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Int J Adolesc Med Health [JOURNAL]

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Digital consumer behaviour: insights into the perceptions of late adolescents' consumption of digital media on cognitive health.

Pinto SD, Anakkathil Anil M

Int J Adolesc Med Health · 2023 Oct · PMID 37650465 · Publisher ↗

OBJECTIVES: Digital media has become an indispensable facet of adolescents' everyday lives, playing a crucial role in their daily routines, encompassing various activities such as accessing information, accomplishing aca... OBJECTIVES: Digital media has become an indispensable facet of adolescents' everyday lives, playing a crucial role in their daily routines, encompassing various activities such as accessing information, accomplishing academic tasks, and facilitating interpersonal communication. Literature evidence on the effects of digital media on cognitive health is bi-directional, having both positive and negative impacts. The present research aimed to explore the perceptions of digital media consumption on cognitive health in late adolescents between the age of 17 and 21 years. METHODS: A self-reported online survey was administered to 173 adolescents, and the data were analysed using statistical software (SPSS 17). RESULTS: The findings revealed that some late adolescents recognize the importance of cognition in their daily activities and health, particularly for activities focused on cognitive, academic, personal, and social skills. Mobile phones, laptops, and television were the most commonly preferred gadgets, while e-pads, Alexa, smartwatches, Kindle, tablets, and play stations were less preferred. Interestingly, a high proportion of participants reported neutral perceptions of digital media's influence on cognitive health, highlighting the need to create awareness and educate late adolescents on healthy digital media consumption. CONCLUSIONS: The findings hold significant implications for the development of comprehensive guidelines and evidence-based recommendations for digital media usage among late adolescents. Additionally, the research sheds light on the strategies adopted by adolescents to regulate and optimize their consumption of digital media, thereby providing valuable insights into effective practices and potential areas for improvement.

Priority strategic directions in adolescent health in Iran based on the WHO's Global Accelerated Action for the Health of Adolescents.

Omidimorad A, Nazari M, Bahmanziari N … +7 more , Soleymani MH, Barakati SH, Ardalan G, Aminaee T, Taghizadeh R, Motlagh ME, Heidarzadeh A

Int J Adolesc Med Health · 2023 Aug · PMID 37624369 · Publisher ↗

OBJECTIVES: In line with the World Health Organization's Global Accelerated Action for the Health of Adolescents (AA-HA!) guidance, the goal of the current research was to identify critical strategies for adolescents' he... OBJECTIVES: In line with the World Health Organization's Global Accelerated Action for the Health of Adolescents (AA-HA!) guidance, the goal of the current research was to identify critical strategies for adolescents' health and to determine the role and distribution of responsibilities among the leading players in the field of adolescent health in Iran. METHODS: The current qualitative and applied study is part of the Ministry of Health and Medical Education's "Adolescent, Youth and School Health" plan to develop the "National Adolescent Health Plan Document" in 2020. First, stakeholder analysis was done, then a pool of nationally appropriate strategies was selected from the list of priority strategies recommended by the WHO in the AA-HA! through several group sessions. After that, the experts selected priority strategies based on the criteria of feasibility, acceptability, effectiveness, guaranteed resources, coordination with other plans and temporal priority, scoring, and executive priorities. Eventually, the priority strategies were assigned to different players/stakeholders in the field over several sessions bearing in mind the methods of implementation and the target groups. RESULTS: The experts identified 58 priority strategies/actions for adolescent health under the seven priority areas of positive development, sexual protection, reproductive health, mental health, substance abuse, self-harm, violence, unintentional injury, communicable and non-communicable diseases, nutrition, and physical activity. CONCLUSIONS: The highest identified priority areas were in the areas of vaccination; special health care package for service providers; training and education to promote health literacy and self-care, life skills, sexual awareness, and prevention/protection against violence; community-based mental health services, planning for adolescents' spare time, substance use prevention.

Adolescents and young adults communicating with gastroenterologists: variation in inflammatory bowel disease clinical communication.

