Adolescent Intentions Research Articles

Expanding Contraceptive Access for Teens—Leveraging the Pediatric Emergency Department

PurposeAdolescents have limited access to sexual healthcare services, and the emergency department (ED) may be the only place some will seek care. We implemented an ED-based contraception counseling intervention to assess intervention feasibility, and adolescent intention to initiate contraception, contraception initiation, and follow-up visit completion. MethodsThis prospective cohort study trained advanced practice providers in the EDs of two pediatric urban academic medical centers to deliver brief contraception counseling. A convenience sample of patients enrolled from 2019 to 2021 included females aged 15–18 not pregnant/desiring pregnancy and/or using hormonal contraception/an intrauterine device. Participants completed surveys to assess demographics and intention to initiate contraception (yes/no). Sessions were audiotaped and reviewed for fidelity. We ascertained contraception initiation and follow-up visit completion via medical record review and participant survey at 8 weeks. ResultsTwenty-seven advanced practice providers were trained, and 96 adolescents were counseled/responded to surveys (mean age 16.7 years; 19% non-Hispanic White, 56% non-Hispanic Black; 18% Hispanic). Mean counseling duration was 12 minutes and >90% of reviewed sessions maintained fidelity to content/style. Most participants (61%) reported intention to initiate contraception, and these participants were older and more likely to report prior contraceptive use, compared to those without intention. One-third (33%) initiated contraception in the ED or after the follow-up visit. DiscussionContraceptive counseling was feasible to integrate in the ED visit. Intention to initiate contraception was common and many adolescents initiated contraception. Future work should increase the pool of trained providers and supports for same-day contraception initiation for those desiring in this novel setting.

The Theory of Planned Behavior and Adolescent Marijuana Use: Examining the Moderating Effects of Cigarette and E-cigarette Co-use

Background: This study examines the moderating effects of cigarette and e-cigarette co-use on the relationship between adolescent intention to use and marijuana use using the Theory of Planned Behavior (TPB). Method: A total of 217,276 adolescents in grades 6, 8, 10, and 12 were assessed using data from a large statewide surveillance dataset of youth self-report of substance use and related risk and protective factors. Structural Equation Models consisting of latent variables representing behavioral, normative, and control beliefs were regressed on intention to use and past 30-day marijuana use. Tests of moderation of the pathways between intention and marijuana use were used to test hypotheses, and grade level, gender, and race were included as covariates. Results: The overall model fit of the TPB predicting adolescent marijuana use provided good fit to the data (χ2(127) = 58042, p < 0.01, CFI = 0.95, TLI = 0.94, RMSEA = 0.04, SRMR = 0.03). After controlling for features of the model that may serve as common liability to substance use, past 30-day cigarette use moderated the relationship between intention and marijuana use (β = 0.46, p <.001). A stronger moderating effect was observed with past 30-day e-cigarette use (β = 0.63, p <.001). Past 12-month nicotine vaping (β = 0.44, p <.001) and flavor-only vaping (β = 0.30, p <.001) strengthened the relationship between intention and marijuana use. Conclusion: Adolescent marijuana use prevention may be enhanced by targeting general inhalation behaviors and restricting access to cigarettes, e-cigarettes, and flavor-only vaping products.

LITERASI PENDEWASAAN USIA PERKAWINAN DAN HAK-HAK REPRODUKSI REMAJA

Cases of early marriage in Indonesia experienced an increase in the previous decades due to the COVID-19 pandemic. Reproductive health for adolescents has been mostly carried out in formal such as schools. STT as one of the traditional non-formal organizations needs to be targeted in reproductive health promotion. The purpose of community dedication is to increase literacy in reproductive health knowledge so as to bring positive changes to adolescents. The method of activity is education, discussion, questions and answers, role play, giving pre-post test questionnaires. The results of the activity showed changes in the knowledge, attitudes and intentions of adolescents after literacy was carried out. The increase in knowledge can be seen from the average post-test score of 6 which is higher than the average pre-test score of 5.32 (p=0.02). An increase in attitude can be seen from the average post-test score of 62.75, which is higher than the average pre-test score of 61.85 (p=0.03). The increase in the intention to mature at marriage age and use reproductive rights can be seen from the average post-test score of 13,20, which is higher than the average pre-test score of 12,82 (p=0.03). It is hoped that adolescents will get a good understanding so that they can go through their adolescents years without experiencing problems and become healthy and quality adolescents.&#x0D; Keywords: youth, maturing age at marriage, reproductive rights

The key role of hepatology providers in optimizing reproductive care in patients with liver disease: A call to action.

