Int J Adolesc Med Health [JOURNAL]
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200 papers
Investigating the determinants of mental health literacy in school students: a school-based study.
Habibpour Z, Karimi M, Zareipour M … +2 more , Saadati M, Sodeify R
Int J Adolesc Med Health · 2025 Aug · PMID 40690949 · Publisher ↗
OBJECTIVES: Mental health literacy (MHL) plays a crucial role in promoting mental health and early identification of psychological issues among students. Identifying the determinants of MHL can contribute to the developm...
OBJECTIVES: Mental health literacy (MHL) plays a crucial role in promoting mental health and early identification of psychological issues among students. Identifying the determinants of MHL can contribute to the development of effective educational interventions and policies. This study aimed to investigate the factors influencing MHL among high school students in Khoy, Iran. METHODS: This cross-sectional study was conducted on 564 high school students selected through a two-stage cluster sampling method from six health-promoting schools in Khoy. Data collection tools included a demographic questionnaire and a standardized mental health literacy questionnaire. Data were analyzed using MANOVA, Pearson correlation, and multiple linear regression tests. This project has an ethics approval code. RESULTS: The results indicated that male students had significantly lower mental health literacy (MHL) scores compared to female students (β=-3.51, p<0.001). Maternal education and occupation were identified as significant predictors, with students whose mothers had university education (β=-5.64, p=0.03) or were employed (β=-2.33, p=0.02) achieving higher MHL scores. Similarly, students with employed fathers also scored higher (β=-1.92, p=0.03). No significant associations were found between MHL and economic status, living situation, or parental age. CONCLUSIONS: Based on the findings of the study, gender, maternal education, and parental occupation significantly influence students' mental health literacy (MHL). Therefore, it is recommended that educational interventions and targeted strategies be implemented to enhance MHL, with a particular focus on male students and those from families with lower educational and occupational status. Such efforts should aim to address existing disparities and promote equitable access to mental health resources and knowledge.
Prevalence of risk factors for non-communicable diseases and its association with hypertension among young adults in urban Meghalaya: a cross sectional study.
Sundaram SP, Ningombam JD, Baidya A
Int J Adolesc Med Health · 2025 Jun · PMID 40643241 · Publisher ↗
OBJECTIVES: Non-communicable diseases (NCDs), including cardiovascular conditions such as hypertension, are increasingly affecting young adults. Elevated blood pressure (BP) in this age group is often overlooked despite...
OBJECTIVES: Non-communicable diseases (NCDs), including cardiovascular conditions such as hypertension, are increasingly affecting young adults. Elevated blood pressure (BP) in this age group is often overlooked despite its potential to cause long-term health consequences. This study aimed to assess the prevalence and determinants of elevated blood pressure among urban college-going young adults in Meghalaya. METHODS: An analytical cross-sectional study was conducted among college students aged 18-25 years in a selected college in Shillong, representing the urban population of Meghalaya. A total of 274 participants were included. Data were collected using a semi-structured WHO STEPs-based questionnaire, followed by anthropometric and blood pressure measurements. BP was classified using JNC-8 criteria. Descriptive statistics and logistic regression analyses were performed using SPSS v25. RESULTS: The mean age of participants was 19.9 (±1.2) years; 55.8 % were female, and 38.0 % belonged to below poverty line (BPL) households. The prevalence of elevated BP was 17.9 % (95 % CI: 13.6-23.0 %). In multivariable analysis, non-BPL status (AOR: 5.4; 95 % CI: 2.1-14.1), obesity (AOR: 3.9; 95 % CI: 1.5-9.8), and smoking (AOR: 2.1; 95 % CI: 1.1-4.0) were significantly associated with elevated BP. CONCLUSIONS: Elevated blood pressure was prevalent among nearly one-fifth of urban young adults, with socioeconomic status, obesity, and smoking emerging as significant determinants. These findings highlight the need for early screening and targeted interventions to mitigate cardiovascular risk among youth in urban India.
'We need transparency and communication to build trust': exploring access to primary care services for young adults through community-based youth participatory action research and group concept mapping.
Byron VF, Lopez R, Sanchez J … +3 more , Marenah A, Soren K, Gold MA
Int J Adolesc Med Health · 2025 Jun · PMID 40619800 · Publisher ↗
The transition from adolescence to young adulthood presents an opportunity for health promotion and illness prevention. However, the transition from pediatric to adult healthcare services is complex and exposes systemic...