Karimi N, Lukin A, Moore AR … +8 more , Pipicella JL, Kanazaki R, Williams AJ, Ng W, Kariyawasam V, Mitrev N, Pandya K, Connor SJ

Int J Adolesc Med Health · 2023 Aug · PMID 37616503 · Publisher ↗

OBJECTIVES: This study explored the variation in emerging adults' communication with gastroenterologists around the management of inflammatory bowel disease (IBD). METHODS: Nineteen emerging adults with IBD aged 18-25 an... OBJECTIVES: This study explored the variation in emerging adults' communication with gastroenterologists around the management of inflammatory bowel disease (IBD). METHODS: Nineteen emerging adults with IBD aged 18-25 and seven gastroenterologists participated in the study. Outpatient specialist consultations of consenting participants were audio-recorded and transcribed. Transcribed consultations were analysed in terms of the linguistic structure of the consultations and the gastroenterologist-patient role relationship. RESULTS: Variations in the emerging adults' communication with their gastroenterologists stem partly from variation in their ability, opportunity, or need to contribute to the different phases of the consultation and partly from variations in the gastroenterologists' style of communication. Gastroenterologists differed in the construction of their role relationship with the patient, resulting in variations in employing empowering strategies including eliciting, exploring, and clarifying the patient's concerns, sharing clinical reasoning, and validating the patient experience. Variations were also observed in the length of appointments and the gastroenterologists' assessment and addressing of adherence issues. Techniques used by the gastroenterologist varied (1) from simply confirming adherence, to a comprehensive assessment of the patient's understanding of their management plan and their feedback, and (2) from use of persuasion to values calibration. CONCLUSIONS: Evidence-based consumer interventions and communication guidelines for clinicians are needed to address the identified variations in providing care to emerging adults living with chronic conditions.

The intersection of technology and mental health: enhancing access and care.

Altaf Dar M, Maqbool M, Ara I … +1 more , Zehravi M

Int J Adolesc Med Health · 2023 Oct · PMID 37602724 · Publisher ↗

In recent times, technology has increasingly become a central force in shaping the landscape of mental health care. The integration of various technological advancements, such as teletherapy, virtual care platforms, ment... In recent times, technology has increasingly become a central force in shaping the landscape of mental health care. The integration of various technological advancements, such as teletherapy, virtual care platforms, mental health apps, and wearable devices, holds great promise in improving access to mental health services and enhancing overall care. Technology's impact on mental health care is multi-faceted. Teletherapy and virtual care have brought about a revolution in service delivery, eliminating geographical barriers and offering individuals convenient and flexible access to therapy. Mobile mental health apps empower users to monitor their emotional well-being, practice mindfulness, and access self-help resources on the move. Furthermore, wearable devices equipped with biometric data can provide valuable insights into stress levels and sleep patterns, potentially serving as valuable indicators of mental health status. However, integrating technology into mental health care comes with several challenges and ethical considerations. Bridging the digital divide is a concern, as not everyone has equal access to technology or the necessary digital literacy. Ensuring privacy and data security is crucial to safeguard sensitive client information. The rapid proliferation of mental health apps calls for careful assessment and regulation to promote evidence-based practices and ensure the delivery of quality interventions. Looking ahead, it is vital to consider future implications and adopt relevant recommendations to fully harness technology's potential in mental health care. Continuous research is essential to evaluate the efficacy and safety of digital interventions, fostering collaboration between researchers, mental health professionals, and technology developers. Proper training on ethical technology utilization is necessary for mental health practitioners to maintain therapeutic boundaries while leveraging technological advancements responsibly.

The PCOS puzzle: putting the pieces together for optimal care.

Dar MA, Maqbool M, Ara I

Int J Adolesc Med Health · 2023 Aug · PMID 37596861 · Publisher ↗

Polycystic ovary syndrome (PCOS) is a multifaceted hormonal disorder that has significant ramifications for both women's reproductive and metabolic well-being. This analysis aims to offer a thorough comprehension of PCOS... Polycystic ovary syndrome (PCOS) is a multifaceted hormonal disorder that has significant ramifications for both women's reproductive and metabolic well-being. This analysis aims to offer a thorough comprehension of PCOS by investigating the various contributing factors that are crucial for its effective management. We delve into the topic of hormonal imbalances, such as elevated androgens and disrupted estrogen-progesterone dynamics, and their effects on reproductive and metabolic health. Furthermore, we explore the intricate connection between insulin resistance, hyperinsulinemia, and PCOS, highlighting their pivotal role in metabolic dysfunction. Additionally, we examine fertility challenges, irregular menstrual patterns, and metabolic complications while also reviewing current treatment methodologies. Moreover, we address the latest research concerning genetic, environmental, and epigenetic influences on PCOS. By piecing together these essential elements, healthcare professionals can attain a comprehensive understanding of PCOS and deliver optimal care for those affected by the condition.

