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Health Risk Behaviors of Adolescents in Europe: A Latent Profile Analysis of Health Behavior in School-Aged Children Survey Data From 43 Countries. 欧洲青少年的健康风险行为:来自 43 个国家的学龄儿童健康行为调查数据的潜在特征分析》(A Latent Profile Analysis of Health Behavior in School-Ageed Children Survey Data from 43 Countries)。
IF 5.5 2区 医学 Q1 PEDIATRICS Pub Date : 2024-09-27 DOI: 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.

目的:目前有关针对欧洲青少年健康风险行为的预防和干预计划的文献十分有限。很少有研究利用潜在特征分析方法和国际比较数据来研究青少年及其健康风险行为,这凸显了利用国际比较数据进行更全面研究的必要性。目前的研究旨在利用具有代表性的欧洲国家样本,研究健康风险行为特征,并确定具有类似健康风险行为模式的青少年亚群。研究结果将为针对这一人群的更有针对性的预防策略提供依据:该研究采用定量方法,利用来自43个欧洲国家的2017/2018学龄儿童健康行为调查进行二次数据分析,以了解欧洲青少年健康风险行为的流行情况,并按性别得出其健康风险行为的潜在特征:男孩和女孩的健康风险行为分别有五种和六种潜在特征。在男孩和女孩中,低风险(83.4% 和 85.7%)、不良生活方式、吸烟(6.2% 和 5.1%)、均衡生活方式、攻击性行为(5.4% 和 3.7%)、不良生活方式、大量使用药物(2% 和 1%)、中等生活方式和中等药物使用(3% 和 0.9%)是常见的特征。中度生活方式和低度药物使用(3.6%)只针对女孩:目前的研究为欧洲青少年的健康风险行为提供了重要的见解。研究结果表明,有必要制定更有针对性的预防计划。
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引用次数: 0
The Association Between Teen Dating Violence and Concussion 青少年约会暴力与脑震荡之间的关系。
IF 5.5 2区 医学 Q1 PEDIATRICS Pub Date : 2024-09-25 DOI: 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.
目的:在成年人中,亲密伴侣暴力受害与脑外伤(包括脑震荡)密切相关。然而,此前还没有研究探讨过青少年中的这种关联。本研究探讨了青少年约会暴力(TDV)与脑震荡之间的关联,为这些高危人群的临床治疗提供参考:我们使用了2017/18学龄儿童健康行为全国代表性加拿大数据集中九年级和十年级青少年的数据(N = 2926)。过去 12 个月中的创伤后暴力使用三个受害项目和三个施暴项目进行测量。我们还询问了青少年在过去 12 个月中是否曾被医生或护士告知患有脑震荡,以及他们患有脑震荡时在哪里和在做什么。我们使用粗略精确匹配法创建了TDV受害者和非受害者等同组,然后使用双重稳健逻辑回归模型探讨了TDV与脑震荡之间的关联。我们还探讨了性别对影响的修正作用:结果:无论是在总体上还是在非运动环境中,TDV 都与较高的脑震荡几率有关。在非运动环境中,相互报告 TDV 的青少年在过去一年中发生脑震荡的几率最高(调整后的几率比 = 2.14,95% 置信区间:1.07, 4.28, p = .032)。我们还发现,在 TDV 的背景下,女孩和非二元青年的脑震荡风险较高:讨论:我们发现,TDV 与脑震荡风险增加有关。研究结果可为今后的研究提供参考,并可帮助青少年健康服务提供者治疗患有脑震荡的青少年。
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引用次数: 0
Responsible Use of Population Neuroscience Data: Toward Standards of Accountability and Integrity 负责任地使用群体神经科学数据:实现问责和诚信标准。
IF 5.5 2区 医学 Q1 PEDIATRICS Pub Date : 2024-09-17 DOI: 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.
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引用次数: 0
Addressing Youth Sexting Through Rational Legislation and Education 通过合理立法和教育解决青少年色情短信问题
IF 5.5 2区 医学 Q1 PEDIATRICS Pub Date : 2024-09-16 DOI: 10.1016/j.jadohealth.2024.07.001
Justin W. Patchin Ph.D., Sameer Hinduja Ph.D.
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引用次数: 0
Global Progress in the Wellbeing of Adolescents and Proposals for the Next Decade: WHO Stocktaking Exercise on Young Adolescents 2010–2023 全球青少年福祉方面的进展和下一个十年的建议:世卫组织 2010-2023 年青少年评估活动
IF 5.5 2区 医学 Q1 PEDIATRICS Pub Date : 2024-09-16 DOI: 10.1016/j.jadohealth.2024.07.011
David A. Ross B.M.B.Ch., Ph.D., M.A., M.Sc.
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引用次数: 0
Introducing the World Health Organization's Stocktaking Exercise on Global Adolescent Health 世界卫生组织全球青少年健康评估活动介绍
IF 5.5 2区 医学 Q1 PEDIATRICS Pub Date : 2024-09-16 DOI: 10.1016/j.jadohealth.2024.07.004
Pascale Allotey Ph.D., R.N., M.P.H., Ellen MacKenzie Ph.D., Sc.M.
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引用次数: 0
Where We Are and How We Got Here: Taking Stock of the State of Global Adolescent Health 我们在哪里,我们如何到达这里:评估全球青少年健康状况
IF 5.5 2区 医学 Q1 PEDIATRICS Pub Date : 2024-09-16 DOI: 10.1016/j.jadohealth.2024.07.003
Robert Wm Blum Ph.D., M.D., M.P.H. , Venkatraman Chandra-Mouli M.D.
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引用次数: 0
Response to the Letter Titled “Adolescent Involvement in Health Research: Insights From Young People, PhD Candidates, and Early Career Researchers” 对题为 "青少年参与健康研究:年轻人、博士生和早期职业研究人员的见解"
IF 5.5 2区 医学 Q1 PEDIATRICS Pub Date : 2024-09-16 DOI: 10.1016/j.jadohealth.2024.06.024
Azza Warraitch M.Phil., Kristin Hadfield Ph.D.
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引用次数: 0
Advancing Adolescent Health: Empowering Future Leaders and Bridging Gaps in Research and Policy 促进青少年健康:增强未来领导者的能力,缩小研究和政策方面的差距
IF 5.5 2区 医学 Q1 PEDIATRICS Pub Date : 2024-09-16 DOI: 10.1016/j.jadohealth.2024.07.005
Melis Pehlivanturk Kizilkan M.D., Ph.D. , Molly O'Sullivan M.P.H. , Farnaz Sabet M.B.B.S., M.P.H. , Lauren E. Rivkin M.D. , Dyana Safitri Velies M.H.Sc., M.D., Sp.OG. , Roberto M. Delgado-Zapata M.D., M.P.H. , Tomiwa Akinsanya M.P.H. , Stephanie R. Partridge Ph.D.
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引用次数: 0
Trends in Adolescent Health: Successes and Challenges From 2010 to the Present 青少年健康趋势:2010 年至今的成功与挑战
IF 5.5 2区 医学 Q1 PEDIATRICS Pub Date : 2024-09-16 DOI: 10.1016/j.jadohealth.2024.04.015
Sam Beckwith Ph.D. , Venkatraman Chandra-Mouli M.B.B.S., M.Sc. , Robert Wm. Blum M.D., Ph.D., M.P.H.