The transition from adolescence to young adulthood presents an opportunity for health promotion and illness prevention. However, the transition from pediatric to adult healthcare services is complex and exposes systemic vulnerabilities in the healthcare system, particularly in access to care for marginalized youth. There exist high rates of discontinuity in primary care for young adults, amplifying health disparities. In the final stages of the transition process, the transfer to adult healthcare services is critical to continuity of care. There is a need to better understand and address access to care issues for young adults. This study explores barriers and facilitators to access to primary care for young adults in an urban Latinx community through community-based participatory research (CBPR) and youth participatory action research (YPAR). This study was developed in partnership with a hospital-affiliated community-based youth program and youth research leaders. Group concept mapping methodology was used to structure discussions with the organization's youth and staff members. Results indicate that the highest priority factors for young adults in seeking primary care are related to the culture of the clinical setting, including intangible factors such as "respect by front desk staff" and "relationship with provider." These factors are also perceived by young adults to be more feasible targets for improvement as opposed to, for example, insurance coverage. The findings provide a roadmap to advocate for interventions to transform young adult services within the healthcare system as well as a framework for integrating youth voices and leadership into the research process.
Self-care or self-risk? examining self-medication behaviors and influencing factors among young adults in Bengaluru.
Bheemesh S, Deepthi R, Sangeetha MD … +3 more , Kumbhar SK, Athani SB, Anil NS
Int J Adolesc Med Health · 2025 Jun · PMID 40581999 · Publisher ↗
CONTEXT: Globally self-medication is an important public health problem, with prevalence ranging from 11.7 to 92 % worldwide and around 52 % in India. It is nevertheless common, particularly in developing nations like In...
CONTEXT: Globally self-medication is an important public health problem, with prevalence ranging from 11.7 to 92 % worldwide and around 52 % in India. It is nevertheless common, particularly in developing nations like India, despite the possible hazards, including adverse drug reactions and the risk of drug resistance. OBJECTIVES: This study estimates the prevalence of self-medication, examines associated factors and explores attitudes toward self-medication among young adults in Bengaluru. METHODS: Community-based cross-sectional study, conducted from August 1 to September 30, 2023, involved 453 young adults aged 18-22 in four Bengaluru colleges. Participants were selected using a multistage random sampling technique. Data were collected through a pre-tested, self-administered questionnaire covering socio-demographic details, self-medication practices, and attitudes. Data were analyzed using EpiData 3.1 analysis software. Chi-square, Fisher exact tests, and Binary logistic regression were used to identify significant predictors of self-medication. RESULTS: The prevalence of self-medication among young adults is found to be 93 % and it was influenced by factors such as age, gender, and education. Common reasons included time-saving (40 %) and possession of old prescriptions (35 %). The most frequently self-medicated conditions were headaches (61 %) and fever (55 %). Significant predictors of self-medication included age (20-22 years) with an adjusted odds ratio of 0.4 (95 % CI 0.1-0.8). CONCLUSIONS: Self-medication practices were highly prevalent among young adults in urban Bengaluru, driven by factors such as convenience and cost-saving. There is a need for targeted health education and stricter enforcement of drug sale regulations to mitigate these risks.
Beyond the puff: unravelling patterns and predictors of tobacco usage among adolescents and youth in Delhi, India.
Goyal M, Singh SK, Verma A
Int J Adolesc Med Health · 2025 Aug · PMID 40489980 · Publisher ↗
OBJECTIVES: Tobacco use remains a significant public health concern, particularly among youth, who are at a higher risk of developing long-term addiction and related health complications. The early initiation of tobacco...
OBJECTIVES: Tobacco use remains a significant public health concern, particularly among youth, who are at a higher risk of developing long-term addiction and related health complications. The early initiation of tobacco use, often during adolescence and young adulthood, contributes to the prevalence of smoking-related diseases later in life. Despite various anti-tobacco initiatives, the consumption of tobacco products continues to be widespread among young people. Understanding the patterns, and predictors, of tobacco use in this demographic is crucial for developing targeted interventions. This study aimed to assess the prevalence of tobacco use among youth, and identify key risk factors, in this vulnerable population. METHODS: This cross-sectional study was conducted among 675 undergraduate students at five selected colleges in Delhi using a two-stage stratified random sampling method. Data were collected through a pre-designed, pre-tested, self-administered questionnaire, incorporating validated tobacco-related questions from the Global Adult Tobacco Survey (GATS). Data analysis was performed using SPSS version 21.0. Chi-square tests were used to compare sociodemographic variables between tobacco users and non-users, while bivariate and multivariable logistic regression identified factors influencing tobacco use. RESULTS: Of the 675 college students studied the mean age of participants was 19.62 years (SD ± 1.33), 52.6 % were females and 47.4 % males. The overall prevalence of ever and current tobacco use was 38.9 % and 23.7 %, respectively. Cigarettes were reported as the most commonly used tobacco product, with 33 % of participants reporting ever smoking and 20.3 % being current smokers. Hookah was the second most popular, with 27.9 % and 12 % students reporting ever and current use. Lifetime/Ever use of e-cigarettes and smokeless tobacco was reported by 14.7 % and 5.3 %, respectively, while current use was low for both (2.4 % and 2.1 %). Multivariate analysis revealed that current tobacco use was significantly associated with academic performance, living away from parents, substance use, high psychological distress, and the father's educational status. CONCLUSION: The findings highlight a relatively high prevalence of tobacco use among college students, particularly in urban areas, emphasizing the need for targeted interventions. Cigarettes ranked as the top choice of tobacco product among the study population, underlining the urgency for health professionals, educators, and policymakers to implement specific strategies aimed at preventing tobacco use among youth.
