Int J Adolesc Med Health [JOURNAL]
Sun
200 papers
Understanding premenstrual syndrome: experiences and influences among monastir university students.
Toumi D, Ben Farhat I, Bergaoui H … +13 more , Ghaddab I, Hadj Mohamed M, Aribi I, Sallami A, Knaz S, Braiek B, Mosbahi A, Gharbi N, Bouakez S, Baccouche F, Zoukar O, Hajji A, Faleh R
Int J Adolesc Med Health · 2025 Apr · PMID 39957106 · Publisher ↗
Menstrual health is increasingly recognized as a critical health issue by the World Health Organization, encompassing physical, psychological, and social dimensions. Approximately 1.8 billion women globally experience me...
Menstrual health is increasingly recognized as a critical health issue by the World Health Organization, encompassing physical, psychological, and social dimensions. Approximately 1.8 billion women globally experience menstruation, with severe hormonal fluctuations leading to premenstrual syndrome (PMS) and its more severe form, premenstrual dysphoric disorder (PMDD), which significantly affects quality of life. This study investigates PMS symptoms among university students in Monastir (Tunisia) through a descriptive cross-sectional design involving 150 participants. Data was collected via a semi-structured questionnaire, assessing sociodemographic information and PMS symptoms using the validated A-PMS diagnostic tool. Results indicated that 100 % of participants experienced PMS, with 69.3 % reporting moderate to severe physical symptoms such as fatigue and pain, while 65.3 % noted significant psychological symptoms including anxiety and mood swings. Over half of the students reported mild impacts of PMS on relationships and academic performance, with 48 % experiencing absenteeism due to symptoms. Despite the prevalence of symptoms, the majority did not seek medical help. The findings highlight the critical need for educational institutions and healthcare professionals to address PMS and implement support strategies, thereby enhancing the well-being and academic success of young women. This research underscores the importance of raising awareness and developing effective interventions for menstrual health in this population.
Energy drinks, depression, insomnia, and stress in palestinian adolescents: a cross-sectional study.
Maraqa B, Fasfoos A, Alami M … +3 more , Banat N, Amr O, Saraheen A
Int J Adolesc Med Health · 2025 Feb · PMID 39957103 · Publisher ↗
OBJECTIVES: Adolescents are increasingly consuming energy drinks (EDs), prompting worries about their potential mental health impacts. The association between ED use and psychological effects among Palestinian teenagers,...
OBJECTIVES: Adolescents are increasingly consuming energy drinks (EDs), prompting worries about their potential mental health impacts. The association between ED use and psychological effects among Palestinian teenagers, particularly the impact of smoking habits such as waterpipes, electronic cigarettes, and cigarettes, is little studied. This study explores the correlation between ED consumption and mental health outcomes such as depression, insomnia, and stress among adolescents in Palestine. METHODS: A cross-sectional study was conducted from February to June 2024, involving adolescents aged 12-18 recruited from schools in the West Bank. Data collection utilized a structured questionnaire assessing ED consumption, smoking habits, depression (PHQ-9), insomnia (ISI), and stress (Adolescent Stress Scale). Data were analyzed using SPSS version 29. RESULTS: The research involved 1,668 adolescents, with a mean age of 15.67 years (±1.57 years). ED consumption was prevalent at 74.7 % (95 % CI: 76.5-72.7). Males and smokers, especially those using traditional cigarettes and waterpipes, exhibited a higher likelihood of consuming energy drinks (aPR: 2.18; 95 %CI: 1.64-2.91), (aPR: 2.99; 95 %CI: 1.49-5.59), and (aPR: 2.54; 95 %CI: 1.23-5.19). Depression exhibited a significant relationship with ED consumption (aPR: 2.25; 95%CI: 1.51-3.37). A dose-response relationship was identified between insomnia and ED consumption, with an adjusted prevalence ratio (aPR) of 2.42 (95 % CI: 1.56-3.47) for moderate severity and 2.95 (95 % CI: 1.28-6.75) for severe insomnia. CONCLUSIONS: ED consumption is associated with poorer mental health outcomes, particularly among smokers. Interventions targeting both ED use and smoking behaviors are crucial to improving mental health in Palestinian adolescents. The study was conducted during the Gaza war, a period marked by heightened stress levels among participants due to increased security checks and economic hardships. These challenges may have influenced participants' stress levels and impacted their purchasing behaviors for EDs and tobacco shisha products. Further research is needed to explore the long-term effects of these behaviors.
Enhancing adolescent health awareness: impact of online training on medical and community health officers in Andhra Pradesh, India.
Gupta A, Aravindakshan R, Sharmila V … +2 more , Reddy B V, Naidu NK
Int J Adolesc Med Health · 2025 Feb · PMID 39953713 · Publisher ↗
OBJECTIVES: The present study was done to study the knowledge change among Medical Officers (MO) and Community health officers (CHO) regarding menstrual hygiene, early marriages, and HIV/STI with emphasis on adolescents...
