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Aim Levels of American Heart Association-defined cardiovascular (CV) health behaviours have not been fully reported among young adolescents in low- and middle-income countries (LMICs). We describe poor, intermediate and ideal levels of American Heart Association-defined CV health behaviours among young adolescents in LMICs. Methods We categorised the levels of CV health behaviours (smoking, body mass index, physical activity and diet) as poor, intermediate, or ideal and calculated the prevalence of each level and the cumulative number of ideal CV health behaviours using the latest data from the global school-based health survey during 2009-2015. The weighted prevalence and 95% confidential intervals were calculated for the whole sample and for sub-groups stratified by gender and age. Pooled overall and regional estimates were calculated using a random-effects model. This study included 153 759 young adolescents from 45 countries. Results Overall, 86.3% (95% confidence interval, 82.7-89.9), 80.1% (79.8-80.4), 15.4% (13.7-17.2) and 1.7% (1.1-2.2) of respondents reported ideal levels for smoking, body mass index, physical activity and a healthy diet score, respectively. Overall, 0.3% (0.2-0.4) of respondents had 'four' cumulative ideal CV health behaviours. This 'percentage' was lowest in the Americas (0.2%) and highest in Southeast Asia (0.5%). Conclusions Consistently low proportions of young adolescents in LMICs met the ideal levels of physical activity and a healthy diet score or had 'four' ideal CV health behaviours. For this population, physical activity and a healthy dietary pattern should be strongly prioritised.

Introduction The present study examined the longitudinal relations between maternal psychological control and emotion regulation in Chinese adolescents. Specifically, we examined how emotion regulation was reciprocally associated with multiple dimensions of psychological control, including love withdrawal, guilt induction, and shaming in the Chinese cultural context. Methods Participants consisted of 865 Chinese students from fourth through eighth grade (50.8% girls; Mage = 11.82 years at Wave 1, SDage = 1.28 at Wave 1, range = 10–15 years). Data were collected at two time-periods over a one-year period. Children reported on their emotion regulation. Mothers rated their engagement in love withdrawal, guilt induction, and shaming. Results Cross-lagged panel analyses revealed an adequate model fit. Children's emotion regulation at study onset predicted decreases in all three dimensions of maternal psychological control one year later, whereas the three dimensions of maternal psychological control did not significantly predict emotion regulation one year later. Conclusions Findings revealed the longitudinal associations among child emotion regulation and maternal psychological control within a specific cultural context. Implications for the meaning of psychological control parenting in Chinese culture are discussed.

Catatonia is a syndrome characterized as a cluster of difficulties in verbal and motor behavior that interferes with everyday function. This study analyzed the effects of a prompt-fading behavioral treatment package on the verbal behavior of an adolescent girl with autism and catatonia. Data were collected on three verbal responses previously observed in the participant's repertoire, including "Hi," "That sounds great," and "Excuse me." Instructors provided full manual guidance, in conjunction with a verbal model, when needed, to assist the participant in emitting the verbal responses. A functional relation was demonstrated between the prompt-fading package and the three verbal responses, and independent verbal responding emerged as manual prompts were faded. Responding was displayed across unfamiliar adults and maintained over time.

Background: Children and adolescent mortality remains a public health concern in developing countries. This study aimed to describe risk factors and aetiologies of mortality among children and young adolescents at a tertiary hospital in the town of Douala, Cameroon. Methods: We carried out a retrospective cohort study from January 1st to May 31st, 2019 among deceased patients aged 1 month to 15 years admitted to the paediatric ward of the Gynaeco-Obstetric and Paediatric Hospital. Data of interest were collected and analysed. Results: Out of 3088 children admitted, 123 death cases were recorded. The overall hospital mortality rate was 3.98%. Females accounted for 51% of the deceased patients. Fever was the main reason for consultation. Severe malaria was the most common diagnosis. In univariate logistic regression analysis, factors associated with mortality included hyperthermia (OR = 0.24; 95% CI 0.80 - 1.33; p = 0.012), coma/impaired consciousness (OR = 0.30; 95% CI 0.10 - 0.88; p = 0.029), pneumonia (OR = 3.95; 95% CI 1.42 - 10.97; p = 0.008), antipyretic therapy (OR = 0.28; 95% CI 0.11 - 0.73; p = 0.009), and no medication (OR = 4.50; 95% CI 1.05 - 9.29; p = 0.043). In multivariate regression analysis, coma/impaired consciousness was found to be the only factor associated with mortality (OR = 6.24; 95% CI 1.15 - 33.73; p = 0.034). Conclusion: The present study reveals that most of death cases were due to preventable causes, especially infectious diseases. Efficient reduction in children and adolescent mortality could be achieved by adequately addressing these causes.