Psychosocial predictors of adolescent stress: insights from a school-going cohort.
Nakka LP, Monteiro SR, Padhy M … +1 more , Hariharan M
Int J Adolesc Med Health · 2025 Jun · PMID 40480803 · Publisher ↗
OBJECTIVES: Adolescence is a critical period for psychosocial development, often marked by elevated stress levels. The present study examines the role of psychosocial factors as predictors of adolescent stress, with a fo...
OBJECTIVES: Adolescence is a critical period for psychosocial development, often marked by elevated stress levels. The present study examines the role of psychosocial factors as predictors of adolescent stress, with a focus on personality traits, social support, and family health. METHODS: A cross-sectional sample of 1,104 school-going adolescents from Telangana, India were analysed. Using the Adolescence Stress Scale and various psychosocial scales, hierarchical multiple regression and path analysis were employed to assess direct and indirect effects of psychosocial variables on stress levels. RESULTS: Key predictors of stress included ill-health experiences, conscientiousness, emotional instability, and psychosocial support. Together, these factors explained 6 % of the variance in stress. Serial mediation analysis revealed significant indirect effects, where family health and emotional efficacy acted as mediators between psychosocial factors and stress. Emotional instability and frustrative non-reward responsiveness were the strongest predictors of stress. CONCLUSIONS: Psychosocial factors play a significant but modest role in adolescent stress, highlighting the need for further research into additional contributors. Interventions targeting family health and emotional regulation may alleviate stress among adolescents.
Clinical heterogeneity of adolescents referred to paediatric palliative care; a quantitative observational study.
Linane H, Allen J, Devins M … +4 more , Twomey M, O'Reilly M, McElligott F, Molcho M
Int J Adolesc Med Health · 2025 Jun · PMID 40480271 · Publisher ↗
OBJECTIVES: Adolescents with life-limiting conditions are distinct from children or older adults in their palliative needs and developmental stage, yet, there is limited literature addressing this population. Our aim was...
OBJECTIVES: Adolescents with life-limiting conditions are distinct from children or older adults in their palliative needs and developmental stage, yet, there is limited literature addressing this population. Our aim was to describe the characteristics of the adolescent population, aged 13-18, who have received specialist palliative care in the Republic of Ireland, from 2019 to 2022 inclusive. METHODS: This study examined medical records from the national paediatric palliative care centre and a radiation oncology network. These two centres hold medical records for all adolescents linked to paediatric specialist palliative care nationally RESULTS: Of the 145 patients identified 58 (40.0 %) had cancer and 87 (60.0 %) a non-cancer diagnosis. Those with a non-cancer diagnosis were subdivided into those with severe neurological impairment (n=56, 38.6 %) and those without (n=31, 21.4 %). All groups had a high prevalence of physical symptoms. Just under half of those with cancer had psychological symptoms (n=26, 44.8 %). The majority of those with severe neurological impairment required medical devices/technology in the home, with 48 (85.7 %) requiring feeding devices and 33 (58.9 %) requiring respiratory support devices. Nearly a half of the adolescents had died at the time of the study (n=69, 47.6 %). Of these, the majority (n=44, 63.8 %) died at home and 9 (13.0 %) were referred less than one month before their death. CONCLUSIONS: The high symptom burden of these young people highlights the need for early access to palliative care professionals with an appropriate skillset and access to quality, equitable psychological supports for this group.
Adolescents' knowledge, attitude and perceived risks towards e-cigarette usage in Johor Bahru, Malaysia.
Qamar M, Shukar S, Herng Choi J … +3 more , Abdul Rahman MN, Bin Wan Sulaiman WMA, Azad AK
Int J Adolesc Med Health · 2025 Aug · PMID 40472268 · Publisher ↗
OBJECTIVES: To evaluate adolescents' knowledge, attitude, and risk perceptions regarding e-cigarette usage and examine the associations and differences across various socio-demographic characteristics. METHODS: A cross-s...
