87. Determining the Role of Acculturative Stress in Predicting Mental Health Service Use Among Latinx Immigrants
Acculturative stress is an important social determinant of health for Latinx immigrants in the U.S., with multiple studies identifying a link between depression and acculturative stress in this population. However, far fewer studies have examined the specific role and relationship of acculturative stress on mental health service use in this population. Through the lens of Yang ’s 2016 Model of Immigrant Health Service Use, this study aimed to examine the role of acculturative stress in predicting mental health service use in a sample of Latinx immigrants in the Southeast U.S. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Ivana Premasinghe, Allison McCord Stafford, Gabriela A. Nagy, Rosa M. Gonzalez-Guarda, Brian E. McCabe Source Type: research

88. Rural Youth Perspectives on Adolescent Health: A Survey and Focus Group Pilot Study
Rural adolescents are often left out from conversations regarding their health and the health system, despite their unique medical needs and barriers to care. The purpose of this project was to gather rural adolescents ’ perspective on health topics to better understand health concerns. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Joshua Baalman, Hana Hinkle Source Type: research

89. Beyond the Bump: Creating and Evaluating a Comprehensive Doula Services Program to Support Adolescents Throughout Pregnancy, Birth, and Postpartum
Pregnant adolescents experience sub-optimal maternal health outcomes such as high rates of preterm births and cesarean sections, and low rates of breastfeeding initiation. There is a need to design and evaluate strategies to support the wellbeing of adolescents during the perinatal period. Doula services are an evidence based approach to promote healthy pregnancies, births, and postpartum support. At the time of the intervention, there were no doula programs in DC with a specialized focus on adolescent parents (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Jaytoya C. Manget, Christiana Jolda, Carolyn Alexander, Bianca Johnson, Iana Clarence, Yael Smiley Source Type: research

90. Missed Opportunities to Provide Comprehensive Sexual and Reproductive Healthcare Among Hospitalized Adolescents: A Chart Review
This study describes detailed elements of SRH history and recommended SRH services for adolescents during a hospital admission, and also sought to define effective search terms that would identify patients who received a comprehensive SRH history. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Elena Galindo, Christy Boraas, Benjamin Langworthy, Janna R. Gewirtz O'Brien Source Type: research

91. Exploring Barriers and Opportunities for Preventive Health Services for Young Adults: A Community-Led Youth Engagement Research Project
The transition from adolescence to young adulthood presents an opportunity for preventing disease and establishing lifelong health behaviors. However, high rates of discontinuity in primary care during this transition amplify healthcare disparities and lead to worsening health outcomes. Through youth participatory action research, in partnership with a hospital-based organization in New York City that provides tier-based support and mental health services for youth ages 14-24 (The Uptown Hub), we sought to understand the factors that affect access to primary care for young adults ages 18-24, with the following objectives: ...
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Virginia F. Byron, Richard Lopez, Jos é Sanchez, Abibatou Marenah, Renata Schiavo, Dodi Meyer, Karen Soren, Marina Catallozzi, Melanie A. Gold Source Type: research

92. Low Levels of Substance Use Preventive Care at Well-Visits Observed from Mid-Adolescence to Young Adulthood that Differed By Substance Use Status
Substance use (SU) is one of the most common causes of preventable death, injury, and disability. Clinicians are in a prime position to ask and advise adolescents about smoking, alcohol, and other SU. However, from mid-adolescence through young adulthood, we know little about the extent to which adolescents are engaged in well-visits and are asked and advised about SU, and if substance-using youth are getting these services. At three developmental stages (mid-adolescence, late-adolescence, young adulthood), we examined whether all adolescents received SU-preventive care and whether young people using cigarettes, alcohol, o...
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Arik Marcell, Xingyun Wu, Charles Robinson-Snead, Morayo Akande, Pam Matson, Elizabeth Ozer, Kathryn Van Eck Source Type: research

93. Attitudes Toward and Preferences For Different Routes of Delivery of HIV Pre-Exposure Prophylaxis (Prep) Among Adolescent and Young Adult Transgender Men
Although HIV pre-exposure prophylaxis (PrEP) significantly reduces the risk of HIV transmission, PrEP uptake among youth remains suboptimal. Development of alternative delivery routes may improve uptake among at-risk youth, such as transgender and transmasculine youth (TGM), but little is known about TGM preferences for these delivery methods. Our aim was to explore TGM  preferences for different current and future PrEP delivery routes. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Reilly Larcey, Jessica A. Kahn, Tanya L.K. Mullins Source Type: research

