Young Adults Face Research Articles

Balancing Fertility Preservation and Treatment Efficacy in (Neo)adjuvant Therapy for Adolescent and Young Adult Breast Cancer Patients: a Narrative Review.

Adolescent and young adult (AYA) breast cancer survivors face a significant risk of infertility due to the gonadotoxic effects of (neo)adjuvant therapy, which complicates their ability to conceive post-treatment. While (neo)adjuvant therapy primarily aims to improve recurrence-free and overall survival, fertility preservation strategies should also be considered for young patients. This narrative review explores recent advancements in fertility preservation techniques, such as oocyte, embryo, and ovarian tissue cryopreservation, and evaluates the feasibility of modifying breast cancer (neo)adjuvant therapy to preserve fertility without compromising survival outcomes. Our review highlights that clinical trials with co-primary endpoints of oncological safety and fertility preservation are limited, and substituting standard treatment regimens solely for fertility preservation is currently not recommended. Nevertheless, new clinical studies have emerged that either exclude highly ovarian-toxic agents, such as cyclophosphamide, or omit adjuvant therapy altogether, even if fertility preservation is not their primary endpoint. Unfortunately, many of these trials have not evaluated ovarian toxicity. Notably, since 2020, major oncology organizations, including the American Society of Clinical Oncology (ASCO), the European Society of Medical Oncology (ESMO) have advocated for the routine assessment of ovarian toxicity in all clinical trials. The review underscores the importance of incorporating ovarian toxicity as a standard endpoint in future trials involving premenopausal breast cancer patients to identify treatment regimens that can effectively balance fertility preservation with treatment efficacy.

Exploring the perceptions and experiences of diabetes management and self-regulation in young adults using a continuous glucose monitoring device

Young adults face many pressures as they start being independent and responsible for their own actions and decisions. The use of continuous glucose monitoring has been shown to improve medical outcomes in diabetes management, but the mechanism of these improvements needs further investigation. This study aimed to examine the self-regulatory experiences and behaviours of a group of young adults using continuous glucose monitoring to manage type 1 diabetes. An exploratory qualitative approach was taken, using six virtual semi-structured interviews with young adults living with type 1 diabetes and using continuous glucose monitoring. A thematic analysis was used to identify themes from the gathered data. In this study, three themes demonstrated reciprocal determinism in that the observation of the continuous glucose monitoring results led to changes in the behaviours of the participants. The concepts of feedback and feedforward were also evident in the information provided by continuous glucose monitoring and the adjustment of the participants to achieve their personal blood glucose goals. The results of this study thus support the fact that self-regulation of those living with type 1 diabetes can be improved using continuous glucose monitoring as a tool for observation of blood glucose fluctuations and can, as a result, lead to changes in diabetes management behaviours and health outcomes. Continuous glucose monitoring provides the opportunity to observe the consequences of diabetes management behaviours, which activates the self-regulation processes of feedback and feedforward. This process has the potential to improve diabetes management behaviours in this vulnerable group.

Interactive Ebook to Help Young Adults Face Quarter Life Crisis in Modern Era

This project aims to help Indonesian young adults gain knowledge on how to overcome quarter-life crisis through Filosofi Teras Interactive eBook while also using interactivity as a strength to gain their interest. The method used is In-depth interview (qualitative) with the target market and the experts. The results is proven that the target market has a level of interest towards quarter life crisis and reading however traditional books is not enough to keep their attention. Interactive eBook therefore is suitable to convey the content of the books with its illustration, animation, audio, and interactivity. Interactive eBook can help the target market to focus and enjoy reading by looking at the animation and keep their attention by curiosity what will happen on the next page.

Landscapes, cultures and technologies of loneliness: A call for participatory research with young adults

In this viewpoint, we propose directions for research about loneliness among young adults. We argue that loneliness should not be individualized as a problem of ‘lonely people’ and ‘at risk’ groups but rather approached as an environmental and collective problem. Based on scholarship about the challenges that young adults face nowadays we identify three central themes: landscapes, cultures and technologies of loneliness. These themes can best be researched with participatory approaches involving collaborations with young adults in different life world-settings.