OBJECTIVES: To evaluate adolescents' knowledge, attitude, and risk perceptions regarding e-cigarette usage and examine the associations and differences across various socio-demographic characteristics. METHODS: A cross-sectional study was conducted in two government secondary schools in Johor. A total of 391 respondents were enrolled conveniently using a pre-validated questionnaire. The data were analysed using SPSS descriptive and inferential statistics. RESULTS: Most participants demonstrated a moderate level of knowledge regarding e-cigarettes (77.5 %), achieving an average score of 3.82 (±0.89). A significant portion of the respondents were female (56.3 %) and Chinese (57.5 %), predominantly aged between 16 and 17 years (53.7 %). Presently, 11.5 % of the participants reported using e-cigarettes, while 6.6 % reported using traditional tobacco cigarettes. Notably, 12.3 % of adolescents correctly identified nicotine as a common component in e-cigarettes, highlighting its addictive nature. Furthermore, significant association and differences were observed between e-cigarette usage and a positive attitude towards them (86.7 %, p<0.001), as well as the perception of reduced health risks associated with e-cigarette consumption (9.11 ± 2.68, p<0.001). Adolescents who were susceptible to e-cigarette use were more inclined to support their usage (63.1 %, p<0.001) and perceived fewer health consequences (6.91 + 3.12, p=0.019) in comparison to those who were not susceptible. CONCLUSIONS: E-cigarette users exhibited a moderate level of understanding along with a positive stance towards e-cigarettes, viewing them as less risky compared to non-e-cigarette users. As a result, collaborative endeavours are essential to enhance adolescent knowledge about e-cigarettes via community outreach initiatives. Consequently, all governing bodies must explore effective strategies to tackle this issue by implementing strict legislation.
Effects of anti-obesity drugs on cardiometabolic risk factors in pediatric population with obesity: a systematic review and meta-analysis of randomized controlled trials.
Aamir AB, Latif R, Fallatah JO … +3 more , Alqoofi J, Alsalman HA, Almarzoq FA
Int J Adolesc Med Health · 2025 Jun · PMID 40459327 · Publisher ↗
Following prospective registration (PROSPERO CRD42024564275), three databases (PubMed, SCOPUS, Web of Science) were searched for trials reporting the effects of anti-obesity drugs (AODs) (with placebo as control) on card...
Following prospective registration (PROSPERO CRD42024564275), three databases (PubMed, SCOPUS, Web of Science) were searched for trials reporting the effects of anti-obesity drugs (AODs) (with placebo as control) on cardiometabolic risk factors in the pediatric population with obesity. Data was synthesized using RStudio within a Random effect model. Risk of Bias was assessed through the Cochrane Risk of Bias 2 tool. Five clinical trials fulfilled the eligibility criteria. Pooled estimates showed significant reductions in triglycerides [-13.84 mg/dl (CI: -26.46 to -1.21; p 0.03) (I 93 %, p<0.01), Systolic blood pressure [-1.49 mmHg (CI: -2.77 to -0.21; p 0.02) (I 0 %, p 0.61)], and Waist circumference [-6.55 cm (CI: -10.56 to -2.55; p<0.01) (I 93 %, p<0.01)]. Fasting glucose, Insulin, Insulin resistance, Glycated hemoglobin, Diastolic blood pressure, Total cholesterol, Low density lipoproteins, High density lipoproteins, Very low density lipoproteins, and C-Reactive Protein showed insignificant reductions. No significant publication bias was detected in any outcome except Waist circumference (p 0.03).
Barriers and facilitators in the transition from pediatric to adult care in people with cystic fibrosis in Europe - a qualitative systematized review.
Steinkamp C, Köhler M, Hrynyschyn R
Int J Adolesc Med Health · 2025 Jun · PMID 40300192 · Publisher ↗
OBJECTIVES: With over 54,000 people affected, cystic fibrosis is one of the most common rare diseases in Europe. As life expectancy of this disease has steadily increased in recent years, the transition from pediatric to...
OBJECTIVES: With over 54,000 people affected, cystic fibrosis is one of the most common rare diseases in Europe. As life expectancy of this disease has steadily increased in recent years, the transition from pediatric to adult care has become a principal issue. This study aimed to identify facilitating and hindering factors in the transitional care of cystic fibrosis patients in order to derive indications for improving care. METHODS: A qualitative systematized review was conducted in May 2024 with a systematic search carried out in MEDLINE, CINAHL and Livivo, including European studies from 2009 to 2024. The studies' quality was assessed using the Critical Appraisal Skills Programme checklist for qualitative studies. Thematic analysis was applied for analyzing the data to identify categories. RESULTS: Nine studies met the inclusion criteria. Their quality can be rated as medium to high. Parental support, commitment and social support were identified as beneficial factors. Preparation for the transition, appropriate communication and continuous follow-ups at the adult center also contributed to a continuous transition. However, the parents' changing roles, fears and the usual treatment in pediatrics were obstacles. The adjustment to the adult center and structural problems presented further barriers to transition. CONCLUSIONS: Various factors were identified to influence the transition process in cystic fibrosis, with consistency across the studies. In practice, comprehensive care is required, focused on the patients' needs, with more information provided and enhanced collaboration among stakeholders. Further research regarding the long-term effects of transition and the utilization of structured transition programs is needed.