94. ‘I Struggle Figuring Out How to Read My Test Results.’ A Qualitative Study on Patient Portal User Experiences and Unmet Needs of Adolescents and Young Adults Living With HIV
Maintenance of virologic suppression is a core strategy to achieving the Ending the HIV Epidemic in the U.S. (EHE) goals. For youth living with HIV (YHIV), the role of patient portals in supporting antiretroviral therapy adherence and HIV viral suppression continues to burgeon. This qualitative inquiry sought to determine how YHIV use their patient portals to support HIV care and identify pathways for its optimization. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Kevon-Mark Jackman, Elise Tirza Ohene-Kyei, Ashle ’ Barfield, Steven Huettner, Raina Smith, Jacquelyn Toppins, Allison Agwu, Maria E. Trent Source Type: research

95. Acculturation and Attitude Toward Gender and Sexual Orientation Diversity Among Youth
Acculturation is the adaptation to different elements of the dominant culture in a society. In the US, acculturation is associated with more open and positive attitudes regarding gender and sexual diversity. Adolescents living in less acculturated households may experience less acceptance of gender and sexual diversity. The purpose of this study is to examine the relationship between acculturation on young adults ’ attitudes toward gender and sexual orientation diversity. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Yasaman Ahmadieh, Jeanelle Sheeder, Courtney Batt Source Type: research

96. Changes in Clinician Perceptions of and Readiness for Provision of Gender-Affirming Care in the U.S. Military Health Care System
In 2016, the U.S. Military Healthcare System (MHS) formally authorized gender-affirming care for its beneficiaries. A survey that year of military-affiliated family physicians indicated that most had not cared for a transgender person nor had education on this care during their medical training; 53% reported unwillingness to prescribe gender-affirming hormones to an adult regardless of recommendations from a mental health clinician. Given the significant changes in policy and practice pertaining to trans service members since 2016, the present study assessed military-affiliated clinicians ’ current perception of, comfort...
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: David A. Klein, Kryls O. Domalaon, Jennifer A. Thornton, Austin M. Parsons, Kent H. Do, Natasha A. Schvey Source Type: research

97. “They Just Like us for Who We Are”: The Impact of Peer Relationships on Black and Latine Gender-Expansive Youth
In light of the importance of peer relationships on experiences and outcomes of Black and Latine gender-expansive youth (BLGEY), this study sought to characterize: (1) How do peers play supportive or unsupportive roles for these youth? (2) What roles do similarity and difference play in their peer relationships? (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Anoushka Sinha, Stanley Vance Source Type: research

98. Associations Between Gender Identity, Depression, Obsessive-Compulsive Disorder (OCD) and Attention Deficit Hyperactivity Disorder (ADHD) Symptoms: Findings from the Adolescent Brain Cognitive Development (ABCD) Study
The purpose of this study was to examine associations between gender identity (e.g., identifying as transgender), and symptoms of depression, OCD, and ADHD in a demographically diverse, national sample of U.S. early adolescents (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Elizaveta Ignatova, Priyadharshini Balasubramaniam, Jason M. Nagata, Kyle T. Ganson, Alexander Testa Source Type: research

99. Sleep Deprivation Among Adolescents at the Intersection of Multiply Marginalized Social Positions
This study aimed to explore how sleep deprivation varies for adolescents holding diverse intersecting social positions, and the exten t to which experiences of sexual orientation-based bullying and cyberbullying contribute to these disparities. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Andre Gonzales Real, Brian T. Gillis, Amy L. Gower, Marla E. Eisenberg, Benjamin Parchem, Samantha E. Lawrence, Stephen T. Russell Source Type: research

100. Harm Perceptions of Vaping Nicotine Relative to Cigarette Smoking Among Sexual and Gender Minority Young Adults
To address gaps in existing research, the current study used a mixed-methods approach to describe, contextualize, and understand harm perceptions of vaping nicotine relative to cigarette smoking among young adults who identify their genders and sexualities in ways that classify them as sexual and gender minorities (SGM). Only limited research has examined users ’ perceptions of the relative risk of NT products among SGM people, priority populations for tobacco prevention and treatment. Also, it remains unclear how harm perceptions of different products affect their use, as findings have been mixed. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Sharon Lipperman-Kreda, Emile Sanders, Rachelle Annechino, Elaina Peterkin, Tamar M.J. Antin Source Type: research

101. Experiences of Transgender Youth With Puberty Suppression in a Pediatric Hospital-Based Gender Clinic: A Qualitative Study
For many transgender and gender diverse youth (TGDY), distress associated with the puberty of their birth assigned gender is typically a result of hormonal and physical changes that do not align their gender identity. Puberty blockers or GnRH agonists (GnRHA) are recommended for transgender minors with gender dysphoria in order to pause puberty and slow the development of unwanted secondary sex characteristics, thus helping to alleviate gender dysphoria. Recently, there has been an increase in legislative efforts to restrict and ban gender-affirming care (GAC) for TGDY including puberty blockers. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Brianna J. Hobson, Kit M. Quian, Danielle Apple, Nellie Lazar, Linda A. Hawkins, Nadia Dowshen Source Type: research