Adolescent Behavior Research Articles

Perilaku Komunikasi Remaja Pengguna Aplikasi Tiktok (Studi Pada SMP 15 Bengkulu Selatan)

This research aims to analyze the communication behavior of TikTok social media users, especially non-verbal communication behavior, especially among adolescents at SMPN 15 of South Bengkulu. This research uses a qualitative approach with data collection techniques in the form of interviews and observations of adolescents at SMPN 15 of South Bengkulu who use TikTok. This research uses communication theory according to Harold Dwight Lasswell. This theory suggests that a good way to explain the communication process is to answer five questions, namely: Who (who is the source), Says What (what is conveyed), In Which Channel (via what media), To Whom (who is the target), and With What Effect (what is the influence) 4. This theory can help identify the communication elements involved in using the TikTok application, as well as their impact on adolescent communication behavior. The results of the research show the Communication Behavior of TikTok Social Media Users at SMPN 15 of South Bengkulu, namely that they use TikTok social media because it is a trend nowadays. There are various interesting features on TikTok social media so that it can relieve the burden on your mind. Creating viral video content and sharing your own edits, educating TikTok social media users and channeling talents through TikTok social media, making TikTok social media a source of entertainment and information and what are the impacts of using TikTok social media, both positive and negative.

Adolescent behavioral problems, preterm/low birth weight children and adult life success in a prospective Australian birth cohort study

BackgroundPreterm and/or low birthweight (PT/LBW) is predictive of a range of adverse adult outcomes, including lower employment, educational attainment, and mental wellbeing, and higher welfare receipt. Existing studies, however, on PT/LBW and adult psychosocial risks are often limited by low statistical power. Studies also fail to examine potential child or adolescent pathways leading to later adult adversity. Using a life course framework, we examine how adolescent problem behaviors may moderate the association between PT/LBW and a multidimensional measure of life success at age 30 to potentially address these limitations. MethodsWe analyze 2044 respondents from a Brisbane, Australia cohort followed from birth in1981–1984 through age 30. We examine moderation patterns using obstetric birth outcomes for weight and gestation, measures of problem behaviors from the Child Behavioral Checklist at age 14, and measures of educational attainment and life success at 30 using multivariable normal and ordered logistic regression. ResultsAssociations between PT/LBW and life success was found to be moderated by adolescent problem behaviors in six scales, including CBCL internalizing, externalizing, and total problems (all p < 0.01). In comparison, associations between LBW and educational attainment illustrate how a single-dimensional measure may yield null results. ConclusionFor PT/LBW, adolescent problem behaviors increase risk of lower life success at age 30. Compared to analysis of singular outcomes, the incorporation of multidimensional measures of adult wellbeing, paired with identification of risk and protective factors for adult life success as children develop over the lifespan, may further advance existing research and interventions for PT/LBW children.

The relationship between biospheric values and pro-environmental behavior: The role of environmental self-identity and environmental concern.

Today's youth is facing environmental changes. The environmental behavior of adolescents is critical to mitigating the negative impacts of these environmental problems. According to value - basis theory and Value-Belief-Norm theory, the current research examines the link between biospheric values and pro-environmental behavior, together with the mediating and moderating effects of environmental self-identity and environmental concern. We conducted cluster sampling of students in grades four to nine. A total of 1,053 students participated in the survey, and 763 valid data records were finally obtained (the return rate was 72.46%). The findings indicated that: (1) there was a significant positive correlation between adolescents' biospheric values and pro-environmental behavior; (2) there was a significant positive correlation between adolescent biospheric values and environmental self-identity; there was a significant correlation between adolescents' environmental self-identity and pro-environmental behavior. The relationship between biospheric values and adolescents' pro-environmental behavior is mediated by environmental self-identity; (3) adolescents' environmental concern moderates their biospheric values and affects the latter half of pro-environmental behavior through environmental self-identity. Environmental self-identity has a greater predictive impact on pro-environmental behavior when there is a higher level of environmental concern. This paper proposes and verifies the positive relationship between biospheric values and adolescents' pro-environmental behavior, as well as the mediating role of environmental self-identity and the moderating role of adolescents' environmental concern.

Unraveling the role of social support in eating behavior among children and adolescents in Shanghai, China: exploring the mediating role of self-efficacy and the moderating influence of BMI and weight concern.