OBJECTIVES: The present study was done to study the knowledge change among Medical Officers (MO) and Community health officers (CHO) regarding menstrual hygiene, early marriages, and HIV/STI with emphasis on adolescents after online training. METHODS: This is a retrospective record-based analysis conducted in the State Adolescent Health Centre, AIIMS Mangalagiri, Andhra Pradesh in 2023-2024 over 10 months. Participants were selected based on their attendance at online training sessions involving MOs and CHOs on menstrual cups, menstrual hygiene, early marriages, and HIV/STI. The data from Google Forms for pretests and post-tests, containing a total of 30 questions in English and Telugu, covering menstrual hygiene, early marriage, and HIV/STI topics was retrieved. The study covered all 26 districts of Andhra Pradesh, India, with online training sessions conducted via Zoom. The proportion of correct responses to individual questions is given with a 95 % confidence interval. Statistical comparisons of scores of individual questions were done using the McNemar test. Statistical comparisons of total scores of pre-test and post-test were done using the paired t-test. A p-value less than 0.05 was considered significant. RESULTS: Of the total 13,432 MOs and CHOs, 9,897 participated in the training with a response rate of 73.6 %. Among those who participated the training 2,809 (28.38 %) completed both pretest and posttest. The majority were CHOs (85.3 %), females, and aged under 35 years. Statistically significant increases in knowledge were observed across various aspects of menstrual hygiene, early marriages, and HIV/STI. Increase in knowledge regarding menstruation 4.3 % (3.5-5.1 %), p-value:<0.001, first vaginal bleeding (first menstruation) 4.7 % (3.9-5.5 %), p-value:<0.001, complication seen in delivering babies in teen pregnancy 4.9 % (4.1-5.7 %), p-value:<0.001, the symptom of STI 7.0 % (6.1-7.9 %), p-value:<0.001, and others. The total pretest mean score was 16.73 ± 4.44 and the post-test mean score was 18.81 ± 4.39. There was a statistically significant difference between pretest and post-test mean scores p value<0.001. CONCLUSIONS: The training program significantly improved knowledge regarding menstrual hygiene, early marriages, and HIV/STI among the participants indicating the effectiveness of educational intervention in addressing gaps towards adolescent Health.
Development of the "KARUNI" (young adolescents community) model to prevent stunting: a phenomenological study on adolescents in Gunungkidul regency, Yogyakarta, Indonesia.
Karuniawati B, Respati SH, Urrahman D … +2 more , Baiquni F, Mulyani S
Int J Adolesc Med Health · 2025 Feb · PMID 39920089 · Publisher ↗
BACKGROUND: Stunting is a major health problem in developing countries due to chronic malnutrition that impacts physical growth, cognitive ability, and long-term productivity. The focus of stunting prevention is generall...
BACKGROUND: Stunting is a major health problem in developing countries due to chronic malnutrition that impacts physical growth, cognitive ability, and long-term productivity. The focus of stunting prevention is generally aimed at pregnant women and toddlers, while adolescents, especially adolescent girls, are often neglected. In fact, they will be the future mothers who determine the quality of the next generation. Malnutrition and anemia in adolescents increase the risk of giving birth to stunted children. Innovative nutritional intervention programs, such as nutrition education and iron supplements, are needed to break the cycle of stunting, involving adolescents as important targets in prevention. Karuni is a program specifically designed for teenagers aged 12-15 years with the main focus being on empowering teenagers through nutrition education, reproductive health and clean and healthy living behavior as well as involving parents to optimize the program. METHODS: This study used a phenomenological approach to explore the understanding of adolescent girls aged 12-15 years about the stunting prevention program in Gunungkidul Regency, Indonesia. Data were collected through in-depth interviews and FGDs with adolescents, officials running the Adolescent Health Care (PKPR) program, and related agencies. Data validity was guaranteed by triangulation of sources and NVivo was used for analysis. RESULTS: The identified five themes related to the adolescent intervention program for stunting prevention: program implementation, achievements, barriers, needs, and KARUNI model design. Program monitoring is important, but faces barriers such as the lack of prioritization and motivation. Cross-sectoral collaboration, innovation, and appropriate media are needed in the implementation of the KARUNI model to increase the effectiveness of the stunting prevention program for adolescents. CONCLUSIONS: The importance of the role of adolescents in efforts to reduce the prevalence of stunting, especially through collaboration between health centers () and schools in implementing the PKPR program, providing iron tablets, and health screening.
Evaluating the relationship between marijuana use, aggressive behaviors, and victimization: an epidemiological study in colombian adolescents.
Scoppetta O, Cardozo F, Brown EC … +1 more , Morales V
Int J Adolesc Med Health · 2025 Feb · PMID 39882765 · Publisher ↗
OBJECTIVES: This study aimed to examine the relationship between marijuana use and aggression and victimization among Colombian adolescents. We aimed to clarify marijuana's distinct role by comparing different categories...