Prevalence and predictors of tobacco, alcohol and illicit drug experimentation among Tunisian middle and high school-adolescents.

Amara A, Omri N, Sahli J … +5 more , Zedini C, El Ouni T, Mtiraoui A, Mallouli M, Ghardalou M

Int J Adolesc Med Health · 2023 Aug · PMID 37561158 · Publisher ↗

OBJECTIVES: Psychoactive substance experimentation among Tunisian adolescents remains one of the most threatening public health concerns. In spite of this, little is known about the prevalence and predictors of these beh... OBJECTIVES: Psychoactive substance experimentation among Tunisian adolescents remains one of the most threatening public health concerns. In spite of this, little is known about the prevalence and predictors of these behaviors in the Tunisian context. This study aims to assess the prevalence of tobacco, alcohol and illicit drug experimentation and its predictive factors among adolescents in the delegation of Nfidha, Sousse governorate, Tunisia. METHODS: We conducted a cross sectional study in middle and high schools in the delegation of Nfidha, Sousse governorate, Tunisia, during the first trimester of the 2019-2020 school year using an anonymous questionnaire self-administered to a randomly drawn representative sample of 1,352 pupils. Data collected included socio-demographic characteristics, substance experimentation among school-adolescents, academic performance as well as family and peer' factors. RESULTS: Tobacco was the most commonly experimented substance with a prevalence rate of 17.5 % (CI 95 %: 14.8-18.8 %). The prevalence of alcohol and illicit drugs use were 3.3 % [CI 95 %: (2.1-3.9 %)] and 2 % [CI 95 %: (1.1-2.6 %)] respectively. Being male (Adjusted (AOR)=4.09, p<0.001), being a high school pupil (AOR=2.81, p<0.001), having experiencing academic failure (AOR=1.60, p=0.007) and having a father and siblings who use tobacco (AOR=1.72, p=0.002; AOR=2.03, p=0.001 respectively) were the predictors of tobacco experimentation in the multivariate logistic regression analysis. Additionally, being male (AOR=8.40, p<0.001), having experienced academic failure (AOR=2.76, p=0.017) as well as having a father and siblings who use alcohol (AOR=5.90, p<0.001; AOR=3.03, p=0.045 respectively) and having experienced tobacco (AOR=4.28, p<0.001) were the determinants of alcohol experimentation. Similarly, having a history of academic failure (AOR=3.44, p=0.041), having peers who use illicit drugs (AOR=3.22, p=0.028), having a history of tobacco and alcohol experimentation (AOR=6.52, p<0.001; AOR=3.49, p=0.046 respectively) were the predictors of illicit drug experimentation among adolescents. CONCLUSIONS: A substantial number of socio-demographic and environmental factors have been identified as being involved in experimentation with psychoactive substance during adolescence. Therefore, further prevention programs targeting not only adolescents, but also all risk factors are needed.

Comprehensive sexual assessments should include conversations about sexual function and pleasure.

Coret A

Int J Adolesc Med Health · 2023 Aug · PMID 37530057 · Publisher ↗

Abstract loading — click title to view on PubMed.

Suicidal ideation, attempts and its determinants among young adults in Meghalaya: a cross sectional study.

Lyngdoh M, Sundaram SP, Ningombam JD … +1 more , Medhi GK

Int J Adolesc Med Health · 2023 Aug · PMID 37470107 · Publisher ↗

OBJECTIVES: Suicide is a major health issue in India. With the advent of the COVID-19 pandemic, people have experienced loss on a tremendous scale. The impact of these losses on the youth will be massive leading to a ris... OBJECTIVES: Suicide is a major health issue in India. With the advent of the COVID-19 pandemic, people have experienced loss on a tremendous scale. The impact of these losses on the youth will be massive leading to a rise in depression cases, suicidal ideation and ultimately suicidal attempts. Hence there is a need to determine the prevalence of suicidal ideation, suicide attempts and the predictors for both suicidal ideation and attempts among the young adults in Meghalaya. METHODS: This cross-sectional study was conducted among the students aged 18-25 years in NEIGRIHMS and Synod College in Shillong between March to April 2022. Data was collected by using questionnaire method. RESULTS: The prevalence of suicidal ideation and suicidal attempts was found to be 15.9 % (12.3-20.3) and 5.8 % (3.7-8.9) respectively. There was a strong relationship for suicidal ideation with urban students, with less family members, those who had unhealthy relationship with their parents, stress, complicated relationship/loss of loved ones and also those with experience of violence/abuse and behavioural problems. However, the attempts were found to be associated only with the loss of the loved ones. CONCLUSIONS: The prevalence, though smaller is a serious concern considering the fact that the burden of suicides is on a rise and hence regular mental health counselling along with the management of the stress is needed at the educational institutional level which could prove to be beneficial to the students.