This study explores the intricate relationship between social support and eating behaviors in children and adolescents, considering the mediating role of eating self-efficacy and the moderating effects of body mass index (BMI) and weight concern. Data from 1986 primary and secondary school students aged 8 to 17 in Shanghai, China, were analyzed using moderated mediation analysis. The results demonstrate a robust positive association between social support and eating self-efficacy, particularly prominent among individuals with low BMI (effect = 0.506, 95% CI [0.376, 0.636]). Moreover, the study highlights that eating behavior is influenced not only by eating self-control (β = -0.054, 95% CI [-0.062, -0.046]) but also by the interaction term between individuals' perceptions of their body weight (β = -0.0008, 95% CI [-0.0015, -0.0001]). Eating self-efficacy serves as a mediator in the relationship between social support and eating behavior, modulated by BMI and weight concern. Importantly, high weight concern significantly strengthens the mediating effect of eating self-efficacy on the relationship between social support and eating behavior, regardless of BMI.

An investigation of sleep problems, gastrointestinal symptoms, comorbid psychopathology and challenging behavior in children and adolescents with Down Syndrome

BackgroundDown syndrome (DS) is one of the most common chromosomal abnormalities, and children with DS have increased risks of receiving diagnoses of specific comorbidities. AimsThis study aimed to assess the frequencies and relationships between sleep problems, gastrointestinal (GI) symptoms, comorbid psychopathology, and challenging behavior. Methods and proceduresThe Children’s Sleep Habits Questionnaire, Gastrointestinal Symptom Inventory, Autism Spectrum Disorder-Comorbid for Children, and Behavior Problems Inventory-Short Form were completed by 123 parents of children and adolescents with DS. Outcomes and resultsThe frequency of GI symptoms was 74.8 %, with high frequencies also found for: sleep problems (100 %), challenging behavior (100 %), and moderate to severe levels of comorbid psychopathology (tantrum=80 %; repetitive behavior=63 %; avoidant behavior=82 %; worry/depressed=61 %; conduct behavior=100 %; over-eating=100 %; under-eating=100 %). A significant moderate correlation was found between total GI symptoms and self-injurious behavior frequency. Children who presented with abdominal pain engaged in self-injurious behavior more frequently than those with no abdominal pain. Conclusions and implicationsFindings indicated a high frequency of sleep problems, comorbid psychopathology, GI symptoms, and challenging behavior and demonstrated a relationship between GI symptoms and self-injurious behavior in children and adolescents with DS. This research illustrated the importance of investigating comorbid conditions in individuals with DS. What this paper adds?Down Syndrome (DS) is a genetic condition characterized by trisomy 21 and is a leading cause of intellectual disability worldwide. The prevalence of DS is commonly associated with advanced maternal age and is associated with multiple comorbid conditions. The current study aimed to investigate the frequency of and relationship between sleep problems, gastrointestinal symptoms, comorbid psychopathology, and challenging behavior in children and adolescents with DS. High-frequency levels were found for sleep problems (100 %), challenging behavior (100 %), gastrointestinal symptoms (74.8 %), and moderate to severe levels of the different comorbid psychopathologies (tantrum=80 %; repetitive behavior=63 %; avoidant behavior=82 %; worry/depressed=61 %; conduct behavior=100 %; over-eating=100 %; under-eating=100 %). Results indicated a significant difference in self-injurious behavior frequency between individuals who presented with abdominal pain and those who did not. This study is the first to investigate the relationship of multiple comorbid conditions in a sample of children with DS. This paper adds to the literature by demonstrating the frequency of a number of comorbid conditions in children and adolescents with DS. The paper also adds novel findings to the literature by investigating the relationships between comorbid conditions in this population. The findings of this paper highlighted the frequency and comorbidities that exist between gastrointestinal symptoms, sleep problems, comorbid psychopathology, and challenging behavior. Analyses indicated that those who presented with abdominal pain, engaged in self-injurious behavior more frequently.Sleep problems, gastrointestinal symptoms, comorbid psychopathology, and challenging behavior in children and adolescents with Down Syndrome.

The effect of an educational peer-based intervention program on sexual and reproductive health behavior.

