Late Adolescent Females Research Articles

Reduced sensitivity to cocaine effects and changes in mesocorticolimbic dopamine receptors in adolescent sexually active female rats.

The sexual behavior of the female rat is highly motivated, and the mesocorticolimbic dopaminergic system -involved in psychostimulants effects- has been implicated in its regulation. Female rats begin to express sexual behavior during adolescence, a period during which this system is not yet mature. To examine the impact of cocaine on sexual motivation and behavior of adolescent and adult female rats, and to determine the dopamine receptors binding in mesocorticolimbic areas of these females. The effect of acute administration of cocaine (0.0, 10.0, and 20.0mg/kg, intraperitoneally) on the male´s incentive value for females and on their sexual behavior in late adolescent (45-55days old) and adult (100-120days old) rats was assessed during late proestrus. The binding of D1-like and D2-like receptors in the striatum and medial prefrontal cortex (mPFC) of adolescent and adult rats were determined by autoradiography. Cocaine did not affect females´ preference for the male. However, 10mg/kg of cocaine reduced the expression of sexual motivated responses and 20mg/kg also diminished sexual receptivity exclusively in adult subjects. Moreover, cocaine-induced a more pronounced hyper-locomotion in adult than in late adolescent rats. Late adolescent females exhibited higher dopamine receptors binding in the mPFC and reduced D2-like receptors binding in the Nucleus Accumbens shell when compared to adults. Late adolescent females are less sensitive than adults to the detrimental effects of cocaine on sexual behavior and locomotion. This phenomenon is accompanied by variation in dopamine receptors in mesocorticolimbic areas affected by this psychostimulant.

Appearance-related cyberbullying and its association with the desire to alter physical appearance among adolescent females

Cyberbullying is associated with various mental health concerns in adolescents, including body dissatisfaction and disordered eating behaviours. However, there is a significant research gap concerning the unique effects of appearance-related cyberbullying (ARC) on adolescent mental health. This study examined the prevalence and psychological consequences of ARC among middle to late adolescent females (aged 14–19 years, Mage = 15.98, N = 336). Participants completed an online survey regarding their experiences of ARC, body image variables, and eating disorder symptomology. Findings indicate the widespread occurrence of ARC among adolescent females, with body shape and size emerging as predominant targets. Experiences of ARC-victimisation positively correlated with increased concerns about body shape, body shame, and eating disorder symptomology. Conversely, experiences of ARC-victimisation were negatively correlated with body esteem and body appreciation. Finally, appearance-related cybervictimisation was significantly associated with adolescent females’ desire to pursue appearance alterations through methods such as dieting and exercising, altering self-presentation, and undergoing cosmetic procedures due to perceived experiences of ARC. These findings highlight the urgent need for preventative measures, such as age-appropriate social media policies and health promotion programs that encourage positive online behaviour, and strategies to address the impacts of ARC to protect the mental well-being of adolescent females.

Mental Health and Suicidal Behaviour in Chilean Youth during the Covid-19 Pandemic.

The pandemic caused by the SARS-CoV-2 virus led to a series of containment and mitigation measures through lockdowns, social distancing, and the closure of educational establishments, which have had a profound impact on the mental health of the adolescent population. The main objective of the present study has been to identify the sociodemographic and mental health variables related to suicidal ideation, planning, and attempts in young people participating in outpatient intervention projects within the Chilean protection network since the onset of the pandemic and the strictest lockdowns. The study's sample consists of 125 young people aged 14 to 18 years (M = 15.65; SD = 1.22), participating in outpatient intervention projects within the National Service for Minors (SENAME)/Better Childhood protection network. Through a self-report survey, the young participants provided responses on sociodemographic variables and suicidal behaviour (ideation, planning, and attempts). 29.9% of the participants reported suicidal ideation during the onset of the pandemic and the established lockdowns; 29.2% reported having devised a plan to do so, and 18.2% indicated having attempted suicide during the evaluated period. A higher occurrence of suicidal behaviour was observed in females, sexual minorities, respondents over 15 years old, and respondents presenting depressive symptoms. The Covid-19 pandemic has had a significant impact on suicidal behaviour among the adolescent population served by the protection network in Chile. The prior violation of their rights may have contributed to the issue, particularly affecting young females in late adolescence with indicators of depression, who require specialized intervention due to the high risk detected.