Ease of Recycling in Glendale, Salt Lake City, Utah: Dissecting Recycling Efforts by Household Size, Age, Income and Gender

This study investigates the perceived ease of recycling in Glendale, Salt Lake City, Utah, USA, by household size, age, income, and gender. While existing research has broadly explored how sociodemographic factors impact recycling, there is a lack of comprehensive studies analyzing these factors within specific local contexts. This study aims to identify specific barriers and motivators across different demographics to enhance local recycling efforts using Glendale as a case study. Data were collected through an online survey of 111 respondents and analyzed using both quantitative and qualitative methods. The survey included questions about the demographic information, perceptions of recycling ease, and barriers to recycling. The analysis revealed that one-person households and young adults (18–35) face constraints such as limited space for recyclables, a lack of access to recycling bins in rental units, or high costs. Older adults (56 years or older) are highly committed but may face physical challenges. Higher-income households report higher participation due to better access and awareness, whereas lower-income households encounter significant barriers such as limited facility access and insufficient information. Gender differences indicate that women are slightly more proactive and committed to recycling compared to men. Recommendations include expanding recycling facilities, targeted educational campaigns, and economic incentives to encourage lower-income households, males, younger, and older adults. Addressing these demographic-specific barriers can improve recycling rates and contribute to more sustainable communities. Future studies should include in-person surveys as one of the limitations of this study is that an online survey format may introduce biases and the exclusion of residents without internet access.

미취업 청년 캥거루족의 부모 경제적 의존 유형화 및 결정요인

The primary objective of this study is to categorize the different forms of economic reliance that unemployed young adults have on their parents and identify the factors contributing to this dependency. The study utilized data from the Youth Panel Survey (YP) conducted by the Korea Employment Information Service and performed a latent class analysis on unemployed young adults receiving financial support from their parents. Based on the reasons for and levels of parental financial support, four distinct types of economic dependency were identified: 'Moderate Living Expense Dependency,' 'High Housing Expense Dependency,' 'Minimal Living Expense Dependency,' and 'Unconditional Dependency.' Each type is differentiated by the specific reasons young adults rely on their parents and the level of financial support they receive. The study further analyzed how sociodemographic characteristics, career maturity, job search preparation, and work values influence these types of economic dependency. The results indicated that the 'High Housing Expense Dependency' type was more common among young adults living in metropolitan areas and those with a university degree or higher. This group tended to receive higher amounts of financial support from their parents for housing costs. On the other hand, the 'Unconditional Dependency' type was prevalent among students and those whose parents had greater wealth. This group exhibited lower levels of career maturity and placed more importance on economic rewards and job security in their work values. Additionally, the study demonstrated that economic dependency among unemployed young adults is closely linked not only to financial factors but also to their career maturity and job search preparation. For example, those categorized under 'Moderate Living Expense Dependency' and 'High Housing Expense Dependency' exhibited lower career maturity but higher levels of job search preparation. This research aims to provide important policy insights by offering an in-depth understanding of the complex reasons behind young adults' financial dependence on their parents and the types of support they receive. The findings will contribute to developing policies that promote the economic independence of young adults and support a smoother transition into the workforce. Furthermore, the study provides foundational data to help reduce the challenges these young adults face during their transition into employment.

Mixed Methods Evaluation of a Youth-Friendly Clinic for Young People Living with HIV Transitioning from Pediatric Care.