The fact that adolescent people experience risky sexual behavior and have insufficient knowledge of sexual and reproductive health (SRH)indicates the need for SRH education. This study investigates the impact of peer-educated SRH programs on the knowledge and behaviors of adolescents. This study was conducted as a randomized controlled trial on 275 university students. The subjects were randomly assigned to the peer educators (n = 25), intervention (n = 125) and control (n = 125) groups using systematic random sampling. Peer educators provided face-to-face SRH education to the intervention group. The researcher provided the same education to the control group via the online conference method. SRH knowledge and behavior evaluated with scales before, after, and 3 and 6 months after the SRH education. The obtained data were analyzed using SPSS version 25 through statistical tests and analysis of covariance. The female and male ratio of the participants was almost equal (49.4%, 50.6%). The mean age was found to be 20.42 ± 1.14 years. The mean scores of the students in the intervention group increased from 21.20 ± 0.14 to 35.20 ± 0.07 for sexual health knowledge questionnaire (SHKQ), and from 130.56 ± 0.55 to 147,90 ± 0,25 for reproductive health scale (RHS) after the education. Compared with the control group, these increases in the mean scores of SHKQ and RHS were found to be statistically significant. The findings show the important role of the SRH peer education method on the effect of transferring knowledge about sexual behaviors. Health and education policy-makers are advised to implicate SRH peer education.

The mediating effect of bullying on parental–peer support matching and NSSI behaviour among adolescents

BackgroundBeing subjected to bullying is a significant risk factor for non-suicidal self-injury (NSSI) among adolescents. Parental support, peer support, and social connectedness play protective roles in mitigating NSSI in this population. However, the precise impact of the combined effects of parental and peer support on bullying and NSSI requires further investigation.MethodsThis study employed the Child and Adolescent Social Support Scale, Delaware Bullying Victimisation Scale, Social Connectedness Scale, and the Ottawa Self-Injury Inventory to survey 1277 Chinese adolescents. Polynomial regression analysis and response surface analysis were applied to examine the mediating role of bullying and social connectedness in the relationship between parental and peer support matching and NSSI.ResultsThe results indicate that parental support (r = 0.287, P < 0.001), peer support (r = 0.288, P < 0.001), and social connectedness (r = 0.401, P < 0.001) were protective factors against NSSI in adolescents. Conversely, bullying (r = 0.425, P < 0.001) acts as a risk factor for NSSI in this population. Adolescents with low parental and peer support experienced more bullying than those with high parental and peer support, while those with low parental but high peer support experienced less bullying than those with high parental but low peer support (R^2 = 0.1371, P < 0.001). Social connectedness moderated the effect between bullying and NSSI in this model (β = 0.006, P < 0.001).LimitationsDue to the under-representation of participants and lack of longitudinal data support, the explanatory power of causality between variables was limited. Future studies should include national samples and incorporate longitudinal studies to enhance the generalisability and robustness of the findings.ConclusionThis study reveals the influence mechanism of parental and peer support matching experienced by adolescents on bullying and NSSI and the moderating role of social connectedness. These findings enrich the developmental theory of adolescent NSSI and provide reference for the prevention and intervention of adolescent NSSI behaviour.

Which need satisfaction better explains the relation between parental psychological control and adolescent behavior problems: A parallel multi-mediator model based on general strain theory

ObjectivePredicated on the general strain theory and self-determination theory, the present study seeks to comparatively evaluate how well the (dis)satisfaction of three psychological needs (i.e., autonomy, competence, and relatedness) can individually serve as a mechanism by which parental psychological control influences adolescent behavior problems jointly represented by depression, aggression, social anxiety, and problematic internet use. Method974 Chinese adolescents (Mage = 14.4, SD = 1.49; 46.7 % girl) constituted the sample. At three time points, they completed scales measuring parental psychological control, basic psychological needs, depression, aggression, social anxiety, and problematic internet use. A parallel multi-mediator model was adopted to contrast the individual mediation effect of satisfaction of three psychological need in the path from parental psychological control to adolescent behavior problems. Results(1) Parental psychological control directly predicts adolescent behavior problems. (2) Autonomy and competence need satisfaction independently mediate the association between parental psychological control and behavior problems while relatedness need satisfaction does not. (3) there is no difference in the strength of mediation between autonomy and competence need satisfaction. Yet, both autonomy and competence need satisfaction have a stronger mediation effect than relatedness need satisfaction. ConclusionThe findings demonstrate that in accounting for the relation between parental psychological control and adolescent behavior problems, autonomy and competence need satisfaction may represent better mechanisms than relatedness need satisfaction. Interventions targeting maladaptive parenting practices and adolescent maladjustment in the post-pandemic era need to consider the potency of relevant psychological mechanisms in operation as well as the sociocultural characteristics.