OBJECTIVES: This study aimed to examine the relationship between marijuana use and aggression and victimization among Colombian adolescents. We aimed to clarify marijuana's distinct role by comparing different categories of drug use and by considering the order of drug initiation. METHODS: We conducted a secondary analysis of nationally representative cross-sectional data collected from Colombian adolescents in 2016. The original sample included 80,018 students in Grades 7 to 11. Participants were categorized into marijuana-use groups - EXCLUSIVE (marijuana only), INITIAL (marijuana use before other drugs), and SUBSEQUENT (marijuana use following other drugs) - and non-marijuana-use groups - NON-DRUG (no use), ONE-DRUG (one other drug only), and MULTIPLE-DRUG (two or more other drugs).Aggressive behaviors (individual aggression, group aggression, harassment) and victimization were assessed based on self-reported involvement in the past 12 months. Logistic regression models examined associations between marijuana use patterns and these outcomes, controlling for sex, age, parental education, and grade repetition. For the SUBSEQUENT group, the total number of other drugs used was also controlled. RESULTS: Adolescents with no drug use had the lowest rates of all aggressive behaviors and victimization. As drug use increased, so did the prevalence of these outcomes, with MULTIPLE-DRUG users exhibiting the highest levels. Compared to NON-DRUG adolescents, each marijuana-use group (EXCLUSIVE, INITIAL, SUBSEQUENT) showed increased odds of some forms of aggression and victimization. For example, EXCLUSIVE users had higher odds of aggression compared to NON-DRUG users. However, the magnitude of these associations differed when comparing marijuana-use groups against each other and against ONE-DRUG and MULTIPLE-DRUG groups. INITIAL and SUBSEQUENT users often demonstrated greater odds of aggression than EXCLUSIVE users, suggesting that polydrug involvement and the sequence of drug initiation matter. CONCLUSIONS: These findings underscore the importance of moving beyond binary classifications of marijuana use when examining aggression and victimization among adolescents. Marijuana use is associated with an increased risk of aggression and victimization, but other substance use patterns and the temporal order of drug initiation influence this relationship. Policymakers, educators, and clinicians should consider these when designing preventive interventions. Future research should employ longitudinal designs and incorporate additional contextual variables to further clarify the mechanisms linking marijuana use to aggression and victimization.
Investigating various interventions to improve the quality of life of children and adolescents suffering from chronic diseases - a systematic review.
Roshan FS, Rahmani N, Nikrouz L
Int J Adolesc Med Health · 2024 Dec · PMID 39680442 · Publisher ↗
INTRODUCTION: The transition from childhood to adulthood is an ups-and-down experience determined by increased independence, formation, and development of personal identity. Children with chronic diseases compared to the...
INTRODUCTION: The transition from childhood to adulthood is an ups-and-down experience determined by increased independence, formation, and development of personal identity. Children with chronic diseases compared to their peers, face more challenges during this period that can exacerbate their symptoms and negatively affect their quality of life. This research aims to review the studies that have investigated the ways to improve the quality of life of children and adolescents with chronic diseases in Iran. CONTENT: In this study, a search was done in the international databases of PubMed, Scopus, web of Science, Google Scholar, and the internal databases of Magiran and SID with related keywords including children, adolescents, chronic diseases, quality of life, health, nursing interventions were carried out from 2010 to July 2024. Exclusion criteria included summaries of conference articles and foreign articles other than Persian and English. SUMMARY AND OUTLOOK: In the primary search, 363 articles were found. After removing duplicates and unrelated items, and finally, 36 articles (52.77 % in English, 47.22 % in Persian) were examined in line with the objectives of the present study. The results of the study indicate that non-pharmacological interventions can significantly improve the quality of life of adolescents with chronic diseases. Nursing interventions appear to have a positive and significant effect on the quality of life of children and adolescents with chronic illness.
Editorial.
Int J Adolesc Med Health · 2024 Dec · PMID 39661974 · Publisher ↗
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Menstrual disorder and its treatment seeking among adolescent girls in India: evidence from nationwide survey.
Chokhandre PK, Vatavati SR, Pundappanavar BI … +1 more , Hallad JS
Int J Adolesc Med Health · 2024 Dec · PMID 39648892 · Publisher ↗
BACKGROUND: Adolescents make up 18 % of India's total population, with 116 million being girls. Most research has focused on menstrual health and hygiene practices, with limited studies on menstrual pain/disorder (MPD) a...
