High Level Of Concern Research Articles

Special Education in Shanghai During the Republican Era: A Focus on the Qunxuehui

Special education is the result of human civilization and serves to compensate for congenital deficiencies through postnatal education. During the Republican Era, the field of special education in Shanghai underwent a significant transformation around 1920. Under the wave of Regaining Educational Right Movement, Western-dominated special education gradually shifted towards local influence. During this transitional period, the Qunxuehui, leveraging its accumulated experience in education and its high level of concern for the disabled, actively engaged in special education and became a powerful successor to local special education forces at that time. The successful establishment of schools for the deaf and mute, as well as schools for the blind, provided valuable local case studies for subsequent participants in special education. However, the challenges and deficiencies encountered in the process of establishing these schools also reflected numerous deep-rooted problems in Shanghai and even across the country.

Parental Attitudes on Social Media Monitoring for Youth: Cross-Sectional Survey Study.

Online environments dominate the daily lives of American youth and pose evolving challenges to their health and well-being. Recent national poll data indicate that social media overuse, internet safety, and online bullying are among parents' top child health concerns, particularly during the COVID-19 pandemic. While parents are uniquely positioned to help youth navigate social media, their attitudes on monitoring media use may be impacted by a myriad of personal and family factors. This study aimed to examine factors associated with parental attitudes about monitoring social media use among youth. Data were analyzed from the Voices of Child Health in Chicago Parent Panel Survey, administered to parents over the web and by telephone. Parents with at least 1 child aged ≥11 years responded to questions about bullying and social media monitoring from May to July 2020. The primary outcome was their response to the following question: "Do you think parents should monitor their children's use of social media platforms such as Facebook, Twitter, and Instagram?" Bivariate analyses and multivariable logistic regression were used to examine parental agreement with frequent social media monitoring and concerns about bullying, adjusted for sociodemographic characteristics. Analyses were weighted to represent the parent population of Chicago. Among 1613 survey respondents, the analyzed sample included 808 parents with at least 1 child aged ≥11 years. Overall, 62.9% (n=566) of parents agreed with frequent parental monitoring of their children's social media use. Compared with parents aged ≤35 years, parents who were >35 years old were significantly less likely to agree with frequent social media monitoring (adjusted odds ratio [aOR] 0.45, 95% CI 0.25-0.81). Parents expressing a high level of concern regarding the effects of bullying were more likely to agree with frequent monitoring of youth social media (aOR 2.15, 95% CI 1.24-3.73). Parents' personal characteristics and concerns about bullying may influence their attitudes toward monitoring social media use among youth. Given the potential impact of these attitudes on parental monitoring behaviors and the subsequent health impact on youth, pediatricians should consider these factors when counseling about bullying and social media. Child health professionals can support families in developing a safe media use plan that fits family circumstances.

Perspectives on Data Sharing in Persons With Spinal Cord Injury.

Open data sharing of clinical research aims to improve transparency and support novel scientific discoveries. There are also risks, including participant identification and the potential for stigmatization. The perspectives of persons participating in research are needed to inform open data-sharing policies. The aim of the current study was to determine perspectives on data sharing in persons with spinal cord injury (SCI), including risks and benefits, and types of data people are most willing to share. A secondary aim was to examine predictors of willingness to share data. Persons with SCIs in the United States and Canada completed a survey developed and disseminated through various channels, including our community partner, the North American Spinal Cord Injury Consortium. The study collected data from 232 participants, with 52.2% from Canada and 42.2% from the United States, and the majority completed the survey in English. Most participants had previously participated in research and had been living with an SCI for ≥5 years. Overall, most participants reported that the potential benefits of data sharing outweighed the negatives, with persons with SCI seen as the most trustworthy partners for data sharing. The highest levels of concern were that information could be stolen and companies might use the information for marketing purposes. Persons with SCI were generally supportive of data sharing for research purposes. Clinical trials should consider including a statement on open data sharing in informed consents to better acknowledge the contribution of research participants in future studies.