Factors associated with eating disorders among Indonesian adolescents at boarding schools.
Efendi F, Tsai MC, Pradipta RO … +1 more , Rahayu FK
Int J Adolesc Med Health · 2025 Apr · PMID 40261692 · Publisher ↗
OBJECTIVES: Eating disorders (EDs) are a significant global issue among adolescents, including those in boarding schools; however, this population remains under-researched. This study investigated the factors associated...
OBJECTIVES: Eating disorders (EDs) are a significant global issue among adolescents, including those in boarding schools; however, this population remains under-researched. This study investigated the factors associated with EDs among Indonesian boarding school students. METHODS: Using a cross-sectional approach, 1,400 adolescents were selected through purposive sampling. The study examined factors such as body mass index (BMI), body image, mood, loneliness, and weight loss using a modified combination of questionnaires. Data analysis was performed using logistic regression in SPSS 21 with a significance level of 0.05. RESULTS: Four factors significantly influenced the risk of developing ED. A lower BMI (underweight or normal) decreased the risk (OR=0.2 and 0.3, respectively; CI: 0.140-0.360 and 0.231-0.524, respectively). A lower drive for leanness reduced the likelihood of EDs (OR=0.49; CI: 0.347-0.713). Lower levels of muscularity-oriented eating also decreased ED risk (OR=0.39; CI: 0.273-0.573). Conversely, unhealthy weight loss experiences significantly increased ED risk (OR=8.9; CI: 6.728-11.827). CONCLUSIONS: These findings highlight the complex factors contributing to EDs risk, emphasizing the need for targeted interventions to address body image concerns, nutritional practices, and weight loss experiences to promote the well-being of students in boarding schools. The implementation of structured health education programs that emphasize balanced nutrition, positive body image, and healthy weight management is recommended to address eating disorders. Nursing and health professionals play key roles in the development and delivery of these programs.
Do previous pediatric inpatient interventions predict better outcomes for psychiatric inpatient treatment of anorexia nervosa?
Bren Z, Goldstein A, Lavan O … +1 more , Fennig S
Int J Adolesc Med Health · 2025 Apr · PMID 40248875 · Publisher ↗
OBJECTIVES: To explore the benefits and drawbacks of pediatric hospitalization of adolescents with anorexia nervosa prior to psychiatric hospitalization. METHODS: Epidemiologic data, anthropometric measures, and vital si...
OBJECTIVES: To explore the benefits and drawbacks of pediatric hospitalization of adolescents with anorexia nervosa prior to psychiatric hospitalization. METHODS: Epidemiologic data, anthropometric measures, and vital signs, as well as hospitalization characteristics and outcomes, were collected retrospectively and analyzed for 104 patients aged 12-18 years old. RESULTS: Pediatric hospitalization prior to psychiatric admission did not result in significant advantages in treatment outcomes. Furthermore, no significant advantages were attributed to long pediatric hospitalization as compared to short hospitalization. CONCLUSIONS: This study suggests that for treating adolescent anorexia nervosa, pediatric hospitalization should be recommended only for immediate correction of urgent and life-threatening physical conditions, with short stays preferred over long pediatric hospitalization.
Application of psycho-educational intervention to reduce menstrual-related distress among adolescent girls: a randomized controlled trial.
Bahrami N, Asgari S, Soleimani MA … +2 more , Griffiths MD, Alimoardi Z
Int J Adolesc Med Health · 2025 Apr · PMID 40241329 · Publisher ↗
OBJECTIVES: The objective of the present study was to investigate the effect of psycho-educational intervention on severity of menstrual distress symptoms among adolescents with primary dysmenorrhea. METHODS: A randomize...