(1) Background: Adolescents and young adults face challenges when transitioning to adult care due to emerging adulthood and changing providers and insurance. Young people living with HIV (YPLHIV) have additional obstacles with mental health and stigma. During transition, only 55% of YPLHIV are retained in care, and 65% are virally suppressed. To address these challenges, the Adolescent and Young Adult Health Care Transition Clinic (AYAHCTC) was created at Vanderbilt University Medical Center in 2017. This mixed methods study evaluates the initial cohort and solicits YPLHIVs' perspectives on transition barriers and facilitators. (2) Methods: Quantitative analyses (n = 21) characterized patients' demographics, clinical engagement, and retention. Qualitative interviews (n = 5) captured patients' transition experiences. (3) Results: This study, conducted in the Southeastern USA, included a cohort where 47.6% were born abroad, with all participants being US citizens by birth or naturalization. Patients' mean age at first visit was 19.6 years. The average AYAHCTC duration was 2.21 years. First-year engagement and retention were 100% and 95.5%, respectively. Viral suppression rates improved from 66.7% at the first visit to 81.0% at the last visit. Eleven patients transitioned out of AYAHCTC. Qualitative analyses indicate that barriers to transition include leaving trusted providers, reduced parental guidance, developing autonomy, and perceived loss of confidentiality in adult clinic environment. Transition was facilitated by youth-friendly services, clear communication, and strong relationships with AYAHCTC providers. (4) Conclusions: YPLHIV positively viewed AYAHCTC experiences. Future directions include optimizing services to build YPLHIVs' independence, supporting YPLHIV experiencing stigma, assuaging concerns about switching providers, collaborating with adult clinics to maintain confidentiality, and designing interventions focused on adherence during transition.

Psychological distress and mental health care utilization among lesbian, gay, and bisexual survivors of adolescent and young adult cancer.

Survivors of adolescent and young adult (AYA) cancer face significant psychological distress and encounter barriers accessing mental health care. However, limited research exists on psychological health among lesbian, gay, and bisexual (LGB) survivors of AYA cancer, particularly in comparison with heterosexual survivors and LGB individuals without a history of cancer. Using the National Health Interview Survey (2013-2018), we identified LGB survivors of AYA cancer, LGB individuals without a history of cancer, and heterosexual survivors of AYA cancer. Sociodemographic, chronic health conditions, modifiable factors (such as smoking and alcohol use), and psychological outcomes were assessed using chi-square tests. Logistic regression models, adjusted for survey weights, evaluated the odds of psychological distress by cancer status after accounting for covariates. Interactions between variables and cancer status were explored. The study comprised 145 LGB survivors, 1450 LGB individuals without a history of cancer, and 1450 heterosexual survivors. Compared to heterosexual survivors, LGB survivors were more likely to report severe distress (aOR = 2.26, p = 0.021) and had higher odds of reporting a mental health care visit (aOR = 1.98, p = 0.003). Odds of severe distress (aOR = 1.36, p = 0.36) and reporting a mental health care visit (aOR = 1.27, p = 0.29) were similar between LGB survivors and LGB individuals without a history of cancer. While 47.8% of LGB survivors reported moderate/severe distress, only 29.7% reported a mental health care visit. A history of cancer during the AYA years is associated higher odds of severe psychological distress among LGB survivors compared to heterosexual survivors. However, many LGB survivors with psychological distress have not accessed mental health care.

How Shared Dietary Behaviors Within Asian American Families Are Influenced by Emotional Interaction Qualities: A Nationwide Cross-sectional Analysis.

Asian American (AA) young adults face a looming diet-related non-communicable disease crisis. Interactions with family members are pivotal in the lives of AA young adults and form the basis of family-based interventions; however, little is known on the role of these interactions in shared family food behaviors. Through an analysis of 2021 nationwide survey data of 18-35-year-old AAs, this study examines how the quality of family member interactions associates with changes in shared food purchasing, preparation, and consumption. Interaction quality was assessed through 41 emotions experienced while interacting with family, and was categorized as positive (e.g., "I look forward to it"), negative (e.g., "I feel annoyed"), and appreciation-related (e.g., "I feel respected") interactions. Participants were also asked how frequently they ate meals, ate out, grocery shopped, and cooked with their family. Among the 535 AAs surveyed (47.6% East Asian, 21.4% South Asian, 22.6% Southeast Asian), 842 unique family interactions were analyzed; 43.5% of interactions were with mothers, followed by siblings (27.1%), and fathers (18.5%). Participants most frequently ate meals with their family (at least daily for 33.5% of participants), followed by cooking (at least daily for 11.3%). In adjusted analyses, an increase in shared food behaviors was particularly associated with positive interactions, although most strongly with cooking together and least strongly with eating meals together; significant differences between ethnic subgroups were not observed. Findings revealed the importance of family interaction quality when leveraging family relationships to develop more tailored, impactful AA young adult dietary interventions.