The key role of hepatology providers in optimizing reproductive care in patients with liver disease: A call to action.

Profile of The Use of Traditional Medicines Among Adolescents in SMK Farmasi Teladan Demak

The use of traditional/herbal medicines is prevalent among Indonesians. However, the description of such use among adolescents is scarce. This study aimed to describe the profile of traditional medicine used by adolescents. This study conducted a descriptive survey as a preliminary study of a proposed research to explore adolescent intentions and behavior in the use of traditional medicines. Respondents were students of SMK Farmasi Teladan Demak. Data were obtained from 78 respondents using a structured interview guideline in Google Forms. Data were analyzed descriptively. The results of this preliminary study show the profiles of traditional medicines usage among adolescents, as follows: 1) 35% of respondents use traditional medicine once a month, 2) 44% of the respondents said the traditional medicine is more harmless than conventional medicine, 3) 96% of respondents showed an interest in "jamu gendong", 4) 86% of the respondent preferred "jamu beras kencur", 5) 79% of respondents use branded traditional medicine for the common cold, 6) 51% of respondents cited the Internet as a source of information about branded traditional medicines, and 7) 78% of respondents purchased branded traditional medicines at pharmacies. This preliminary study identified particular beliefs regarding traditional medicines among adolescents, such as it is safer, natural and practical. The Internet becomes the primary source of information about traditional medicines. The adolescents found it is easy to use traditional medicines, as they can be quickly obtained from a pharmacy. Further research is needed to explore the factors that influence the behavior of using traditional medicine among adolescents.

Association Between Stress Level and Smoking Intention in Female Adolescents in Malang

This study aims to examine the relationship between stress levels and smoking intentions in female adolescents in Malang. This research is based on the phenomenon of smoking behavior by adolescent girls, which is influenced by one of the developmental issues called the search for identity and the transition period from children to adults which can cause stress. This study uses a quantitative approach with a descriptive correlational method. The population of this study was female adolescents in Malang, aged between 12-18 years who smoked. The sampling technique used is accidental sampling. In this study, the hypothesis was tested using Pearson’s Product Moment Correlation. Data were collected using a modified Adolescents Stress Scale (ASQ) (31 items, r = .884) and Smoking Intention Scale (23 items, r = .849). The results of this study indicate that there is a strong and directional relationship between the two variables with a correlation coefficient of .924.&#x0D; Keywords: smoking intentions, stress, female adolescents.

A Study on the Correlation Between Entrepreneurial Intentions of Urban Adolescents

A Study on the Correlation Between Entrepreneurial Intentions of Urban Adolescents

Girls at risk: FGM intentions among in-school adolescents of a rural community in Osun State, Nigeria

Purpose Knowledge of adolescents’ intention to sustain female genital mutilation (FGM) practice is required to guide efforts to eradicate FGM in Africa and Asia where about 200 million women are affected. Nigeria has one of the highest FGM cases in the world. The study sought to determine the knowledge, attitude, and intentions of adolescents to sustain FGM practice when they become parents. Materials and methods This study is a cross-sectional descriptive survey of 195 in-school adolescents aged 14–19 years, in Imesi-Ile, a rural town in South-west Nigeria selected through a multistage sampling method Results Overall, 44.6% of adolescents had good knowledge of FGM, while 44.6% had a positive attitude and 55.4% had a negative attitude towards FGM. More females (57.4%) have a negative attitude towards FGM. About 42.1% of adolescents intend to continue the practice of FGM, while 47% have no intentions and 10.8% remain undecided. Gender, age group and family affluence were not statistically associated with intention to continue FGM. Conclusion Intention to continue FGM practice is high among adolescents in the rural community. FGM eradication campaign among adolescents should seek to improve knowledge, attitude and intentions towards FGM practice.