BACKGROUND: Adolescents make up 18 % of India's total population, with 116 million being girls. Most research has focused on menstrual health and hygiene practices, with limited studies on menstrual pain/disorder (MPD) among adolescent girls using micro-level data from specific regions of India. OBJECTIVES: This study aims to investigate the prevalence of menstrual pain/distress, its treatment-seeking behavior, and its associated predictors among adolescent girls. METHODS: The study employed data from a cross-sectional study design and interviewed 6,715 adolescent girls from 16 major States of India. RESULTS: The prevalence of MPD among adolescent girls was 61.8 %. Of these, a higher proportion of girls reported severe abdominal/back pain (90 %), followed by severe distress/irritation (26 %) and heavy bleeding (21 %). Findings suggest that girls who were educated about menstrual health were more likely to identify MPD and seek its treatment. Regarding treatment seeking for MPD, surprisingly, only about 14.3 % of girls sought treatment from health personnel, while 61 percent did not seek treatment at all. Home remedies (57 %), medical shops (25 %), and frontline workers or primary health centers (20 %) were found to be the preferred source of treatment. The prevalence of MPD and its treatment-seeking varies significantly by socio-economic characteristics. CONCLUSIONS: The findings underscore the importance of providing menstrual health education and raising awareness of early identification and treatment-seeking among adolescent girls. The Government of India's efforts in initiating Adolescent Reproductive and Sexual Health (ARSH) and Rashtriya Kishor Swasthaya Karyakram (RKSK) programs are noteworthy. Having sufficient and well-trained peer educators can accelerate the process of health education and generate demand for healthcare services.
A cross-sectional study of satisfaction with life among 1st year students and doctors of a teaching hospital of the national capital region.
Goswami A, Kumar M, Paul R … +3 more , Upadhyay P, Tripathi P, Roy TR
Int J Adolesc Med Health · 2024 Dec · PMID 39648883 · Publisher ↗
OBJECTIVES: With rising work pressure, balancing personal life is not easy for any professional. Aspirations at the time of admission into professional college do not last for long, as we observe doctors who are less sat...
OBJECTIVES: With rising work pressure, balancing personal life is not easy for any professional. Aspirations at the time of admission into professional college do not last for long, as we observe doctors who are less satisfied than enthusiastic first-year students at dental college. The present study aimed to determine subjective well-being and comparison of satisfaction with life among first professional dental students and doctors of a teaching hospital in the National Capital Region, India. METHODS: The current study was conducted for one month among 100 1st year dental students and 100 junior doctors, including the faculty of a teaching hospital in the National Capital Region, India. Satisfaction with Life Scale (SWLS) was used to assess the level of satisfaction in their lives. Associated factors which might affect this satisfaction were also enquired for. RESULTS: The mean age of first professional dental students and doctors was 19.3 ± 1.6 and 27.52 ± 2.54 years, respectively. 76 (76%) 1st professional students and 68 (68%) doctors were found to be satisfied with their lives when assessed over SWLS. Odds of being satisfied were significantly more in the age group of 20-25 years. Those students and doctors who had opted for dental, taking it as a reputed profession or as their ambition, were found to be more satisfied with their lives. Students who were satisfied with the hostel accommodation were significantly more satisfied with their lives. Among doctors, those who were either married or were in a relationship and who were satisfied with their income were more satisfied. CONCLUSIONS: A significant proportion of doctors and 1st professional dental students were satisfied with their lives. More students were satisfied with their lives than doctors. Factors like satisfaction with income and reason for joining the dental profession were found to have significant associations.
Social, academic, and emotional self-efficacies in adolescent girls and their determinants: a cross sectional study.
Kaka Mirza H, Dehghan M, Abdulghani MF … +3 more , Zakeri MA, Dakkalirad A, Prandeh Afshar P
Int J Adolesc Med Health · 2024 Dec · PMID 39627017 · Publisher ↗
OBJECTIVES: To examine the levels of social, academic, and emotional self-efficacy in school-aged girls and to identify the factors that contribute to these self-efficacies. METHODS: This study included 246 girls in Sist...
OBJECTIVES: To examine the levels of social, academic, and emotional self-efficacy in school-aged girls and to identify the factors that contribute to these self-efficacies. METHODS: This study included 246 girls in Sistan and Baluchistan, located in southeastern Iran. This cross-sectional study was conducted on 246 teenagers between the ages of 11 and 18 and the questionnaire consisted of a demographic form, the Self-Efficacy Questionnaire for Children (SEQ-C), the Multidimensional Anxiety Scale for Children (MASC), and the Children's Depression Inventory (CDI). RESULTS: The mean scores for social, academic, and emotional self-efficacies were found to be 27.24 ± 5.67, 30.52 ± 6.47, and 22.29 ± 6.36, respectively. All categories of self-efficacy had mean scores that were higher than the questionnaire midpoint. Furthermore, for every type of self-efficacy, the study identified significant predictors. To be more precise, social self-efficacy was significantly predicted by anxiety, depression, and education level (R=13.7 %, p<0.001). Additionally, anxiety and age were significant predictors of academic self-efficacy (R=4.9 %, p=0.002). Lastly, anxiety and education level were significant predictors of emotional self-efficacy (R=9.2 %, p<0.001). CONCLUSIONS: The results suggest that focusing on reducing depression and anxiety levels could potentially have a positive impact on various aspects of self-efficacy.