Self-effectiveness and healthy lifestyle behaviors in adolescents with asthma.

Humbatova F, Kanik A, Tuncel T … +4 more , Ozdogru E, Sancakli O, Eliacik K, Baspinar O

Int J Adolesc Med Health · 2023 Aug · PMID 37401610 · Publisher ↗

OBJECTIVES: The aim of this study was to examine the self-efficacy and healthy lifestyle behavior levels in adolescents with asthma. MATERIALS AND METHODS: Socio-demographic questionnaire form, questions about adherence... OBJECTIVES: The aim of this study was to examine the self-efficacy and healthy lifestyle behavior levels in adolescents with asthma. MATERIALS AND METHODS: Socio-demographic questionnaire form, questions about adherence to asthma medication, asthma control test, healthy lifestyle behaviors scale, and self-efficacy scale for children and adolescents with asthma were administered to 150 patients whom age range between 12-18, in follow up with asthma in the pediatric allergy outpatient clinic. RESULTS: There was no statistically significant relationship between healthy lifestyle behaviors scale and self-efficacy scale scores between adolescents with controlled and uncontrolled asthma. When patients were grouped regarding the treatment compliance, both healthy lifestyle behaviors scale and asthma self-efficacy scale scores were found to be higher in patients with treatment compliance. When the patients were grouped on the basis of gender, regular follow-up visits, and smoking, there was no significant difference between healthy lifestyle behaviors and self-efficacy scale scores. CONCLUSIONS: The findings showed us the importance of the relationship between healthy living and adolescent self-efficacy in adherence to treatment, while there are many more components in asthma control.

Barriers to adequate nutrition in pregnant adolescent Colombian females.

Sherer EL, Bello Trujillo AM

Int J Adolesc Med Health · 2023 Aug · PMID 37387606 · Publisher ↗

Pregnant adolescent females face nutritional challenges. The nutritional demands of a growing fetus, when added to the requirements for growing adolescent bodies, are risk factors for undernutrition. An adolescent expect... Pregnant adolescent females face nutritional challenges. The nutritional demands of a growing fetus, when added to the requirements for growing adolescent bodies, are risk factors for undernutrition. An adolescent expectant mother's nutritional status therefore affects both the mother's and the child's future growth, development, and potential development of diseases later in life. In Colombia, the rate of female adolescent pregnancies is higher than neighboring countries and the global average. The most recent data suggest that approximately 21 % of all pregnant adolescent females in Colombia are underweight, 27 % suffer from anemia, 20 % suffer from vitamin D deficiency, and 19 % suffer from vitamin B12 deficiency. Contributing factors to these nutritional deficiencies during pregnancy may be the region in which the female lives, the female's ethnicity, and the female's socioeconomic and educational status. In rural parts of Colombia, limitations regarding access to prenatal care and food choices that include animal source proteins may also contribute to nutritional deficiencies. To help remedy this, recommendations include encouraging nutrient dense food sources with higher protein content, eating one additional meal per day, and taking a prenatal vitamin throughout the pregnancy. Making healthy eating choices can be difficult for adolescent females with limited resources and education; therefore, it is recommended that discussions about nutrition begin at the first prenatal visit for optimum benefits. These factors should be considered for the development of future health policies and interventions in Colombia and other low-income and middle-income countries where pregnant adolescent females may be experiencing similar nutritional deficiencies.

The effect of education based on health belief model on high-risk health behaviors in youth: an interventional quasi-experimental study.