Influence of the digital space on suicidal behavior of adolescents

With the Internet now firmly established as the main medium of communication in today’s world, studying the effect of its various aspects on the behavior of minors is now more relevant than ever. This article provides arguments in favor of the need to study the phenomenon of cybersuicide among adolescents in light of the rising number of suicides among children in many countries in recent years, including Ukraine. The aim of this article is to study the role of the digital space, namely the Internet, in the reinforcement of suicidal ideation and intentions among children and, ultimately, in driving them to suicide. To achieve this goal, a number of general and special research methods for understanding social realities were used, to ensure objectivity and accuracy of obtained data, which was all the more important given the nature of the subject. The dangers of the pre-suicidal state (pre-suicide) were examined, including from a medical perspective. Particular attention was paid to behavioral tendencies common among adolescents. The authors arrived at the conclusion that the digital space can both trigger suicidal thoughts and intentions in adolescents with its content and facilitate their committing suicide through “support” or even encouragement from online friends. The authors stress that related content children post on social media can help discover whether they have been having suicidal ideation. Arguments are given in favor of the need for parents, teachers, and psychologists to monitor said content to be able to provide timely psychological help, including via the digital space.

Pengembangan dan identifikasi properti psikometris kuesioner intensi prososial berbasis skenario untuk anak dan remaja

This research aimed to construct and examine the psychometric properties of the Scenario-Based Prosocial Intention Questionnaire (SBPIQ), a scenario-based questionnaire to tap prosocial intentions in children and adolescents. We examined the 40 items of SBPIQ representing four dimensions of prosocial behaviors (helping, sharing, comforting, and cooperating). The items were proportionally attached to 10 scenarios of prosocial behaviors commonly found in children and adolescents daily life. Data collection involved 2615 participants who were females (56,67%) and males (43,33%), aged 7-18 YO (7-9 YO, 16,21%; 10-12 YO, 19,81%; 13-15 YO, 35,07%; 16-18 YO, 28,91%), and resided in rural (41,03%) and urban (58,97%) areas. Psychometric properties were identified from construct validity (through Exploratory Factor Analysis &amp; Confirmatory Factor Analysis) and internal consistency (through Stratified Alpha testing). Results showed that the final version of SBPIQ with 24 items exhibited acceptable construct validity and reliability. Furthermore, factor analyses confirmed the multidimentionality of prosocial behavior. Four distinct factors were found to form the construct of prosocial behaviors, and one second-order factor was also found to bind these 4 factors. Other findings and important notes are discussed within this article.

Implicit gender-science stereotypes and college-major intentions of italian adolescents

Gender stereotypes are often viewed as one of the root causes of the gender gap in STEM. According to Eccles’ model, they would indirectly influence major choices by shaping expectations of success and values attached to the viable options. However, empirical findings on the link between implicit gender-science stereotypes and college major intentions are limited. To fill this gap, the current study examines this association in a mixed-gender sample of 302 Italian high-school students. Logistic regression analysis revealed that implicit gender stereotypes were directly associated with females’ intention of majoring in STEM. Unlike previous findings, the mediation analysis could not confirm that other relevant factors, i.e., interest in the subject, performance at school, identification with the subject, and value attributed to the job’s salary and social utility, moderated this association.

ISLAMIC HYPNOTHERAPY AND ANCHOR HYPNOTHERAPY TO REDUCE SMOKING INTENTION IN ADOLESCENTS: A PILOT STUDY

This study aimed to test the effectiveness of Islamic hypnotherapy and anchor technique in reducing smoking intentions in adolescents. There were 18 participants in the study: 6 people in the experimental group I (given intervention in the form of Islamic hypnotherapy), 6 people in the experimental group II (given intervention in the form of anchor hypnotherapy), and 6 people in the control group or a waiting list group which would be given intervention after the completion of intervention process in the experimental group I and II. Data were analyzed using the Wilcoxon Signed Rank Test and Kruskal Wallis Test. The data showed that Islamic hypnotherapy was effective in lowering smoking intention (p=0.027), but anchor hypnotherapy was ineffective in lowering smoking intention (p=0.343). The control group showed no change in smoking intention (p=0.596). Qualitatively, participants in experimental groups I and II reported decreased smoking frequency but the decrease was higher in the experimental group I. Meanwhile, the control group did not experience a decrease.