OBJECTIVES: The objective of the present study was to investigate the effect of psycho-educational intervention on severity of menstrual distress symptoms among adolescents with primary dysmenorrhea. METHODS: A randomized controlled trial was conducted from August 2019 to April 2020 comprising 120 adolescent girls. The study settings were high schools in Qazvin City. Participants were randomly assigned to intervention (n=60) and control groups (n=60) using a cluster randomization method. The intervention included three 60- to 90-min group psycho-educational sessions based on Leventhal's self-regulatory method. The sessions took place over three consecutive weeks with each group comprising 8-10 individuals. Menstrual distress (as the primary outcome), and illness perception and severity of dysmenorrhea (as the secondary outcomes), were assessed at four time points (pre-intervention, and three post-intervention assessments [one month, two months, and three months]). RESULTS: A total of 54 individuals from the intervention group and 60 from the control group completed all follow-up measurements. Menstrual distress in the pre-menstruation phase significantly decreased among the intervention group at the three follow-ups (-5.41, -5.45, -4.97; all p<0.001). Menstrual distress in the menstruation phase significantly decreased among the intervention group at the three follow-ups (-11.75, -12.49, -12.38; all p<0.001). Dysmenorrhea pain intensity significantly decreased among the intervention group at the three follow-ups (-2.90, -3.49, -3.30; all p<0.001). Illness perception of dysmenorrhea significantly decreased among the intervention group. Mean differences of between group comparison (intervention vs. control) through follow-ups were -19.74, -22.56, -22.71 (all p<0.001). Based on the result of the RM ANOVA-ANCOVA model, the group effect was significant (p<0.001) with the intervention explaining 36.3 % of variance for change in menstrual distress in the pre-menstruation phase, 75 % of change in mean scores of menstrual distress in the menstruation phase, 78.5 % of variance for change in mean scores of dysmenorrhea, and 74.8 % of variance for change in mean scores of illness perception. CONCLUSIONS: This intervention improved adolescent girls' menstrual distress, severity of dysmenorrhea, and illness perception regarding dysmenorrhea.
Is adolescent health a priority program? A qualitative study on the stunting prevention program in Gunungkidul, Yogyakarta, Indonesia.
Karuniawati B, Respati SH, Baiquni F … +1 more , Mulyani S
Int J Adolesc Med Health · 2025 Apr · PMID 40201958 · Publisher ↗
OBJECTIVES: In Indonesia, the Weekly Iron Folic Acid (WIFA) supplementation program has been running since 2016 to prevent anemia and stunting in the future. The Healthy Adolescents Stunting Prevention program (, known a...
OBJECTIVES: In Indonesia, the Weekly Iron Folic Acid (WIFA) supplementation program has been running since 2016 to prevent anemia and stunting in the future. The Healthy Adolescents Stunting Prevention program (, known as the "RS Centing" program) in Gresik Regency, Indonesia, has been effective in increasing adolescent understanding of stunting prevention. The prevalence of stunting in Gunungkidul Regency remains high and has reached 22.2 %, exceeding the national target of 14 %. This study aims to analyze whether adolescent health is a priority in the stunting prevention program in Gunungkidul Regency. METHODS: This study uses a qualitative method with a phenomenological approach. Data were collected through in-depth interviews and a focus group discussion (FGDs) with participants selected by purposive sampling. The respondents in this study comprised 10 officials from the PKPR (adolescents health care services), the local health department, and the stunting (stunting task force). RESULTS: The results of the study revealed that three main themes emerged from the in-depth interviews and the FGD, namely: (1) Program implementation; (2) barriers to program implementation; and (3) suggestions. CONCLUSIONS: Program implementation is still constrained by the lack of adequate funding and human resources, as well as weak monitoring, evaluation, and program continuity.
Examining the relationship between internet addiction and the willingness to continue living, mediated by life satisfaction and negative suicidal ideation, with depression as a mediator.
Ramezanpour M, Salehi L, Karami K … +1 more , Moghimbeigi A
Int J Adolesc Med Health · 2025 Apr · PMID 40179485 · Publisher ↗
OBJECTIVES: This study investigates the relationship between internet addiction and suicidal Ideations among adolescents, aiming to understand the connection between these two phenomena. METHODS: This cross-sectional stu...
OBJECTIVES: This study investigates the relationship between internet addiction and suicidal Ideations among adolescents, aiming to understand the connection between these two phenomena. METHODS: This cross-sectional study was conducted in 2023 on 333 adolescent boys and girls aged 14 to 19, who were studying in Ahvaz city, using a cluster random sampling method. Data were collected using a multi-section questionnaire comprising demographic characteristics, internet addiction, suicidal Ideations, the adolescent depression questionnaire, and life satisfaction. Data were analyzed using path analysis modeling, Chi-square test, and Fisher's exact test, with the help of SPSS 21 and Amos version 24 software. RESULTS: In total, 10.5% were regular users, 40.5% had mild addiction, 44.7% had moderate addiction, and 4.2% had severe internet addiction. The results showed that internet addiction affects negative suicidal Ideations through the mediation of depression and positive suicidal Ideations (desire to live) through the mediation of life satisfaction. The average depression score among adolescents was 8.82 ± 8.76, and the average life satisfaction was 21.25 ± 7.76. CONCLUSIONS: Based on the results of the present study, suicidal Ideations among adolescents cannot be directly attributed to their internet addiction. The component of depression acts as a mediating factor in creating negative suicidal Ideations, while life satisfaction serves as a supportive factor in the relationship between internet addiction and positive suicidal Ideations (desire to continue living) in adolescents.
Bridging the gap: a study on substance use among the adolescents in a rural area of Jaipur.