We consider the main prevention forms of deviant behavior of younger adolescents in general education organizations. The features of different types of prevention of deviant behavior of the individual are revealed. The model of preventive work with adolescents is possible with a number of conditions: teaching adolescents social skills, creating situations for changing the behavior of adolescents, organizing successful socially significant variable activity of a teenager. The influence of achievement motivation is important in the success of deviant behavior prevention. We reveal the features of the social environment necessary for the consolidation of positive changes in the adolescents’ behavior. Informing adolescents timely about the consequences of illegal behavior is important. We also highlight the necessity of early involvement in a healthy lifestyle of the child and the whole family. Attention is focused on the role of the state in preventing the appearance and development of deviations among young people.

The transition from primary to secondary school is acknowledged to be a difficult time for young adolescents in terms of social relationships within the context of academic change. This is exacerbated by organisational differences between primary and secondary school and associated myths which affect pupil perceptions. This may hinder a successful transition and our study addresses some of these issues. This small-scale qualitative study focused on the extent to which the expectations of the transition matched the reality for a group of primary and secondary school pupils through the use of questionnaires and semi-structured interviews with focus groups of pupils and teachers. The consequences of this research will contribute to the understanding of how boys and girls manage their approaches to social relationships and organisation of learning during this challenging time of transition between primary and secondary schools. This research will be of interest to senior leaders, key stage co-ordinators, Year 6 and 7 teachers and those interested in the nature of school transition.

In pursuit of preparing social justice educators, the authors argue for the inclusion of young adolescents and teacher candidates as boundary-spanning teacher educators who are both contributors to...

El texto explora el folklore estudiantil en su interconexión con el mundo digital y con el mantenimiento de anteriores formas de expresión del folklore. Mediante un estudio cualitativo que ha sido desarrollado a través de una etnografía colaborativa complementada con entrevistas semidirigidas a grupos de estudiantes de bachillerato y Universidad, se analiza el papel de los juegos juveniles, como los de beber y fumar, los llamados retos virales, cuyo relato va dirigido a jóvenes adolescentes, para terminar abordando la comunicación con memes como práctica social dentro del contexto de los grupos de Whatsapp.

An increasing number of young adolescents who identify as transgender or nonbinary are presenting to the health care system for gender affirmation therapy before the full progression of puberty. Gender-affirming therapy may impair future fertility, but options exist for fertility preservation. This perspective reviews these options for transmasculine and nonbinary youth, and explores related ethical considerations. The authors support the right of transgender and nonbinary youth to utilize available reproductive technologies, provide recommendations for treating health professionals, and advocate for increased research efforts and tools to aid patient decision making.

There is growing evidence that early life conditions are important for outcomes during adolescence, including cognitive development and education. Economic conditions at the time children enter school are also important. We examine these relationships for young adolescents living in a low-income drought-prone pastoral setting in Kenya using historical rainfall patterns captured by remote sensing as exogenous shocks. Past rainfall shocks measured as deviations from local long-term averages have substantial negative effects on the cognitive development and educational achievement of girls. Results for the effects of rainfall shocks on grades attained, available for both girls and boys, support that finding. Consideration of additional outcomes suggests the effects of rainfall shocks on education are due to multiple underlying mechanisms including persistent effects on the health of children and the wealth of their households, underscoring the potential value of contemporaneous program and policy responses to such shocks.

This paper uses the Theory of Reasoned Action (TRA) to develop a model predicting influences on adolescents’ alcohol consumption behavior. Specifically, we examine the variables of attitudes toward...

At the 62nd annual meeting of the American Society of Hematology (ASH) 2020—which took place virtually for the first time—numerous clinical studies and research results were presented. The latest trends and exciting developments in the field of stem cell transplantation can be found in the following article, e. g. how transplantations with a mismatch donor can be safely performed, important studies regarding MDS and ALL patients, a promising second-line treatment in chronic GVHD, why the nutritional status and the microbiome should be part of the pre-transplant work-up and that lifelong follow-up for children and young adolescents after an allogeneic transplantation is essential.

The purpose of this study was to examine how participation in small-group inquiry projects at a summer civics camp contributed to middle schoolers’ beliefs about themselves as citizens and influenced their general and individual conceptions of citizenship. Using an action civics model for their projects, participants worked in small groups to identify an issue in their community, study its root causes and propose solutions. This study utilized a convergent mixed-methods approach involving the collection of both pre- and post-surveys and qualitative data (exit tickets, advocacy projects and semi-structured interviews) to investigate the research questions. Participants for this study included 108 middle schoolers (entering fifth to ninth grade) who attended a free, week-long summer civics camp hosted at two private universities in the United States. Utilizing Westheimer and Kahne’s citizenship typology to analyze the data, three primary findings emerged. Firstly, some students’ conceptions of citizenship did shift slightly towards more participatory and justice-oriented notions of citizenship, although their predominant orientations towards democratic citizenship remain personally responsible. Secondly, students began to appropriate the citizenship frameworks used during the camp to nuance and expand their understandings citizenship and advocacy. Finally, students began to see ways they could use their voice to advocate for change in their communities. This research showcases how inquiry might enhance democratic citizenship education in a global world through interaction with others, responding to one’s community, developing civic knowledge, critically investigating issues and allowing for multiple solutions.