Adolescents with ADHD are at increased risk for COVID-19 vaccine hesitancy

Identifying factors that influence adolescent intentions for COVID-19 vaccination is essential for developing strategic interventions to increase uptake, particularly in subgroups of at-risk adolescents. Attention-deficit/hyperactivity disorder (ADHD) in adolescence is characterized by difficulties regulating attention and behavior, social impairment, and impulsive risk-taking behaviors, which may impact vaccine hesitancy and vaccine uptake. This study examined hesitancy toward COVID-19 vaccines among adolescents with and without ADHD, and explored how ADHD status interacted with malleable social mechanisms and other social determinants of health in predicting vaccine hesitancy. Participants were 196 U.S. adolescents (44.4% male), 45.6% diagnosed with ADHD. Adolescents reported their confidence and willingness toward COVID-19 vaccines from March to May 2021. Adolescents with ADHD reported greater hesitancy and less confidence in COVID-19 vaccine safety compared to adolescents without ADHD (p < .01). Only 61.8% of adolescents with ADHD reported vaccine acceptance, compared to 81.3% of adolescents without ADHD. For all adolescents, those who identified as Black or Latinx and with lower family income had greater hesitancy and reduced confidence, whereas greater COVID-19 concerns, media use, and perceived negative impact on relationships was associated with greater vaccination willingness. Social contextual processes significantly interacted with ADHD status such that for adolescents without ADHD, concerns about COVID-19 were associated with increased confidence in vaccine safety. Being noncompliant with social distancing guidelines was associated with greater vaccine hesitancy, only for adolescents with ADHD. A concerted effort is needed to increase trust, confidence, and social relevance among adolescents, especially those with ADHD and from lower socio-economic backgrounds.

Modifying the Pattern of Tendency to Health-related Behaviors in Adolescent Boys

Background and Objectives Physical activity is one of the main lifestyle variables related to health. This study aims to investigate the effectiveness of an educational program based on the theory of planned behavior (TPB) in improving the attitude and intention of male adolescents regarding physical activity. Subjects and Methods In the present study, 40 male high school students were divided into two groups of intervention (n=20) and control (n=20). The educational package was designed and provided to them at 10 sessions. Two 18-item TPB-based questionnaires related to attitude towards physical activity and intention to participate in sports activities were used. Results The educational program explained 0.238% of changes in attitudes, 0.189% of changes in knowledge, 0.247% of changes in subjective norms, 0.071% of changes in perceived behavioral control, 0.261% of changes in behavioral intentions. In total, it explained 0.458% of changes in intention to participate in/attitude towards sports activities. The educational program explained 0.609% of changes in attitude, 0.363% of changes in knowledge, 0.017% of changes in perceived behavioral control, and 0.015% of changes in behavioral intention. In total, it explained 0.731% of changes in students’ intention to participate in/attitude towards sports events. Conclusion The TPB-based educational program is effective in promoting high school students’ attitude towards physical activity and their intention to participate in sports events and thus improve their health.

Analysis of Adolescent Intention Factors in Drug Abuse Prevention in Tuban District

Drug abuse among adolescents was currently increased, it’s important to prevention. Tuban district in 2018 trend of drug cases a significant increased. Data from the Tuban Police, there was an increased in cases up to 173.68 percent when compared to similar cases in 2017. The purpose of this study was to determine the determinant factors that influence adolescents' intentions to prevent drug abuse, which will contribute to policy making related to drug prevention among adolescents. Methods: Design of this study used descriptive correlation with a cross-sectional approach. The population were all students in junior high schools in Tuban, an affordable target population of 1880 students. Sample were 200 students, taken by quota sampling according inclusion and exclusion criteria. Data collected by questionnaire. Data collected was tabulated, analyzed using frequency and percentage distributions and presented in distribution table. Bivariate and multivariate analysis used logistic regression test to analyzed the determinants factors. Results of this study show that attitudes and gender were factors that influenced adolescents’ intention to prevent drug abuse, attitude (p value=0.001) and gender (p value=0.034). Conclusion: From this study, we can be concluded that the attitude and gender were factors that influence adolescents’ intention to prevent drug abuse. Implication: Increased intention to prevent drug abuse requires efforts to lead to a more positive attitude of youth by providing training; health education, the formation of anti-drug ambassadors among young men and women an early age in a planned and periodic manner with the relevant agencies.