Resilience and psychological distress in the transition to university: the mediating role of emotion regulation

Young adults face numerous challenges during their first year of university, which is considered by various researchers to be a time of potential threat and acute stress. These challenges were exacerbated by the COVID-19 pandemic, which has resulted in disruption of old learning and social structures that make it all the more difficult to adapt. The purpose of this study was to understand the relationship between resilience, emotion regulation, and psychological distress during the transition to university. A sample of 417 students (250 females, 60%) aged 18to 33 years (Mage = 19.87, SDage = 1.47) was recruited at an Italian university using a random sampling method. Paper questionnaires were completed in classrooms. Resilience was assessed with the Resilience Scale, emotion regulation with the Difficulties in Emotion Regulation Scale-18, and psychological distress with the Depression-Anxiety-Stress Scales-21. Results showed that (a) resilience was negatively correlated with difficulties in emotion regulation, depression, anxiety, and stress; (b) difficulties in emotion regulation were positively correlated with depression, anxiety, and stress; and (c) difficulties in emotion regulation significantly mediated the relationship between resilience and psychological distress. These findings shed light on the relationship between resilience and difficulties in emotion regulation during university transfer and call on higher education institutions to take steps to promote successful emotion regulation in first-year students to facilitate a positive transition to university.

Two-Point Discrimination for Upper Extremity and Face in Healthy Young Adults: A Cross-Sectional Study

Background and Aim: The threshold values of two-point discrimination (TPD) provide a numerical measure of tactile acuity. Normal reference values are needed to decide whether sensory variability is within normal sensorial limits. The study aimed to determine the upper extremity and face threshold values in healthy young adults. Materials and Methods: Static TPD thresholds of 67 healthy young adults aged 18–35 years were assessed. Eight skin areas in the face and upper extremity on the dominant side were assessed using a “method of limits” approach with an aesthesiometer. Differences between genders were examined with the Mann–Whitney U test. The Spearman correlation analysis investigated the relationship between age and TPD measurements. Results: TPD values ranged between 4.66 and 19.16 mm and 1.33-68.66 mm in the face and upper extremity, respectively, in the participants with a mean age of 23.83 ± 4.66 years. Fingertips and the area over the lateral mandibula showed the greatest sensitivity. The threshold values of TPD showed both interindividual and intraindividual variability. There was no statistical difference in the TPD values according to gender in any of the measured areas, and there was no relationship between age and TPD test values. Conclusions: The threshold values of TPD have clinical applicability in various diseases affecting the sensation of the upper extremity and/or face. These data may help the detection of early sensory loss.

Spirituality and Adjustment among Youth - A Sociological Analysis

Religion and spirituality are an important aspect of social life. In today’ S ever changing world young adults face various challenges in terms of physical, mental health and social adjustment. As defined by many thinkers’ religion is the source of morality and support in a society. In this era of materialism, spirituality comes as a huge support. With the help of interview schedule and conducting survey on 20 years adults aged 18-30 years, who actively engage in spirituality, this present study tried to find out the impact of spirituality in overall quality of life and social adjustment among youth.

