nonimmigrant youth. The association between immigrant background and externalizing symptoms was moderated by school immigrant concentration, such that higher concentration was associated with a decrease in average externalizing symptoms for immigrant students, but not for nonimmigrant students. Perceptions of loneliness at school mediated the association between immigrant background and both externalizing and internalizing symptoms when school immigrant concentration was high across parent and youth reports (conditional indirect effects all p < .05).

Discussion

Levels of mental health symptoms were lower among immigrant youth when school immigrant concentration was high, with decreased perceptions of school loneliness potentially offering some insights into protective mechanisms. Longitudinal studies are needed to advance our understanding of the underlying social processes that give rise to differential associations across immigrant groups to inform school-based approaches to integration of immigrant and nonimmigrant youth.

目的：本研究探讨了青年移民世代背景与心理健康结果（内化和外化症状）之间的关系，学校移民集中度对这些关系的调节程度，以及学校孤独感和归属感在这些关系中的潜在中介作用。方法：数据来自一项基于人群的横断面研究，研究对象是来自加拿大安大略省汉密尔顿市36所学校的1449名9-15岁的移民和非移民青年及其照顾者。对父母和青少年报告的内化和外化症状分别进行多层次线性回归和多层次结构方程模型。结果：与非移民青年相比，第一代和第二代移民青年报告的父母和青少年报告的外化症状和父母报告的内化症状水平较低。移民背景与外化症状之间的关系被学校移民集中度所缓和，因此，移民学生的平均外化症状的减少与学校移民集中度较高有关，而非移民学生则没有。在家长和青少年报告中，当学校移民集中度较高时，学校孤独感介导了移民背景与外化和内化症状之间的关联（条件间接效应均p < 0.05）。讨论：当学校移民集中度高时，移民青年的心理健康症状水平较低，对学校孤独感的降低可能为保护机制提供一些见解。需要进行纵向研究，以促进我们对导致移民群体之间不同联系的潜在社会过程的理解，并为基于学校的移民和非移民青年融合方法提供信息。

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44. Increasing contraceptive access for young people beyond clinic walls: Over-the-counter progestin oral contraceptive (Opill®) 44. 增加诊所之外年轻人的避孕途径：非处方黄体酮口服避孕药（Opill®）

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Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.jadohealth.2025.12.046

Cynthia Harper PhD, Yasaman Zia PhD, Alejandra Alvarez MPH, Connie Folse MPH, CHES, Lela Bachrach MD, MS, Marissa Raymond-Flesch MD, MPH, Suzan Goodman MD, MPH

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90. Effects of Adverse Childhood Experiences on Children and Adolescents with Type 1 Diabetes in the US Military Health System 90. 不良童年经历对美国军事卫生系统1型糖尿病儿童和青少年的影响

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Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.jadohealth.2025.12.093

Hannah Poiani MD , Timothy Yang DO , Arek Hidirsah MD , Melissa Buryk MD , Cortney Bleach MD

引用次数: 0

91. Capturing Adolescent Studies: Developing a Targeted Search Hedge to Enhance Systematic Reviews 91. 捕捉青少年研究：发展一个有针对性的搜索对冲，以加强系统评价

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.2025.12.094

Jill R. Kavanaugh MLIS, AHIP , Emily Brennan MLIS , Hannah Craven MLIS , Deborah Divis MLIS, AHIP , Rachel Hinrichs MS, MSLS , Hilary Jasmin MSIS , Lynn Kysh MLIS, MPP , Michele Mason-Coles MLS , Christine Willis MLIS, AHIP

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Social Environmental Factors Help to Explain Early Substance Use Initiation Among Youth With Comorbid Psychological and Somatic Symptom Trajectories 社会环境因素有助于解释伴随心理和躯体症状轨迹的青少年早期物质使用开始

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2025-12-27 DOI: 10.1016/j.jadohealth.2025.10.024

Terri Voepel-Lewis Ph.D. , Sarah Stoddard Ph.D. , Deanna Marriott Ph.D. , Rebecca J. Evans-Polce Ph.D. , Todd I. Herrenkohl Ph.D. , Julia Seng Ph.D. , Eric L. Scott Ph.D. , Lara Khadr M.P.H. , Carol J. Boyd Ph.D.

Purpose

To examine how substance use (SU) initiation during early adolescence is influenced by youths' comorbid psychological and somatic symptom trajectory (C-PSST), risk perceptions, and their proximal environment.

Methods

Using Adolescent Brain Cognitive Development longitudinal study data, we classified youth into asymptomatic/low versus moderate/high C-PSST groups. The outcome, SU initiation, was derived from biannual youth reports. Youths' risk perceptions, family (parent SU problem, monitoring, SU rules) and peer factors (perceived peer disapproval and SU) were recorded annually. Cox regression determined hazard rates with 95% confidence intervals for factor and interaction effects.

