Adolescent Children Research Articles

Auxological Status of Modern Primary School Students of Nizhny Novgorod Region

The article describes the characteristics of the resulting effector auxological morpho-functional status of primary school students, differentiated by gender and administrative-territorial characteristics. The objectives of the study included studying the auxological status of children adolescents, and primary school students in the Nizhny Novgorod region in the context of the peculiarities of the exoenvironment of residence in urban and rural areas. Materials and methods: Own data served as a source of anthropometry and physiometry indicators of the objective population of the region. The analysis of anthropological indicators was carried out by discretizing data sets that state an objective picture of auxological indicators at the regional level, taking into account the peculiarities of anthropogenic loads characteristic of the place of residence of the observed population groups. To quantify the values ​​and statistical differences in indicators by age, gender, and administrative characteristics, the median, standard deviation, and criteria were used: Fisher, Wilks, and Mahalanobis, with an error of differences at p < 0.05. Results: The stability of the age-sex evolution of auxological indicators is shown; the age-sex and territorial dimorphism of total body sizes is shown at 7-10 years of age, with residents of rural areas lagging in the observed indicators. Hemodynamic indicators in both boys and girls significantly prevail among students living in the metropolis relative to their rural counterparts, except diastolic blood pressure. Variance analytics shows differences in the distributions of anthropometry and hemodynamics, both by age and by the urbanization factor at p < 0.001. In the observed age period, at the initial stage, hemodynamic indicators act primarily as modifiers of the metropolis and rural groups. From the age of ten, according to the standardized coefficients of discriminant functions, according to the first canonical variable, the division of series also occurs according to anthropometric characteristics, among which the greatest contribution to the division of groups is made by body weight and body length, and the hemodynamic characteristic - diastolic blood pressure - has also proven to be decisive. Conclusion: Primary school students living in rural areas and in the metropolis of the Nizhny Novgorod region determine the observed indicators ambiguously; if residents of the metropolis state greater results for all observed auxological indicators, then rural peers demonstrate, while lagging in all observed indicators, greater indicators of diastolic blood pressure, which suggests a strain on adaptation mechanisms central character.

Assessing the Factors Affecting Recruitment to Child and Adolescent Psychiatry Fellowship Programs.

The objective of this pilot study was to sample early career child and adolescent psychiatrists (EC CAP), Child and Adolescent Psychiatry (CAP) fellows, adult residents, and medical students to identify factors affecting recruitment to CAP fellowship. A 25-item questionnaire was sent to all adult psychiatry, CAP fellowship, triple-board residency program directors, and coordinators in the US to disseminate to their trainees. Questionnaires also were disseminated via professional groups on social media, and through psychiatry student interest groups to medical students. A total of 369 people responded, of which 315 questionnaires were evaluable. Approximately half of the respondents were CAP fellows or EC CAP. Most decided to pursue a career in child psychiatry during medical school. Forty-three percent owed more than $200,000 in educational debt. The top reasons for pursuing a career in child and adolescent psychiatry included working with children, finding it to be a rewarding career, and finding it intellectually stimulating. A switch to a 1-year fellowship and higher income potential were noted to be factors that may increase consideration for CAP fellowship among those who chose not to pursue it. The majority of early career child and adolescent psychiatrists were recruited during medical school, motivated by altruistic reasons. Early child psychiatry exposure, a means of addressing physician debt, providing additional incentives in geographically undesirable locations, and improving compensation, is needed to improve recruitment to this specialty.