A socio-ecological approach to understanding self-regulation among adolescents with developmental challenges and delays.
Paat YF, Srinivasan SM, Lin ML
Int J Adolesc Med Health · 2024 Dec · PMID 39620897 · Publisher ↗
Drawing from the socio-ecological model, this study examined the relationships between child, family, and neighborhood/community factors and self-regulation among five subgroups of adolescents aged 12-17 years with devel...
Drawing from the socio-ecological model, this study examined the relationships between child, family, and neighborhood/community factors and self-regulation among five subgroups of adolescents aged 12-17 years with developmental challenges and delays (Attention Deficit Disorder/Attention-Deficit/Hyperactivity Disorder, Autism/Autism Spectrum Disorder, developmental delay, learning disability, and intellectual disability). Data for this study came from the 2019 National Survey of Children's Health, a nationally representative dataset (n=3,181). Using multiple regression analyses, we found that not all five subgroups of adolescents shared similar experiences. In sum, having good health and health insurance was positively associated with self-regulation, while adverse childhood experiences and being bullied were negatively linked to self-regulation. Family and neighborhood/community-related variables that were positively related to adolescents' self-regulation consisted of parent-child closeness, having college-educated parents, household food security, and parents' knowledge of where to obtain help in their neighborhood. Family variables negatively associated with adolescents' self-regulation included living in two-parent households and receiving public assistance, but only for adolescents with intellectual disabilities. Socio-demographic variables significantly linked to adolescents' self-regulation were biological sex, age, Hispanic ethnicity, and race. Future research and practice should focus on identifying and addressing the diverse ecological factors influencing adolescents' social-emotional development to improve behavioral outcomes and support their transition to adulthood.
Reliability and validity of the Game Addiction Scale in Malaysian Adolescents.
Roslan MZ, Amran MS, Sommer W
Int J Adolesc Med Health · 2024 Dec · PMID 39582428 · Publisher ↗
OBJECTIVES: Problematic gaming behavior has been an issue in many countries, raising the need for assessment tools. The Game Addiction Scale for Adolescents (GASA) by Lemmens et al. is widely used for assessing game addi...
OBJECTIVES: Problematic gaming behavior has been an issue in many countries, raising the need for assessment tools. The Game Addiction Scale for Adolescents (GASA) by Lemmens et al. is widely used for assessing game addiction and has been adopted for use in various countries. The GASA consists of 21 items covering several criteria of game addiction: salience, tolerance, mood modification, relapse, withdrawal, conflict, and problems. The present study aimed to investigate the reliability and validity of the GASA when applied to Malaysian adolescents. METHODS: The study was conducted in two phases (reliability assessment for phase 1 and validity assessment for phase 2). The Malay version of the Game Addiction Scale was created using a forward-translation procedure with the help of panelists consisting of researchers and educators from the fields of Psychology, Medicine, and Education to translate from English to Malay. The participants of the study were presented with both versions (Malay and English) during the data collection process. The study checked content validity with the help of 33 panelists and reliability based on the scores of 116 participants who spent at least 1 h and up to 6 h per week playing games. RESULTS: The reliability was measured using Cronbach's alpha and provided high reliability ranging from 0.671 to 0.903 for all criteria. All criteria scored higher than 0.8 except for relapse (α=0.788) and problems (α=0.671) criteria, indicating that the instrument provides high reliability. The findings from the study show acceptable content validity with high I-CVI values ranging from 0.73 to 0.94 and an S-CVI/Ave value of 0.80. Internal consistency was excellent (α=0.949) and the Content Validity Index (I-CVI) was high for most items. CONCLUSIONS: The results suggest that GASA is suitable for application among adolescents in Malaysia.
Waist-height ratio highlights detrimental risk for olanzapine associated weight gain earlier than body mass index.
Badamasi IM, Tajudeen A, Owolabi SD … +4 more , Ojeahere MI, Yusuf AA, Sirajo MU, Gudaji MI
Int J Adolesc Med Health · 2024 Dec · PMID 39432346 · Publisher ↗
OBJECTIVE: The objective of the current study was to compare the level of sensitivity of body mass index (BMI) or waist-height ratio (WHtR) in identifying physically determinable adiposity levels that are considered to b...