THE DANGERS OF ENERGY DRINKS TO THE HEALTH OF YOUNG PEOPLE

This study has conducted a systematic review of the dangers of energy drinks (EDs) to the health of young people. 10 peer-reviewed articles published within the last five years were identified after careful screening of the search results in different databases. One major theme was apparent from the systematic review: energy drink consumption has adverse impacts on the health of young adults. The dangers of EDs manifest in form of reduced sleep, missed breakfasts, increased blood pressure and heart rate, cardiovascular issues, mental health problems, and oral health. A large proportion of young adults are unaware of the danger of energy drinks, and only associate them with improved performance. Public health initiatives should aim to educate the youth about the adverse impacts of EDs. Companies should also practice transparency in labeling with appropriate instructions for the right age of use. Research Aims. What are the dangers of energy drinks to young people’s health Methods. This research employed a systematic review of clinical articles which contained information answering the research question. A search was conducted on EBSCOhost, Google Scholar, and Gale using the keywords, “energy drinks” and “the health of young people.” This study categorized young adults as teenagers and the youth aged 10-25 years. Results. Adolescents prone to consuming large amounts of energy drinks are most likely to demonstrate emotional problems, such as anxiety, stress, depression, and nervousness. Conclusion. Overall, young adults face significant risks to their mental, dental, emotional, physical, and behavioral health due to using EDs. Oral health is affected, as EDs reduce the pH level of the saliva. High acidity in oral cavities is associated with various dental issues. Emotional and behavioral problems mediated by reduced sleep and missed breakfast are one of the major impacts of ED consumption. Moreover, EDs affect the blood pressure and heart rate by causing them to rise. Sweetened energy drinks will increase blood glucose and insulin levels. Therefore, public health initiatives should aim to increase education and awareness about the dangers of energy drinks.

Employment outcomes of adolescent and young adult (AYA) cancer survivors and their partners: A Dutch population-based study.

The aim of this population-based registry study was to examine the impact of cancer on employment outcomes in adolescent and young adult (AYA) survivors and their partners and associated sociodemographic and clinical characteristics. A total of 2456 AYA cancer patients, diagnosed in 2013 and aged 18 through 39years old, were selected from the Netherlands Cancer Registry and linked to employment data from Statistics Netherlands, from which 1252 partners of AYAs could be identified. For both patients and their partners, a control group with same age, migration background, and sex was selected. The impact (i.e., causal effect) was estimated by implementing a doubly robust difference-in-differences method, from 3years before to 5years after cancer diagnosis. Patients suffered a reduced employment probability (3.8 percentage points) and number of hours worked when employed (3.8%). This effect was larger for females, and individuals with a migration background, high tumor stage, or diagnosed with a central nervous system tumor/hematologic malignancy. In regard to employment, no significant effect could be found for the patients' partners, although a 5.5 percentage-point increase in employment probability was found in partners who were either unemployed or worked fewer than 400hours. A cancer diagnosis significantly affects employment outcomes of AYA patients with cancer. Patients at risk should have access to services such as job counseling to help them return into society in the best possible way. No objective impact on partners' employment outcomes was found; however, subjective well-being was not taken into account. This study estimated the causal effect of a cancer diagnosis on employment outcomes. Adolescent and young adult cancer survivors face a reduction in both employment probability and the number of hours worked when employed. Partners that were unemployed or worked the least number of hours a year before diagnosis had a 5.5 percentage-point increased employment probability, but for other partners effects are small.

Medical financial hardship between young adult cancer survivors and matched individuals without cancer in the United States.

Young adult cancer survivors face medical financial hardships that may lead to delaying or forgoing medical care. This study describes the medical financial difficulties young adult cancer survivors in the United States experience in the post-Patient Protection and Affordable Care Act period. We identified 1009 cancer survivors aged 18 to 39 years from the National Health Interview Survey (2015-2022) and matched 963 (95%) cancer survivors to 2733 control individuals using nearest-neighbor matching. We used conditional logistic regression to examine the association between cancer history and medical financial hardship and to assess whether this association varied by age, sex, race and ethnicity, and region of residence. Compared with those who did not have a history of cancer, young adult cancer survivors were more likely to report material financial hardship (22.8% vs 15.2%; odds ratio = 1.65, 95% confidence interval = 1.50 to 1.81) and behavior-related financial hardship (34.3% vs 24.4%; odds ratio = 1.62, 95% confidence interval = 1.49 to 1.76) but not psychological financial hardship (52.6% vs 50.9%; odds ratio = 1.07, 95% confidence interval = 0.99 to 1.16). Young adult cancer survivors who were Hispanic or lived in the Midwest and South were more likely to report psychological financial hardship than their counterparts. We found that young adult cancer survivors were more likely to experience material and behavior-related financial hardship than young adults without a history of cancer. We also identified specific subgroups of young adult cancer survivors that may benefit from targeted policies and interventions to alleviate medical financial hardship.