A comparative analysis of age-related alterations in foot biomechanics and visual input in pre-adolescent and adolescent children with normal body mass index

Background: Foot biomechanics undergo age related changes and visual input may be important for postural stability and stance dynamics. This study aimed to investigate how age-related alterations in foot biomechanics and visual input interact to influence postural stability and stance dynamics in children aged 6 to 19 years. Materials and methods: Prospective observational study was conducted after getting permission from Institutional Ethics Committee. Informed consent was obtained before collecting data. OHM3000 used for collecting data. Data was collected for bipedal stance test, stabilometry test with eyes open and eyes closed, and dynamic stance test during walking with predefined protocol. Result: Statistically significant difference in maximum pressure, average pressure, foot area and foot length are exhibited in both feet with higher values in adolescents as compared to pre-adolescents. Maximum lateral deviation was significantly less in adolescent with eyes open toward right feet as compare to preadolescents and the difference was lost with eyes closed. Maximum pressure, average pressure, foot contact area and forefoot maximum pressure in both feet were statistical significance. Conclusion: Increased maximum pressure, average pressure, foot area and foot length indicating physical growth and higher load-bearing capacities in adolescents. Weight distribution over the forefoot and hindfoot remained consistent across age groups even if significant changes shown in foot size and pressure. Visual input significantly improved postural stability in both groups. Adolescents show better postural stability probably due to foot maturation. During walking, adolescents showed increased maximum and average pressures, especially in forefoot. Keywords: foot; clinical anatomy; biomechanics; adolescents; children; postural stability; gait; visual input

The Parent in the Corridor – Thoughts on Treating Parents and Adolescents

ABSTRACT Throughout childhood, but especially in adolescence, parents play a pivotal role in shaping their child’s personality and when they face developmental difficulties. This in turn, makes the parents an integral part of their adolescent child’s psychological treatment. As part of the adolescent’s growth process, changes in the relationship between parent and adolescent are required. Thus, the adolescent constructs their parents as parents of an adolescent and the parents, in a process of “general rehearsal,” assist their child in getting through adolescence while perceiving them as a future adult. In this intersubjective process, the parents’ ability to tolerate ambiguity and “becoming” is critical and significant. This paper explores this intersubjective process, following Ogden’s conceptualization of the parent as an oedipal transitional object. The parent recognizes the complexity of this developmental stage, and at the same time, views the adolescent as the adult they will become without pressuring their child into adopting “false solutions.” To enable this, it is important that the parents be part of their child’s therapeutic process.

Impact of Migraine on Family Members - A Cross-sectional Study in Southern Part of India.

Migraine is a disabling primary headache disorder characterized by recurrent episodes of headache. Migraine not only imposes a burden on the sufferer but also imposes a burden on their family members too. A holistic approach is more essential in the management of migraine and family members should also be included in the management of migraine. There are no published studies done in India so far to look for the impact of migraine on partners and adolescent children (IMPAC). This pilot study was done to assess the IMPAC. The objective of the study was to study the IMPAC. In this descriptive study, 130 chronic migraine patients were observed in a row during 9 months. The impact of migraine on family members as well as migraine disability and Migraine-specific Quality of Life (MSQoL) was evaluated using validated questionnaires. One hundred and thirty chronic migraine patients were studied as part of this study. The mean age of the study population was 34.43 ± 9.002 years, and two-third of the participants were female. The majority of the participants had a moderate-to-severe disability due to migraine and had negatively impacted their MSQoL. The impact of migraine on family members was moderate-to-severe grade in most of the participants and affected their family life negatively both with children and spouses. The males were more significantly affected than females in terms of MSQoL, anxiety, depression, and also on migraine's impact on family members. Migraine not only affects the sufferers, it also significantly affects their family members.

Time to be seen and heard: Including children's and adolescents' voices in the South African TB response.