COVID-19, subjective resilience, adaptive, and coping capacities in hurricane-prone regions

This study focuses on understanding perceptions of recovery and resilience by employing the theoretical lens of subjective resilience, adaptive, and coping capacities to understand individual cognition of risks and perceptions of recovery from the pandemic for those living in hurricane-prone areas. We explore several factors affecting perceptions of resilience and recovery, such as capacities to adapt and cope, risk perceptions, communication sources, levels of physical and social vulnerabilities, the ability to prepare for hurricanes during the pandemic, perceptions of government policies, social capital, and partisanship. To analyze these factors, we use individual-level data that were collected using a survey population drawn from both random (via telephone landlines) and nonrandom (via the internet) sampling in Florida. We find that expectations of recovery were positively associated with several factors, including risk perceptions with higher levels of concern about the pandemic, higher self-reported levels of stress, lack of preparation for a hurricane making landfall during the pandemic, less social connectedness, and political party affiliation. The results help inform pandemic preparedness and management.

Barriers to the Effective Management of Herbicide-Resistant Weeds: Perspectives from Crop Advisors

This article presents the findings of a national survey of Certified Crop Advisors (CCAs), reporting on their attitudes and perspectives towards pesticide resistance issues. Specifically, our 2022 survey addresses CCAs' levels of concern, barriers to discussing resistance management with their customers, the role of retailers and manufacturers, customers' constraints to management, future needs, and effective management options. We find high levels of concern among CCAs, particularly related to herbicide resistance. Various barriers include customer's economic and time constraints, conflicting retailer recommendations, and management complexity. Changing producers' mindsets through firsthand experience and the cultivation of trusting relationships between customers and CCAs are highlighted as ways to encourage more effective pesticide resistance management going forward.

Attitudes and Barriers to Planned Family Building among Professionals and Trainees in Radiation Oncology

The timing of residency training often coincides with peak biological fertility. However, family building is frequently deferred and may lead to unanticipated infertility. The attitudes and barriers to family planning are not well described among medical professionals and trainees in radiation oncology (RO). The Society for Women in Radiation Oncology (SWRO) conducted an electronic survey among practicing physicians, physicists, and residents between January and February 2023, using email and social media as recruitment tools. The survey questions queried demographics, family planning, fertility. Frequencies of responses were summarized using descriptive statistics. On interim analysis, 147 responses were collected; 123 (89.8%) were SWRO members. Gender identities reported were female (136, 93.2%), male (7, 4.8%), nonbinary or gender diverse (2, 1.4%), and transgender female (1, 0.7%). 95 (64.6%) respondents were age 35 or younger. The majority were practicing physicians (72, 49.0%) followed by RO residents (45, 30.6%), medical physicists (17, 11.6%), medical students, (5, 3.4%), and medical physics residents (4, 2.7%). Most respondents agreed that their reproductive timeline had been impacted by medical training (106, 76.3%). Of those who deferred parenthood due to training or career, 40 (36.7%) were dissatisfied with their choice and 33 (30.2%) were satisfied. 129 (92.8%) reported not receiving any information about fertility preservation during training. Only 65 (47.4%) felt they had a mentor with whom they could approach to discuss family planning. Overall, 84 (60.4%) expressed concern about their fertility and 34 (24.5%) had previously undergone fertility testing. 16 (11.5%) completed at least one cycle of elective fertility preservation and 12 (8.6%) were planning to do so. 39 (28.1%) had considered elective fertility preservation but not pursued it, while 65 (46.8%) had not considered it. Among those two groups, the common reported barriers to accessing fertility services were financial burden (n = 28, 28.6%), lack of awareness of available options (n = 12, 12.2%), difficulty accessing fertility services (n = 6, 6.1%), and difficulty finding time during training (n = 4, 4.1%). Insurance coverage for elective fertility preservation was fully or partially covered by insurance for 12 (8.8%), not covered for 53 (38.7%), and 72 (52.6%) were uncertain of their coverage. The study highlights the impact of training on family building plans of medical professionals in RO. Despite high levels of concern about fertility, few respondents received education about fertility options in training and a limited number had access to mentors to discuss this issue. Significant barriers exist to accessing fertility services, including knowledge gaps about insurance coverage, highlighting a need for further exploration of these barriers and advocacy for improved family planning support for those in RO who desire it.

Worry Intervention in an Older Adult With a Persecutory Delusion: A Single Case Experimental Design.