Results

Among our sample of 9,848 youths, those in the moderate/high C-PSST group had a 56% higher rate of SU initiation than the asymptomatic/low C-PSST group. However, the effect of symptom group became nonsignificant when family and peer factors were considered. Higher parental monitoring, peer disapproval, and youths' risk perceptions independently decreased the risk of SU initiation, while lax parental rules and any perceived peer use increased the risk. Youth in the moderate/high C-PSST group were at 42% higher risk of SU initiation only when their parents reported a SU problem (HR 1.42 [95% CI 1.01–2.00]).

Discussion

Our findings show how youths' comorbid symptomology and environmental factors impact SU initiation during early adolescence. The higher SU initiation rate among youth with moderate/high C-PSST was moderated by environmental factors. Thus, in addition to managing comorbid symptomology, strategies to address environmental risk factors may be needed to decrease early SU initiation for vulnerable youth.

目的探讨青少年心理与躯体共病症状轨迹（C-PSST）、风险认知及其近端环境对青少年早期物质使用（SU）起始的影响。方法利用青少年大脑认知发展纵向研究数据，将青少年分为无症状/低C-PSST组和中/高C-PSST组。结果，SU启动，来源于两年一次的青年报告。每年记录青少年的风险认知、家庭（父母SU问题、监控、SU规则）和同伴因素（感知同伴不赞成和SU）。Cox回归以95%置信区间确定因素和相互作用效应的危险率。结果在9848名青少年样本中，中/高C-PSST组的SU起始率比无症状/低C-PSST组高56%。然而，当考虑家庭和同伴因素时，症状组的影响不显著。较高的父母监督、同伴的不赞成和青少年的风险认知分别降低了青少年自创的风险，而宽松的父母规则和任何感知到的同伴使用增加了风险。中/高C-PSST组的青少年只有在父母报告有SU问题时才会有42%的SU发生风险（HR 1.42 [95% CI 1.01-2.00]）。我们的研究结果显示了青少年的共病症状和环境因素如何影响青春期早期的SU启动。中高C-PSST青少年较高的SU启动率受环境因素的调节。因此，除了控制共病症状外，可能还需要解决环境风险因素的策略来减少弱势青年的早期SU启动。

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Virtual Reality in Adolescent Alcohol and Other Drugs Education Programs: A Systematic Scoping Review 虚拟现实在青少年酒精和其他药物教育计划：一个系统的范围审查。

IF 4.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health

Pub Date : 2026-03-01 Epub Date: 2025-09-24 DOI: 10.1016/j.jadohealth.2025.07.018

Chengzi Jiang Ph.D. , Timo Dietrich Ph.D. , James Durl Ph.D. , Pamela Saleme Ph.D. , Robert Hrynyschyn M.Sc. , Christiane Stock Ph.D.

Virtual reality (VR), an immersive technology simulating interactive three-dimensional environments, has been applied in adolescent alcohol and other drug (AOD) education. This systematic scoping review provides an in-depth understanding of its latest applications and evaluates the evidence base from nine studies. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews protocol, this scoping review conducted a comprehensive search across five major databases to identify peer-reviewed studies on VR interventions targeting adolescent AOD behavior, published between January 2018 and January 2025. Articles were screened and evaluated through a multistage process. The review identified nine studies involving four different VR intervention projects from the United States, Australia, Denmark, Taiwan, and Germany. These studies primarily addressed e-cigarettes (3 studies) and alcohol consumption (6 studies) and show promise in influencing attitudes, knowledge, and refusal skills, particularly through immersive experiences that students find realistic and enjoyable. However, the evidence largely focuses on proxy measures rather than demonstrating changes in behavior. VR offers innovative potential for AOD education by increasing engagement and effectiveness. However, current research primarily focuses on user experience and satisfaction, with only limited evidence having emerged on behavioral outcomes.

虚拟现实（VR）是一种模拟交互式三维环境的沉浸式技术，已应用于青少年酒精和其他药物（AOD）教育中。这篇系统的范围综述提供了对其最新应用的深入了解，并评估了来自9项研究的证据基础。根据系统评价的首选报告项目和范围审查协议的荟萃分析扩展，该范围审查在五个主要数据库中进行了全面搜索，以确定2018年1月至2025年1月期间发表的针对青少年AOD行为的VR干预的同行评议研究。文章通过多阶段过程进行筛选和评估。该综述确定了9项研究，涉及来自美国、澳大利亚、丹麦、台湾和德国的4个不同的虚拟现实干预项目。这些研究主要针对电子烟（3项研究）和酒精消费（6项研究），并显示出影响态度、知识和拒绝技能的希望，特别是通过学生觉得现实和愉快的沉浸式体验。然而，证据主要集中在代理措施上，而不是证明行为的变化。VR通过提高参与度和有效性，为AOD教育提供了创新潜力。然而，目前的研究主要集中在用户体验和满意度上，只有有限的证据出现在行为结果上。

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