Moderating role of menstrual cycle on the interrelation of salivary cortisol and perception of everyday stress in female late adolescents from croatia

Moderating role of menstrual cycle on the interrelation of salivary cortisol and perception of everyday stress in female late adolescents from croatia

후기 청소년이 지각한 부모의 심리적 통제와 정서표현양가성의 관계에서 무조건적 자기수용과 정서인식명확성의 매개효과

Objectives This study aims to verify the mediating effect of unconditional self-acceptance and emotional clarity in the relationship between parental psychological control perceived by late adolescents and ambivalence over emotional expressiveness.
 Methods To this end, 461 male and female late adolescents aged 19 to 24 nationwide were surveyed, and reli-ability analysis, descriptive statistics analysis, correlation analysis, and mediating effect analysis were performed using SPSS 29.0 and PROCESS Macro 4.1 programs, and bootstrapping was performed to verify the significance of indirect effects.
 Results The main results of the study are as follows. First, there was a significant correlation between psycho-logical control of father and mother, unconditional self-acceptance, emotional clarity, and the ambivalence over emotional expressiveness. Second, there was a complete mediating effect of unconditional self-acceptance in the relationship between psychological control of father and mother and the ambivalence over emotional expressiveness. Third, in the relationship between psychological control of father and the ambivalence over emo-tional expressiveness, there was a partial mediating effect of emotional clarity, whereas in the case of psycho-logical control of mother, there was a complete mediating effect of emotional clarity. Fourth, in the relationship between psychological control of father and mother and the ambivalence over emotional expressiveness, there was a sequential mediating effect of unconditional self-acceptance and emotional clarity.
 Conclusions Expanding the understanding of the process in which late adolescents who highly perceive their pa-rental psychological control experience ambivalence over emotional expressiveness. By revealing the internal mechanisms of unconditional self-acceptance and emotional clarity that mediate this relationship, the direction and basic data of counseling and education programs for late adolescents who experience parental psychological control and complain of emotional expression conflicts were provided.

History of abuse and adolescent hostile-helpless attachment: The mediating role of mother-adolescent punitive interactions

BackgroundHostile-Helpless (HH) state of mind is a form of disorganised attachment that is strongly associated with prior experiences of abuse. However, how abuse experiences contribute toward HH states of mind in late adolescence is unknown. Punitive control in adolescent-mother dyads has been implicated in the development of HH states of mind and adolescent sex/gender may influence how punitive interactions contribute to HH mind states. ObjectiveThe present study aimed to explore how adolescent sex/gender and punitive control within adolescent-mother dyads are related to the links between HH states of mind and childhood abuse. Participants and settingA sample of 109 low-moderate income late adolescents (aged 18–23 years, 65 females, 44 males) and their mothers were assessed in a conflict-resolution paradigm. MethodsRecordings of the interactions were coded using the Goal-Corrected Partnership in Adolescence Coding System for different aspects of attachment-based interactions including punitive control. Late-adolescent HH states of mind features were coded from Adult Attachment Interviews (AAI) and experiences of abuse were coded from adolescent self-reports and the AAI. ResultsModerated mediation analysis revealed a significant indirect pathway from abuse to HH states of mind through punitive control in late adolescent females (B = 0.06, SEBoot = 0.04, 95 % CIBoot 0.01, 0.15), but not males (B = −0.02, SEBoot = 0.02, 95 % CIBoot − 0.07, 0.02). ConclusionsThe results indicate that there are sex/gender-specific pathways to developing HH states of mind. Hostile behavior within mother-daughter dyads therefore may play an important role in linking abuse experiences and contradictory attachment representations in late adolescent females.