Serious Game for Change in Behavioral Intention Toward Lifestyle-Related Diseases: Experimental Study With Structural Equation Modeling Using the Theory of Planned Behavior.

BackgroundHealth activities should be tailored to individual lifestyles and values. To raise awareness of health behaviors, various practices related to health education, such as interactive activities among individuals with different backgrounds, have been developed. Moreover, serious games have been used as a tool for facilitating communication. However, there have been few investigations that are based on the framework of the theory of planned behavior on the mechanisms of health-related behavioral intention change from playing serious games.ObjectiveWe aimed to investigate the mechanisms of behavioral intention change among various age groups after an intervention using a serious game to increase awareness of lifestyle-related diseases.MethodsAdults, undergraduates, and high school students played a serious game, called Negotiation Battle, and answered a questionnaire—Gaming Event Assessment Form for Lifestyle-related Diseases—before, immediately after, and 2-4 weeks after the game. The questionnaire was composed of 16 items based on the theory of planned behavior. We used structural equation modeling to compare responses from the 3 groups.ResultsFor all 3 age groups (adults: mean 43.4 years, range 23-67 years; undergraduates: mean 20.9 years, range 19-34 years; high school students: mean 17.9 years, 17-18 years), perceived behavior control was the key factor of behavioral intention change. Immediately after the game, causal relationships between perceived behavioral control and behavioral intention were enhanced or maintained for all groups—adults (before: path coefficient 1.030, P<.001; after: path coefficient 2.045, P=.01), undergraduates (before: path coefficient 0.568, P=.004; after: path coefficient 0.737, P=.001), and high school students (before: path coefficient 14.543, P=.97; after: path coefficient 0.791, P<.001). Analysis of free descriptions after intervention suggested that experiencing dilemma is related to learning and behavioral intention.ConclusionsThe study revealed that the serious game changed the behavioral intention of adolescents and adults regarding lifestyle-related diseases, and changes in perceived behavioral control mediated the alteration mechanism.

Association Between Graphic Health Warning Labels on Cigarette Packs and Smoking Cessation Attempts in Korean Adolescent Smokers: A Cross-Sectional Study.

Graphic health warning labels on cigarette packs inform smokers about the health risks associated with tobacco smoking. Adolescents are generally the main targets to influence by graphic health warning labels. This study investigated the association between graphic health warning labels on cigarette packs and attempts to quit smoking in South Korean adolescents. This cross-sectional study used data from the 2017 to 2019 Korea Youth Risk Behavior Web-based Survey, using multiple logistic regression for the analysis. The study population comprised 11,142 adolescents aged 12–18 years. The outcome variable was attempts to quit smoking among adolescent smokers who had seen graphic health warning labels. Attempts to quit smoking were higher among adolescent smokers who had seen graphic health warning labels compared to those who had not {boys, odds ratio (OR) = 1.72 [95% confidence interval (CI), 1.48–2.00]; girls, OR = 1.74 (95% CI, 1.33–2.28)}. The correlation was greater for adolescents who thought about the harm of smoking [boys, OR = 1.86 (95% CI, 1.60–2.16); girls, OR = 1.85 (95% CI, 1.41–2.43)] and the willingness to quit [boys, OR = 2.03 (95% CI, 1.74–2.36); girls, OR = 2.04 (95% CI, 1.55–2.68)] after seeing graphic health warning labels. Our findings indicate that graphic health warning labels on cigarette packs have the potential to lower smoking intentions of adolescents. We suggest that the use of graphic health warning labels is an effective policy-related intervention to reduce smoking in South Korean adolescents.