Cultivating consumer resilience: understanding and navigating adolescents’ responses to intrusive advertising

Purpose The purpose of this study is to show that as technologies expand the personalization capabilities of advertisers and that intrusive ad formats online and in mobile contexts raise privacy and control concerns, this emerging area requires better understanding. Design/methodology/approach The model tests antecedents and outcomes of advertising intrusion based on surveys of 170 respondents and structural equation modeling. Personalized mobile ads, privacy concerns and perceived vulnerability heighten intrusion, leading to resistance behaviors like avoiding ads and negative brand attitudes. Findings The findings offer several practical implications for marketers targeting youth to balance relevance with transparency in personalized communications to avoid irritation that damages brand perceptions and relationships. The authors believe the article contributes uniquely to the literature at the intersection of interactive marketing technologies, privacy concerns and adolescent consumers – an impactful yet understudied demographic. The rigorous methodology also advances knowledge of advertising intrusion phenomena. Research limitations/implications As with all research, it is important to recognize the limitations of this work that can be taken advantage of in future avenues of research. Firstly, the authors did not consider demographic variables, such as gender, and psychographic variables (lifestyle, personality, etc.), as factors that may influence advertising intrusiveness. Secondly, the authors limited the consequences of intrusion to the variable resistance over time, since several consequences can be studied in this context. Further investigations may remedy those limitations by integrating additional variables into the models, as well as resistance proxies. Besides, a new path for research would consider a breakdown of the age range of teenagers, i.e. the beginning, the middle and the late teenage years. Practical implications The discoveries from this study have significant implications for marketers and organization. The authors therefore recommend that companies commit to creating value through personalization and implement techniques to reduce consumers’ privacy concerns “personalizing mobile advertising involves several important aspects including choosing the right target market, sending users relevant and wanted information and creating personalized advertising contents” (Wang et al., 2019). One way forward, in an environment that will be even more connected in the future, is for companies to request only the data that is relevant and necessary for the smooth running of their business and to integrate privacy practices into their operations. Originality/value This research can contribute to the development of a theory on the role of advertising intrusion in shaping adolescent behavior. The research model has enabled us to deduce the impact of personalization on the perception of an advertising intrusion, providing us with information on the importance of elements provided by the company, such as the importance of the characteristics and beliefs of the adolescent consumer, i.e. perceived privacy concerns and risks, in deciding whether or not to participate in personalization. The conclusions of the study therefore highlight the need for companies to adapt their marketing strategy to remain consistent with new expectations, i.e. to conceive personalization and privacy as two consubstantial issues.

The Relationship Between Parenting Styles and Self-Harm Behavior in Adolescents

Individuals are required to be able to adapt to the many changes that occur during adolescence, so support from the family is needed to deal with these changes. Normal development in this period of turmoil with rapid physical, cognitive and emotional transformations is influenced by parental interest and emotional involvement as well as parenting styles that determine the overall climate and communication in the family. Parents apply different parenting styles, ranging from authoritarian, democratic and permissive parenting. The purpose of this study was to determine the relationship between parenting patterns in adolescents and self-harm behavior in adolescents. This study was an analytic study with a case control design. The sample was 42 students of SMPN 1 Plaosan and their parents using a total population technique for the case group and a simple random sampling technique for control group. The independent variable was parenting style, the dependent variable was self harm behavior in adolescents. The instrument in this study used a questionnaire. To analyze the correlation used chi square test was used with α 0.05. The research results showed that most parents provided an authoritarian parenting style in the case group and some parents provided a democratic parenting style in the control group. The chi square test results obtained p = 0.00 (p = &lt;0.05). The conclusion in this study is that there is a correlation between parenting patterns and self-harm behavior in adolescents. It is recommended that parents provide democratic parenting patterns for their children.