Around 60–70% of the world population are residing in Asia and each year approximately 200,000–250,000 children and young adolescents aged less than 20 years are expected to develop cancer. The Asian continental branch of the International Society of Pediatric Oncology (SIOP Asia) was founded in 1995 and its first meeting was held in Singapore in 2000. Since the SIOP Asia is an academic society under the umbrella of SIOP, foundation of its action team named as Asian Pediatric Hematology and Oncology Group (APHOG) was proposed and agreed to be built by the representatives from many Asian countries in 2012 at the time of the 7th SIOP Asia congress in Yogyakarta. APHOG is an Asian children’s cancer clinical study group which works as one of the two wheels of a cart with SIOP Asia. One of its new missions is to support the WHO Global Initiative for Childhood Cancer which was declared in 2018. The aim is to increase the cure rate of children with cancer up to more than 60% by 2030. The fundraising system for APHOG is now being established.

Introduction: Dental caries is among the most common dental problems affecting humans. The prevalence and severity of dental caries is increasing in developing countries which may be attributed to changing lifestyle and dietary patterns that include binge eating habits and high sugar containing diet, popularity and easy availability of soft, sticky, high carbohydrate content food items among young adolescents. Objectives: (1). To study the magnitude of caries among 5 to 15year olds residing in Kalyan Puri. (2). To assess the associated dietary practices among study subjects. Methods: This was a community-based cross-sectional study in urban resettlement colony, Kalyan puri, East Delhi. An interview schedule was designed and pretested for dietary history and clinical examination was done using an oral probe, dental mirror and torch to assess the magnitude of caries. DMFT index was calculated for each child. Data analysis was performed using Statistical Package for the Social Sciences version 11.2. The qualitative variables were expressed in proportion and quantitative variables were summarized by mean and standard deviation. Result: Caries was present in 22.4% of subjects. The mean DMFT index was 0.48 ±0.991 with range 0 to 6. Study subjects who were consuming protective food items more than once a week were found to have comparatively less problems of teeth. Conclusion: This study gives the need for raising awareness regarding good oral hygiene, appropriate dietary practices and promotion of homemade, natural and indigenous products with good nutritional values over the use of processed food. How to cite this article:Bharti A, Prasuna JG, Mehra P, Rasania SK. Dental Caries and Dietary Habits: A Community-Based Cross-Sectional Study among Young Adolescents. Epidem Int 2020; 5(3): 10-14. DOI: https://doi.org/10.24321/2455.7048.202021

An optometrist plays a central role in the busy, routine practice of an ophthalmologist, often the point of first contact. More and more higher educational institutions are offering a plethora of technology-based paramedical training courses. Optometry is one such field that has, in parallel, benefitted by the growth of technology. Despite so many other options being available, optometry continues to enjoy popularity. We undertook this study to assess what ticks inside the minds of young adolescents, and makes them choose optometry, to define their career track. Using Google forms and census sampling, we were able to get responses from 40 BSc Optometry students, across all years of the course. We found females outnumber males, hugely. Among the several factors that influence the decision-making in favor of optometry, the top ones included positive course credentials, huge market opportunities, altruism, pleasant work-life balance, and being perceived as a doctor. Keywords: Careerchoice, Factors, Optometry.

There have been differences in temporal trends of asthma prevalence by geographic region and economic prosperity. The aim of this study was to assess temporal trends in asthma prevalence among young adolescents in Skopje, Republic of North Macedonia as a developing country with a low asthma prevalence.Data were obtained from three cross-sectional surveys (2002, 2006, and 2016) of adolescents (12-15 years) from randomly selected schools in Skopje. Trends in the prevalence of asthma and asthma-like symptoms were investigated descriptively and using multiple logistic regression to adjust for potential confounding factors.The prevalence of asthma increased, although the changes were not statistically significant (2002: 1.7%; 2006: 2.0%; 2016: 2.8%; p=0.075). Statistically significant (p0.05) reductions in wheeze prevalence over time (2002, 2006, 2016) were observed for current wheeze (8.8%, 7.2%, 5.5%), exercise-induced wheeze (14.2%, 7.9%, 1.9%), and night dry cough (16.5%, 13.5%, 9.6%). After adjustment for potential confounding factors, there was an increase in asthma likelihood by year compared to 2002 (2006: OR=1.22, 95%CI=0.67-2.22; 2016: OR=2.45, 95%CI=1.24-4.84). In the adjusted analyses, associations between year and the asthma-like symptoms confirmed the descriptive results, except for current wheeze, where statistical significance disappeared.Divergent trends in prevalence with a decrease in asthma-like symptoms and an increase in physician-diagnosed asthma in Skopje during a period of 14 years were established. Improved asthma labelling and effective preventative treatment of symptoms may explain some of these changes, although changes in environment and lifestyle could not be ruled out.

Diego, a young adolescent, is hospitalised in a psychiatric unit for anorexia. The diagnosis of anorexia, as well as medical practices, result in resistance from the young man, for whom being "anorexic" seems incompatible with a masculine and heterosexual vision of oneself. His passage through the psychiatric unit is then not without effect on his sexual development.