OBJECTIVE: The objective of the current study was to compare the level of sensitivity of body mass index (BMI) or waist-height ratio (WHtR) in identifying physically determinable adiposity levels that are considered to be landmarks for commencing intervention to prevent more sinister cardio-metabolic risks among schizophrenia patients receiving olanzapine. METHODS: The study was a descriptive crossectional one among patients with schizophrenia recieving olanzapine and healthy volunteers as controls. Key measurement of anthropological parameters were compared between the population. RESULTS: Our findings revealed significantly higher rates of abnormal body mass index (BMI) (X=17.06, p=0.000036; OR=4.58, CI=2.16-9.74) and abnormal waist-height ratio (WHtR) (X=35.57, p=2.46E-9; OR=6.37, CI=3.39-12.00) among the schizophrenia patients compared to the healthy volunteers. Notably, BMI identified 43.3 % of the schizophrenia patients as having concerning weight changes, whereas WHtR identified 64.7 %, indicating that WHtR is a more sensitive measure. This discrepancy means that an additional 21.4 % of schizophrenia patients would benefit from weight management guidance based on WHtR rather than BMI. CONCLUSION: Our results underscore the critical importance of WHtR in assessing adiposity among schizophrenia patients treated with olanzapine, highlighting its value as a tool for monitoring and managing cardiometabolic risks in this population.
Psychiatric hospitalizations among adolescents during the pandemic in Italy: a retrospective study.
Di Lorenzo R, Cutino A, Morgante M … +4 more , Panini G, Rovesti S, Filippini T, Ferri P
Int J Adolesc Med Health · 2024 Dec · PMID 39425976 · Publisher ↗
OBJECTIVES: The COVID-19 pandemic has negatively impacted child and adolescent mental health. The study outcome was the evaluation of the pandemic impact on adolescents' hospitalizations in an acute psychiatric ward. MET...
OBJECTIVES: The COVID-19 pandemic has negatively impacted child and adolescent mental health. The study outcome was the evaluation of the pandemic impact on adolescents' hospitalizations in an acute psychiatric ward. METHODS: With an observational and retrospective design, we collected selected variables among adolescents hospitalized in an acute psychiatric ward from 01/07/2017 to 30/06/2022. Data were statistically processed. RESULTS: Our sample consisted of 118 minors with an average age of 15.7 ± 1.2 SD, mostly represented by females (61 %) and Italians (60.2 %), who made 204 hospitalizations in the study period. The admissions by years drastically decreased in 2020 concomitantly with the lockdown and increased in the first half of 2022. The admission rate was higher in winter and spring, except in 2020 when all admissions decreased (p=0.000). Females more frequently were hospitalized for suicidal behavior and acute anxiety (p=0.000) and were discharged with acute stress reactions, eating disorders, and mood disorder diagnoses (p=0.000). Differently, males more frequently were hospitalized for aggressive behavior (p=0.000) and discharged with ADHD diagnosis (p=0.000). At multiple linear regression, the duration of hospitalization (dependent variable) was negatively associated with "the pandemic period" (p=0.017) and "absent aggressive behavior" (p=0.003), and positively with "autism" diagnosis (p=0.000). CONCLUSIONS: We highlighted the more stressful impact of COVID-19 pandemic on female adolescents, who required more frequently psychiatric hospitalizations due to suicidal behavior, anxiety and mood disorders.
A qualitative study on perceptions of adolescents' sexual and reproductive health education in Yogyakarta, Indonesia.
Sikoki B, Larastiti C, Suriastini NW … +1 more , Pujiastuti S
Int J Adolesc Med Health · 2024 Oct · PMID 39395200 · Publisher ↗
INTRODUCTION: Sexual and reproductive health (SRH) education in Yogyakarta, Indonesia, is contentious due to societal and religious taboos in the Javanese Muslim community and being misunderstood as a potential catalyst...
INTRODUCTION: Sexual and reproductive health (SRH) education in Yogyakarta, Indonesia, is contentious due to societal and religious taboos in the Javanese Muslim community and being misunderstood as a potential catalyst for the premarital sex of unmarried adolescents. The existing practice of SRH education cannot guarantee reliable information about adolescent sexuality. The research aims to understand the intergenerational perception of SRH education conducted at high schools, which has not been comprehensively researched. This qualitative study was conducted in 2016 to explore the perspectives of adults and adolescents regarding school-based SRH education. Focus group discussions and individual interviews were used for data collection, while data analysis was conducted using a feminist perspective. CONTENT: The study identified gaps in the delivery of SRH education among Javanese Muslim, Indonesia. SRH education had not adequately addressed how adults and adolescents perceived sexuality as taboo due to moral panic about premarital sex and societal expectations placed on girls to maintain their virginity. Peer counsellors, responsible for imparting SRH information and facilitating communication with adolescents, reproduced adult moral values toward their peers, leading to a reluctance among adolescents to share their issues. Consequently, SRH education failed to reach those experiencing unwanted pregnancy or a toxic intimate relationship. SUMMARY AND OUTLOOK: The results of the study indicate the need to challenge intergenerational perceptions regarding sexuality and gender expectations to promote a positive gender perspective within SRH education in Indonesia.
Dietary pattern and menstrual disorders among female university students.