Ciara Goslett's account of childhood tuberculosis (TB) sheds light on the challenges faced by children diagnosed with TB in South Africa (SA). Children are particularly vulnerable to TB infection and to dangerous forms of disseminated TB such as TB meningitis, which can cause death or major lifelong disability. They have distinct challenges with diagnosis, and TB treatment for adults is not necessarily child- friendly. In the absence of a child-friendly formulation, adult tablets are broken into the correct dosage and used to treat children. Crushed and dissolved in water, the pieces are not very palatable for children. There are therefore issues that may be neglected if the voices of children are not included in the TB response in SA. These include delays in the development and accessibility of child-friendly medication, vaccine shortages and a lack of educational support for hospitalised children under school-going age. Some positive progress has been made through the establishment of the paediatric working group in the TB Think Tank, and SA's contribution to pivotal childhood TB research studies. Additional steps could be the inclusion of children's feedback in community-led monitoring efforts and engagement between child TB activists and the SA TB Caucus, a collective of parliamentarians.

Screen Media Use and Mental Health of Children and Adolescents

Excessive screen media use has been associated with poorer mental health among children and adolescents in several observational studies. However, experimental evidence supporting this hypothesis is lacking. To investigate the effects of a 2-week screen media reduction intervention on children's and adolescents' mental health. This prespecified secondary analysis of a cluster randomized clinical trial with a 2-week follow-up included 89 families (with 181 children and adolescents) from 10 Danish municipalities in the region of Southern Denmark. All study procedures were carried out in the home of the participants. Enrollment began on June 6, 2019, and ended on March 30, 2021. This analysis was conducted between January 1 and November 30, 2023. Families were randomly allocated to a screen media reduction group or a control group. The 2-week screen media reduction intervention was designed to ensure a high level of compliance to the reduction in leisure-time screen media use. Participants allocated to the intervention group had to reduce their leisure-time screen media use to 3 hours per week or less per person and hand over smartphones and tablets. The main outcome was the between-group mean difference in change in total behavioral difficulties, measured by the Strengths and Difficulties Questionnaire at 2-week follow-up. Results were estimated using mixed-effects tobit regression models. Analyses were carried out as both intention to treat and complete case. In the sample of 89 families including 181 children and adolescents (intervention group [45 families]: 86 children; mean [SD] age, 8.6 [2.7] years; 42 girls [49%]; control group [44 families]: 95 children; mean [SD] age, 9.5 [2.5] years; 57 girls [60%]), there was a statistically significant between-group mean difference in the total difficulties score, favoring the screen media reduction intervention (-1.67; 95% CI, -2.68 to -0.67; Cohen d, 0.53). The greatest improvements were observed for internalizing symptoms (emotional symptoms and peer problems; between-group mean difference, -1.03; 95% CI, -1.76 to -0.29) and prosocial behavior (between-group mean difference, 0.84; 95% CI, 0.39-1.30). This secondary analysis of a randomized clinical trial found that a short-term reduction in leisure-time screen media use within families positively affected psychological symptoms of children and adolescents, particularly by mitigating internalizing behavioral issues and enhancing prosocial behavior. More research is needed to confirm whether these effects are sustainable in the long term. ClinicalTrials.gov Identifier: NCT04098913.

A Study on the Relationship Between Parents' Expectations and Junior Middle School Students' Academic Test Scores -- Taking English as an Example

In the currently prevalent “rat race” phenomenon, which is particularly acute in the field of education. When it comes to discussing the factors underlying the changes in middle school students' English academic achievements, numerous researchers have put forward their viewpoints from different perspectives. This paper summarizes four crucial dimensions that impact middle school students' English achievements and conducts a six-week teaching experiment based on these dimensions. Through the analysis of questionnaire surveys, interviews, and experimental comparisons, it is discovered that the factors influencing students' English achievements, ranked in order of importance from high to low, are: family rearing style, communication and emotional support between parents and children, parents' expectations, and family culture and values. However, while parental expectations have a direct and positive impact on adolescent children, they rank third among the major factors and have a relatively low impact. On the other hand, in the context of family rearing methods that are not suitable for children's development at this stage and incorrect family communication and emotional support, parents' expectations have indirect negative effects.