The aim of this study was to assess the awareness of caregivers, emergency medical technicians, and emergency medical doctors by investigating the storage media for avulsed teeth at the trauma site. This study was performed by reviewing medical records of 183 patients with the age under 17 years old, who visited Ajou University Hospital for dental trauma. Based on their medical records, storage media for avulsed permanent teeth were investigated by classifying them as dry, milk, saline, saliva and tap water. The storage media chosen by caregivers at the trauma site were classified as cases by parents and school nurse teachers. Storage media chosen by emergency medical technicians and emergency medical doctors were also investigated using the same classification criteria. The results show that both parents and school nurse teachers used milk the most as a storage medium for avulsed teeth. Dry storage was the second most chosen medium by parents, and saline by nurse teacher. As a storage media emergency medical technicians used saline the most, while emergency medical doctors used only saline when they failed to replant avulsed teeth. There is a need to improve the knowledge of caregivers, emergency medical technicians, and emergency medical doctors regarding the storage media for avulsed teeth.

Adolescence is a time of particular risk for violence perpetrated by parents, teachers, peers and intimate partners. Social norms that condone violent discipline, promote masculinities focused on violence, and support gender inequality play an important role in perpetuating violence. However, little is known about the relationship between inequitable gender norms and children's experiences of violence from parents or other adults in the household. Utilising data from the Gender and Adolescence: Global Evidence (GAGE) study, this paper explores how adolescent and household attitudes and community-level gender norms influence experiences of violence among young adolescents (aged 10-12) in Ethiopia. Our results show that community norms, rather than adolescent and household attitudes, are significantly associated with experiences of household violence. This result holds for boys and girls, and in rural areas. In urban areas, however, adolescent attitudes were more influential than community norms, perhaps indicating less cohesive communities. Overall, these findings suggest that violence prevention programming should prioritise shifting community norms, particularly in rural areas, in order to promote adolescent girls' and boys' right to bodily integrity.

Balanced levels of Psychological Well-Being (PWB) can represent protective factors for human functioning. PWB has not been investigated among young adolescents who practice binge drinking (BD), a popular pattern of alcohol intake, defined as the consumption of five or more alcoholic units in one session. The negative impact of BD on psychophysical health has been extensively studied, but there is scarcity of studies investigating the influence of psychological variables on BD in early adolescence. The main aim of this study was to fill the gap in the literature, focusing on PWB as a new possible target of preventive interventions. One thousand six hundred and eighty-seven Italian adolescents completed questionnaires assessing BD, cannabis use, lifestyle, allostatic overload, subclinical psychological distress, problem-solving, and PWB. Binge drinkers represented 9% of the sample. Among them, 71%, 26%, and 3% binge drank monthly, weekly, and daily, respectively. Stress (higher frequency of stressful life events), psychological distress (higher hostility), and PWB dimensions (higher scores on positive relations and lower on purpose in life) were associated with BD. These new findings on unbalanced levels of PWB could represent the potential target of longitudinal studies aimed to implement specific preventive interventions among young adolescents. Implications for research and prevention are discussed.

The purpose of the work is to investigate the screening frequency of anxiety and depressive disorders and their manifestations in young adolescents to determine risk factors and develop measures for their prevention. Anxiety testing was conducted for 313 students of educational institutions of the Khmelnitsky region aged 10-14 years: 156 (49.8 %) boys and 157 (50.2 %) girls. 258 people were tested for the spectrum of depressive disorders, of which 51.9 % (134) were boys and 48.1 % (124) girls. Spielberger State-Trait Anxiety Inventory (STAI) was used to study anxiety, and Children's Depression Inventory (CDI) by M. Kovacs, was used to diagnose depression. The probability was evaluated using Student's t-test with the construction of a 95 % confidence interval (CI) for the difference in means. Quantitative traits are given as M±σ. A high level of personal anxiety was determined in 20 (6.4 %), and situational anxiety in 17 (5.4 %) people. The average level of personal anxiety was determined in 38 (12.1 %), and situational anxiety – in 142 (45.3 %) people. A low level of personal anxiety was identified in 255 (81.5 %), and situational anxiety – in 154 (49.3 %) people. That is, most students of early adolescence had a low level of both personal and situational anxiety. Signs of depressive disorders were detected in 50.0 % of the examined children of early adolescence who completed the questionnaires, in particular, mild manifestations of depression were found in 70 (27.2 %) people, moderate in 46 (17.2 %) people, severe depression in 13 (5.0 %) people. The level of depressive symptoms in girls was higher (53.32±12.54 points) compared with boys (50.01±9.94 points), respectively (95 % CI, 0.5 – 6.0; p