The Influence of Promotion Content at Shopee Indonesia’s Instagram Account on Consumptive Behaviour for Late Adolescent Girls in Jakarta

The rise in online shopping in Indonesia is significantly linked to National Online Shopping Day (Harbolnas), launched on December 12, 2012, by the Indonesian E-commerce Association (idEA). Harbolnas has become essential for both sellers and buyers, with the “8.8” August 2020 promotion alone increasing transactions by 66%. Monthly twin date promotions by platforms like Shopee Indonesia drive consumer engagement. Instagram plays a key role in influencing late adolescent girls' shopping behavior in Jakarta. For that, this study wanted to see how the impact of promotional content on Instagram accounts @shopee.id on late adolescent consumptive behavior of girl in Jakarta. This study uses a post-positivist paradigm with quantitative methods, collecting data through surveys targeting this demographic. The correlation table results indicate that the content has an influence on consumptive behavior, as the obtained value is 0.544, which falls into the category of moderately correlated. Furthermore, based on the coefficient of determination formula, the contribution of the content variable (X) to consumptive behavior (Y) is found to be 29%, while the remaining 71% is influenced by other factors outside the variables in this study. In this study, the linear regression equation can be observed as Y = 14059 + 0.800 (11) = 14067.8. This indicates that in this study, the value of consumptive behavior will increase as the value of promotion content increases.

Le diagnostic du TDAH dans l’enfance et à l’âge adulte

Attention Deficit Hyperactivity Disorder (ADHD) is classified within the family of neurodevelopmental disorders (NDDs), sharing the category with conditions such as Autism Spectrum Disorder, Specific Learning Disorders, Developmental Coordination Disorder, and Gilles de la Tourette Syndrome, among others. NDDs often coexist with one another and with various psychiatric or non-psychiatric conditions, which can obscure the primary disorder's diagnosis, especially when considering the patient's age and gender. Psychiatric comorbidities encompass both internalizing disorders, such as anxiety and depression, and externalizing disorders, including oppositional defiant disorder and conduct disorder. While daydreaming and emotional dysregulation are frequently observed in children and adults with ADHD, they do not constitute diagnostic criteria for the disorder but rather comorbid features. The concomitant presence of these disorders can create complex clinical pictures, necessitating nuanced and careful management strategies. Comorbidities extending beyond psychiatric realms include various sleep disorders (disruptions in circadian rhythms, bruxism, enuresis, restless legs syndrome, among others), neurological conditions such as epilepsy and migraine, as well as atopic conditions, inflammatory and autoimmune diseases, and certain genetic syndromes, but not only. In children younger than six years old – recognizing that ADHD can be considered for diagnosis at this early stage – the manifestations of various disorders frequently intertwine, culminating in an overarching phenotype. As children age, these symptom clusters tend to become more distinct and individualized. In contrast to males, females diagnosed with ADHD are less likely to exhibit conspicuous signs of hyperactivity and impulsivity. They might adopt compensatory behaviors to obscure or diminish the manifestation of their symptoms. Furthermore, females have an increased likelihood of developing comorbid internalizing disorders, such as anxiety and depression, as opposed to externalizing disorders, which may contribute to the underdiagnosis of ADHD in this population. The prevalence of ADHD is non-negligible, affecting an estimated 2% of pre-schoolers, 4% of school-aged children, 3% of adults, and 1% of the population aged over 60, implicating more than two million individuals in France alone. Diagnostic criteria are exclusively clinical and have remained unchanged for over two decades in international classifications such as the Diagnostic and Statistical Manual of the American Psychiatric Association and the International Classification of Diseases by the World Health Organization. The absence of a reliable biomarker to confirm or refute the diagnosis underscores the challenges in ADHD identification. The ramifications of diagnostic delay or oversight are profound, potentially leading to dire consequences for affected children and their families, including elevated risks of suicidal behavior in adolescents and adults and increased potential for legal entanglements, even incarceration. This review article delineates the systematic approach to ADHD screening and diagnosis, including the identification of hallmark symptoms and their impacts, differentiation from other diagnoses, and the contemplation of ancillary assessments that may be warranted. These components are pivotal for informing therapeutic strategies, patient management, and the oversight of pharmacological interventions and their adverse effects. We furnish a compendium of evaluative scales and semi-structured interviews for clinical utility, enabling practitioners to elect tools best suited to their expertise and the diagnostic or evaluative objectives at hand. In sum, the diagnosis of ADHD is predicated on a methodical clinical assessment executed by a practitioner well versed in typical child development and neurodevelopmental disorders, eschewing reliance on supplemental biological, electrophysiological, neuropsychological testing, or neuroimaging.