Reducing Barriers for Expedited Partner Treatment in Adolescents and Young Adults: A Quality Improvement Initiative.

Adolescents and young adults (AYAs) face significant barriers to screening, testing, and treatment of sexually transmitted infections (STIs). Expedited partner therapy (EPT) streamlines partner treatment of STIs, but use among adolescents is low. We aimed to increase EPT offering and provision at 2 adolescent medicine clinics (AMCs) and the emergency department (ED) in an urban children's hospital. We addressed barriers at provider, pharmacy, and patient levels. We compared EPT offering and provision for chlamydia ( Chlamydia trachomatis [CT]) and trichomonas ( Trichomonas vaginalis [TV]) infection at baseline and across 2 intervention cycles. Baseline data were collected from July 2019 to March 2020 and our intervention time frame spanned from April 2020 to October 2021. Laboratory codes identified patients with CT or TV infections. Cycle 1 allowed providers to order EPT within a patient's chart. The second cycle targeted education and standardization for STI/EPT notification and counseling. During this cycle, notification of ED patients was centralized to the AMC nurses. A total of 747 CT and TV cases were identified. In the AMC, EPT offering increased from 77.3% to 87.7% ( P = 0.01). Expedited partner therapy provision increased from 32.3% to 69.9% ( P < 0.001). Expedited partner therapy offering for ED patients increased by 82.3%. Retesting rates remained consistent, with a significant drop in reinfection rates ( P = 0.003) within patients seen in the AMC. This quality improvement initiative successfully increased EPT offering and provision among the cases identified. Future cycles may include longer-term follow-up to confirm partner treatment and testing per guidelines.

Breaking the silence: A qualitative exploration of parental perspectives of children with Goldenhar Syndrome

BackgroundGoldenhar Syndrome is a rare congenital condition, typically characterized by craniofacial abnormalities and vertebral malformations. Due to its rare and complex nature, the etiology is unconfirmed, resulting in parental uncertainty and subsequent emotional sequelae. Clinical manifestations have been researched but few studies have explored parental wellbeing and Quality of Life (QoL). In this qualitative study, we explore parental views of the challenges and lived experience of raising a child with Goldenhar Syndrome. MethodsTen biological parents (five mothers and five fathers), recruited at the Goldenhar UK Conference, took part in audio-recorded, semi-structured interviews. Interviews explored emotional wellbeing, views surrounding causation, support accessed, challenges faced, experience of stigma and future outlooks. Reflexive thematic analysis was employed, and transcripts were subject to deductive and inductive coding. ResultsSeven themes were identified: support networks (Goldenhar UK), rollercoaster of emotion; gendered coping; uncertainty; societal reactions; coping with challenge and acceptance. ConclusionsThis is the first-time the life perspectives of parents, raising a child with Goldenhar Syndrome, have been explored via interviews. We have unearthed prominent issues that impact parental QoL including isolation and distress at the point of diagnosis, and throughout the multidisciplinary health journey. We have also established significant indicators of the ongoing QoL challenges faced by young people with Goldenhar Syndrome. Future work is underway exploring these issues further with teenagers, young people and adults with Goldenhar to develop a conceptual framework of their QoL. This will be used to develop a bespoke patient reported outcome (PRO) to give voice to the challenges children and young adults face during their medical journey.

Latent class analysis of barriers to HIV testing services and associations with sexual behaviour and HIV status among adolescents and young adults in Nigeria.