Objective The current study explored whether the chances of having migraine are influenced by a youth’s friendship with a migraineur. Methods The study was centered on a community-based non-referral cohort of eighth graders from two middle schools in Taiwan. Among the 642 recruited adolescent students, 610 (95%) (mean age 14.1 years, male ratio 51.2%) nominated three good friends and completed a validated headache questionnaire for migraine diagnosis at the follow-up survey 1 year later. To explore social influences on incident migraine, we used longitudinal statistical models to examine whether the development of migraine in one adolescent during the 1-year observational period was associated with that in his/her friends. Results Overall, 1700 social ties were established in the social network based on the reported lists of good friends. Randomization test for the homophily effect demonstrated that the students with migraine tended to cluster together in the social network even when those with incident migraine were also considered ( p = 0.003). Besides, when friendship choices were mutual, the relative risk of an adolescent becoming a migraineur was 3.26 (95% CI: 1.25–8.47, p = 0.015) if his/her friend became a migraineur (induction) during the 1-year observational period. Conclusion To the best of our knowledge, this is the first study to demonstrate that migraine may spread through social networks in young adolescents. Both homophily and induction effects are possibly contributory.

While narrative competence has been well documented in autistic children and young adolescents, fairly little is known about narrative performance of autistic adults. However, narrative abilities continue to develop well into adulthood. Hence, the main objective of the present study is to provide a clearer linguistic and communicative profile of ASD in adulthood by performing a systematic description of narrative performance in autistic adults. A specific annotation scheme was developed to code narrative production, in order to be able to compare the production of autistic participants to pairwise matched neurotypical adults relative to microstructure (syntactic complexity), macrostructure (overall story structure and cohesive ties) and internal state language of the corpus' narratives. The results suggest that autistic adults performed worse than their neurotypical peers on all three dimensions of narrative production, resulting in less coherent narratives overall for autistic adults., info:eu-repo/semantics/published

Objectives We investigated the differences in cognitive and emotional empathic ability between adolescents and adults, and the differences of the brain activation during cognitive and emotional empathy tasks. Methods Adolescents (aged 13-15 years, n=14) and adults (aged 19-29 years, n=17) completed a range of empathic ability questionnaires and were scanned functional magnetic resonance imaging (fMRI) during both cognitive and emotional empathy task. Differences in empathic ability and brain activation between the groups were analyzed. Results Both cognitive and emotional empathic ability were significantly lower in the adolescent compared to the adult group. Comparing the adolescent to the adult group showed that brain activation was significantly greater in the right transverse temporal gyrus (BA 41), right insula (BA 13), right superior parietal lobule (BA 7), right precentral gyrus (BA 4), and right thalamus whilst performing emotional empathy tasks. No brain regions showed significantly greater activation in the adolescent compared to the adult group while performing cognitive empathy task. In the adolescent group, scores of the Fantasy Subscale in the Interpersonal Reactivity Index, which reflects cognitive empathic ability, negatively correlated with activity of right superior parietal lobule during emotional empathic situations (r=-0.739, p=0.006). Conclusion These results strongly suggest that adolescents possess lower cognitive and emotional empathic abilities than adults do and require compensatory hyperactivation of the brain regions associated with emotional empathy or embodiment in emotional empathic situation. Compensatory hyperactivation in the emotional empathy-related brain areas among adolescents are likely associated with their lower cognitive empathic ability.

The purpose of this study was to examine how two coping strategies together moderate the relationship between peer victimization and adjustment among young adolescents. Sixth-grade adolescents from California, Oregon, and Wisconsin ( N = 1,058) self-reported peer victimization, depressive symptoms, and their utilization of social support seeking and internalizing coping. A regression analysis showed a significant three-way interaction between peer victimization, internalizing coping, and social support seeking in predicting depressive symptoms. Further analyses revealed that social support seeking only buffered the negative effects of peer victimization for participants who scored high on internalizing coping. Despite mean-level gender differences in these variables, gender did not moderate this association, suggesting that social support is an effective buffer against depressive symptoms following peer victimization for both boys and girls. These results suggest that attending to the variety of coping strategies adolescents employ simultaneously will help further our understanding of peer victimization outcomes.

Contains fulltext : 219382.pdf (Publisher’s version ) (Closed access) Direct and indirect contact: how personal contact and contact through media affect attitudes towards different ethnic groups. The composition of Dutch society has altered drastically in the last decades. This expanding diversity in terms of culture and religion was accompanied by increased tension and prejudice amongst Dutch citizens. Although we already know a lot about the potential causes of anti-immigrant prejudice among adults, we know less about the processes among Dutch young adolescents (age 16-23). Young adolescents do not fear much direct economic competition yet, and they get much of the information about other cultures through (new) media. Based on contact theory we formulate assumptions with regard to direct (personal) contact as well as indirect contact (via media). In addition, we distinguish attitudes towards Turks and Moroccans from those towards Antilleans and Surinamese. We found that positive personal contact has a strong effect in enhancing positive attitudes for both groups and that social media are able to further enhance the effect of positive contact. Online news websites play the biggest role in decreasing positive attitudes. Finally, all effects showed to be stronger for attitudes towards Turks and Moroccans than towards Antilleans and Surinamese migrants. 29 p.