ПСИХОЛОГИЧЕСКИЕ ОСОБЕННОСТИ ПРОФИЛАКТИКИ БУЛЛИНГА В ШКОЛЬНОЙ СРЕДЕ

In psychological science, the problem of optimal personality development is often discussed from the standpoint of a person constructing a model of his interaction with other people and the world around him. Discussion of the issue of a safe environment for the development of adolescent children is of particular relevance. Most of the time children are within the school walls. The school environment should be safe and child-friendly. The feeling of safety in the school environment contributes to self-development and self-realization.

Evaluating the Validity of International Standards of Height, Weight, and Body Mass Index on Jordanian Children and Adolescents.

the variations in a child's overall body shape and figure among different countries are attributable to differences in genetics, environmental factors, and the interaction between these elements. This study aims to evaluate the validity, reliability, and appropriateness of applying international growth standards to Jordanian children and adolescents aged 2-19 years old. 65,828 Jordanian children and adolescents (43% males; 57% females) aged 2-19 years old were selected from the Hakeem Program database and various private schools across Jordan. Height-for-age, weight-for-age, and body mass index (BMI)-for-age were analyzed comparatively for Jordanian children and adolescents against international growth standards. The z-score for each record was computed based on international equations. Mean z-scores for height-for-age, weight-for-age, and BMI-for-age for both genders showed significant deviation from international standards across most age intervals. It was found that in most age groups, Jordanian children and adolescents were shorter and lighter than CDC and WHO standards, except for females at ages ≥ 16 years, who were heavier with higher BMI-for-age values than CDC standards based on weight-for-age and BMI-for-age equations. Moreover, Jordanian males at ages ≥ 12 years had lower BMI-for-age values than CDC standards. Jordanian children and adolescents showed significant deviations in their measurements from international standards and growth reference values. The development of a population-specific growth chart is highly recommended to enhance the accuracy of evaluating children's and adolescents' wellness.

MOTHERING AND WOMEN’S HEALTH: I LOVE BEING A MOTHER BUT… THERE IS ALWAYS SOMETHING NEW TO WORRY ABOUT

Little about experiential aspects of motherhood and its consequences to the health of women appears in the nursing literature. Rather, the discourses on motherhood in the health literature tend to focus on bio-medical and scientific aspects, pregnancy and the perinatal period. Using a feminist story-telling approach, this paper draws on the experiences of 20 mothers of adolescent and adult children. Findings are grouped into the following themes: On being a mother: ‘unconditional love, and how love can really hurt’; adolescence: ‘a whole lot more to worry about’; ‘easy’ children and ‘hard’ children: ‘it’s been rear guard action the whole time’; mothers’ health: ‘just getting through each day’; and, seeking support: ‘does anyone really care?’. Findings provide new insights into the nature of mothering, and its perceived long term effects on women’s health and well being. Implications for women’s health and the provision of women’s health services are drawn from the findings.

Bahasa Tolaki di Kalangan Anak Remaja dalam Kehidupan sehari-hari di Desa Totombe Jaya

This study aims to determine the influence and causes of the Fading of the Use of Tolaki Language Among Adolescent Children in Sampara District in Konawe Regency. The selection of informants in this study used purposive techniques. This research uses Bronislaw Malinowski's Cultural Diffusion theory (1944) The data collection technique used in this research is a field work technique using observation and in-depth interviews. This research is qualitative research with ethnographic research methods. The results of this study show that: First, several things make teenagers there cannot speak Tolaki, namely because of several external and internal factors. The internal factor is the family. While external factors are school and friends. Second, due to habits from childhood, they are not taught from childhood, making it difficult for them to know their local language. This makes the teenagers there no longer use Tolaki regional language anymore but to the general language of Indonesian.