Predictor of Premarital Sexual Behavior in Adolescents: A Systematic Review

Predictor of Premarital Sexual Behavior in Adolescents: A Systematic Review

From the Plate to the Mirror: A New View on Food Insecurity and Its Relationship With Body Image and Eating Behavior in Brazilian Adolescents

From the Plate to the Mirror: A New View on Food Insecurity and Its Relationship With Body Image and Eating Behavior in Brazilian Adolescents

Bedtime Screen Use Behaviors and Sleep Outcomes in Early Adolescents: A Prospective Cohort Study

PurposeTo determine prospective associations between bedtime screen use behaviors and sleep outcomes one year later in a national study of early adolescents in the United States. MethodsWe analyzed prospective cohort data from 9,398 early adolescents aged 11–12 years (48.4% female, 45% racial/ethnic minority) in the Adolescent Brain Cognitive Development Study (Years 2–3, 2018–2021). Regression analyses examined the associations between self-reported bedtime screen use (Year 2) and sleep variables (Year 3; self-reported sleep duration; caregiver-reported sleep disturbance), adjusting for sociodemographic covariates and sleep variables (Year 2). ResultsHaving a television or Internet-connected electronic device in the bedroom was prospectively associated with shorter sleep duration one year later. Adolescents who left their phone ringer activated overnight had greater odds of experiencing sleep disturbance and experienced shorter sleep duration one year later, compared to those who turned off their phones at bedtime. Talking/texting on the phone, listening to music, and using social media were all prospectively associated with shorter sleep duration, greater overall sleep disturbance, and a higher factor score for disorders of initiating and maintaining sleep one year later. DiscussionIn early adolescents, several bedtime screen use behaviors are associated with adverse sleep outcomes one year later, including sleep disturbance and shorter weekly sleep duration. Screening for and providing anticipatory guidance on specific bedtime screen behaviors in early adolescents may be warranted.

Just-in-time adaptive interventions for adolescent and young adult health and well-being: protocol for a systematic review

IntroductionHealth behaviours such as exercise and diet strongly influence well-being and disease risk, providing the opportunity for interventions tailored to diverse individual contexts. Precise behaviour interventions are critical during adolescence...

The effectiveness of exergames in improving physical activity behaviour and physical literacy domains in adolescents with developmental coordination disorder and cerebral palsy: A scoping review.

A large proportion of adolescents with developmental coordination disorder (DCD) are physically inactive. Physical literacy has been described as an important determinant in promoting health behaviours. The potential of exergames to improve physical literacy and activity has been recognized in typically developing children. The aim of the present scoping review was to identify and map the available evidence of this potential for adolescents with DCD. A scoping review was performed via a literature search in PubMed, Web of Science, Embase, ERIC and CINHAIL. From 2860 search records, six studies (two studies in DCD and four studies in cerebral palsy [CP]) assessed physical activity, 12 studies discussed exergame features and 16 studies assessed physical literacy domains. In DCD, one study showed positive effects of exergaming on physical activity and the other failed to show any significant effects of exergaming. In CP, all four studies demonstrated positive effects of exergaming on energy expenditure and daily physical activity. Furthermore, positive effects of exergames on the different physical literacy domains were shown, namely motor competence, self-concept and affect, motivation and social/experiential. Finally, exergame features including multiplayer modes, realism, game rewards, challenges and enjoyment were shown to have a significant effect on motivating and encouraging adolescents to exert more effort while playing. Based on the positive effects of exergaming on physical activity in other populations, more in-depth research in adolescents with DCD is warranted such that the decline in physical activity behaviour that is present in individuals with DCD can be counteracted. Physical literacy should be regarded as an important determinant in this regard.