Zahmatkesh Rokhi N, Ebrahimzadeh Zagami S, Moradi M … +1 more , Mazloum SR

Int J Adolesc Med Health · 2023 Aug · PMID 37376886 · Publisher ↗

OBJECTIVES: The present study was designed to determine the effect of education based on health belief model (HBM) on high-risk health behaviors in youth. METHODS: This interventional quasi-experimental study was conduct... OBJECTIVES: The present study was designed to determine the effect of education based on health belief model (HBM) on high-risk health behaviors in youth. METHODS: This interventional quasi-experimental study was conducted in 2020-2021 with the participation of 62 students living in the dormitories of University of Mashhad Medical Sciences with available sampling and random allocation in two experimental and control groups. The experimental group received six training sessions. The research instruments included: demographic information, researcher-made questionnaire including HBM constructs, youth high-risk behaviors questionnaire (2019) that were used before, immediately and one month after the educations. The collected data were analyzed using t-test, Mann-Whitney, and ANOVA with SPSS 21. RESULTS: The mean scores in the field of high-risk behaviors as well as all constructs of HBM were not statistically significant in the two groups before the intervention (p>0.05), but the mean scores immediately and one month after the educational intervention in all constructs of the HBM and the range of high-risk behaviors (other than smoking behavior) in the experimental group compared to the control group was statistically significant (p<0.001). CONCLUSIONS: Education based on HBM was effective in reducing high-risk health behaviors, so this educational model can be used to reduce high-risk health behaviors in female students.

Intimate partner violence among unmarried young women (18-24 years) in urban communities, Ibadan, Nigeria.

Okedare OO

Int J Adolesc Med Health · 2023 Jun · PMID 37347722 · Publisher ↗

OBJECTIVES: Intimate partner violence (IPV) is a global health problem that affects more than one-third of women globally. Young women who experience IPV face the same consequences as older women. Previous studies on IPV... OBJECTIVES: Intimate partner violence (IPV) is a global health problem that affects more than one-third of women globally. Young women who experience IPV face the same consequences as older women. Previous studies on IPV have not studies young women exclusively, thus, we aimed to report the prevalence of IPV and predictors among young women in Ibadan, Nigeria. METHODS: A community-based cross-sectional survey, using multistage cluster technique was conducted to determine the past-year prevalence of IPV among unmarried young women (n=736) from 20 communities in five Local Government Areas in Ibadan, Nigeria. The independent variables were respondents and their partners' background information. Dependent variables were experience of physical, sexual, psychological and any IPV. Data were analysed using descriptive statistics and binary logistic regression (α). RESULTS: Psychological IPV was the most prevalent form of IPV (50.1 %). Prevalence of any IPV was 56.3 %. At the bivariate level, having children, acceptance of IPV, ever had sex, age at first sex, experience at sexual debut, partners being with other women while being with the respondents, partners alcohol use, and partners witness of abuse as a child were significantly associated with IPV. However, only acceptance of IPV, experience at sexual debut, and partners being with other women while being with the respondents remained significant at the multivariate level. CONCLUSIONS: IPV is a common occurrence among young women. Both individual and partners characteristics, especially acceptance of IPV contribute significantly to experience of IPV among young women. Hence, interventions targeted at reduction of IPV acceptance will greatly reduce the prevalence of IPV.

The role of psychiatry in diagnosis and treatment of paediatric chronic fatigue syndrome - a scoping literature review.

Dolp R, Wardle DP, Khalid-Khan S

Int J Adolesc Med Health · 2023 Jun · PMID 37336592 · Publisher ↗

OBJECTIVES: Paediatric Chronic Fatigue Syndrome (pCFS) is a common condition that significantly disrupts a healthy psychosocial development. Psychiatric symptoms associated with pCFS are conceptualized as either part of... OBJECTIVES: Paediatric Chronic Fatigue Syndrome (pCFS) is a common condition that significantly disrupts a healthy psychosocial development. Psychiatric symptoms associated with pCFS are conceptualized as either part of its complex etiology, its consequence, or as a comorbidity. However, patients with this condition are rarely seen by psychiatrists. This scoping review aims to explore the role of psychiatry in the diagnosis and treatment of pCFS. CONTENT: A scoping review of literature was conducted using MEDLINE, EMBASE, Cochrane and PsycINFO. Databases were searched for articles describing psychiatric involvement in the diagnosis or treatment of children and adolescents (age ≤ 18) with pCFS. A grey literature search was also conducted to identify additional guidelines and national recommendations to identify the role of psychiatry in the diagnosis and treatment of pCFS. SUMMARY: The search provided 436 articles of which 16 met inclusion criteria. Grey literature search identified 12 relevant guidelines. Most studies and guidelines did not include any psychiatric involvement in the care of patients with pCFS. If psychiatry was mentioned, it was used interchangeably with psychological interventions or in the context of treating distinct psychiatric comorbidities and suicidal ideation. OUTLOOK: The role of psychiatry in diagnosis and treatment of pCFS is poorly defined. Future research is required to understand how psychiatrists can contribute to the care of patients with pCFS.

Association of health predictors with quality of life in children and adolescents.