A prevalence study of functional gastrointestinal disorders among the school-going adolescent population in an urban city in northern India

BackgroundFunctional Gastrointestinal disorders (FGIDs) are highly prevalent in the adolescent population leading to morbidity. However, their exact prevalence is not clearly known. The present study attempts to assess their prevalence in adolescent children. Material & methodsA total of 757 school/college-going adolescents aged 10–19 years attending four different schools covered in a field study were assessed for the prevalence of FGIDs using a questionnaire based on ROME-IV criteria. Socio-demographic data of the participants were also noted. Prevalence and type of FGIDs were determined. The chi-square test and Independent samples ‘t’-test were used to compare the data. ResultsThe prevalence of FGIDs was 15.85 % (n = 120) in the adolescent population in our study. Functional abdominal pain disorders (n = 65; 54.2 %) were the most common type followed by functional defecation disorders (n = 49; 40.8 %) and functional nausea and vomiting disorders (n = 6; 5 %) respectively. Adolescents with FGIDs had significantly lower mean age (12.98 ± 2.30 years) and mean BMI (16.9 ± 3.2 kg/m2) as compared to those without FGIDs (p < 0.001). However, no significant association of sex was seen with FGID prevalence (p = 0.755). ConclusionsFGIDs were found to be prevalent in school/college-going adolescents in our setting with functional abdominal pain disorders contributing to the majority of FGIDs. The Rome-IV criteria-based questionnaire is a useful tool in diagnosing FGIDs among adolescents.

Mothering and Mental Health Care: Moral Sense-Making Among Mexican-American Mothers of Adolescents in Treatment.

This article explores the experiences of Mexican American mothers who, confronted with the troubled emotions and behaviors of their adolescent children, felt compelled to seek help from mental health clinicians. Their experience is situated in the context of both psychiatrization, or the tendency to treat social problems as mental illness, and the landscape of contemporary mothering in the U.S., where maternal determinism, mother-blame, and the demand for intensive parenting hold sway. In this context, the moral crisis of mental health care-seeking for their children forces mothers to reconcile multiple competing stakes as they navigate the overlapping, and sometimes conflicting, moral-cultural worlds constituted by family and community, as well as mental health care providers. At the same time, it allows them an opportunity to creatively "reenvision" their ways of being mothers and persons. Their stories and struggles shed new light on contemporary conversations about psychiatrization, everyday morality, and mothering.

Generational Dissonance or Cultural Persistence? European Immigration and the Intergenerational Transmission of Gender Beliefs

Abstract Contemporary perspectives on gender highlight the multilevel processes that maintain the gender system, from the hegemonic cultural beliefs embedded in state institutions to the gendered interactions that occur in everyday life. This study investigates immigration as a source of diversity and adaptation in the gender system. Using data on immigrant and native adolescents in the Children of Immigrants Longitudinal Survey in Four European Countries (CILS4EU), we examine the intergenerational transmission of attitudes about the domestic division of labor. Our results show a strong association between mother’s gender attitudes and child’s gender attitudes among both immigrants and natives, with no significant difference between the two groups. The persistence of beliefs grounded in family culture results in significantly higher levels of gender traditionalism among adolescent children of immigrants as compared to their native peers. These results underscore the centrality of families as a relational context that contributes both to the reproduction of cultural beliefs about gender and the slow pace of shifts in hegemonic gender beliefs in response to social change.

Factors Influencing Highly Educated Adolescent In Determining The Number Of Children Desired

Background: The birth rate in Indonesia has decreased from 2.41 in 2010, to 2.18 in 2020 and is predicted to keep on decreasing in the following years. If this continues, Indonesia's population will be dominated by the elderly. This research aims to find out what factors influence highly educated adolescents in determining the number of children desired. Method: This research is a quantitative study with a cross-sectional approach. The selected sample in this study was 193 adolescents, involving unmarried adolescents aged 17-24 years. Sampling was carried out using cluster sampling where samples from each cluster were divided proportionally. Data was collected using a questionnaire distributed via Google Forms Result: Multivariate analysis using multiple logistic regression found that the variables that simultaneously influence adolescents in determining the number of children are family size (p-value = 0.009) and age (p-value = 0.043) Conclusion: Variables related to determining the number of children adolescents desire are age and family size, while variables that influence the number of children adolescents desire are family size, age, and gender

