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

162. Evaluating Transitions of Care and Clinical Outcomes in a Pilot Adolescent HIV Clinic
The Adolescent and Young Adult Health Care Transition (AYA-HCT) Clinic was created in 2017 to address challenges faced by young people living with HIV (YPLHIV)) navigating transitions from pediatric to adult care – a period fraught with significant drop-off and poor outcomes. The AYA-HCT utilizes a youth friendly clinic, community-based resources, and transition readiness education, with the goal of improving outcomes across these transitions. The purpose of this study was to evaluate transitions of care a nd clinical outcomes for YPLHIV enrolled in the AYA-HCT. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Nina HIll, Neerav Desai, Leslie Pierce, Aima A. Ahonkhai Source Type: research

163. Designing and Piloting a Sequential Multiple Assignment Randomized Trial for Opioid Prevention Among Youth in the Legal System
Youth in the legal system are vulnerable to initiation and escalation of opioid use. The transition period during which a young person is released from the institutional setting to the community is a critical window of opportunity for preventive intervention targeting the uptake and intensification of opioid and other drug use. Adaptive preventive interventions are a promising approach to systematically varying the timing and intensity of substance use preventive interventions for these youth. The present study is a pilot Sequential Multiple Assignment Randomized Trial (SMART) designed to develop an adaptive intervention t...
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Kym Ahrens, Kevin Haggerty, Ahnalee Brincks, Cari McCarty, Ted Ryle, Shemonta Dean, Katie Albertson, Stephanie Cross Tags: Research Poster Presentation II: Legal and Ethical Issues Source Type: research

164. Desire for Gender-Affirming Medical Care Before Age 18 Among Transgender and Nonbinary Individuals Seeking Care as Young Adults
Little prior research has explored the experiences of transgender and nonbinary (TNB) individuals seeking gender-affirming medical care in young adulthood. We aimed to understand whether TNB individuals initiating gender-affirming care in young adulthood would have wanted to receive this care prior to age 18, and if so, 1) what types of care they desired, and 2) whether they had discussed this with their parents or guardians who would have needed to provide consent for them to access this care. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Gina M. Sequeira, Nicole F. Kahn, Moira A. Kyweluk, Kacie M. Kidd, Baer Karrington, Ruby Lucas, Peter G. Asante, Dimitri Christakis, Wanda Pratt, Laura P. Richardson Tags: Research Poster Presentation II: LGBTQ Health Source Type: research

165. Relationships Between Self-Perceived Risk of HIV, Behavioral Risk of HIV, and Self-Reported Pre-Exposure Prophylaxis (PREP) Utilization Among Young Men Who Have Sex With Men of Color: Preliminary Findings From a Prospective Cohort Study
HIV continues to impact the lives of adolescents and young adults (AYAs), especially young men who have sex with men (YMSM) of color. Pre-Exposure Prophylaxis (PrEP) is a medication that is highly effective at preventing HIV infection; however, many AYAs at risk for HIV have not taken PrEP. One common reason for not taking PrEP is that some youth do not feel that they are at risk for HIV. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Jonathan Warus, Marco A. Hidalgo, Carolyn F. Wong, Michele Kipke, Johanna Olson-Kennedy Source Type: research

166. Relationship Quality and Minority Stressors Predicts Health Symptoms Among Partnered Adolescent Sexual Minority Males
Sexual minority adolescents are three to four times more likely to experience depression or anxiety than their heterosexual peers. Sexual minority adolescents in romantic relationships may be at higher risk of developing anxiety and depression symptoms, yet studies examining relationship quality as a predictor of mental health among sexual minority adolescents is limited. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Trey V. Dellucci, Tyrel J. Starks Source Type: research

167. “I’ve Never Told You That Before”: Caregiver-Youth Support and Communication When Initiating Gender Affirming Care
Transgender and gender diverse (TGD) youth disproportionately experience stigma and discrimination compared to their cisgender peers, increasing their risk of adverse health outcomes. A key protective factor for the health of TGD youth is support from caregivers (e.g., birth parents, legal guardians), including open and affirming communication about the youth ’s gender identity. Gender affirming care (GAC) is an approach where TGD youth can explore social, medical, and legal interventions to affirm their gender identity while engaging in open and affirming communication about these interventions with caregivers and healt...
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: E. Taylor Silverman, Jason R. Rafferty, Emily Allen, Syd Loiselle, DL Helfer, Jack Rusley Source Type: research

168. “We Followed Their Lead”: Exploring Relational Change and Support Among Caregivers of Transgender and Gender Diverse Youth
Transgender and gender diverse youth and young adults (TGDY) experience higher mental health morbidity than their cisgender peers, including self-harm, suicide ideation and suicide attempts. Family support is associated with improved mental health outcomes for TGDY. However, little is known about the process caregivers undergo to become supportive and how caregiver-youth relationships evolve through a TGDY ’s gender journey. We sought to understand how caregivers of TGDY navigate shifting relationships with themselves, their children, and their communities. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Mari R. Tarantino, Meg Quint, Regina L. Tham, Jessica Kremen, Kaiden Kane, Mauricio Rangel-Gomez, Rena Xu, Sari L. Reisner Source Type: research

169. “Out of the Mouths Of Babes”: Exploring COVID-19’s Impact on Identity Formation for Gender-Diverse Youth
A popular narrative permeating academic and public spaces is the omnipresence of COVID-19 and the impact that COVID-19 continues to have on humanity ’s mental health. Extant research is replete with participants experiencing anxiety, depression, and social isolation, often exacerbated by COVID-19. Arguably, Gender-Diverse Youth (GDY) in the U.S. might experience these states of being to a greater extent due to the added risks and challenges as sociated with their gender identities and/or expressions. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Tayon R. Swafford, Teresa Imburgia, Richard A. Brandon-Friedman Source Type: research