Ahmed GS, Mohamed Lotfy AM
Int J Adolesc Med Health · 2024 Oct · PMID 39362041 · Publisher ↗
OBJECTIVES: Assessment of the relationship between dietary patterns and menstrual disorders among female medical and paramedical students at Beni-Suef University, Egypt. METHODS: Beni-Suef University conducted a cross-se...
OBJECTIVES: Assessment of the relationship between dietary patterns and menstrual disorders among female medical and paramedical students at Beni-Suef University, Egypt. METHODS: Beni-Suef University conducted a cross-sectional analytical questionnaire-based study. Three hundred fifty two female medical and paramedical students agreed to participate in the study. The collected data about demographics, physical activity, menstrual history, and dietary assessment were transferred to SPSS version 26 for statistical analysis. A p value ≤0.05 was considered statistically significant. RESULTS: The prevalence of irregular cycles, heavy blood flow, severe dysmenorrhea, and premenstrual syndrome (PMS) was found to be (21.9 %), (13.1 %), (35.5 %), and (68.9 %), respectively. Poor adherence to the Mediterranean diet (40.1 %) and physical activity (69.9 %) was present. Females with irregular cycles (p=0.472), heavy menstrual blood flow (p=0.007), and severe dysmenorrhea (p=0.029) reported lower adherence to the Mediterranean diet. Mothers' educational level (p=0.034), family income (p=0.005), and family size (p=0.009) were significantly associated with dietary adherence. CONCLUSIONS: Poor adherence to regular physical activity and the Mediterranean diet is highly prevalent in our research and is highly associated with menstruation disorders. So, it is critical to support health education programs emphasizing healthy dietary habits and regular physical activity to improve menstrual health and women's quality of life.
Burden and awareness of anemia among adolescent girls of residential school in Telangana.
Kamble BD, John RM, Kona C … +3 more , Reddy M, Kundapur R, Agarwal N
Int J Adolesc Med Health · 2024 Oct · PMID 39350631 · Publisher ↗
OBJECTIVES: Adolescence is an important transition phase and the burden of anemia among adolescent school-going children is not well explored. The present study was carried out to determine the prevalence of anemia among...
OBJECTIVES: Adolescence is an important transition phase and the burden of anemia among adolescent school-going children is not well explored. The present study was carried out to determine the prevalence of anemia among school-going adolescent girls and to explore their awareness on anemia. METHODS: A cross-sectional study was conducted among 217 adolescent girls studying in a residential school of Bibinagar village, Telangana. A pre-tested, semi-structured questionnaire was administered to collect the data. Hemoglobin (Hb) was estimated using TrueHb. Data was entered into excel and was analyzed using SPSS software version 21. RESULTS: The mean (±SD) age of the adolescent girls was 13.8 (±0.99) years. About 74.2 % of the girls were in 12-14 years' age group. About 91.7 % had attained menarche. The prevalence of anemia was 81.6 % with a mean (±SD) Hb of 9.5 (±2.7) g/dl among adolescent girls. Among the adolescent girls, 32.7 % had severe anemia, 31.8 % had moderate anemia and 17.1 % had mild anemia. About 86.2 % adolescent girls had heard of anemia while 60.8 % adolescent girls felt that anemia is preventable and only 27.6 % were aware about iron-rich foods. About 38 % of adolescent girls were not aware of any causes of anemia. CONCLUSIONS: The prevalence of anemia was very high among the school-going adolescent girls of rural Telangana. The awareness regarding causes of anemia and iron-rich foods was low among study adolescent girls. Thus, there is a dire need to conduct frequent Test, Treat and Talk (T3) Anemia camps in schools through district school health program.
Assessment of screen time and its correlates among adolescents in selected rural areas of Puducherry.
Ganesamoorthy K, Rangassamy I, Dhasaram P … +1 more , Santhaseelan A
Int J Adolesc Med Health · 2024 Oct · PMID 39348663 · Publisher ↗
OBJECTIVES: To assess screen time and its correlates among adolescents in selected rural areas of Puducherry. METHODS: This cross-sectional analytical study was conducted among adolescents aged 10-19 years visiting the P...
OBJECTIVES: To assess screen time and its correlates among adolescents in selected rural areas of Puducherry. METHODS: This cross-sectional analytical study was conducted among adolescents aged 10-19 years visiting the Pediatrics and other departments at Sri Lakshmi Narayana Institute of Medical Sciences (SLIMS), Puducherry. The sample size of 164 was determined based on previous studies, with a systematic random sampling technique used for participant selection. Data collection involved a semi-structured questionnaire covering sociodemographic factors, screen time, sleep, dietary, and physical activity patterns. Increased screen time was defined as more than 2 h per day, and adequate physical activity was considered as at least 60 min of moderate-to-vigorous intensity exercises. Statistical analysis was performed using Stata version 17, with associations tested using Chi-square analysis and a significance level set at p<0.05. RESULTS: The mean age of the participants was 18.2 (0.9) years, with 86 % in the 16-19 years age group. Males comprised 53.7 %, and 66.5 % were from rural areas. The mean screen time was 4.4 (1.5) hours per day, with 79.1 % exceeding the recommended limit. Mobile phones were the most frequently used devices (92.7 %), primarily for watching movies (51.8 %) and videos (23.8 %). Increased screen time was significantly associated with younger age (10-15 years), urban residence, and school-going status. Adolescents with increased screen time exhibited lower physical activity and inadequate sleep. Additionally, increased consumption of packaged foods was observed among those with higher screen time. CONCLUSIONS: More than three-fourths of the adolescents exceeded the recommended screen time, negatively impacting their physical activity and sleep. These findings underscore the need for targeted interventions to promote healthier lifestyle choices among adolescents in rural Puducherry.
