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
170. Co-Designing an Online Healthy Relationship Tool With a Nationally Representative Advisory Board of Transgender and Gender Expansive Youth
Transgender and gender expansive (TGE) youth have high rates of sexually transmitted infections and possibly of unintentended pregnancies compared; risk is not evenly distributed by race/ethnicity or gender. TGE youth deserve access to affirming sex education but have different needs than their cisgender peers. Unaffirming sex education can be frankly harmful. Little work has used a supportive, resilience-based framework or a human-centered approach. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Calvin Liang, Kym Ahrens, Alic Shook, Molly Altman, Julie Kientz, Ruby Lucas Source Type: research
171. Which Nicotine and Non-Nicotine Products do Adolescents and Young Adults Who Identify as LGBTQ+ Perceive as Most Harmful and Addictive?
Use of nicotine, cannabis, and other e-cigarettes remains high, especially among adolescents and young adults (AYAs) identifying as LGBTQ+. Perceptions of health harms related to e-cigarettes are an important predictor of e-cigarette use. However, studies have not examined differences in e-cigarette risk perceptions between AYAs who identify as LGBTQ+ versus AYAs identifying as heterosexual. Morever, studies have not examined differences across newer products, such as non-nicotine e-cigarettes and nicotine pouches. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Jessica Liu, Devin McCauley, Shivani M. Gaiha, Bonnie Halpern-Felsher Source Type: research
172. Mental Health Action Plan: A Novel Tool to Address Adolescent Mental Health
We aim to improve the current practices of healthcare providers in addressing adolescents ’ mental healthcare needs, and to assess the utility of our novel Mental Health Action Plan (MHAP) in addressing these needs in an under-resourced community in Philadelphia. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Rose Bayer, Sarah Sparks-Stroinski, Emily Spengler Tags: Research Poster Presentation II: Mental Health Source Type: research
173. Increasing Depression Screening in Youth Presenting For Adolescent Medicine Subspecialty Care: A Quality Improvement Project
The pandemic increased emotional distress among teens and has created an urgent need for mental health screening for this population. Depression screening offers the potential to identify at-risk individuals earlier and initiate potentially life-saving interventions. We conducted a quality improvement (QI) project to increase rates of depression screening in our Adolescent Medicine (AM) Subspecialty Clinic, using the Patient Health Questionnaire 9 (PHQ9). Our goal was to increase by 25%: depression screening using the PHQ9, initiation of related planning documentation, and accurate billing for depression screening of new p...
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Alexandra K. Fayne-Frederick, Erica A. Bostick Source Type: research
174. Adolescent Mental Health Problems Partially Mediate Association Between Cumulative Adverse Childhood Experiences and High School Dropout: A Path Analysis
Previous research has established that Adverse Childhood Experiences (ACEs) are associated with poorer health and wellbeing across the lifespan, including negative behavioral health and academic outcomes. However, less is known about the role of behavioral health problems in the relationship between ACEs and academic achievement. The purpose of this study is to examine the association between cumulative ACEs and high school dropout via adolescent depression, anxiety and substance use problems. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Chelsea R. Moore, Sarah A. Stoddard Source Type: research
175. Underdeveloped Vulnerable Brain Circuits and their Mental Health Correlates Predict Adolescent Emotional and Stress Responses During the COVID-19 Pandemic
The COVID-19 pandemic has had profound adverse impacts on mental health in youth, especially in adolescents. Although the magnitude of pandemic-related stressors are only partially understood, the accelerated post-pandemic mental health crisis indicates that their effects are likely extensive and potentially long-lasting. Adolescence is a sensitive developmental period, during which environmental and experiential stressors can have profound negative impacts on the brain and mental health. It is currently unclear whether mental health problems and their neural underpinnings prior to the pandemic increased vulnerability to p...
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Catherine Stamoulis Source Type: research
176. Adolescent and Young Adult Depression: A Within-Person Analysis of Compounding Risks of Internalizing Symptoms, Parent Depression, and Parenting from Preadolescence Through Young Adulthood
Adolescent and young adult offspring of parents with depression have a three-fold risk for developing depression as compared to offspring of parents without a history of depression. With more than 15 million youth in the U.S. living with or having lived with a parent who has experienced depression, there is a need to investigate potential mediators of this intergenerational transmission of risk. Considerable research has focused on parenting as an important, modifiable mechanism in the transmission of depression from parents to children. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - January 30, 2024 Category: Child Development Authors: Emma Chad-Friedman, Thomas M. Olino, Daniel N. Klein, Lea R. Dougherty Source Type: research