Identifying the intersection of parental HPV and COVID-19 vaccine hesitancy to inform health messaging interventions in community-based settings

PurposeParental human papillomavirus (HPV) vaccine hesitancy contributes to delays or refusals in adolescent uptake. It is unclear if COVID-19 vaccine hesitancy has further impacted the low HPV vaccine uptake trends among underrepresented minorities. This study examines the relationship between COVID-19 vaccine intent and HPV vaccine hesitancy among parents for their adolescents in communities with low vaccine uptake in Los Angeles County. MethodsParents from a school-based academic enrichment program serving low-income, first-generation immigrant families completed an online cross-sectional survey to understand parental HPV vaccine hesitancy, adolescent HPV vaccine behavior, and attitudes towards other vaccines, including intent to receive COVID-19 vaccines. In March 2021, parents with children ages 9–17 years completed online surveys. Using multivariate logistic regression models, we examined whether low parent intent to vaccinate their adolescent against COVID-19 was associated with hesitancy to vaccinate against HPV. ResultsA total of 291 surveys were completed. Among parents with high HPV vaccine hesitancy for their adolescent, 33 % did not intend to vaccinate their adolescent against COVID-19 compared to 7 % among parents with low HPV vaccine hesitancy. Low parent intention to vaccinate adolescent against COVID-19 was associated with higher HPV vaccine hesitancy (p < 0.01) after controlling for parent nativity status, medical mistrust, receiving the flu vaccination and negative HPV information. DiscussionOur findings indicate associations between low parental COVID-19 vaccine intent and higher HPV vaccine hesitancy for their adolescent. Identifying community-relevant health interventions to address parental vaccine hesitancy across multiple child and adolescent vaccines may help to achieve equitable vaccine uptake.

Promoting Adolescent Suicide Prevention Programmes in Pakistan: An Insight into Challenges and Opportunities.

Suicide is a global health concern, with profound social, emotional, and economic repercussions for individuals, families, and communities. Suicidal behaviour among adolescents, encompassing ideation, self-harm, and suicide attempts poses a significant global public health challenge. The cultural, social, and economic factors that contribute to suicide in Pakistan are complex and multifaceted, making it imperative to develop tailored interventions, necessitating collaborative efforts involving researchers, educators, clinicians, practitioners, and policymakers. The purpose of this study is to emphasise the risk factors contributing to adolescent suicidal behaviour and to delve into the strategies and interventions that can help prevent suicide in Pakistan, considering the unique challenges and opportunities within the country. This study highlights the relevance of the WHO (2023) Thinking Healthy Programme and stress management measures tailored to the needs of low- and middle-income nations like Pakistan. These resources empower healthcare workers to enhance mental health screening and identification of adolescents within their communities. In conclusion, dispelling the myths, reducing the societal stigma associated with mental health, and enhancing the accessibility of mental health services is an imperative mission that demands concerted efforts from all sectors of the society. Key Words: Suicide, Adolescent, Mental health, WHO (2023) Thinking Healthy Programme.

Addictive behavior and mental health of adolescents aged 11-17 years in Bangladesh in 2014: A cross-sectional study.

This study aimed to evaluate the factors associated with addictive behavior and mental health in adolescents aged 11-17 years in Bangladesh. This study analyzed data from the Bangladesh Global School-based Health Survey (GSHS) conducted in 2014. Adolescents aged 11-17 years studying government schools were considered as respondents for this survey. A two-phase group sample design was utilized to deliver illustrative information of all understudies in grades (classes) 7-10 in Bangladesh. Bivariate analyses followed by a weight-adjusted multiple logistic regression was fitted to a sample of size 2989 adolescents. One in ten and one in four adolescents had different substance addictions and some forms of mental health conditions, respectively. Sex of participants (adjusted odds ratio [AOR]: 4.49; confidence interval [CI]:2.28-8.84), being bullied (AOR: 3.08; CI:1.46-6.49), use of tobacco among parents (AOR: 5.82; CI:3.16-10.75), parental understanding of adolescents' problems (AOR: 0.45; CI:0.23-0.82), and food affordability (AOR: 1.24; CI:1.09-1.42) were associated with addictive behaviors of adolescents. Bullied males with nonempathetic parents were found to be more vulnerable to addictive behaviors and bullied females showed higher tendencies to mental health issues. Considering the elevated prevalence of reported mental health concerns, identifying vulnerable groups and formulating intervention-oriented policies engaging youths can pave the way towards achieving robust health and well-being for them in Bangladesh.