This study explored the genetic testing experiences of adolescents and young adults (AYAs; aged 15-39 years) with, or at 50% risk of, an early onset cancer predisposition syndrome: Li-Fraumeni syndrome (LFS).We used interpretive description and conducted semi-structured interviews with 30 AYAs (mean age 25.5 years): 26 with LFS and four at 50% risk. Findings were developed using team-based, inductive thematic analysis.Participants reported genetic testing uptake to reduce uncertainty about their gene status and to access cancer risk management. Learning their gene status, however, introduced a new uncertainty about living with high multi-organ cancer risk. Participants preoccupied with surviving cancer during diagnostic testing underestimated the implications of LFS. Reliance on family at this life stage complicated decision-making for genetic testing, especially among adolescents.AYAs undergoing genetic testing for LFS have unique support needs based on their life stage and require developmentally appropriate psychosocial care.

Background and aims Previous studies on smartphone use motivation (SUM) and problematic smartphone use (PSU) have been limited in the utilization of regional samples of emerging adults (e.g., college students) and also in the foci on the direct association between SUM and PSU. To address such gaps, using data from a large, national representative sample of Chinese young adolescents and their parents this study examined the associations between adolescents' various types of SUM and their PSU, and also tested the potential mediating roles of smartphone use time (SUT) that adolescents spent on various activities in such associations. Methods A nationwide representative sample of 8,261 Chinese adolescents (Mage = 12.86 years old, SD = 1.76; 42.6% females) and their parents (49% mothers) participated in this survey study. Results Instrumental SUM (i.e., to expand knowledge or acquire information) was associated negatively with PSU via longer SUT spent on learning and shorter SUT spent on entertainment and communication. Self-expression SUM (i.e., to gain acceptance and recognition of others by maintaining or improving self-images) was associated with longer SUT spent on both learning and entertainment, which, in turn, predicted lower and higher levels of PSU, respectively. Last, hedonic SUM (i.e., to gain pleasure) was associated positively with PSU via longer SUT spent on entertainment and communication. Discussion These findings contribute to the literature by adding greater specificity in our understanding of the implications of SUM and SUT in the etiology of PSU during the critical life stage of adolescence in a Chinese cultural context.

Objective: To compare the efficacy of SSRI medication alone and SSRI+CBT combined. Methods: NCBI Pubmed, DARE, CSDR and NGC were searched October-November 2019. The population size, as well as the base and endpoint CGAS mean and standard deviation from the three studies included, are recorded. Statistical analysis was done in RStudio with the "meta" package. Results: For the SSRI only, the effect size was -1.82 with a 95% confidence interval between -2.28 and -1.37. For the SSRI and CBT combined, the effect size was -1.68 with a 95% confidence interval between -2.39 and -0.98. The effect size for both SSRI and SSRI + CBT didn't cross the null effect line, but the heterogeneity exceeds 50%. The result for the comparison of post SSRI vs. SSRI + CBT showed the effect size of -0.05 with a 95% confidence interval between -0.23 and 0.12. The size effect did cross the null effect line, but the heterogeneity was less than 50%. Conclusion: Both methods were shown to be effective. However, due to statistical inconsistencies, it couldn’t be concluded whether the combination of SSRI and CBT is better than treatment with SSRI alone.

Over a third of new HIV infections occur in adolescents aged 10–19 globally. Pre-exposure prophylaxis (PrEP) could be a powerful tool for prevention. Understanding more about the drivers of PrEP interest could inform implementation strategies among this age group. Moreover, family dynamics may play a uniquely critical role for this younger age group, thus it is important to gauge whether caregivers would support their children’s use of PrEP. We surveyed 2,089 adolescents (aged 10–16) and their caregivers in Malawi during 2017–2018. Data were collected on PrEP interest, factors that may facilitate PrEP use, and preferences for PrEP modality. We used multivariate logistic regression to estimate the association between the above characteristics and PrEP interest. We find that young adolescents are engaging in behaviors that would put them at substantial risk of acquiring HIV, would likely benefit from PrEP, are largely (82%) interested in using such, would prefer to get an injection over taking a daily pill, and are considerably discouraged by the prospect of side effects. Endorsement by caregivers was even greater (87%). Our findings demonstrate initial support for adolescent PrEP, and suggest parents may be a surprising advocate.

OBJECTIVE: To describe tuberculosis (TB) characteristics in the adolescent 10–19 years age group that is often underrepresented in surveillance and studies despite the high global TB burden estimated for this group.SETTING AND DESIGN: We use the case-based data reported to the European Surveillance System (TESSy) from European Union (EU)/European Economic Area (EEA) countries between 2007 and 2016 to describe notification rates, TB characteristics and treatment outcomes among adolescent TB cases. We also compare TB characteristics in young adolescents (10–14 years) and older adolescents (15–19 years).RESULTS: For the period 2007 to 2016, 705 826 TB cases were reported to TESSy by 29 EU/EEA countries, 38 054 (5.4%) of which were adolescents. The overall EU/EEA notification rate among adolescents was 6.9 per 100 000 population, 3.5 among young adolescents and 10.1 among older adolescents. The two adolescent groups had differences regarding sex distribution, site of disease, sputum smear microscopy positivity, laboratory confirmation and treatment outcome.CONCLUSION: Younger and older adolescents should be analysed as separate groups when studying and reporting TB, particularly to inform better targeting of TB prevention and care interventions in the future, in order to improve outcomes.

