Young Families Research Articles

Launching! to Adulthood: A Group Counseling Initiative for Young Adults With Neurodevelopmental Differences Transitioning to Adulthood and Their Family members.

Group therapy may help young adults with neurodevelopmental differences (NDDs; such as autism spectrum disorder [ASD] or attention deficit hyperactivity disorder [ADHD]) socialize and manage mental health difficulties such as anxiety and depression during the transition to adulthood (18-25 years old). Family members may also benefit from group therapy during this transition period. Despite this need, few group therapy programs in a virtual/telehealth format have been developed to help young adults with NDDs and their families during the transition to adulthood. The present study sought to provide initial feasibility and acceptability data for a parallel young adult and family member group treatment program for young adults with NDDs transitioning to adulthood. Launching! to adulthood is an 8-week program utilizing evidence-based interventions to reduce distress and support the transition to independence for young adults with NDDs and their family members. Measures of well-being were collected pre- and post-intervention. Brief qualitative interviews were conducted post-intervention. From our pilot study, we found that the Launching! program was acceptable and feasible for both family members and young adults, with high ratings of satisfaction. Three themes were shared by young adults and family members, including gaining group connection and support from others in a similar life circumstance, learning the importance of self-care, and gaining new skills. Barriers to attendance included work conflicts and internet difficulties. This pilot trial of the Launching! program is novel in that few existing therapies have addressed challenges of the transition to adulthood for individuals with NDDs. Launching! has the potential to help young adults with NDDs prepare for postsecondary goals and may be utilized by businesses to support employees with NDDs.

Early intervention for children and young people with neurodevelopmental conditions and intellectual disability: “The Getting Help” offer for Northwest England

Purpose The purpose of this paper is to outline what early support should be offered to children and young people with neurodevelopmental conditions including those who are autistic or have intellectual disability. A review of all child and adolescent mental health services (CAMHS) services in the Northwest completed by NHS England and Improvement (Doyle and Ryan, 2021) found that there was no clear Tier 2 offer (for mild to moderate mental health issues) for autistic children and young people or for those with intellectual disability. Following this review, a project group that had developed a model for mental health services for autistic children and young people and for those with intellectual disability (Wee et al., 2021) was tasked with articulating the “Getting Help” offer for children and young people with neurodevelopmental conditions, including intellectual disability. Design/methodology/approach A working group was created consisting of professionals from mental health, education and local authority and lived experience representatives of coproduction partners. A brief review of the background literature was also conducted. Six meetings were held to create a framework for the “Getting Help” offer and to discuss what the offer should be based on professional expertise and lived experience. Findings Recommendations for the Getting Help multi-agency offer included pre- and post-assessment support as part of a single attention deficit hyperactivity disorder/autism/neurodevelopmental pathway, community support for children with intellectual disability, access to adapted mental health support and the need for early recognition and support for avoidant and restrictive food intake disorder. Key themes from working group discussions included the reduction in the quality of services experienced by children and families due to silo working, which increased the risk of falling between multi-agency services and led to early signs of neurodevelopmental needs, or mental health issues being missed. Another theme was aiming for equity of access and outcomes. Originality/value This work is a response to a coproduced review of CAMHS in the Northwest and incorporates the lived experience of young people and families. It also adopts a holistic multi-agency neurodevelopmental approach rather than focusing on a single diagnosis or service.

Развитие демографического потенциала сельских территорий в целях обеспечения их социально-экономического развития (на примере Новосибирской области)

Introduction. The article considers opportunities to improve demographic potential as a critical factor influencing the socio-economic development of rural areas.Materials and methods. To study the actual demographic situation in the Novosibirsk region and the regions of the Siberian Federal District, statistical analysis methods were used - index, tabular methods, etc. The empirical basis for this was the data of the Federal State Statistics Service, including the Territorial Authority for the Novosibirsk Region, on demographic processes in the Novosibirsk region for the 2010-2023 period (population size, structure, natural increase, migration increase, migration balance, total population growth rate, birth and death rate, average life expectancy).To analyze the implementation of the strategy for sustainable development of rural areas in the Russian Federation, a retrospective method was used, with the help of which the persistence of negative demographic trends in rural areas was shown.To work out recommendations for the development of corporate social policy directions for large organizations of the agro-industrial complex, the authors relied on strategic and systemic analysis methods to identify the potential and develop measures of corporate social policy of agricultural producers in the Novosibirsk region.Results. Consideration of the all-Russian situation regarding the development of rural areas showed that it is necessary to pay more attention to the development of the demographic potential of these territories. At the level of the Novosibirsk region, an analysis of the legislative framework allowed us to conclude that it is necessary to actively attract young people to rural areas, retaining them in agricultural enterprises, providing efficient employment and at the same time promoting the socio-economic development of rural areas.Discussion. Ensuring sustainable development of rural areas is impossible without solving demographic problems based on a regional demographic policy considering the interests of young rural families, and corporate demographic policy implementation at the level of agricultural enterprises.

