Adolescent Outcomes Research Articles

Racism and Mental Health: The Moderating Role of Critical Consciousness for Black Adolescents

This study examined experiences of individual, institutional, and cultural racism, along with critical consciousness (i.e., critical reflection, critical agency, critical action), and how they are associated with mental health outcomes for Black adolescents (N = 604; Mage = 15.4; 47.4% female). Consistent with previous research, we found that more experiences of racism were associated with more mental health distress for Black adolescents. We also found that the relationship between racism and mental health varied by critical reflection and critical action, in a three-way interaction effect. The positive association between racism and mental health distress was weaker for the Black adolescents in our sample who reported higher than average critical reflection and lower than average critical action. This evidence suggests that the reflection and action components of critical consciousness, together, can serve as an adaptive coping strategy to guard against the harm racism can cause to mental health. Black adolescents experience less mental health distress when they have a deep understanding of oppression, but do not engage heavily in actions to dismantle those unjust systems. These findings have implications for how youth researchers and practitioners can support critical consciousness development in ways that do not compromise adolescent mental health.

Sex-specific effects of birth weight on longitudinal behavioural outcomes in children and adolescents: findings from the raine study.

Previous cross-sectional studies suggest that birth weight (BW) is associated with aggression-, social- and attention problems differently in boys and girls. We sought to test if these differences could be confirmed in a longitudinal study. The 1989 Raine Study provided prospectively collected data on perinatal variables and repeated child behaviour checklist assessments from ages 5 to 17. Linear mixed effects models provided crude and adjusted relationships between BW and childhood behaviour at a conservative significance threshold using prenatal maternal covariables in adjusted models. Sensitivity analyses included an age10 teacher assessment. Data on behaviour, BW and sex, was available in 2269 participants. Male sex was associated with increased aggression problems at lower BW compared to females in the crude model (Interaction B: -0.436, 98.3%CI: [-0.844, -0.0253]), but not the adjusted model (Interaction B: -0.310, 98.3%CI: [-0.742, 0.140]). Male sex was associated with increased attention problems at lower BW compared to females in both the crude model (Interaction B: -0.334, 98.3%CI: [-0.530, -0.137]) and the adjusted model (Interaction B: -0.274, 98.3%CI: [-0.507, -0.0432]). Male sex was associated with increased social problems at lower BW compared to females in both the crude model (Interaction B: -0.164, 98.3%CI: [-0.283, -0.0441]) and the adjusted model (Interaction B: -0.148, 98.3%CI: [-0.285, -0.00734]). Using repeated measures from ages 5-17 we were able to show a crude and adjusted male vulnerability to lower BW in the development of attention problems and social problems. We did not find a BW x sex interaction for the development of aggressive behaviour.

Association between mukbang and cookbang viewing and body image perception and BMI in adolescents

BackgroundAdolescence is a critical period for establishing healthy eating habits and weight management, essential for preventing obesity and promoting overall health. This study investigates the impact of mukbang and cookbang—popular online broadcasts in Korea that feature excessive consumption of food—on the dietary habits and body image perception of Korean adolescents. With digital media, especially platforms like YouTube, becoming an integral part of daily life, these broadcasts have the potential to significantly influence adolescent health behaviors.MethodsEmploying data from the 18th Korea Youth Risk Behavior Web-based Survey (2022), this descriptive survey research explores the relationship between watching mukbang and cookbang and various health-related factors among adolescents. The survey’s comprehensive dataset provided a unique opportunity to examine this association in a population that is increasingly exposed to digital media content. The analysis focused on the frequency of watching mukbang and cookbang, their impact on eating habits, body mass index (BMI), body shape perception, and body image distortion among adolescents.ResultsThe results revealed a significant engagement with mukbang and cookbang among adolescents, with notable gender differences in viewing habits and effects. Increased frequency of viewing was associated with negative impacts on eating habits and body image perception. Furthermore, psychological factors such as stress levels and sleep quality emerged as significant predictors of the frequency of watching these broadcasts.ConclusionsThis study highlights the need for further investigation into the causal relationships between mukbang and cookbang viewership and adolescent health outcomes. The findings suggest the importance of developing targeted interventions to mitigate the negative influences of such content on adolescents’ eating habits and body perceptions. Given the widespread popularity of these broadcasts, it is crucial to address their potential health implications through public health strategies, educational content, and policy development aimed at promoting healthier lifestyles among adolescents.