Eating behaviours and perception about body shape among adolescent girls of Panjab University, Chandigarh

Introduction: Indians are experiencing nutritional and lifestyle transitions due to globalization and westernization. The study aimed to find out the current eating patterns and body shape concerns and various factors that influence eating behaviors and body shape concerns of late-adolescent girls. Material and Methods: A cross-sectional study was conducted among 230 undergraduate adolescent girl university students from 12 departments in the age group of 17–19 years. Eating attitude and body shape concerns of adolescents were determined by using the standard eating attitude test-26 (EAT-26) and body shape questionnaire (BSQ-34). Results: The duration of the study was 6 months and participants were selected by simple random sampling. The mean age of the study subjects was 18.52 (±0.63) years. The majority of subjects had an urban background (85%). Less than half had an exercise routine (44%) which was followed daily. As per body mass index (BMI) distribution, 19.57% were underweight, 11.3% were overweight and only 2.17% were obese. An unfavorable eating attitude was found in 18% of subjects whereas 38.2% had mild to the marked concern of body shape. There was a significant positive correlation between BSQ with BMI (r = 0.387, P ≤ 0.01) and BSQ-34 with EAT-26 (r = 0.367, P ≤ 0.01). Conclusion: Current study shows that late adolescent urban females are susceptible to eating disorders and are body image conscious. Institutional mechanisms should be brought in place to address the need of improving their eating habits and modification of lifestyle.

Analysis of Body Composition Factors That Affect Trunk Muscle Mass in Late Adolescence

Adolescent nutritional status can be assessed by body mass index (BMI). BMI is related to muscle mass. It is associated with the overall body composition such as muscle mass, bone mass, and fat mass, and is packaged in a formula involving weight (BW) and height. Body composition can be different for each individual. The development of muscle mass is usually followed by an increase in muscle strength in adolescents. This study aimed to determine the body composition factors that affect trunk muscle mass in late adolescent males and females. This was an analytical observational study with a cross-sectional approach involving 50 male and female respondents, respectively, who were students at Muhammadiyah Malang University, selected using purposive sampling. The data recorded were height, BW, BMI and trunk muscle mass. The data obtained were analyzed using bivariate analysis through the Pearson correlation test (BW) and ANOVA (BMI), while multivariate analysis was conducted with linear regression. A significant correlation was found between BW and trunk muscle mass in the late adolescent males (p < 0.05, correlation coefficient = 0.939) and females (p < 0.05, correlation coefficient = 0.698). The findings also showed that for late adolescent males, the coefficient score for BW and BMI was 0.920, while for the late adolescent females it was 0.499. Weight and BMI had a correlation with muscle mass with a contribution of 92% in the males and 49% in the females.
 Keywords: muscle mass, body height, body weight, adolescent, late adolescent

Intrasexual Competition and Unhealthy Weight Control Behaviors among Late Adolescent Females

The purpose of this study was to test a mediating model whereby competitiveness among females for mates affects body dissatisfaction and dysfunctional diet and exercise through its influence on social comparison and fear of being negatively evaluated by others. The hypothesized model draws from several empirical models, including the sexual competition hypothesis and the tripartite influence model. Approximately 218 female college students completed an online survey. Most participants were heterosexual, White, and between the ages of 19 and 20. The proposed model was tested with MPlus 8.0 using maximum likelihood estimation (MLE). The hypothesized model was a good fit to the data, revealing both direct and indirect paths that were positive and statistically significant. The results suggest that body dissatisfaction may be intensified in environments such as schools wherein peer competition for mates is high and where adolescent females may feel that they cannot successfully compete. They may experience feelings of inadequacy about their bodies, which may result in the adoption of dysfunctional diets, exercise, or other practices that may be unhealthy and potentially life threatening in an effort to change their physical appearance.