Factors associated with housing stability for Aboriginal families in South Australia: a prospective cohort study

Stable, affordable and safe housing is a key determinant of health and wellbeing. Evidence from an Australian population-based cohort of 344 Aboriginal mothers and children aged 5-9 years shows that tenure type, financial difficulties and women’s experience of partner violence are key drivers to housing stability. Stable housing was defined as moving house ≤ two times in the previous five years. Women had higher odds of stable housing if they had not reported partner violence in the last year (Adj. OR = 2.2, 95%CI 1.1–4.3) and reported fewer financial difficulties (Adj. OR= 2.2, 95%CI 0.9–5.4). Women in private rental had lower odds of stable housing (Adj. OR = 0.4, 95%CI 0.2–0.7) compared to women in government subsidised rental housing. Understanding factors that support housing stability is crucial to ensure the best outcomes for young Aboriginal children and families at a critical period in the life course.

Trust and e-commerce consumption: evidence from China

ABSTRACT Using panel data from three rounds of the China Family Panel Studies and employing the panel Tobit random-effects model, our study firstly examines the impact of trust on e-commerce consumption amount. We find that trust has a significantly positive effect on e-commerce consumption. Heterogeneity analysis shows that the causal effect is particularly pronounced among younger families and in urban areas. Our paper enriches the studies on the impact of trust on consumption and platform economy.

Young families’ space adaptation in subsidized housing case study: Mataram city, West Nusa Tenggara Indonesia

ABSTRACT Indonesia’s 2020 census shows that 25.87% of the population comprises productive working-age millennials in the family-forming phase and demand affordable housing. To aid the low-income class in accessing the housing market, the government provides the Rumah Inti Tumbuh (RIT) or “growing core house” programme. This study examines the young families’ adaptation to utilize the available rooms, using mixed methods of observations, interviews, and architectural records. Study analyses employ the six layers’ theory of [Brand, Stewart. 1994. How Buildings Learn: What Happens After They are Built. New York, NY: Viking] to trace back the incremental process from the early home-making, motivation development, and adaptation strategy of the spatial usages in the post-reconstruction. The study concludes that young families needed to incrementally outmode the forms of provision even in the early occupation. The adaptive solutions gradually blurred the initial design idea provided by the developer. The home-making practices also accommodate daily activities connected with Islamic cultural, social, and intimate spheres.

Contraceptive Method Usage Pattern and Percentage of New Pregnancies Among Adolescent and Young Adult Family Planning Patients: A Mixed-Methods Retrospective Study

ObjectivesDespite increased access to contraceptive methods (CM), the US still has the highest rate of adolescent pregnancy among industrialized nations, and adolescents from historically marginalized groups are disproportionately affected. In this study, we sought to (1) understand if differences in CM usage were associated with differential percentages of new pregnancies among adolescents and young adult patients attending a family planning (FP) clinic at an urban community practice and (2) identify areas of improvement in our FP counseling. MethodsMixed-methods study design consisting of (1) a 12-month retrospective chart review and (2) a self-answered cross-sectional survey of FP patients. Chi-square, Fisher's exact tests, and risk ratio were performed to analyze the percentage of new pregnancies according to CM usage. ResultsThe percentage of new pregnancies was 11 among our FP patients (N=555) during this study period. As anticipated, pregnancy was associated with no CM use, CM discontinuation, and, interestingly, multiple CM changes (p<0.001). The probability of no-pregnancy significantly decreased among patients on no method, who discontinued their CM or made multiple CM changes compared to those with continuous CM use. There was no association between the percentage of new pregnancies and any particular CM type. ConclusionDespite adequate access to FP patient services and high patient satisfaction levels, our findings indicate a need to adopt a more patient-centered approach in our FP counseling that addresses patient's reproductive life plans, preferences, and method side effects to increase CM uptake and satisfaction and decrease frequency of CM changes which is associated with increased risk of mistimed pregnancy during method switching.

State Policy of Far East Development: How to Ensure Accelerated Progress?