Cataract surgery outcomes in children and adolescents with type 1 diabetes mellitus

PurposeTo report the outcomes of cataract surgery in children and adolescents with type 1diabetes mellitus. MethodsThe medical records of all pediatric patients (<18 years of age) with a diagnosis of type 1 diabetes mellitus who had undergone surgery for cataract between January 2000 and December 2019 at a tertiary care center were reviewed retrospectively. ResultsA total of 27 eyes of 15 patients who met the inclusion criteria were included. Median age at cataract surgery was 13 (IQR, 9.5-16) years, and median follow-up was 3.8 (IQR, 1.25-7.2) years, with 11 eyes followed for more than 5 years. Visual acuity improved from a median preoperative value of 0.8 (IQR, 0.55-1.3) logMAR to 0.15 (IQR, 0-0.45) logMAR at final follow-up. Posterior capsular visual axis opacification in 40.7% and diabetic retinopathy in 14.8% were the common complications requiring additional intervention, including laser capsulotomy and panretinal photocoagulation, respectively. ConclusionsCataract surgery in children and adolescents with type 1 diabetes leads to improvement in visual acuity. Proliferative diabetic retinopathy can lead to poor visual outcomes in these children. Visual axis opacification occurs at similar rates with or without primary posterior capsulorhexis.

Long-Term Cardiovascular Outcomes in Children and Adolescents With Hypertension

Hypertension affects 6% of all children, and its prevalence is increasing. Childhood hypertension tracks into adulthood and is associated with subclinical cardiovascular disease; however, there is a lack of evidence linking childhood hypertension to cardiovascular outcomes, which may contribute to underdiagnosis and undertreatment. To determine the long-term associated risk of major adverse cardiac events (MACE) among children diagnosed with hypertension. This was a population-based, retrospective, matched cohort study conducted from 1996 to 2022. The study included all children (aged 3-18 years) alive in Ontario, Canada, from 1996 to 2021, who were identified using provincial administrative health databases. Children with prior kidney replacement therapy were excluded. Incident hypertension diagnosis, identified by validated case definitions using diagnostic and physician billing claims. Each case was matched with 5 controls without hypertension by age, sex, birth weight, maternal gestational hypertension, prior comorbidities (chronic kidney disease, diabetes, cardiovascular surgery), and a propensity score for hypertension. The primary outcome was MACE (a composite of cardiovascular death, stroke, hospitalization for myocardial infarction or unstable angina, or coronary intervention). Time to MACE was evaluated using the Kaplan-Meier method and Cox proportional hazards regression. A total of 25 605 children (median [IQR] age, 15 [11-17] years; 14 743 male [57.6%]) with hypertension were matched to 128 025 controls without hypertension. Baseline covariates were balanced after propensity score matching, and prior comorbidities were uncommon (hypertension vs control cohort: malignancy, 1451 [5.7%] vs 7908 [6.2%]; congenital heart disease, 1089 [4.3%] vs 5408 [4.2%]; diabetes, 482 [1.9%] vs 2410 [1.9%]). During a median (IQR) of 13.6 (7.8-19.5) years of follow-up, incidence of MACE was 4.6 per 1000 person-years in children with hypertension vs 2.2 per 1000 person-years in controls (hazard ratio, 2.1; 95% CI, 1.9-2.2). Children with hypertension were at higher associated risk of stroke, hospitalization for myocardial infarction or unstable angina, coronary intervention, and congestive heart failure, but not cardiovascular death, compared with nonhypertensive controls. Children diagnosed with hypertension had a higher associated long-term risk of MACE compared with controls without hypertension. Improved detection, follow-up, and control of pediatric hypertension may reduce the risk of adult cardiovascular disease.