Kumar A, Rathore SS, Dhaka R … +1 more , Singh SK
Int J Adolesc Med Health · 2025 Apr · PMID 40165673 · Publisher ↗
OBJECTIVES: To find out the prevalence of substance use and associated factors among adolescents of the rural area of Jaipur, Rajasthan. METHODS: This cross-sectional study was carried out in 461 adolescents of rural are...
OBJECTIVES: To find out the prevalence of substance use and associated factors among adolescents of the rural area of Jaipur, Rajasthan. METHODS: This cross-sectional study was carried out in 461 adolescents of rural area Achrol of Jaipur using systematic random sampling technique. Sample size of 461 was calculated using 4PQ/L2 with a prevalence of substance use at 15.8 %. We utilized a pre-developed, pre-validated, semi-structured questionnaire based on the WHO steps questionnaire with specific adaptations was used. The data was analyzed using SPSS Software version 23, and the Chi-square test was employed for qualitative data analysis. RESULTS: The findings revealed that the average (Mean) age of the study participants was 14.1 ± 2.1. Maximum of the study participants (53.3 %) were in the age group of 14-16 years. Males were more (69.6 %) as compared to females (30.3 %). The overall prevalence of substance use was 26.4 % among the study participants. About one fourth (22.2 %) of participants had consumed alcohol in the past. Only (2.1 %) of them were daily smokers. Majority (95.8 %) of the study participants had never consumed any type of Intravenous drug. Factors like family history of substance abuse, high body mass index, low physical activity were statistically significantly associated with different forms of substance use. CONCLUSIONS: The study population exhibited a high prevalence of substance use and related risk factors. Important risk factors for different forms of substance use prevalent in the study population included male gender, obesity, family history of substance use, and low levels of physical activity.
Addressing emotional aggression in Thai adolescents: evaluating the P-positive program using EQ metric.
Junsomang S, Thampradit S, Sripatnet C … +6 more , Ainyeam A, Arsa R, Jumneansuk A, Dechboon P, Pansathin A, Pudpong T
Int J Adolesc Med Health · 2025 Feb · PMID 40082086 · Publisher ↗
OBJECTIVES: This study investigates the effectiveness of the P-Positive program in addressing emotional aggression among junior high school students in Lopburi Province, Thailand. METHODS: A quasi-experimental one-group...
OBJECTIVES: This study investigates the effectiveness of the P-Positive program in addressing emotional aggression among junior high school students in Lopburi Province, Thailand. METHODS: A quasi-experimental one-group pretest-posttest design was employed with 54 participants aged 13-15. The intervention, conducted over 16 weeks, applied the Knowledge, Attitude, and Practice (KAP) framework. Key components included emotional regulation, empathy development, and behavioral change, facilitated through structured activities. Emotional intelligence was assessed using the EQ Metric, evaluating nine dimensions comprehensively. RESULTS: Statistically significant improvements were observed across all dimensions of emotional intelligence (p<0.001). The most notable improvements were in self-control, empathy, and decision-making, with motivation showing the highest mean difference (4.333). Inner peace exhibited the smallest mean improvement (1.593), but the change was still statistically significant. These findings highlight the program's effectiveness in enhancing emotional intelligence and reducing aggression. CONCLUSIONS: The P-Positive program shows strong potential as a scalable intervention for improving emotional well-being and mitigating aggression in adolescents. It offers valuable insights for educators, policymakers, and public health stakeholders, suggesting the importance of integrating such programs into broader educational and health initiatives. Further refinements to address specific dimensions like inner peace may enhance its impact.
Characterization of the most common diagnoses in a population of adolescents and young adults attended by a Healthcare Service Provider (HSP) in Bogotá, Colombia.
Borda-Piñeres C, Brito-Mugno J, Bonilla-Rivera M … +4 more , Botero-Villarreal L, Zapata I, Moya LM, Palencia-Sánchez F
Int J Adolesc Med Health · 2025 Feb · PMID 40021645 · Publisher ↗
OBJECTIVE: Characterize the most frequently used ICD-10 diagnoses and procedures in the population aged 13-24 receiving care at Javesalud Healthcare Service Provider (HSP) in Bogotá, Colombia. METHODS: A cross-sectional...