This report presents the single case of Jack, a 67-year-old referred to our Older Adult Community Mental Health Team (OA CMHT) for his distressing persecutory delusion and high levels of worry. Jack also reported learning difficulties and autistic traits, although neither were formally diagnosed. Ten sessions of worry intervention taken from The Feeling Safe Programme worry module were used to reduce Jack's time spent worrying and increase his engagement in meaningful activity. Weekly face-to-face sessions were held, with Jack's brother acting as a co-therapist. Adaptations to the intervention were made based on Jack's learning preferences. An AB single case experimental design was adopted to compare Jack's scores on measures of worry, paranoia and delusional conviction, and wellbeing and daily functioning before and after intervention. Results demonstrate the worry intervention improved Jack's scores on all measures to a clinically significant degree. This is the first known report of applying the worry intervention to an older adult. The results show the intervention can be of considerable benefit in terms of reducing worry and paranoia, in the context of both older age and suspected neurodiversity.

Trust in Medical Professionals Moderates Depression in Hong Kong during COVID-19

Objectives. Given the continuing COVID-19 pandemic and the associated prevention and control measures implemented, the psychological burden brought by the pandemic on citizens is expected to increase. This study is aimed at exploring the predictors of depressive symptoms among Hong Kong people during the epidemic, as well as factors that could potentially alleviate the negative effects of the epidemic. Methods. The third wave follow-up survey (December 2021 to January 2022) from a longitudinal prospective survey study conducted in Hong Kong was used for a cross-sectional analysis. The participants ( n = 803 ) are adults aged 18 and above in Hong Kong. Logistic and linear regression were performed to test the predictors and moderating effects, respectively, with depression as the outcome variable. Results. With minimized confounding effects of demographic variables, higher levels of concern about infection, experience with COVID-19 infection and previous epidemics, hassles, and trust in authority increased the odds of being depressed, while a higher level of trust in medical professionals reduced the odds of depression. Moreover, greater trust in medical professionals, as a moderator, lessened the positive associations between the levels of depression and hassles and concern about infection. Conclusions. Even though the threats of COVID-19 seem to have lowered, this study shows that a few factors associated with the pandemic continue to threaten people’s mental health. However, developing greater trust in medical experts may be an effective way to relieve psychological burden.

Comorbity of eating disorders and depression in T1DM patients: challenges and tasks for dietetician - a pilot study

Aim of the studyThe aim was to assess the occurrence of eating disorders (ED) in type 1 diabetes (T1DM) patients being under regular diabetologist care, that qualify for a visit to a psychologist and to evaluate possible correlation of eating disorders with symptoms of depression and anxiety in this population.Subject or material and methodsThe study included a selected group of 27 adult patients (55.5%- women) with T1DM under the constant care at the diabetes clinic. The following tools were used: to assess depression and anxiety, used the Patient Health Questionnaire (PHQ-9) and Center for Epidemiological Studies Depression Questionnaire (CES-D); EAT-26 assessed ED screening and Mood Disorder Questionnaire (MDQ) – other problems.ResultsBased on the overall assessment of the EAT-26 test as many as 7% of group was problem, which manifested a high level of concern about dieting, body weight or problematic eating behaviors. Additional the 25.9% people reported high depressive. We showed a relationship between ED and depression.DiscussionThere was a similar frequency of eating disorders ED eating disorders have elevated glycated haemoglobin (HbA1c), however, in our study, the mean HbA1c was 6.85% (51 mmol/mol) - fairly good glycemic control. In addition, a correlation between ED and depression has been noted, and patients with type 1 diabetes are very sensitive to both disorders.ConclusionsPeople suffering from type 1 diabetes, due to the increased risk of eating disorders or depression, require comprehensive care of a therapeutic team, which should include a diabetologist, psychologist, psychiatrist, diabetes educator, nurse, nutritionist.

Perceptions and Practice Patterns of Urologists Relating to Intrarenal Pressure During Ureteroscopy: Findings from a Global Cross-Sectional Analysis.