The purpose of the contemporary research was to study the school-related factors of academic underachievement and academic high-achievement among 8th -grade students of school. The sample of the study comprised of 245 students (132 boys and 113 girls). The entire sample was selected from 8th standard of various private schools of Karachi through convenience sampling method. The age of the participants ranged from 13 to 16 years with the mean age of 13.142 years. The Raven's Standard Progressive Matrices (SPM, 1983) was used to measure the general cognitive abilities of participants and the last exam cumulative percentage was used to gauge the academic achievement of students. Additionally, the School Aptitude Assessment Survey-Revised (SAAS-R) by McCoach and Siegle (2003) comprised of five subscales: academic self-perception, goal valuation, self-regulation, attitude towards teachers and classes and attitude towards school was used to measure the school-related attitudes of students. The SPSS 18.0 was used to analyze the data. For classification, percentiles of SPM scores were calculated to select high achievers and underachievers. Based on percentile scores of SPM test, 61 high achievers and 121 underachievers were selected for analysis. The independent sample t-tests were done to measure the difference of school-related factors and academic achievement between high achievers and underachievers. Results showed significant difference of cognitive abilities, academic self-perception, and goal valuation among high achievers and underachievers, showing considerably higher scores for the high achievers. Implications of present study for parent, teachers and school authorities are further discussed.

Introduction Sexual health disparities are leading causes of morbidity among youth of color in the United States. We conducted a scoping review of the literature on precursors to sexual risk-taking among young adolescents of color (ages 10–14) to assess precedents of sexual experience and their utility as measurable proximal constructs and behaviors gauging sexual risk and sexual risk prevention efforts. Methods This study was conducted using the PRISMA extension for scoping reviews (PRISMA-ScR) guidelines. We searched for quantitative studies that assessed the relationships between precursors and subsequent sexual behaviors, incorporated youth of color, and specified young adolescents as the study sample. All articles were in English, however we explored both U.S. and International databases. Results The database search yielded 11 studies published between 2000 and 2017. Most literature focused on youth in urban settings, and on Black and Latinx youth, while only two addressed the special circumstances of American Indian and Alaska Native youth. Sex expectancies outcomes for youth of color were likely to predict sexual risk taking and self-efficacy about sex was related to abstinence. Conclusions Etiologic studies that seek to understand precursors to sexual risk taking among youth of color are limited and this paucity truncates the ability to develop sexual risk prevention programs for the age group in which prevention is most needed.

There is very little evidence whether recalling and answering questions about abuse or interpersonal violence has a positive or negative impact on participants of such research. This is an important ethical dilemma to ensure an appropriate risk-benefit ratio in research with young people is maintained. We assessed reported harms, benefits, and regrets of young adolescents who participated in a sensitive research project, and compared the harms and benefits in those who had and had not been victims and/or perpetrators of abuse or intimate partner violence. Participants were 3,264 adolescents aged 12 to 15 years in 41 public schools in the Western Cape, South Africa, who completed a survey about intimate partner violence, verbal, physical, and sexual abuse, as part of an HIV prevention cluster randomized controlled trial. The majority of participants reported research participation as beneficial (70.3%), while 27.7% reported harms and 14% regrets. Victims of abuse were more likely than non-victims to report benefits (71.9% vs. 67.1%; p = .02) and harms (31% vs. 20.9%; p < .01) and were less likely to report regret (13.1% vs. 16.7%; p = .02). Perpetrators of abuse were less likely than non-perpetrators to report benefits (67.4% vs. 72.8%; p = .01) and more likely to report harms (36.4% vs. 26.1%; p < .01) and regrets (17.4% vs. 13.3%; p = .01). Our findings suggested that research participation was more likely to have a positive rather than a negative emotional impact on young adolescents and that relatively few regretted participating. Victims and perpetrators of abuse were more likely to report benefits than harms, supporting the ethical appropriateness of ongoing research on abuse and violence. We recommend that further research is required to clarify and standardize terminology and instruments to quantify these kinds of evaluations, including measurement of the severity and intensity of reported benefits, harms and regrets, and the longer term impact of participation in sensitive research.