Adolescent sexual and reproductive health needs and utilisation of health services in the Bono East Region, Ghana

BackgroundAdolescents in Ghana are vulnerable to unequal power relations at the personal, community and structural levels which in turn limits their opportunities in access to critical sexual and reproductive health information and services. There is therefore high unmet need for sexual and reproductive health (SRH) information and services and the Bono East region typifies this situation, recording some of the poorest SRHR outcomes among adolescents. We, therefore, aimed to investigate the SRH needs (unmet), behaviors and utilization of SRH services among adolescents in the Bono East region.MethodsUsing a maximum variation sampling approach, this qualitative study conducted in-depth interviews and focused group discussions with adolescent boys and girls, parents, community leaders, and healthcare providers.ResultsOur findings are presented under two broad categories: major SRHR concerns of adolescents, and perspectives about that influences adolescents’ utilization of SRHR services. Under the major SRHR need of adolescents, the following themes emerged: information and services on pregnancy prevention, menstrual hygiene management, availability of comprehensive abortion care services, and attitudes towards adolescent pregnancy. The perspectives about the factors that influence adolescent children were discussed at multiple levels: individual/personal. interpersonal and community/societal. At the individual level, limited understanding of adolescence/puberty, desire of adolescents to belong and misperceptions about contraceptives. At the interpersonal level, issues relating to technical capacity needs of service providers, disrespect exhibited by service providers, and parental failure were identified as influential factors. Then at the community/societal level, we identified structural constraints and compromised social safety concerns in accessing contraceptives and services.ConclusionIn conclusion, the findings from this study offer valuable insights into the complex landscape of adolescent sexual and reproductive health in the Bono East region. The implications for policy and practice are manifold, ranging from comprehensive education to addressing menstrual hygiene, involving parents, training healthcare providers, and promoting respectful care.

Assessment of Oral Health Promotion Programs in Schools and their Long-Term Effects.

School-based oral health promotion initiatives are essential for enhancing children's and teenagers' oral health outcomes. However, the long-term efficacy of these initiatives is yet unknown. Over the course of a year, 500 children between the ages of 6 and 12 years participated in prospective observational research. Two groups of 250 participants each-the intervention group and the control group-were created. While the control group only got basic oral health information, the intervention group participated in a full program aimed at promoting oral health. Over the course of 2 years, baseline data on the participants' oral health condition were gathered, and follow-up evaluations were carried out every 6 months. At the 12-month follow-up, the intervention group showed a substantial decrease in dental caries prevalence (15.2% vs. 23.6%, P < 0.001) as compared to the control group. In addition, the intervention group showed better oral hygiene habits than the control group (P < 0.001), such as decreased plaque index and more frequent brushing. In conclusion, school-based initiatives to promote oral health are successful in enhancing children's and adolescents' long-term dental health outcomes. These initiatives are essential in lowering the prevalence of dental caries and encouraging good oral hygiene habits. Ensuring the long-term dental health and well-being of future generations requires sustained investment in school-based oral health promotion efforts.

Analysis of clinical characteristics and risk factors of chest tightness variant asthma in children