Objectives: To explore beliefs and practice patterns of urologists regarding intrarenal pressure (IRP) during ureteroscopy (URS). Methods: A customized questionnaire was designed in a 4-step iterative process incorporating a systematic review of the literature and critical analysis of topics/questions by six endourologists. The 19-item questionnaire interrogated perceptions, practice patterns, and key areas of uncertainty regarding ureteroscopic IRP, and was disseminated via urologic societies, networks, and social media to the international urologic community. Consultants/attendings and trainees currently practicing urology were eligible to respond. Quantitative responses were compiled and analyzed using descriptive statistics and chi-square test, with subgroup analysis by procedure volume. Results: Responses were received from 522 urologists, practicing in six continents. The individual question response rate was >97%. Most (83.9%, 437/515) respondents were practicing at a consultant/attending level. An endourology fellowship incorporating stone management had been completed by 59.2% (307/519). The vast majority of respondents (85.4%, 446/520) scored the perceived clinical significance of IRP during URS ≥7/10 on a Likert scale. Concern was uniformly reported, with no difference between respondents with and without a high annual case volume (p = 0.16). Potential adverse outcomes respondents associated with elevated ureteroscopic IRP were urosepsis (96.2%, 501/520), collecting system rupture (80.8%, 421/520), postoperative pain (67%, 349/520), bleeding (63.72%, 332/520), and long-term renal damage (26.1%, 136/520). Almost all participants (96.2%, 501/520) used measures aiming to reduce IRP during URS. Regarding the perceived maximum acceptable threshold for mean IRP during URS, 30 mm Hg (40 cm H2O) was most frequently selected [23.2% (119/463)], with most participants (78.2%, 341/463) choosing a value ≤40 mm Hg. Conclusions: This is the first large-scale analysis of urologists' perceptions of ureteroscopic IRP. It identifies high levels of concern among the global urologic community, with almost unanimous agreement that elevated IRP is associated with adverse clinical outcomes. Equipoise remains regarding appropriate IRP limits intraoperatively and the most appropriate technical strategies to ensure adherence to these.

‘Listen to me!’: Young people’s experiences of talking about emotional impacts of climate change

The emotional significance of climate change for young people is becoming recognised. However, their experiences of talking about these feelings are not well understood, despite being acknowledged as an important avenue for support and social change. This article reports on a survey of 1,943 young people aged 15–19 years living in Australia. The survey examined their level of concern about climate change, the feelings they associate with climate change, whom they talk to about these feelings, under what conditions, and with what effects. Respondents reported a high level of concern about climate change, most associated with feelings of worry, powerlessness, and frustration. Friends were most trusted to share these feelings with, followed by parents/guardians and then teachers. The most important predictor of young people talking about their climate feelings was whether they felt listened to. Respondents were more likely to feel comfortable having climate conversations with younger or same-aged people and associated these conversations with hope. In contrast, climate conversations with older people were most often associated with betrayal, uncertainty, and worry. Through open-ended responses, the young people surveyed called for further respect and consideration of their views, opportunities to drive action and lead climate conversations, and a need for shared understanding of the issues at stake. Our findings highlight opportunities for those who care about and interact with young people to help them come to terms with the challenges of living in a changing climate through listening and creating safe spaces for what can be difficult discussions.

The impact of reduced worry on general functioning: Amediation analysis from a randomized trial.

Previous lab findings have indicated that excessive worry may impair cognitive performance and problem solving capabilities but it is unclear if excessive worry also leads to broader impairments in general functioning. We report a secondary process data analysis of a large randomized waitlist-controlled trial (N=670) of a self-guided online psychological intervention for dysfunctional worry related to the Covid-19 pandemic. Specific aims were to investigate (1) if improvements in general functioning were mediated by reductions in worry related to Covid-19 during the acute intervention phase, and (2) if reduced worry related to Covid-19 during acute intervention phase had a positive long-term impact on general functioning up to 1year after the end of the intervention. To address aim 1, we used a mediation analysis framework where outcome (general functioning measured with an adapted version of the Work and Social Adjustment Scale) and the hypothesized mediator (worry measured with an adapted version of the Generalised Anxiety Disorder 7-Item Scale) were administered weekly during the controlled phase of the trial of 3weeks. To address aim 2, we investigated if reductions in worry during the 3-week treatment period predicted improved general functioning at 1- and 12months after treatment completion. Results showed that improvements in general functioning at week 3 were mediated by reductions in worry during the first 2weeks of treatment (indirect effect estimate -0.08; 95% CI -0.15, -0.02). A sensitivity analysis indicated that the mediation effects dropped significantly when the residual correlation values between the mediator and the outcome exceeded r=0. A reversed causation model was not significant. Additionally, reductions in worry during treatment predicted subsequent improvements in general functioning at both 1- and 12-month follow-ups (p<.05, -.001). Altogether, these results provide further support of the importance of targeting worry as a way to improve functioning among the large population of individuals with high levels of worry.

Parental Concerns About Climate Change in a Major UnitedStatesCity.