Increase in sexual motivation throughout adolescence in the cycling female rat.

Sexual behavior in the female rat is a highly motivated behavior first displayed during adolescence, a developmental period when neural circuits underlying motivation are not mature. This study characterizes the natural development of sexual motivation and behavior of female rats. We compared the incentive value of the male for mid-adolescent (PNDs:39-43), late adolescent (PNDs:49-53), and adult (PNDs:90-115) cycling females, using a male-female preference task and an ultrasonic vocalization emission test following exposure to a male or female stimulus animal. Furthermore, display of sexual and social behaviors during an interaction with a male or a nonreceptive female was assessed. Mid-adolescent rats exhibited a reduced preference for the male than adults and performed less attempts to access the male. Unlike late adolescent and adult females, mid-adolescent rats did not increase their ultrasonic vocalization emission after interacting with a male relative to a female. Although most of the sexual behavior did not differ between groups, mid-adolescent females showed lower lordosis magnitude and higher levels of play and social investigation during a sexual interaction, giving rise to a unique behavioral profile. Present results indicate that the sexual behavior repertoire is fully displayed by mid-adolescence, but sexual motivation is low and increases into late adolescence.

Changes in psychological distress after first vaginal intercourse in late adolescence

IntroductionAlthough early sexual intercourse may be associated with increased depressive symptoms, little research has examined whether first intercourse in late adolescence is associated with changes in mental health. MethodsThis paper uses 3 years of longitudinal data from previously sexually abstinent late adolescent students at a large state university in the northeastern United States (N = 144, 53.5% male, M age = 18.5 years old, 47.2% White, 26.4% Asian/Hawaiian/Pacific Islander, 20.1% Hispanic/Latino, 18.1% Black/African American) to examine whether levels of psychological distress changed after first intercourse. ResultsStudents’ distress decreased after first intercourse, although this effect was only significant two or more semesters after first intercourse. There were no gender differences in these associations. ConclusionsFindings suggest first intercourse was, on average, associated with decreased psychological distress for both male and female late adolescents.

Urinary polycyclic aromatic hydrocarbons and sex hormones in children and adolescents: Evidence from NHANES

BackgroundEvidences showed that polycyclic aromatic hydrocarbons (PAHs) do harm to human body. However, the association between PAHs and sex hormones in children and adolescents remains unclear. ObjectivesThe study aims to investigate the associations between PAHs and sex hormones in the general children and adolescent population. Methods967 participants aged 6–19 with complete data of PAHs exposure biomarkers, covariates and sex hormones [total testosterone (TT), estradiol (E2) and sex hormone binding globulin (SHBG)] were recruited from National Health and Nutrition Examination Survey (NHANES), 2013–2016. Free androgen index (FAI) was calculated with TT/SHBG. Multivariate linear regression models were performed in six subgroups (male children, male adolescents, male late adolescents, female children, female adolescents and female late adolescents) to estimate the associations between sex hormone alterations and PAHs exposure. ResultsIn male puberty adolescents, weighted multivariate linear regression indicated that negative trends for 2-Hydroxynaphthalene, 1-Hydroxyphenanthrene, 2&3-Hydroxyphenanthrene and E2 (2-Hydroxynaphthalene: β: −0.104, 95%CI: −0.180, −0.029, P < 0.01; 1-Hydroxyphenanthrene: β: −0.112, 95%CI: −0.206, −0.018, P = 0.019; 2&3-Hydroxyphenanthrene: β: −0.125, 95%CI: −0.232, −0.018, P = 0.022), while exposure to 2-Hydroxynaphthalene was related to TT reduction (β: −0.099, 95%CI: −0.177, −0.020, P = 0.014). Same pattern between 2&3-Hydroxyphenanthrene and E2 alteration (2&3-Hydroxyphenanthrene: β: −0.139, 95%CI: −0.236, −0.041, P < 0.01) was also observed in male late adolescents. In male children, we determined that 1-Hydroxyphenanthrene was negatively associated with SHBG (β: −0.121, 95%CI: −0.205, −0.037, P < 0.01), while the same patterns were observed in male puberty children. We did not observe any significant result in female subgroups. All these results above were determined to have q value < 0.05. ConclusionPAHs exposure was associated with the alterations of sex hormones in male adolescents and children. Considering the cross-sectional study design, further large-scale epidemiological study is necessary.