OBJECTIVE: Characterize the most frequently used ICD-10 diagnoses and procedures in the population aged 13-24 receiving care at Javesalud Healthcare Service Provider (HSP) in Bogotá, Colombia. METHODS: A cross-sectional quantitative study was conducted. Through the statistical program R Studio, a database provided by the HSP was analyzed, considering variables such as type of identification document, sex, age, primary ICD-10 diagnosis code, and consultation date. Patients aged between 13 and 24 attended by this HSP between June 1, 2022, and June 30, 2023, for 11.802 consultations, were included in the study. RESULTS: The analysis show a difference in the number of consultations according to gender (female/male ratio of 2.1:1), with a higher number of consultations from the young adult population (aged 19-24 years), who accounted for 57.4 % of the consultations. The data obtained indicates that the most frequent procedures involve promotion and prevention activities related to sexual and reproductive health, representing approximately 15 % of the consultations. Furthermore, the prevalence of various diagnoses was distributed differently according to the sex and age of the patients. For females, the most frequent diagnoses were similar but in different proportions, unlike males, where the main reasons for consultation behavior differed for each age group. While in adolescents, there is a predominance of two subgroups: dermatological diagnoses and follow-up exams, in young adults, HIV infection counseling predominates. CONCLUSIONS: Adolescents and young adults constitute a group with epidemiological characteristics of great complexity, marked by a multitude of variables and significant interpersonal diversity. Therefore, it is imperative to conduct detailed studies in this age group and, at the same time, implement strategies that contribute to the promotion of their development and future well-being.
Association of chronotype pattern on the quality of sleep and anxiety among medical undergraduates - a cross-sectional study.
Khaira HK, Kochhar S, Aneja J … +3 more , Verma M, Rajendran R, Thind A
Int J Adolesc Med Health · 2025 Feb · PMID 39993323 · Publisher ↗
OBJECTIVES: This study aims to explore the relationship between chronotypes, sleep quality, and anxiety among medical undergraduates, providing valuable insights for academic institutions seeking to enhance student well-...
OBJECTIVES: This study aims to explore the relationship between chronotypes, sleep quality, and anxiety among medical undergraduates, providing valuable insights for academic institutions seeking to enhance student well-being. METHODS: A cross-sectional design was used, involving 200 medical undergraduates who were selected based on specific inclusion and exclusion criteria. Data collection included comprehensive clinical histories and the administration of three validated questionnaires: the Morningness-Eveningness Questionnaire Self-Assessment (MEQ-SA), the Pittsburgh Sleep Quality Index (PSQI), and the State-Trait Anxiety Inventory (STAI). Participants were recruited during class breaks, and informed consent was obtained prior to participation. RESULTS: The majority of participants (76.5 %; n=152) exhibited a neutral chronotype, with a mean MEQ score of 50.18 (±7.781). No significant correlations were found between MEQ scores and variables such as sex, BMI, or electronic media use. However, individuals classified as evening types reported higher anxiety levels, with mean STAI-S and STAI-T scores of 56.09 (±4.566) and 49.09 (±6.202), respectively (ANOVA, F=31.798, p=0.001; F=30.294, p=0.001). The mean global PSQI score was 6.00 (±2.553), with 56 % of participants reporting poor sleep quality. Evening chronotypes had significantly poorer sleep quality, as evidenced by higher PSQI scores (8.14±1.670) (ANOVA, F=43.663, p=0.001). CONCLUSIONS: The findings underscore the need for academic institutions to reconsider the alignment of academic schedules with students' chronotypes, potentially enhancing academic performance and reducing health risks. Despite these contributions, the study has limitations, including geographical and demographic constraints and reliance on self-reported data, suggesting the need for further research to provide more comprehensive insights.
A cross-sectional study on risk factors of premenstrual syndrome among college-going students in Pune.
Lamkhade SV, Gokhale D, Thakur HK
Int J Adolesc Med Health · 2025 Apr · PMID 39977852 · Publisher ↗
OBJECTIVES: Premenstrual Syndrome (PMS) is a combination of emotional and physical symptoms occurring the week before menstruation and lasts 2-3 days during menstruation. This study aims to examine the dietary intake and...
OBJECTIVES: Premenstrual Syndrome (PMS) is a combination of emotional and physical symptoms occurring the week before menstruation and lasts 2-3 days during menstruation. This study aims to examine the dietary intake and lifestyle triggers among students with and without PMS from Pune, India. METHODS: We conducted an interview-based, cross-sectional study among 360 college-going students aged 18 to 24 in Pune. The questionnaire recorded socio-demographic details, anthropometry, physical activity, substance abuse, and dietary habits. A Food Frequency Questionnaire assessed dietary patterns, while the MDQ (Menstrual Distress Questionnaire) diagnosed PMS. PMS severity was measured using the Premenstrual Screening Tool (PSST). Risk determinants for PMS were analyzed, with significance set at p<0.05. RESULTS: The prevalence of PMS among 18-24-year-old college students was 51.4 %. There is no association observed between participants' demographic and anthropometric characteristics with PMS. It was observed that participants who frequently consumed cakes, pastries, and pizza and those who consumed contraceptive pills, slept 5-6 h on weekdays were at higher risk of experiencing PMS symptoms. CONCLUSIONS: This study suggests that frequent consumption of cakes, pastries, and pizza is a potential risk factor for increasing the incidence of PMS among college students. The severity of symptoms was notably higher among those who used contraceptive pills and had shorter sleep durations.
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