147. HIV in Youth, Prevention in Primary Care Pediatrics (HYPPP) Initiative
Nationwide, adolescents, and young adults 15-24 years old account for half of new diagnosis of sexually transmitted infections and 20% of new HIV diagnosis. HIV transmission can be disrupted by effective preventive methods including pre-exposure prophylaxis (PrEP). Pediatric primary care providers (PCP) are aptly positioned to discuss such methods for HIV prevention but do not commonly do so. We surveyed PCPs practicing in Fulton County, Georgia –the most populous county in the state, with the highest rates of STIs and HIV—to elucidate knowledge of PrEP, barriers, and facilitating factors that impact their implementati...
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Eunice E. Radcliff, Andrew Jergel, Brianna A. Karim, Andres Camacho-Gonzalez, Holly Gooding Source Type: research

148. Building Capacity of Pediatric Ambassadors in Community Suicide Prevention Strategies Described in the Blueprint for Youth Suicide Prevention
Suicide is a leading but preventable cause of death for youth. Pediatricians have unique opportunities to advance youth suicide prevention outside of clinical interactions, including engagement in cross-sectoral community partnerships. The American Academy of Pediatrics (AAP) and the American Foundation for Suicide Prevention (AFSP) partnered to establish a group of Suicide Prevention Ambassadors trained in community suicide prevention strategies described in the Blueprint for Youth Suicide Prevention, utilizing the Extension for Community Healthcare Outcomes (Project ECHO) telementoring model. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Kristen Kaseeska, Jessica Leffelman, Corbin J. Standley, Julie Gorzkowski Source Type: research

149. Adolescent Time Alone With a Provider: Addressing Adolescent and Parental Discomfort
Having time alone with a health care provider, without the presence of a parent or guardian, provides adolescents with an opportunity to discuss sensitive topics and enables them to develop skills in navigating the health care system. Yet, many adolescents do not spend time alone with their provider. Previous literature has described parental and teen discomfort with time alone as a possible barrier. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Sanjana Pampati, Sandra Maduforo, Jorge Verlenden, Laima Licitis Source Type: research

150. Development and Testing of Talk: Toolkit for Adolescent Care
Primary care clinicians (PCCs) are a critical resource for adolescent health but have limited time and resources to address myriad important health topics. Through screening, anticipatory guidance, and brief counseling, PCCs provide care for a wide range of adolescent health topics (e.g., mental health, sexual health, substance use). In previous research, PCCs have reported interest in resources to support their provision of high-quality adolescent healthcare. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Christopher J. Mehus, Amy L. Gower, Jill Farris, Janna R. Gewirtz O ’Brien, Shari A. Plowmand, Renee E. Sieving Source Type: research

151. Utilization of Lifestyle Medicine Referrals and Anti-Obesity Medications Over a 3-Year Period in an Adolescent Medicine Clinic
Obesity (body mass index;BMI ≥95th percentile for age and sex) is common among adolescents; approximately 22% of US 12-to-19-year-olds experience obesity. Obesity is associated with increased morbidity and mortality in adulthood related to conditions like polycystic ovarian syndrome (PCOS), pre-diabetes and Type-2 diabetes, h ypertension, hyperlipidemia, and fatty liver disease. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Elizabeth Kinsella, Jeanelle Sheeder, Courtney Batt Source Type: research

152. Turning Pages: A Pilot Reading Program for Adolescents in a Primary Care Clinic
Reach Out and Read is a national early literacy program endorsed by the American Academy of Pediatrics (AAP) with more than 20 studies demonstrating improvements not only in children ’s language development and ability but also in clinic culture and clinician well-being. This program provides books to children at their well-child visits until the age of 5. Extending this model to an often neglected pediatric population, we created a reading program called Turning Pages for the patients at an urban academic adolescent and young adult practice. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Anoushka Sinha, Sara Buckelew Source Type: research

153. The Birds and the Bees and COVID-19: Rates of Adolescent Pregnancy and Contraceptives Prescribed in a Large Health System Pre- and Post-Pandemic
This study examined incidence of adolescent pregnancies and use of various contraceptive methods in the two years pre- versus post-COVID-19 across a single large health system in northeastern Ohio. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Ellen S. Rome, Caroline A. Lieser, Nicole Mahoney, Sarah Worley, Tornia Wyllie, Veronica E. Issac Source Type: research

154. "Am I Normal? Am I Dying? Am I Okay? ”: A Qualitative Study Examining the Attitudes and Practices of Adolescents and Young Adults Regarding Vulvovaginal Health
This study explored AYA understanding, attitudes, knowledge, and practices regarding vulvovaginal health, hygiene, and care, with particular attention to the positive and negative influences of social media. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Roxanne Rengifo, David N. Williams, Gabrielle D'Ambrosi, Grace Leahy, Jessica Addison, Areej Hassan Source Type: research