Visser PM, Enes CC, Nucci LB

Int J Adolesc Med Health · 2023 Aug · PMID 37319352 · Publisher ↗

OBJECTIVES: To evaluate the association of health-related quality of life (HRQOL) with physical activity, food consumption, sleep duration and screen time in children and adolescents. METHODS: Cross-sectional study with... OBJECTIVES: To evaluate the association of health-related quality of life (HRQOL) with physical activity, food consumption, sleep duration and screen time in children and adolescents. METHODS: Cross-sectional study with 268 students aged 10-17 years from a public school in Brazil. The outcome variable was HRQOL score, evaluated by the Pediatric Quality of Life Inventory™ (PedsQL™). Exposure variables were habitual physical activity, food consumption, sleep duration, and screen time. A general linear model was used to estimate age-adjusted means and 95 % confidence interval (95 % CI) of HRQOL scores, and a multivariable analysis of variance to identify factors associated with lower/higher HRQOL scores. The study was approved by the Human Research Ethics Committee of the Pontifical Catholic University of Campinas. RESULTS: Overall HRQOL score was 70.3 (95 % CI: 68.0-72.6). Multivariable analyses showed lower HRQOL scores for those adolescents who: 1-were physically inactive (67.3; p=0.014); 2-sleep less than 6 h per night (66.8; p=0.003); 3-eat fruits and vegetables less than five days/week (68.9; p=0.027); and 4-eat fast food twice/week or more (68.6; p=0.036) when compared to their opposite groups. Screen time was not statistically significantly associated with total HRQOL. CONCLUSIONS: The joint association found in our study suggests that at least three habits must change to improve the HRQOL of children and adolescents (physical activity, food consumption, and sleep duration). Therefore, interventions in schools to promote a healthy lifestyle to achieve a better HRQOL should include a multidisciplinary team to properly guide children and adolescents about these habits simultaneously.

Predictors of sexual and reproductive health self-care based on demographic factors in adolescent girls.

Sadeghi M, Jamshidimanesh M, Alimoradi Z

Int J Adolesc Med Health · 2023 Jun · PMID 37255179 · Publisher ↗

OBJECTIVES: Global access to sexual and reproductive health is an essential human right, especially to adolescent girls. For improvement sexual and reproductive self-care needs to determine the related factors on utiliza... OBJECTIVES: Global access to sexual and reproductive health is an essential human right, especially to adolescent girls. For improvement sexual and reproductive self-care needs to determine the related factors on utilization and acceptance by adolescents. Therefore, the aim of this study was to examine the SRH self-care and its predictors among adolescent girls in Neyshabur city at Northeast of Iran. METHODS: The present study was a cross-sectional correlational study performed on 265 girl students from 15 girls' high schools in Neyshabour, in Razavi Khorasan province, Northeastern Iran. The sampling method was multistage probability sampling. Data were collected using demographic information and female adolescents' sexual reproductive self-care scale. Data were analyzed using descriptive, frequency, percentage, mean, standard deviation, and ANOVA, Pearson correlation coefficient, and multiple linear regression model. The significant level was p<0.05 using SPSS. RESULTS: The results of the present study showed that the mean score of the sexual reproductive health self-care was 61.23 of 100 ± 10.5, it had a significantly relationship with fathers education high school [=-7.241 CI: (-11.088 to -3.393)], diploma [=-7.221 CI: -10.707 to -3.735] than academic. The rank of children birth in the family first [=6.012 CI: (0.931-11.092)] second [=4.436 CI: (1.437-8.309)] than third and above. Economic status of household Excellent [=3.159 CI: (2.193-8.511)], Favorable [=5.866 CI: (1.355-10.378)], relatively favorable [=2.705 CI: (1.802-7.213)] than poor level economic. CONCLUSIONS: sexual and reproductive health is associated to father's education, the rank of children birth in the family, and economic status. So these variables will help to strategies and progress educational programs.

The prevalence of smoking cigarettes among HIV-infected patients after a decade. Single-center analysis.