Diet and sleep quality in chilean university students.
Ordóñez Y, Saavedra-Clarke S, Reyes-García S … +6 more , Crovetto M, Valladares M, Espinoza V, Machuca-Barria C, Cresp-Barria M, Durán-Agüero S
Int J Adolesc Med Health · 2024 Oct · PMID 39340217 · Publisher ↗
OBJECTIVES: To evaluate an association between eating patterns and sleep quality in Chilean university students. METHODS: A cross-sectional analytical study was conducted. Participants included students from 4 Chilean un...
OBJECTIVES: To evaluate an association between eating patterns and sleep quality in Chilean university students. METHODS: A cross-sectional analytical study was conducted. Participants included students from 4 Chilean universities. Each student was administered survey Questionnaire on the frequency of healthy and unhealthy eating habits and Pittsburgh Sleep Quality Index and their weight and height were taken to obtain the Body Mass Index (BMI). RESULTS: A total of 1,079 young university students, 80.26 % were women and the average age was 21.7 years. The 73.68 % have inadequate sleep quality. There is a significant differences in frequency between sleep quality and the intake of breakfast (p<0.001), fish (p<0.05) and dinner (p<0.05), that is, university students who reported optimal sleep consume breakfast and dinner on a daily basis and their fish intake is in line with nutritional recommendations. With respect to the association between sleep quality and healthy dietary patterns, it is observed a significant association (p<0.01) between optimal sleep and daily breakfast consumption in model 3 (Odds Ratio (OR): 0.61 (0.46-0.82)). Regarding unhealthy dietary patterns, a significant association (p<0.05) is observed in model 3 between sleep quality and alcohol consumption (OR: 1.42 (1.02-1.96)). Furthermore, a significant association between optimal sleep and salt consumption is observed in both model 2 (OR: 0.73 (0.54-0.99)) and model 3 (OR: 0.72 (0.53-0.97)). Finally, a significant relationship between not tobacco use and optimal sleep is observed (OR: 0.68 (0.48-0.96)). CONCLUSION: A positive relationship between healthy diet and sleep quality was observed in university students, which certain dietary patterns, such as the consumption of breakfast and low salt consumption and alcohol, are crucial to talk about a good sleep quality in this population group.
How do adolescents perceive body image and respond to body dissatisfaction?
Deshmukh VR, Oka GA
Int J Adolesc Med Health · 2024 Oct · PMID 39331626 · Publisher ↗
OBJECTIVES: To assess adolescents' attitudes, satisfaction, and practices regarding their body image across body mass index (BMI) categories. METHODS: In this cross-sectional survey (2019-2020), we recorded anthropometry...
OBJECTIVES: To assess adolescents' attitudes, satisfaction, and practices regarding their body image across body mass index (BMI) categories. METHODS: In this cross-sectional survey (2019-2020), we recorded anthropometry of 2,089 girls and boys between 13 and 17 years from semi-urban schools in western India. Multidimensional Body-Self Relations Questionnaire (MBSRQ) was used for multidimensional attitudinal assessment of body image and weight-related variables. The Stunkard scale was used to assess body shape perception. RESULTS: In higher age categories, boys were more satisfied with their appearance (p=0.012, p linearity=0.001), cared more about grooming (p=0.007, p linearity=0.001), and regarded themselves more physically fit (p=0.003, p linearity 0.030 up to 16 years). Boys with normal BMI were more satisfied with their appearance (p=0.001), fitness (p=0.024), and more alert about symptoms of illness (p<0.000) than others. With increasing BMI, older girls and boys were more preoccupied with their weight and perceived themselves to be heavier (p=0.001). A majority of underweight girls perceived their weight as normal. Students engaged in weight loss practices irrespective of their BMI category. Boys wanted a bigger, and girls a smaller body shape than their current shape. We found body shape dissatisfaction in 66.4 % adolescents, more in boys than in girls (p=0.001). CONCLUSIONS: Body shape dissatisfaction is quite common among semiurban adolescents, with boys outnumbering girls. BMI, age, and sex are associated with weight perception and attitude toward body image. Unindicated weight loss practices are prevalent.
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