An Appraisal of Poisoning Patterns among Adolescent Patients Admitted into Tertiary Care Hospitals in Nigeria

Background: Poisoning is a common medico-social problem globally that results in significant morbidity and mortality. The extent of the problem differs among age groups, social-economic classes, and country to country. However, there is a dearth of information on the pattern of poisoning in adolescents in Nigeria. Objective: The study aims to assess the poisoning pattern among adolescent patients admitted into Tertiary Care Hospitals in Nigeria. Methods: In this study, a critical, constructive analysis of relevant literature on the subject areas of poisoning cases in tertiary care hospitals in Nigeria was carried out. Published cases between the periods of 2000 and 2019 were analysed. Results: The study showed that 24 patients made up of 13 females and 11 males were involved in poisoning cases during the studied period (2000–2019). About 85% of the patients were aged 10–15 years, while 12.5% were aged 16–30 years. Most of the poisoning cases (83%) occurred at home. Accidental cases were 29.16%, while 70.8% of the cases were intentional. Among the 17 intentional cases, 28.6% were ingested for the hallucinating effect and 17.6%) were suicidal cases. The agents used for poisoning included organophosphates, plant extracts, alcohol, drugs, food, kerosene and herbal mixture, among others. Some reasons for poisoning or suicidal intent observed in the study include peer influence, edgy relationships in the family system, disagreement with parents, failure in examination, and clashes with the boyfriend. Conclusion: There is a need for the government to establish poisoning control centres in each region of the country for proper profiling of the poisoning epidemic. Furthermore, parents and guardians are strongly advised to closely observe their teenage children and educate them about the dangers of any poisoning. Also, schools should provide friendly and accommodating environments to minimize and possibly eliminate suicidal intentions in youths and adolescents.

Exclusive Breastfeeding Intentions Among Adolescents In Urban Communities In Ibadan, Nigeria.

Purpose: During adolescence, a female child makes several decisions, and the choice to breastfeed in the near future is conceivably shaped. But in sub-Saharan Africa where teenage pregnancy and teenage motherhood is on the rise, there is a dearth of information on the intention of adolescents to exclusively breastfeed (EBF) in community settings. Therefore, this study assessed exclusive breastfeeding intentions, knowledge and attitude of adolescents in urban communities in Ibadan, Nigeria. Methods: A descriptive community-based cross-sectional study was carried out, selecting 271 respondents. Data were analysed with the aid of IBM SPSS version 21 at P ≤ .05. Results: Mean age of adolescents was 17.5 ± 1.3 years, and 96.3% would breastfeed their children later in future. However, only 37.6%, 22.5% and 50.2% had the intention to exclusively breastfeed, good knowledge score and positive attitude, respectively. There were significant relationships between respondents’ age, educational attainment, parents’ educational attainment, level of knowledge, attitude and intention. The coefficient of knowledge and attitude were significant predictors of good intention to practise EBF. Major predictors of good intention were good knowledge [OR = 36.5; 95% CI (9.2, 145.2)] and positive attitude toward EBF [OR = 9.7; 95% CI (3.6, 25.9)]. Conclusions: The EBF intention was influenced by multiple factors and should be considered in determining the effectiveness of interventions targeting this practice. Therefore, coherent EBF education interventions that commence from adolescence to promote the practice by adulthood are urgently needed to improve knowledge, attitude and intention about EBF rate and confer the cancer-risk reducing benefits.

The Constructivism of Social Discourse: Toward a Contemporaneous Understanding of Knowledge

Constructivism is frequently met with objections, criticism and often equated with nihilism or relativism. Sometimes even blamed for what some would randomly picture as unwanted side effects of radicalism or of a progressivist era: such misconceptions are not only due to an imprecise grasp of the premises shared by the constructivist family of systems. The structure of media, political systems, and economic models, still up today impel societal understandings of knowledge on neo-positivistic grounds. The first part of this essay outlines such pressures while sketching how language and worldviews play critical roles in our knowledge construction. Focusing on recent mediatic events, this work advances displaying some essential limits regarding the construction of human knowledge. Though unavoidable, some of the distinguishing aspects regarding the nature of our narratives are then critically reviewed. Later, it is shown how a special kind of self-denial that certain sub-stories implicitly hold about their own narrative nature leaves us with clashing worldviews that eventually collide onto crisis. Finally, it’ll be argued that it’s precisely in this scenario where a constructivist depiction of social discourses may move us away from any adolescent intent of elucidating absolutes within mere heuristics, to the pragmatic need of arriving on satisfactory agreements between parties.