Cohort profile: the Adverse Childhood Experiences cohort of the Malawi Longitudinal Study of Families and Health

PurposeThe Adverse Childhood Experiences (ACE) cohort of the Malawi Longitudinal Study of Families and Health (MLSFH-ACE) is a study of adolescents surveyed during 2017–2021. It provides an important opportunity to...

Joint trajectories of bullying victimization and sexual harassment victimization as predictors of adolescent alcohol use.

The present study examined the independent and joint effects of bullying victimization and sexual harassment victimization on adolescent alcohol use over time within a community sample of adolescents. Adolescents aged 13-15 years old at baseline (N = 800, Mage = 14.42, SD = 0.83; 57.5% female) recruited from Western New York State made five online survey reports of peer victimization and alcohol use over a 2-year period. Latent class growth analysis was used to identify trajectory classes of victimization from bullying and sexual harassment over time, and regression modeling was used to examine the associations with later alcohol use. Three developmental courses were identified for bullying victimization (moderate/decreasing, high/decreasing, never or low) and for sexual harassment victimization (moderate/decreasing, moderate/increasing, never or low). Adolescents in the moderate/decreasing group of bullying victimization subsequently consumed more alcoholic drinks when they drank. Belonging to the moderate/increasing group of sexual harassment was associated with increased later alcohol intoxication and number of drinks. Bullying victimization and sexual harassment victimization were concurrently correlated over time. Adolescents who followed the joint trajectory group of moderately decreasing bullying and increasing sexual harassment were more likely to report increased later alcohol intoxication and number of drinks. Moderate levels of bullying victimization along with increasing sexual harassment victimization are associated prospectively with greater alcohol use in adolescence. Findings highlight the importance of considering the cumulative, joint effects of multiple types of peer victimization on adolescent health outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Parent Education and Adolescent Health Outcomes: The Potential Role of Adolescent Academic Intention

Abstract: Parental educational attainment significantly shapes child socioeconomic status, potentially influencing various aspects of adolescent health. This study aimed to uncover the relationships between parental education and self-reported adolescent health outcomes, including overall health, mental well-being, and body mass index (BMI). Analyzing data from 1,448 participants in the Future of Families and Child Wellbeing Study, we identified notable associations. Our findings revealed that higher maternal and paternal education correlated with reduced odds of adolescent obesity. Furthermore, increased adolescent academic intention was associated with better overall and mental health in adolescents. Notably, it also played a mediating role in lowering adolescent BMI, thereby potentially explaining the association between parent education and adolescent BMI category (overweight vs. obese). These findings emphasize the significant impact of both parent education and adolescent academic intention on adolescent health. Future research should explore interventions leveraging academic intention to positively influence the health trajectory of adolescents.

Fever-induced acute sleep terrors in children and adolescents following SARS-CoV-2 infection.

This study aims toprovide physicians withinsights into the clinical manifestations and outcomes of children and young adolescents experiencing sleep terrors following SARS-CoV-2 infection. We enrolled patients who developed new onset sleep terrors after SARS-CoV-2infection fromDecember2022to April 2023 in the Xijing hospital, Xi'an, China. We enrolled six patients who experienced sleep terrors following SARS-CoV-2 infection. Out of these patients, five were children and only one was an adolescent, with a mean age of 9 years. Neuroimagingresults were negative for all cases. Sleep terrors occurred during both the active course of COVID-19 illness and the recovery period in all patients. Symptoms included crying or screaming in terror, hyperactivity, inappropriate behavior and periods of mental confusion during sleep. These episodes typicallyoccurred 40 min to 1 h after falling asleep. EEG monitoring confirmed two patients' episodes occurred during non-rapid eye movement (NREM) stage 3 sleep. The duration of sleep terrors ranged from 3mines to30 mines, with each patient experiencing 3-4 to 30-40 instances. Initially, the frequency of episodes was highest at 3-4 times per night, gradually decreasing to once a night, then once a week, until complete disappearance. No medical intervention was required. Clinical follow-up ranged from 6 to 12 months, with spontaneous remission occurring within 1 week to 2 months for different patients. SARS-CoV-2 infectionmay precipitate acute sleep terrors in children and adolescents. The course of these sleep terrors is generally benign, with all patients achieving spontaneous complete remission over time.