155. Acceptance and Implementation of 2021 CDC Guidelines for Treatment of Uncomplicated Urogenital Chlamydial Infections by Adolescent Medicine Providers
In 2021, the CDC recommended a major change in the recommendations for treatment of urogenital chlamydia infections in adolescents and adults. These changes were based on studies that found that single-dose azithromycin (AZI), was not as effective as 7-days doxycycline (DOX) for treatment of rectal infection in men who have sex with men. There are questions if these guidelines are generalizable to adolescents. There are concerns about tolerance and compliance; DOX is associated with higher rate of side effects and there may be less compliance with a 7-day, twice/day regimen. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Amy Suss, Anna Tryfonos, Margaret Hammerschlag Source Type: research

156. Maturing into Adulthood: Transition Readiness Over Time in Primary Care
Healthcare transition is a crucial aspect of adolescent development and adulthood, yet there is limited research on transition readiness within primary care settings. Adolescents and young adults (AYA) typically have irregular healthcare visits in their medical homes, emphasizing the importance of ongoing readiness assessment. Our objective was to evaluate transition readiness across various health domains and its evolution over time as patients prepare to transition into the adult healthcare system. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Jennifer Woods, Catherine Clark, Amanda Bogart, Courtney Batt, Azure Brame, Jeanelle Sheeder Source Type: research

157. Influence of Social Media on HPV Vaccine Hesitancy: National Survey of Mothers of Children Aged 9-17 Years
In 2019, the World Health Organization (WHO) identified vaccine hesitancy as one of the ten leading threats to global health. While strong healthcare provider recommendations increase vaccine acceptance among parents, there is evidence that effective provider recommendations are underutilized, and that other influences, including the influences of social media (SM) and other online health information also play an important role in parental vaccine decision making. Ample evidence suggests that negative messages about vaccination abound on SM, particularly related to the human papillomavirus (HPV) vaccine. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Holly B. Fontenot, Masako Matsunaga, Eunjung Lim, Gary Glauberman, Erica Liebermann, Melanie Kornides, Gregory Zimet Source Type: research

158. “After All Those Years in the Orphanage, Now He’s Doing Great”: A Qualitative Longitudinal Study of Resilience in Internationally Adopted Children and Adolescents With PHIV
Relatively few children are born with HIV in this country, however, evidence suggests that a new population of U.S. children living with perinatally-acquired HIV (PHIV) are emerging: internationally adopted children and adolescents. Internationally adopted children and adolescents living with perinatally-acquired HIV (IACAP) are a unique population that has intersecting identities that place them at risk for stigma, discrimination, and adverse mental health outcomes. While the number of IACAP is increasing, limited information exists about their needs or strengths. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Cynthia D. Fair, Sydney J. Barlow Tags: Research Poster Presentation II: HIV Source Type: research

159. Social Media Recruitment of Sexual Minority and Gender Diverse Assigned Male Adolescents to an HIV Prevention Study
We describe our method of approaching SM-based recruitment of a racially and ethnically diverse sample of ASM/GDM for an HIV prevention study, and results regarding the feasibility of SM ads (e.g., completed enrollments and cost) and the demographic characteristics of our sample. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Noelle Lee, Harrison Martin, John Patena, Julio Berroa, Jack Rusley Source Type: research

160. Self-Advocacy is not Enough to Get Prep: Gaps in Sexual and Reproductive Health For Young Sexual Minority Women and Gender Diverse Youth
Many young Sexual Minority and Gender Diverse Youth (SMGDY) have not disclosed their sexual orientation or gender identity in healthcare settings due to negative experiences with their healthcare provider. Yet, these youth have higher risk for pregnancy, sexually transmitted infections (STIs) and Human Immunodeficiency Virus (HIV) than their cis-gender heterosexual peers. We sought to explore factors that contributed to these experiences, self-advocacy related to those experiences, and whether such advocacy led to knowledge of and uptake of Pre-Exposure Prophylaxis (PrEP) in a sample of SMGDY assigned female at birth enrol...
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Jen Makrides, Oluwakemi Abiodun, Nadia Dowshen, Renata Arrington Sanders Source Type: research

161. Defining and Evaluating Pre-Exposure Prophylaxis (Prep) Eligibility Among Adolescents and Young Adults in a Sexual Health Clinic
Adolescents and young adults (AYA) are disproportionately affected by HIV compared to adults in the US. Pre-exposure prophylaxis (PrEP) is recommended by Centers for Disease Control and Prevention (CDC) for AYA and adults who have sexual and/or injection drug use (IDU) behaviors that place them at significant risk of HIV transmission. However, uptake is low among AYA, and few studies have estimated the proportion of AYA who are eligible for PrEP. The goal of the current study was to use data from a large sample of AYA presenting to a sexual health clinic to operationalize the PrEP guidelines for eligibility, and determine ...
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Yeju Srivastava, Natalie Fenn, Lauren Wisk, Alexi Almonte, Philip A. Chan, Teresa Brown, Jack Rusley Source Type: research