Adolescents and young adults (AYA) face multiple barriers to accessing healthcare services, which can interact, creating complex needs that often impact health behaviours, leading to increased vulnerability to HIV. We aimed to identify distinct AYA subgroups based on patterns of barriers to HIV testing services and assess the association between these barrier patterns and sexual behaviour, socio-demographics, and HIV status. Data were from Nigeria's AIDS Indicator and Impact Survey (NAIIS, 2018) and included 18,612 sexually active AYA aged 15-24 years who had never been tested for HIV and reported barriers to accessing HIV testing services. A Latent class analysis (LCA) model was built from 12 self-reported barrier types to identify distinct subgroups of AYA based on barrier patterns. Latent class regressions (LCR) were conducted to compare the socio-demographics, sexual behaviour, and HIV status across identified AYA subgroups. Sex behaviour characteristics include intergenerational sex, transactional sex, multiple sex partners, condom use, and knowledge of partner's HIV status. Our LCA model identified four distinct AYA subgroups termed 'low-risk perception' (n = 7,361; 39.5%), 'consent and proximity' (n = 5,163; 27.74%), 'testing site' (n = 4,996; 26.84%), and 'cost and logistics' (n = 1,092; 5.87%). Compared to adolescents and young adults (AYA) in the low-risk perception class, those in the consent and proximity class were more likely to report engaging in intergenerational sex (aOR 1.17, 95% CI 1.02-1.35), transactional sex (aOR 1.50, 95% CI 1.23-1.84), and have multiple sex partners (aOR 1.75, 95% CI 1.39-2.20), while being less likely to report condom use (aOR 0.79, 95% CI 0.63-0.99). AYA in the testing site class were more likely to report intergenerational sex (aOR 1.21, 95% CI 1.04-1.39) and transactional sex (aOR 1.53, 95% CI 1.26-1.85). AYA in the cost and logistics class were more likely to engage in transactional sex (aOR 2.12, 95% CI 1.58-2.84) and less likely to report condom use (aOR 0.58, 95% CI 0.34-0.98). There was no significant relationship between barrier subgroup membership and HIV status. However, being female, aged 15-24 years, married or cohabiting, residing in the Southsouth zone, and of Christian religion increased the likelihood of being HIV infected. Patterns of barriers to HIV testing are linked with differences in sexual behaviour and sociodemographic profiles among AYA, with the latter driving differences in HIV status. Findings can improve combination healthcare packages aimed at simultaneously addressing multiple barriers and determinants of vulnerability to HIV among AYA.

What is needed for eating disorder prevention for transgender and gender diverse young adults? Findings from asynchronous online focus groups

Transgender and gender diverse (TGD) young adults face higher risk of eating disorder (ED) symptoms than cisgender peers. Evidence-based ED prevention programs exist but must be adapted to meet the needs of diverse TGD populations. We conducted eight asynchronous online focus groups in 2019 with 66 ethnically and gender diverse TGD young adults (18–30 years) living in the United States. Participants were recruited online; groups took place over four consecutive days. We conducted inductive thematic analysis of participant responses to three prompts about ED prevention needs and advice for program developers. Findings fell into three domains. In Domain 1: Developing Program Content, themes included (1.1) need to address multiple dimensions of gender; (1.2) intersectional representation matters; (1.3) limitations of ED research; (1.4) being responsive to trauma. Domain 2: Program Delivery Considerations, included preferences for (2.1) group composition, (2.2) intervention modality, and (2.3) program leadership. Domain 3: Cultivating Affirming Spaces included themes addressing the need for programs to (3.1) create judgment-free environments and (3.2) center lived experience. TGD young adults in this study described a range of needs and recommendations for ED prevention content and delivery, with relevance to clinicians, program designers, and ED prevention advocates.

Preference of Young Adult Cancer Survivors for In-Person Versus Telemedicine Cancer Survivorship Visits.

Young adult (YA) cancer survivors face barriers to follow-up care, which can be exacerbated by living in a rural location. Telemedicine may mitigate these barriers, but little is known about the preferences of YA survivors for telemedicine or in-person survivorship visits. We surveyed 57 YA cancer survivors in a rural state to assess their preference for survivorship visits. Forty-six percent of respondents preferred an in-person visit while 16% preferred telemedicine. The remaining 39% reported "it depends" or were undecided. In-person visits were preferred when stratified by rural versus urban location. This work can be used to inform survivorship delivery systems.