Purpose

This review considers trends in some of the major adolescent health outcomes and contextual influences since 2010, and explores the relevance of recent cultural, societal, and public health developments on adolescent well-being.

Methods

Based on a review of major reports published since 2010, we identified key topics of impact on adolescent health and development across several domains (education, economic opportunity, sexual and reproductive health, nutrition, and mental health) and ecological levels (from individual- to macro-level influences). Within these areas, we synthesized findings to describe recent trends, noting variation across countries/regions, gender/sex, and other social stratifications when possible.

Results

Since 2010, progress in several areas of sexual and reproductive health has been most striking, with notable global declines in female genital mutilation/cutting, child marriage, HIV transmission, and adolescent childbearing. Participation and retention in school has increased, although the COVID-19 pandemic interrupted positive progress for many adolescents and contributed to social isolation and economic insecurity. The mental health and nutrition domains have clear challenges. Increased internalizing mental health issues have been observed cross-culturally, especially among girls. The prevalence of anemia has remained stagnant, while overweight and obesity rates are rising. Within domains, we highlight uneven progress across and within countries.

Discussion

Based on recent successes and emerging challenges in adolescent well-being, we find that more and better research is needed that consistently takes an intersectional perspective, and critically, action must be taken to consolidate the gains in sexual and reproductive health and extend them to other areas of adolescent health.

目的 本综述探讨了自 2010 年以来一些主要青少年健康结果和环境影响因素的发展趋势,并探讨了近期文化、社会和公共卫生发展对青少年福祉的相关性。方法 在对 2010 年以来发表的主要报告进行综述的基础上,我们确定了影响青少年健康和发展的几个领域(教育、经济机会、性健康和生殖健康、营养和心理健康)和生态层面(从个人到宏观层面的影响)的关键主题。在这些领域中,我们对研究结果进行了综合,以描述最近的趋势,并在可能的情况下注意到不同国家/地区、性别和其他社会阶层之间的差异。结果自 2010 年以来,性健康和生殖健康的几个领域取得了最显著的进步,切割女性生殖器官、童婚、艾滋病毒传播和青少年生育在全球范围内明显减少。尽管 COVID-19 大流行病中断了许多青少年的积极进展,并造成了社会孤立和经济不安全,但青少年的入学率和在校率都有所提高。心理健康和营养领域面临着明显的挑战。据观察,跨文化的内化性心理健康问题有所增加,尤其是在女孩当中。贫血症的发病率仍然停滞不前,而超重和肥胖率却在上升。讨论基于青少年健康领域最近取得的成功和新出现的挑战,我们发现需要开展更多更好的研究,始终坚持交叉视角,而且至关重要的是,必须采取行动巩固在性健康和生殖健康领域取得的成果,并将其扩展到青少年健康的其他领域。
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Journal of Adolescent Health
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