To examine climate change concerns among parents in Chicago,a large and diverse urban setting that experiences climate change-related weather events and rising water levelswhich have the potential to affect more than 1 million children living in the city. We collected data through the Voices of Child Health in Chicago Parent Panel Survey from May to July 2021. Parents indicated their personal level of worry about climate change, concern about the impact of climate change on themselves and their families, and how well they understood the issue of climate change. Parents also provided demographic information. Parents reported high levels of concern about climate change in general and specifically about the impact on their families. Logistic regression indicated that parents who were Latine/Hispanic (vsWhite) and those who felt they understood climate change well (vsless well) had higher odds of reporting high levels of concern. Parents with some college (vshigh school education or below) had lower odds of high concern. Parents indicated high levels of concern about climate change and its potential impact on their families. These results can help inform pediatricians' discussions with families about child health in the context of a changing climate.

1001 A Case Report on Popliteal Artery Occlusion After a Low-Energy Trauma Years After Total Knee Arthroplasty

Abstract Aim To highlight the significance of dislocated total knee arthroplasty, which is more likely to happen after a low-energy trauma and can result in limb-threatening neurovascular complications and compartment syndrome, we present a case of mild trauma that resulted in the co-occurrence of the occlusion of the left popliteal artery and vein 10 years after the implantation. Method Three weeks after a low-energy fall on her knee at home, a 69-year-old woman presented to our orthopedics clinic with swelling, paresthesia, and paralysis in her left leg. She had edema and significant ecchymosis, and the tibial pulses in her left knee had vanished. She had uneventful bilateral knee arthroplasty surgery on her right and left knees six and ten years ago, respectively. Her medical history is significant for type 2 diabetes mellitus and hypertension. Doppler ultrasound and CT angiography showed occluded popliteal artery and vein. Following thromboembolectomy by cardiovascular surgeons, orthopedic surgeons underwent lower leg preventative fasciotomy under general anesthesia by creating two longitudinal incisions on either side of the tibia. Results Doppler ultrasonography on the fifth follow-up day revealed biphasic flow in the posterior tibial artery and monophasic flow in the dorsal tibial artery, however, the paralysis and paresthesia were still present. Ultimately, unilateral above-knee amputation was performed. Conclusions Due to the high level of concern for vascular injury and compartment syndrome, we advise physicians to consider popliteal artery injury while treating patients who underwent total knee arthroplasty years ago and present with minimal trauma.

Food insecurity among students: why does it matter and how should universities address it?

Food insecurity (FI) is a major concern, particularly affecting those on low incomes, students included. FI may affect student attendance, engagement and sense of belonging to the university. A short survey about the cost-of-living crisis in a large London widening-participation university received 1090 student responses and these expressed high levels of concern. We contend that universities must help alleviate FI among their students. We accept that offering practical help to students may require significant continuing investment. Utilising existing community support within the context of a mutually beneficial relationship could reduce the burden on institutions and, in exchange, could offer in-kind support to the local community.

Clientelism of the Idea of Young Voters in Creating Substantial Democracy in the 2024 General Election

As a tactical step away from the concept of democracy, general elections in Indonesia are always faced with the practice of political clientelism.These problems are certainly a warning of the death of substantial democracy. Amid these threats, the 2024 general election has a different vote map from previous periods, where the proportion of young voters exceeds 50% of the national vote. This study aims to see the potential role that young voters can play in the 2024 general election to create substantial democracy. This article is a literature study through collecting library data, reading, recording, and processing research materials. In general, this article finds that young voters have a fairly high level of concern for environmental and climate issues after the issue of corruption. In particular, this article shows that climate and environmental issues can become a political narrative that encourages the creation of substantial democracy in the 2024 general election. In the pattern of political clientelism, the 2024 general election can form substantial democracy through the propositions of young voters and their interests, which will form a political narrative based on ideas.

The Type, Severity, and Impact of Sleep Problems in Children With Angelman Syndrome and Parental Help-seeking Patterns

ABSTRACT Angelman syndrome (AS) is a rare genetic developmental disability that presents with high rates of co-occurring sleep difficulties. Most existing research has focused on the pathophysiology of sleep problems in people with AS, and suggests that sleep problems are the result of genetic and neurobiological factors. However, little is known about the role of the social environment and learning in sleep problems in children with AS. This descriptive study used survey data from 139 parents of children with AS to investigate: 1) the type, topography and severity of children’s sleep problems; 2) the collateral child, parent and family impacts of the sleep problems; 3) treatment selection practices and the perceived effectiveness of these treatments; and 4) sources of support and treatment advice received. Parents reported that the majority of children experienced sleep problems, resulting in numerous deleterious effects on child and family functioning. They also reported high levels of concern about these sleep problems, but low levels of perceived support. Study findings highlight the need to establish a disability-specific profile of the type and impact of sleep problems experienced by children with AS, and have further implications for the delivery of clinical services and support provided to parents of children with AS.