Much hypothesized, rarely tested: Public preschool attendance predicts executive functioning skills in 3rd grade

Public preschool enhances consequential long-term education, economic, and health outcomes in adolescence and adulthood. One much-hypothesized—but rarely tested—explanation is that preschool predicts improved executive functioning (EF) in middle childhood. Our study provides empirical support linking preschool to middle childhood EF. We draw on a large, racially-diverse sample of children from low-income families in Tulsa, OK (N = 685, Mage at 3rd = 8.5 years), home to a nationally-recognized universal public preschool program administered in school-based pre-k and Head Start classrooms. Using propensity score weighting, we compare the 3rd grade EF skills of children who attended school-based pre-k or Head Start to those who did not. School-based pre-k attendance predicts better impulse control and working memory skills in 3rd grade (d = .35–.37); Head Start attendance predicts better working memory (d = .47). This evidence highlights public preschool’s potential to promote the EF skills of diverse children from low-income families into middle childhood.

Untangling risky discourse with evidence: A scoping review of outcomes for teen mothers’ offspring

Concerns for the long-term health and social well-being of teen mothers and their children arose in the 1970s as early childbearing was depicted as a public health problem. Early researchers identified the high-risk nature of teen mothering and a host of unfavorable maternal-child outcomes. The purpose of this study is to review the research published since 2010 on the outcomes for teen mothers’ offspring ≥ 6 years of age; to examine trends in the types of studies conducted; and to identify the strengths and limitations of this research. MethodWe conducted a systematic search of 8 databases to identify studies that examined outcomes for offspring ≥ 6 years from high-income countries. We grouped studies by offspring age (child ≥ 6 years of age, adolescents, and adults) and outcomes in the domains of mental health, physical health, education, sexual activity, delinquency/crime, and substance use. Child outcomes were examined in 16 studies, adolescent outcomes in 31, and adult outcomes in 14. FindingsOf the 53 studies published between 2010 to November 2022, 32 originated in the U.S.; 9 in Sweden; 2 each in Canada and Taiwan; and 8 elsewhere. Since 2010, researchers have increasingly used national samples and sibling and cousin comparisons to control for selection into teen mothering. These studies have reduced, and in some cases, eliminated young maternal age as a predictor, suggesting that poor outcomes are largely due to factors related to teen mothers’ preexisting disadvantage. ConclusionsThe results of this scoping review echo a chorus of scholars who have long argued that the poor outcomes attributed to teen mothering disregard the systemic inequities that predispose youth to become teen parents. Because these upstream conditions are baked into the social worlds that most teen mothers and their children inherit, delaying childbearing in the absence of mitigating these conditions is unlikely to improve maternal-child outcomes. We urge researchers to adjust for selection into teen mothering; examine heterogeneity in samples; adjust for birth year when multiple birth cohorts are combined in a study; place findings in historical context; consider variables that align with the perspectives of teen mothers; and study the intergenerational effects of adverse childhood experiences. Doing so would improve our understanding not only of causal relationships but the context and temporality of maternal-child outcomes.

Are community-based interventions effective at improving mental health outcomes in refugee children and adolescents in high-income countries?

SUMMARYMultiple epidemiological studies have shown an increased prevalence of adverse mental health outcomes in refugee populations and have highlighted children and adolescents to be particularly at risk. This commentary considers a Cochrane Review examining the efficacy of community-based interventions at improving the mental health of refugee children and adolescents in high-income countries. The review concludes that community-based interventions are ineffective at improving mental health in such populations. Notably, the data are limited by significant risk of bias and a small sample size. This article aims to critically appraise this systematic review, extrapolate implications for current practice and identify avenues for further research.