Studies have shown that adolescents are more likely than adults to take risks in the presence of peers than when alone, and that young adolescents’ risk perception is more influenced by other teenagers than by adults. The current fMRI study investigated the effect of social influence on risk perception in female adolescents (aged 12–14) and adults (aged 23–29). Participants rated the riskiness of everyday situations and were then informed about the (alleged) risk ratings of a social influence group (teenagers or adults), before rating each situation again. The results showed that adolescents adjusted their ratings to conform with others more than adults did, and both age groups were influenced more by adults than by teenagers. When there was a conflict between the participants’ own risk ratings and the ratings of the social influence group, activation was increased in the posterior medial frontal cortex, dorsal cingulate cortex and inferior frontal gyrus in both age groups. In addition, there was greater activation during no-conflict situations in the right middle frontal gyrus and bilateral parietal cortex in adults compared with adolescents. These results suggest that there are behavioral and neural differences between adolescents and adults in conflict and no-conflict social situations.

Aims: We examined the relationship between loneliness and health among young adolescents. We also investigated the validity of a single-item measure of loneliness by comparing this to a composite score. Methods: The current data come from a nationally representative sample of 11- to 15-year-old adolescents ( N=3305; F=52%) from Denmark collected in 2014 as part of the Health Behaviour in School-aged Children (HBSC) collaborative cross-national survey. Results: A series of binary logistic regressions showed that higher loneliness among adolescents, whether measured using the single- or multi-item measurement, was associated with poorer self-rated health, higher frequency of headache, stomach ache, backache, difficulties sleeping, greater sleep disturbance and more instances of feeling tired in the morning. Those associations were relatively consistent across sex and age groups. Conclusions: Loneliness is associated with poorer self-reported health and sleep problems among young adolescents. Those findings are similar across two measures of loneliness, suggesting robust findings. The development of interventions and health-education efforts to fight loneliness in adolescence is important.

The purpose of this systematic review was to identify adolescents' awareness on the human papillomavirus (HPV), the HPV vaccine, and the willingness to undergo the vaccination. A systematic review of studies concerning the adolescent's knowledge and education on the admission of the HPV vaccine was carried out, through the Medline/PubMed and the Google Scholar databases, covering information on adolescent attitudes towards HPV vaccination, as well as their perceptions regarding the vaccination and the need for more training, towards the public information about the HPV and the HPV vaccine. This study concludes that adolescents are poorly informed about the HPV and the preventive vaccination issues, underestimating the likelihood of the infection by the virus. The way to improve their knowledge about the HPV and the implications of the HPV infection is to provide information through the framework of compulsory schooling, primary health care, and the development of informative interactive interventions. The awareness for the need of training about the HPV and its implications should be broadened to address the major barrier to vaccination, which is regarded to be the lack of adequate information. The knowledge and the perceptible susceptibility to the HPV infection and HPV-related diseases among adolescents demonstrate the need for a well-designed training program to bridge the gap of information about the HPV virus and to accept the HPV vaccine.

Patellofemoral pain (PFP) is a common complaint among young sports active adolescents. This study evaluated the longitudinal changes in pronociceptive and antinociceptive mechanisms in young adolescents with PFP, their impact on prognosis, and responsiveness to treatment. Adolescents (N = 151, aged 10-14 years) diagnosed with PFP were compared with age-matched controls (N = 50) and subsequently tracked while participating in an intervention focussed on activity modification. They underwent quantitative sensory testing at baseline (preintervention), 4 weeks (during initial treatment), and 12 weeks (after treatment). Pressure pain thresholds (PPTs) were recorded on the knee, shin, and elbow. Temporal summation of pain (TSP) was assessed by the increase in pain intensity during 10 repeated cuff pressure pain stimulations on the leg. Conditioned pain modulation (CPM) was defined as change in cuff pain thresholds on one leg, during painful cuff conditioning on the contralateral leg. At baseline, adolescents with PFP had decreased PPTs at the knee, shin, and elbow (P < 0.001) as well as more facilitated TSP (P < 0.05) compared with controls. For CPM at baseline, controls displayed an increase in cuff pain thresholds during conditioning (P < 0.05), while those with PFP did not. More facilitated baseline TSP was associated with less improvements in pain intensity during the intervention (P < 0.01). Pressure pain thresholds increased at both follow-ups (P < 0.001), and the increased PPTs were associated with decreases in pain intensity (r = 0.316; P < 0.001). Overall, TSP remained facilitated at follow-ups, and there was no change in CPM. This is the first study to demonstrate a pronociceptive mechanism as a prognostic factor in young adolescents with PFP.

The present study aimed to investigate the mediating role of the offspring’s self-esteem in the association between the mother’s attachment style and the depressive symptoms of a sample of early adolescents. The participants included 484 students, aged 11 to 15 ( M age = 12.24, SD = .91) and their mothers, ranged in age between 30 and 69 years ( M age = 43.82, SD = 5.13). The students completed the Multidimensional Self-Concept Scale and the Self‐administered Psychiatric Scales for adolescents - Depression. Mothers completed the Attachment Style Questionnaire. The results showed an association between mothers’ anxious attachment and both self-esteem and depression of our young adolescents. Furthermore, adolescents’ self- esteem mediated the association between mothers’ anxious attachment and adolescents’ depression. The mediating role of self-esteem was not significant in the relationship between mothers’ avoidant attachment and adolescents’ depression.