Altered social recognition memory and hypothalamic neuropeptide expression in adolescent male and female rats following prenatal alcohol exposure and/or early-life adversity

Prenatal alcohol exposure (PAE) and early-life adversity (ELA) both negatively impact social neurobehavioral development, including social recognition memory. Importantly, while individuals with PAE are more likely to experience ELA, relatively few studies have assessed the interaction of these two early insults on adolescent social behavior development. Here, we combine animal models of PAE and ELA to investigate both their unique and interactive effects on social neurobehavioral function in early and late adolescent male and female rats. Behavioral testing was followed by assessment of hypothalamic expression of oxytocin (OT) and vasopressin (AVP), key neuropeptides in the regulation of social behavior. Our results indicate that PAE and ELA have unique sex- and age-specific effects on social recognition memory and OT/AVP expression, with more pronounced neurobehavioral changes observed in males than in females in both early and late adolescence. Specifically, ELA impaired social recognition in early adolescent females regardless of prenatal treatment, while males showed deficits in both early and late adolescence in response to unique and interactive effects of PAE and ELA. Neurobiological data suggest that these perinatal insults differentially impact the OT and AVP systems in a sexually dimorphic manner, such that the OT system appears to be particularly sensitive to PAE in males while the AVP system appears to be more vulnerable to ELA in females. Taken together, our data provide novel insight into how the early postnatal environment may mediate outcomes of PAE as well as the power of animal models to interrogate the relationship between these pre- and postnatal insults.

Factors influencing suicidal ideation among female late adolescents from a Korean rural province

This study aimed to examine factors affecting suicidal ideation among female late adolescents from a Korean rural province. A descriptive cross-sectional design involving self-reported questionnaires was used. The data were collected from female adolescents aged 18 to 22 years, from high schools, universities, churches, and local community centers. The sample consisted of 197 female late adolescents from three rural areas in Korea. The Center for Epidemiological Studies-Depression Scale and the Suicidal Ideation Scale were used to measure depression and suicidal ideation, respectively. Suicidal ideation was correlated with having a specific suicide plan (r=.65, p<.001), depression (r=.39, p<.001), subjective well-being (r=-.46, p<.001), ever experienced violence (r=.15, p=.029), and age (r=-.21, p=.003). Factors affecting suicidal ideation among rural female adolescents were having a specific suicide plan (β=.56, p<.001), subjective well-being (β=-.23, p=.001), and suicide of a close person (β=.12, p=.035). These factors explained 48.0% of the variance in suicidal ideation (F=37.62, p<.001). This study demonstrated that affective factors and personal experiences regarding suicide were critical indicators for suicidal ideation among female late adolescents. These factors should be managed and tailored nursing should be offered to prevent suicide and enhance the psychiatric health of female late adolescents.

A 30-year longitudinal study of body weight, dieting, and eating pathology across women and men from late adolescence to later midlife.