Tochman P, Mikuła T, Lembas A … +1 more , Wiercińska-Drapało A

Int J Adolesc Med Health · 2023 Jun · PMID 37192541 · Publisher ↗

OBJECTIVES: Smoking habit is known to be a risk factor for the development of multiple diseases and conditions, premature death, and worse quality of life. The prevalence of smoking in PLWH is 2-3 times higher than in th... OBJECTIVES: Smoking habit is known to be a risk factor for the development of multiple diseases and conditions, premature death, and worse quality of life. The prevalence of smoking in PLWH is 2-3 times higher than in the general population. The study aimed to evaluate how the prevalence of smoking has changed among PLWH over the past decade. METHODS: The data of n=204 PLWH hospitalized from November 2018 to November 2019 was analyzed. All patients filled out the survey including age, gender, the number of cigarettes smoked, the number of years as a smoker, and the impact of HIV diagnosis on the number of cigarettes smoked. The data was compared to a similar analysis performed in our department in 2009. RESULTS: The study showed a decrease in the prevalence of smoking among PLWH over the past decade. In comparison to 2009, a statistically significant (p<0.05) reduction in the number of smoking individuals among ever and never smokers was observed both in males and in females. CONCLUSIONS: The prevalence of smoking cigarettes among PLWH in our department has significantly decreased since 2009 but remains much higher than in the general population. Smoking cessation interventions provided by HIV care professionals are necessary and should be continued among PLWH.

Suicidal ideation, plan and attempt among adolescents in Houston Texas: a trend and cross-sectional analysis of the youth risk behavior survey 2011-2019 in the United States.

Tundealao S, Titiloye T, Sajja A … +1 more , Egab I

Int J Adolesc Med Health · 2023 Jun · PMID 37171276 · Publisher ↗

OBJECTIVES: We evaluated the trends in the prevalence of suicidal ideation, plan, and attempts among adolescents in Houston, Texas, USA, from 2011 to 2019. Furthermore, we assessed the risk factors associated with suicid... OBJECTIVES: We evaluated the trends in the prevalence of suicidal ideation, plan, and attempts among adolescents in Houston, Texas, USA, from 2011 to 2019. Furthermore, we assessed the risk factors associated with suicidal ideation, plan, and attempt among adolescents in Houston in 2019. METHODS: A cross-sectional analysis of Houston district's Youth Risk Behavior Survey (YRBS) from 2011 to 2019. It included 11,178 adolescents aged 11-15 years in Houston middle schools. The overall and stratified (by gender, race, and ethnicity) prevalence rates were evaluated between 2011 and 2019. Factors associated with suicidal ideation, plan, and attempts in 2019 were assessed using multiple logistic regression. RESULTS: Suicidal ideation among adolescents increased by 2.74 % from 23.14 % in 2011-25.88 % in 2019. In 2019, we observed a 4.40 % increase in the prevalence of suicidal ideation from 2017 (21.48 %). The prevalence of suicidal plan increased by 3.76 % in 2019 (17.69 %) from 2011 (13.93 %) and by 3.99 % from 2017 (13.70 %). Suicide attempts among adolescents in Houston fluctuated from 2011 to 2019. However, there was a 1.19 % increase in prevalence in 2019 (11.62 %) compared to 2017 (10.43 %). Suicidal ideation, plan, and attempt were significantly associated with being female, Black, or African American, having ever carried a weapon, being bullied on school property, being bullied online, having ever had a cigarette, having ever had alcohol, having taken cocaine, and having used prescription pain medicine illegally/inappropriately. CONCLUSIONS: This study found increasing rates of suicide ideation, plan, and attempts among Houston adolescents in middle schools between 2011 and 2019.

Depression and anxiety in adolescents and young women with polycystic ovary syndrome: a systematic review and meta-analysis.