Scuba divers, coral reefs, and knowledge of ocean acidification

Ocean acidification (OA) poses a threat to coral reefs by increasing the fragility of susceptible corals to physical damage. As such, the impacts of dive tourism are likely to be exacerbated under acidified conditions. While evidence exists on the impacts of OA, research is scant on scuba divers’ knowledge of OA. The present study explored scuba divers (N = 75) awareness of threats to coral reefs, and factors which are important to the dive experience via an online survey. Responses revealed participants were least aware of OA than other threats to coral reefs. Almost half the participants had a basic understanding of OA, but a high level of concern about its impacts, highlighting an education opportunity for these already ‘concerned’ divers. Factors important to their dive experience included sites being located in a marine protected area / managed for conservation, and high diversity of coral with good quality and minimal disturbance. The findings indicated there are economic opportunities associated with good environmental management at coral reef dive sites, including through preferential site selection and willingness to pay a conservation levy. Recommendations for OA education and awareness initiatives and other regulatory and non-regulatory management strategies are discussed.

Polycyclic Aromatic Hydrocarbons from Domestic Solid Waste Incinerators in Nam Dinh Province, Northern Area of Vietnam: A Comprehensive Assessment of Emission, Source Markers and Human Health Risk.

A comprehensive research of the polycyclic aromatic hydrocarbons (PAHs) emission from domestic waste incinerators in northern areas of Vietnam, were investigated. Sixty-four samples from two domestic waste incinerators were collected and analyzed for PAHs. The PAHs concentrations in the samples were determined using gas chromatography coupled with mass spectrometry. In April, June, September, and November 2021, Σ16PAHs mean concentrations in chimney air samples were 970.9 ± 57.4, 1061.9 ± 49.8, 1070.7 ± 41.3 and 1136.1 ± 136.5µg m-3, respectively. The mean emission factors of Σ16PAHs were 7.5mg/kg. The mean percentages of low molecular weight PAHs were predominant in the analyzed air samples. The toxic equivalent quotient of samples ranged from 30.7 to 41.7mg/kg, whereas the incremental lifetime cancer risk exceeded 10- 3. This results implied a high level of concern with potentially negative health consequences. The four diagnostic ratios of PAHs were found and can be used for identification of sources markers from domestic waste incinerators.

Unvaccinated Adolescents' COVID-19 Vaccine Intentions: Implications for Public Health Messaging

PurposeCOVID-19 vaccine uptake remains low for US adolescents and contributes to excess morbidity and mortality. Most research has assessed parental intention to vaccinate their children. We explored differences between vaccine-acceptant and vaccine-hesitant unvaccinated US adolescents using national survey data. MethodsA nonprobability, quota-based sample of adolescents, aged 13–17 years, was recruited through an online survey panel in April 2021. One thousand nine hundred twenty seven adolescents were screened for participation and the final sample included 985 responses. We assessed responses from unvaccinated adolescents (n = 831). Our primary measure was COVID-19 vaccination intent (“vaccine-acceptant” defined as “definitely will” get a COVID-19 vaccine and any other response classified as “vaccine-hesitant”) and secondary measures included reasons for intending or not intending to get vaccinated and trusted sources of COVID-19 vaccine information. We calculated descriptive statistics and chi-square tests to explore differences between vaccine-acceptant and vaccine-hesitant adolescents. ResultsMost (n = 831; 70.9%) adolescents were hesitant, with more hesitancy observed among adolescents with low levels of concern about COVID-19 and high levels of concern about side effects of COVID-19 vaccination. Among vaccine-hesitant adolescents, reasons for not intending to get vaccinated included waiting for safety data and having parents who would make the vaccination decision. Vaccine-hesitant adolescents had a lower number of trusted information sources than vaccine-acceptant adolescents. DiscussionDifferences identified between vaccine-acceptant and vaccine-hesitant adolescents can inform message content and dissemination. Messages should include accurate, age-appropriate information about side effects and risks of COVID-19 infection. Prioritizing dissemination of these messages through family members, state and local government officials, and healthcare providers may be most effective.