Eating disorders (EDs) are more common among younger women compared to older women and in women compared to men. As such, most ED research focuses on late adolescent and young adult females resulting in limited prospective research on gender differences in eating disorder psychopathology across the life span. The present study addresses this gap by examining gender differences in ED diagnoses, eating pathology, and the impact of putative risk factors on eating pathology in women (n = 624) and men (n = 276) over a 30-year period from late adolescence (M (SD) = 20[2] years) to later midlife (M (SD) = 50[2] years). Four assessment waves were conducted, beginning with baseline participation during college and subsequent 10-, 20-, and 30-year follow-up. Retention at 30-year follow-up was 72% (n = 440) for women and 67% (n = 181) for men. Prevalence of DSM-5 ED diagnoses decreased over the 30-year span for women and remained stable for men, with no significant gender difference in point prevalence by age 50. Drive for thinness decreased for women through age 50 and increased for men, while bulimic symptoms decreased as both genders aged. Multilevel models demonstrated that the impact of dieting as a risk factor on drive for thinness decreased prospectively as men aged and remained stable as women aged. Results imply that current risk models require refinement to account for developmental trajectories in which dramatic gender differences observed in late adolescence diminish over time. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Effectiveness of Lifestyle Modification in Late Adolescent Females with Normal BMI Polycystic Ovarian Syndrome

Background and Objectives: The prevalence of PCOS varies from 2.2% to 26% in different countries. Between 20-50% of women with PCOS are normal weight or lean and the pathophysiology of the disorder in these women may differ from that of obese women; It has been suggested that PCOS develops in non obese women because of a hypothalamic pituitary defect that results in increase release of LH. To determine the effectiveness of life style modification in late adolescent with normal BMI polycystic ovarian syndrome . Material and Methodology: 28 Normal BMI women with polycystic ovary syndrome were selected for the study. They received the life style modification including diet plan exercise plan. Pre –assessment of body weight is measured by body mass index (BMI),waist-hip ratio(W-H Ratio) and quality of life was scored as per polycystic ovarian syndrome questionnaire(PCOSQ) and post-interventional assessment was taken for the same after 3 months. The exclusion criteria included Type II diabetes, Cardio vascular problems, any concurrent hormone therapy within 6 weeks, pregnant women’s or who are willing to conceive. Result: Statistical analysis for PCOSQ was extremely significant (P value=0.0001).Statistical analysis for BMI revealed not significant in post intervention .Statistical analysis for W-H Ratio revealed not significant in post intervention. Conclusion: Lifestyle modification helped in maintaining weight and showed increased quality of life in women with polycystic ovarian syndrome (PCOS).

Peran Insecure Attachment terhadap Kekerasan Psikologis dalam Pacaran pada Perempuan Remaja Akhir

The issues of dating violence take public attention recently. Psychological dating violence is one type of violence that has a serious impact on victims where women are more likely to experience it. Attachment theory is one of the risk factor that contributed in dating violence. The aim of this study is to determine whether insecure attachment (preoccupied, dismissive, and fearful avoidant) influence female to become victims of psychological dating violence. The sample of this research consists of 393 female late adolescents in Jakarta. Multiple Regression Analysis shows that insecure attachment impact significantly to the vurnerability of becoming victim in psychological dating violence among female late adolescents.

The emergence of sex differences in PTSD symptoms across development: evidence from the ALSPAC cohort.

Cross-sectional evidence suggests females in late adolescence exhibit higher rates of post-traumatic stress symptoms (PTSS) than males and younger age groups. However, longitudinal evidence is limited, and underlying factors are not well understood. We investigated the emergence of sex differences in PTSS from childhood to adolescence in a large, longitudinal UK cohort, and tested whether these could be explained by overlap between PTSS and depressive symptoms, or onset of puberty. Trauma exposure and PTSS were assessed at ages 8, 10, 13 (parent-report) and 15 (self-report) years in a sub-sample of 9966 children and adolescents from the ALSPAC cohort-study. Analyses of PTSS focused on those who reported potential trauma-exposure at each time-point (ranged from n = 654 at 15 years to n = 1231 at 10 years). Age at peak-height velocity (APHV) was used as an indicator of pubertal timing. There was no evidence of sex differences in PTSS at ages 8 and 10, but females were more likely to show PTSS at ages 13 (OR 1.54, p = 0.002) and 15 (OR 2.04, p = .001), even once symptoms related to depression were excluded. We found little evidence that the emergence of sex differences was related to pubertal timing (as indexed by APHV). Results indicate that females show higher levels of PTSS in adolescence but not during childhood. The emergence of this sex difference does not seem to be explained by overlap with depressive symptoms, while the influence of pubertal status requires further investigation.