Neurocognitive outcomes in moderately preterm born adolescents

BackgroundEarly preterm (EP) born children are at risk of neurocognitive impairments persisting into adulthood. Less is known about moderately to late (MLP) preterm born children, especially after early childhood. The aim of this study was to assess neurocognitive functioning of MLP adolescents regarding intelligence, executive and attentional functioning, compared with EP and full-term (FT) adolescents. MethodsThis study was part of the Longitudinal Preterm Outcome Project (LOLLIPOP), a large community-based observational cohort study. In total 294 children (81 EP, 130 MLP, and 83 FT) were tested at age 14 to 16 years, regarding intelligence, speed of processing, attention, and executive functions. We used the Dutch version of the Wechsler Intelligence Scale for Children-Third Edition-Dutch Version (WISC-III-NL), the Test of Everyday Attention for Children, and the Behavioural Assessment of the Dysexecutive Syndrome for Children. We assessed differences between preterm-born groups with the FT group as a reference. ResultsCompared to the FT group, MLP adolescents scored significantly lower on two subtasks of the WISC-III-NL, i.e. Similarities and Symbol Search. EP adolescents performed significantly lower on all neuropsychological tests than their FT peers, except for the subtask Vocabulary. The MLP adolescents scored in between FT and EP adolescents on all tasks, except for three WISC-III-NL subtasks. ConclusionsNeurocognitive outcomes of MLP adolescents fell mostly in between outcomes of their EP and FT peers. MLPs generally performed on a low-average to average level, and appeared susceptible to a variety of moderate neurodevelopmental problems at adolescent age, which deserves attention in clinical practice.

Adolescent Social Anxiety, School Satisfaction, Family Emotional Support, and School Absenteeism: Findings from Young-HUNT3 and Norwegian National Education Data.

Background: Adolescents grappling with social anxiety may experience poor school satisfaction, resorting to school-related avoidance behaviors, exemplified by absenteeism, as a coping mechanism. Understanding the role of family support in alleviating the adverse effects of social anxiety on school satisfaction is imperative for fostering supportive educational settings. Although there is literature regarding how school satisfaction promotes positive adolescent outcomes, empirical knowledge on the interrelation between social anxiety, school satisfaction, and family emotional support is limited. This study investigates the association between social anxiety, family emotional support, school satisfaction, and school absenteeism within the theoretical framework of the stage-environment fit theory to offer insight into how family emotional support can moderate the influence of social anxiety on school-related outcomes. Methods: Utilizing a population-based sample of 1861 upper secondary school pupils from the Trøndelag Young Health study "Young-HUNT3 study", we employed an index of moderated mediation to examine the role of family emotional support in moderating the association between social anxiety and school-related avoidance behavior related to school satisfaction. Results: Family emotional support had moderated mediation association for school absenteeism (β = 0.128, 95% CI 0.019, 0.278) and extracurricular activity (β = -0.003, 95% CI -0.008, -0.000). Conclusions: This urges further investigation into the specific mechanisms and individual differences influencing these relationships, aiming to deepen our understanding of adolescents' experiences and inform comprehensive strategies for promoting their well-being within school communities.

Describing the geographical linkage between the UK Millennium Cohort Study and crime incidents in England and Wales