Nasiri-Amiri F, Faramarzi M, Omidvar S … +1 more , Alizadeh-Navaei R

Int J Adolesc Med Health · 2023 Jun · PMID 37158791 · Publisher ↗

OBJECTIVES: To evaluate the depression and anxiety symptoms, or both in adolescents and young women with polycystic ovary syndrome (PCOS) to those without PCOS. CONTENTS: A comprehensive electronic search was conducted t... OBJECTIVES: To evaluate the depression and anxiety symptoms, or both in adolescents and young women with polycystic ovary syndrome (PCOS) to those without PCOS. CONTENTS: A comprehensive electronic search was conducted to identify observational studies on PCOS patients (January 1991-December 2020). The population study included adolescents and young women (14-29 years of age) in two groups of cases (with PCOS) and controls (without PCOS) who were diagnosed with PCOS using the Rotterdam or National Institutes of Health criteria (NIH). Symptoms of depression, anxiety, or both, reported separately, were of interest. Mean (SD) of depression or anxiety symptoms, or both, as measured by a quantitatively validated scale for both the case and control groups. All eligible studies were quality assessed using the Newcastle-Ottawa Scale (NOS) tool. The initial database search resulted in the discovery of 1,582 papers, of which 806 were selected after screening the titles and abstracts and removing duplicates. A total of 49 papers were found to be suitable for full-text reading. This meta-analysis included ten studies comprising 941 adolescent/young women (391 with PCOS and 550 without PCOS). The standard mean difference (SMD) and its corresponding confidence interval (CI) at 95 % were used to compare depression or anxiety symptoms, or both, between two groups. SUMMARY AND OUTLOOK: The results, which included 192 cases, demonstrated that adolescents/young women with PCOS had significantly more depressive symptoms than those without PCOS (n=360) (SMD 0.72; 95 % CI, 0.09-1.34; Z=2.25, p=0.025; Heterogeneity: I=89.7 %; p=0.000). Also, the results which included 299 cases demonstrated that adolescents/young women with PCOS had significantly more anxiety symptoms than those without PCOS (n=421) (SMD 0.59; 95 % CI, 0.13-1.05; Z=2.51, p=0.012; Heterogeneity: I=86.1 %; p=0.000). This meta-analysis demonstrates that adolescent/young women with PCOS have significantly more depression or anxiety symptoms than those without PCOS.

Dental aesthetic related popularity and peer pressure, a survey of adolescents in Pakistan.

Shahzad HB, Awais F, Kazmi F … +8 more , Arshad AI, Manzar S, Rashid S, Zahra S, Ghafoor MK, Zahra B, Khan SR, Amir W Ahmad WM

Int J Adolesc Med Health · 2023 Jun · PMID 37145020 · Publisher ↗

OBJECTIVES: Most research has focused on determining how popularity and peer pressure impact behaviours, rather than identifying a key feature such as dental aesthetics and studying its impacts in relation to popularity... OBJECTIVES: Most research has focused on determining how popularity and peer pressure impact behaviours, rather than identifying a key feature such as dental aesthetics and studying its impacts in relation to popularity and peer pressure. METHODS: A cross sectional study was conducted on a sample of 527 children from four schools located in Lahore, Pakistan. A 14-point questionnaire was developed, using existing measures of peer pressure, and popularity. The selected questions were modified to investigate the issues of dental aesthetics and integrated into the WHO oral health questionnaire for children. RESULTS: More than 50 % of the participants indicated popularity issues regarding dental aesthetics. 63.5 % of the responses indicated an influence of relatives and friends, whereas 38 % responses reported of harassment and bullying at schools. Regression analysis shows that the females were 1.99 times more likely to get comments from relative or friends about their teeth and 2.17 times more likely to be bullied or harassed at school due to their teeth when compared to the males. Fathers with a higher education brought about higher popularity and peer pressure issues. Mothers with a higher education were less likely to cause popularity and peer pressure issues than mothers with a lower education. Popularity and peer pressure were both significantly related to higher dental visitation. CONCLUSIONS: Popularity and peer pressure have a direct link to dental aesthetics in an individual and are impacted by gender, family relatives and parental influences. The area of popularity and peer pressure related to dental aesthetics can be targeted in health education programs to empower children to adopt better oral health behaviours.

Internet, studying and daily rhythm: health symptoms among higher education students.

Rouvinen H, Sormunen M, Kunttu K … +1 more , Turunen H

Int J Adolesc Med Health · 2023 Apr · PMID 36947850 · Publisher ↗

OBJECTIVES: Excessive Internet use is a health concern among higher education students leading to reduced academic performance and problems in everyday life. This study aimed to explore the relationship between health an... OBJECTIVES: Excessive Internet use is a health concern among higher education students leading to reduced academic performance and problems in everyday life. This study aimed to explore the relationship between health and problems of studying and daily rhythm caused by time spent online among students (n=3,050). METHODS: A cross-sectional survey was carried out. The data were analyzed using descriptive and chi-square tests and logistic regression analyses. RESULTS: Findings indicated that one fifth of students reported having problems of studying and daily rhythm caused by time spent online. Psychological health symptoms such as anxiety (p<0.001) and physical health symptoms including lower back problems (p<0.001) were associated with these problems. According to the logistic regression analyses, problems of studying and daily rhythm caused by time spent online and higher amount of Internet use by time were associated with psychological and physical health symptoms. CONCLUSIONS: The findings suggest that problems of studying and daily rhythm and spending more time online are related to health symptoms among the students. The study's findings can be used from a prevention standpoint for early identification and further to identify the need for seeking professional treatment.
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