Plenty of Fish in the Ocean: How do Traits Reflecting Resiliency Moderate Adjustment After Experiencing a Romantic Breakup in Emerging Adulthood?

Breakups are common but often one of the most distressing experiences that young people can have. Poor adjustment to relationship loss is linked to depressive symptoms and rumination. This study assessed traits that reflect resiliency and that might comprise protective factors that ameliorate depressive symptoms and rumination. Online survey participants included 866 male and female late adolescents (18-22 years; Mean age = 20.7; 62% female; 82% White/Caucasian; 7% Asian/Southeast Asian; 6% Black/African American) who recently had experienced the breakup of a romantic relationship. Analyses assessed whether optimism, grit, and self-esteem moderated the breakup-adjustment relationship. After controlling for gender and current relationship status, higher optimism, self-esteem, and grit were expected to be associated with lower levels of depressive symptoms and rumination for those who had experienced a breakup in the three months prior to the study, and for the most part, these predictions were confirmed. These findings can be reinforced in education and counseling programs to better support individuals suffering the aftermath of a breakup. The findings add to the literature on adolescents' development of interpersonal functioning and skills required in intimate relationships.

Equity of child and adolescent treatment, continuity of care and mortality, according to age and gender among enrollees in a large HIV programme in Tanzania.

IntroductionGlobal scale up of anti‐retroviral therapy (ART) has led to expansion of HIV treatment and prevention across sub‐Saharan Africa. However, age and gender‐specific disparities persist leading to failures in fulfillment of Sustainability Development Goals, including SDG3 (achieving healthy lives and wellbeing for all, at all ages) and SDG5 (gender equality). We assessed ART initiation and adherence, loss to follow‐up, all‐cause death and early death, according to SDG3 and SDG5 indicators among a cohort of HIV‐infected children and adolescents enrolled in care in Dar‐es‐Salaam, TanzaniaMethods SDG3 indicators included young (<5 years) and older paediatric children (5 to <10 years), early adolescent (10 to <15 years) and late adolescent (15 to <20 years) age group divisions and the SDG5 indicator was gender. Associations of age group and gender with ART initiation, loss to follow‐up and all‐cause death, were analysed using Cox proportional hazards regression and with adherence, using generalized estimating equations (GEE) with the Poisson distribution. Associations of age group and gender with early death were analysed, using log‐Poisson regression with empirical variance.ResultsA total of 18,315 enrollees with at least one clinic visit were included in this cohort study. Of these 7238 (40%) were young paediatric , 4169 (23%) older paediatric, 2922 (16%) early adolescent and 3986 (22%) late adolescent patients at enrolment. Just over half of paediatric and early adolescents and around four fifths of the late adolescents were female. Young paediatric patients were at greater risk of early death, being almost twice as likely to die within 90 days. Males were at greater risk of early death once initiated on ART (HR 1.35, 95% CI 1.09, 1.66)), while females in late adolescence were at greatest risk of late death (HR 2.44 [1.60, 3.74] <0.01). Late adolescents demonstrated greater non‐engagement in care (RR 1.21 (95% CI 1.16, 1.26)). Among both males and females, early paediatric and late adolescent groups experienced significantly greater loss to follow‐up.ConclusionThese findings highlight equity concerns critical to the fulfillment of SDG3 and SDG5 within services for children and adolescents living with HIV in sub‐Saharan Africa. Young paediatric and late adolescent age groups were at increased risk of late diagnosis, early death, delayed treatment initiation and loss of continuity of care. Males were more likely to die earlier. Special attention to SDG3 and SDG5 disparities for children and adolescents living with HIV will be critical for fulfillment of the 2030 SDG agenda.