BackgroundEnhancing longitudinal cohort studies by linking routine external data to them is increasingly used to evaluate how local environments impact participants' outcomes (e.g. crime on adolescents' perception of security and victimisation). ObjectiveTo describe the geographical linkage between the UK Millennium Cohort Study (MCS) and street-level crime incidents reported to the Police in England and Wales, and to estimate crime count and rates around MCS participants' residences. MethodsEight years of monthly street-level police data were linked to the residential postcodes of MCS participants living in England and Wales in surveys 5, 6 and 7 to create individual-level variables of neighbourhood crime counts and rates (28,724 surveys and 11,365 individuals). Radial buffers around participants' residences were created at ages 11, 14 and 17. Crime counts and rates were created prior to the month of interview (at 1, 3, 6, 9, and 12 months prior). A homogenisation of crime categories reported in the police data was conducted to evaluate changes over time and areas. Multivariate models were used to study the association between MCS participants' demographic characteristics and derived measures of neighbourhood crime. ResultsWhile total crime rates and counts around MCS participants remain stable over the period, they hide heterogeneous upward and downward trends in specific sub-categories, with violence and sexual offences showing a larger increase. We observe a negative socioeconomic gradient between household income deciles, recorded at age 11, and subsequent exposure to neighbourhood crime. ConclusionLinking routine crime data to longitudinal studies, such as the MCS, which follow children and their families through a critical period of development, can provide a new resource to understand how local crime impacts child and adolescent outcomes.

Mobile Distractions among Adolescents: Impact on Learning in the Aftermath of COVID-19 in India

The advent of mobile technology has brought numerous benefits, but it has also introduced distractions, especially among adolescents. The COVID- 19 pandemic further exacerbated this issue, as remote learning became the norm. This paper explores the impact of mobile distractions on the learning outcomes of adolescents in India post-COVID-19. Through a review of existing literature and empirical evidence, this paper aims to shed light on the prevalence of mobile distractions, their effects on academic performance, and potential strategies to mitigate them.

Determinants of central obesity in children and adolescents and associated complications in South Africa: a systematic review.

Central obesity in children is a global health concern associated with cardiovascular risk factors. In 2019 the World Obesity Federation predicted that in 2025, 206 million children and adolescents aged 5 to 19 will be obese, and the number is estimated to reach 254 million by 2030. There is limited literature on the factors that are associated with the development of central obesity in children. We report a systematic review, aimed to describe the current literature on determinants of central obesity and its associated health outcomes in children and adolescents in the South African population. We searched for peer-reviewed studies in Google Scholar, PubMed, and Science Direct search engines, and about seven studies were included. This systematic review has been registered with the International Prospective Register of Systematic Reviews (PROSPERO) (Registration number: CRD42023457012). This systematic review was conducted and reported according to an updated version of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. The quality of the included studies was assessed by following guidelines from the Newcastle-Ottawa Scale (NOS). The method considered three main domains: selection, comparability, and outcome across different study designs. The prevalence of central obesity in children and adolescents by waist-to-height ratio (WHtR) ranged from 2.0 to 41.0%; waist-to-hip [WHR ranged from 10 to 25%; waist circumference (WC) ranged from 9 to 35%]. Central obesity was associated with age, physical inactivity, gender socio, and demographic profiles of the household. Central obesity in children was associated with cardiovascular diseases and mental health issues. Central obesity in children and adolescents was determined by gender, pubertal development, and age of the parents, households with high socioeconomic status, dietary practices, and overweight/obesity. Given the high prevalence of central obesity in children which can ultimately result in cardiometabolic diseases, cardiovascular risk factors, and mental health issues. This highlights the need for systems, jointly initiated by healthcare providers, policymakers, and the general society aimed at reducing the burden of central obesity such as introducing children and adolescents to health-promoting lifestyles.

0039 An Apple a Day Keeps Bad Sleep Away? Carotenoid Consumption and Multimodal Sleep Outcomes in Adolescents

0039 An Apple a Day Keeps Bad Sleep Away? Carotenoid Consumption and Multimodal Sleep Outcomes in Adolescents

0016 In Search of Vitamin Sleep: Vitamin and Mineral Intake and Multimodal Sleep Outcomes in Adolescents

0016 In Search of Vitamin Sleep: Vitamin and Mineral Intake and Multimodal Sleep Outcomes in Adolescents

0815 A Machine Learning Approach to Identify Factors Associated with Adolescent Sleep Outcomes

0815 A Machine Learning Approach to Identify Factors Associated with Adolescent Sleep Outcomes