Objective: To analyze the clinical features and risk factors of chest tightness variant asthma (CTVA) in children, so as to provide basis for the prevention and management of the disease. Methods: A cross-sectional study was conducted to analyze 178 children aged 6-17 years old who were admitted to the Department of Allergy, Capital Institute of Pediatrics Affiliated Children's Hospital from January 2021 to January 2023 due to chest tightness. The age was 8.83(7.50, 11.58) years old, with 89 males (50%) and 89 females (50%). According to the diagnosis of CTVA, 130 cases were divided into CTVA group and 48 non-CTVA cases were divided into control group. Demographic data, personal history, family history, clinical features, auxiliary examination results and other data were collected. The clinical characteristics, allergens, FeNO level and pulmonary function parameters of the two groups were analyzed. Logistic regression analysis was used to explore the risk factors of the disease. Results: The proportion of school-age children (6-11 years old) in CTVA group was higher than that of adolescent children (≥12 years old) [(113/130,86.9%) vs (26/48,54.2%),Z=21.985,P<0.01]. The proportion of CTVA combined with eczema [(74/130,56.9%) vs (19/48,39.6%), χ2=4.225,P<0.05] and rhinitis symptoms [(98/130,75.4%) vs (27/48,56.2%), χ2=6.138,P<0.05] was higher. The positive rates of mold sensitization [(52/130,40.0%) vs (11/48,22.9%), χ2=4.474,P<0.05] and multiple sensitization [(71/130,54.6%) vs (18/48,37.5%), χ2=4.108,P<0.05] in inhaled allergens were significantly higher than those of control group. The proportion of elevated FeNO (>20 ppb) in CTVA children was 20.8% (27/130), which was significantly higher than that in control group 4.2%(2/48)(χ2=7.086,P<0.01). There were no statistical differences in spirometry parameters FEV1 and FVC between CTVA group and control group (P both>0.05). FEV1/FVC, PEF, FEF25, FEF50, FEF75 and MMEF were significantly lower than those in control group (P all<0.05). Logistic regression analysis showed that rhinitis symptoms (OR=2.351, 95%CI 1.105-5.002, P=0.026), multiple sensitizations (OR=2.184, 95%CI 1.046-4.557, P=0.038), tIgE>60 kU/L(OR=3.080, 95%CI 1.239-7.654, P=0.015), FeNO>20 ppb (OR=6.734, 95%CI 1.473-30.796, P=0.014) and small airway dysfunction (OR=3.164, 95%CI 1.089-9.194, P=0.034) were risk factors for chest tightness variant asthma. FeNO combined with FEF50 has the largest area under the curve (Z=2.744, P<0.01) in diagnosing CTVA. Conclusion: CTVA is more common in school-age children than in adolescent children. Rhinitis symptoms, multiple sensitization, tIgE>60 kU/L, FeNO>20 ppb and small airway dysfunction are risk factors for chest tightness variant asthma. FeNO combined with small airway indexes can improve the diagnostic value of CTVA.

The impact of humanitarian emergencies on adolescent boys: Findings from the Rohingya refugee crisis.

Adolescent boys (age 9-19) are impacted differently by humanitarian emergencies. However, academic research on adolescent health and child protection has tended to focus on the direct impacts of an emergency rather than indirect impacts that may arise after a crisis. We sought to identify child protection concerns affecting adolescent boys in emergency settings and boys who are more vulnerable to harm through a case study of the humanitarian response to the 2017 Rohingya refugee crisis. We collected data in the Rohingya refugee crisis in Cox's Bazar, Bangladesh between 2018-2019. This included six months of participant observation, 23 semi-structured interviews and 12 informal ethnographic interviews with humanitarian staff working in the crisis, and 10 focus group discussions with a total of 52 child protection caseworkers from four child protection organisations. Our results showed that adolescent Rohingya boys were exposed to numerous protection concerns, including child labour, drug trafficking, substance abuse, family violence, and neglect. We classified these into three main typologies: community-related violence, income-related violence, and life-stage vulnerabilities. We found that adolescent boys who were unaccompanied or separated from their caregivers, adolescent boys who were members of vulnerable households, and adolescent boys with a disability were at more risk of harm. Our findings indicate that adolescent boys are exposed to an array of impactful child protection concerns in humanitarian emergencies and that this has implications for the delivery of public health and child protection interventions. We believe that humanitarian actors should improve recognition of the complexity of adolescent boys' lives and their exposure to gender and age-based harm as a critical matter for addressing adolescent health equity.