Against the backdrop of the authorities’ efforts to accelerate the development of the Far East, dissatisfaction remains, an indicator of which is the trend of population decline. The article argues that the growing financial flow, with the same approach, without a precise formula of the goal, without the definition of priorities, will not give the desired result. It is proposed to accelerate the transition from a resource-export model of the economy to a new industrialization. The justification of priorities is based on combining the efforts of the subjects of the federation of the macroregion, involving the potential of the country’s entrepreneurs focused on Asian markets, and integration cooperation with the countries of the AsiaPacific region.The widest field for cooperation is seen in the field of exploration of the World Ocean, space exploration and in the field of Culture. Such a turn increases the attractiveness of the Far East and increases the demand for labor. It will be necessary to see a different solution to demographic problems. If the State is the main beneficiary of population growth, it is obliged to recognize the birth and upbringing of children in the family as productive work, which is remunerated, counted in the length of service, and provided with a pension.The stability of a young family is determined by the availability of housing, and the key to having many children is a house “on the ground”. But the house is not financial bondage, not a mortgage, but an incentive for expanded reproduction. The course towards industrialization provides an opportunity for a decent income for the head of the family, the work of women is paid, and a roof over their heads is a guarantee of a stable and large family. And the Far East is a testing ground where a model is created, control mechanisms are polished, and efficiency is demonstrated.

Socioeconomic Inequalities Affect Brain Responses of Infants Growing Up in Germany.

Developmental changes in functional neural networks are sensitive to environmental influences. This EEG study investigated how infant brain responses relate to the social context that their families live in. Event-related potentials of 255 healthy, awake infants between six and fourteen months were measured during a passive auditory oddball paradigm. Infants were presented with 200 standard tones and 48 randomly distributed deviants. All infants are part of a longitudinal study focusing on families with socioeconomic and/or cultural challenges (Bremen Initiative to Foster Early Childhood Development; BRISE; Germany). As part of their familial socioeconomic status (SES), parental level of education and infant's migration background were assessed with questionnaires. For 30.6% of the infants both parents had a low level of education (≤10 years of schooling) and for 43.1% of the infants at least one parent was born abroad. The N2-P3a complex is associated with unintentional directing of attention to deviant stimuli and was analysed in frontocentral brain regions. Age was utilised as a control variable. Our results show that tone deviations in infants trigger an immature N2-P3a complex. Contrary to studies with older children or adults, the N2 amplitude was more positive for deviants than for standards. This may be related to an immature superposition of the N2 with the P3a. For infants whose parents had no high-school degree and were born abroad, this tendency was increased, indicating that facing multiple challenges as a young family impacts on the infant's early neural development. As such, attending to unexpected stimulus changes may be important for early learning processes. Variations of the infant N2-P3a complex may, thus, relate to early changes in attentional capacity and learning experiences due to familial challenges. This points towards the importance of early prevention programs.

"A Vulnerable Time To Be a Young Family in an Emergency": Qualitative Findings From an Exploration of an Emergency Perinatal and Infant Feeding Hotline in Louisiana.

Birthmark Doula Collective, a cooperative that provides doula and lactation services in the Greater New Orleans area, mounted an emergency response after two Category 4 storms: Hurricane Laura (2020) and Hurricane Ida (2021). The response included activating a no-cost emergency perinatal and infant feeding hotline. Both disasters coincided with a resurgence of COVID-19 infections in Louisiana. The aim of this study is to understand how an emergency perinatal and infant feeding hotline supported infant and young child feeding in emergencies during hurricanes in Louisiana. This study used a cross-sectional, retrospective qualitative design in a population with low breastfeeding rates. We conducted a content analysis of 97 hotline call logs from Hurricanes Laura and Ida, focus groups with lactation support providers who staffed the hotline during either storm (n = 5), and interviews with mothers who called during Hurricane Ida (n = 2). Focus groups and interviews lasted 30 and 60 minutes, respectively. Transcripts were analyzed using thematic analysis techniques. Call logs revealed infant feeding needs (e.g., mastitis, low milk supply, relactation, and infant formula requests) and non-infant feeding needs (e.g., infant supplies, perinatal and infant care referrals, shelter information). Infant formula was the most requested supply during both hurricanes. Maternal participants discussed family vulnerabilities during Hurricane Ida. Staff described training and strategies to provide support while maintaining their own well-being. Providing a free emergency hotline service is one way to support pregnant and postpartum people and their families seeking infant feeding advice, supplies, and support in the immediate aftermath of a disaster.

Homophily and social mixing in a small community: Implications for infectious disease transmission.

Community mixing patterns by sociodemographic traits can inform the risk of epidemic spread among groups, and the balance of in- and out-group mixing affects epidemic potential. Understanding mixing patterns can provide insight about potential transmission pathways throughout a community. We used a snowball sampling design to enroll people recently diagnosed with SARS-CoV-2 in an ethnically and racially diverse county and asked them to describe their close contacts and recruit some contacts to enroll in the study. We constructed egocentric networks of the participants and their contacts and assessed age-mixing, ethnic/racial homophily, and gender homophily. The total size of the egocentric networks was 2,544 people (n = 384 index cases + n = 2,160 recruited peers or other contacts). We observed high rates of in-group mixing among ethnic/racial groups compared to the ethnic/racial proportions of the background population. Black or African-American respondents interacted with a wider range of ages than other ethnic/racial groups, largely due to familial relationships. The egocentric networks of non-binary contacts had little age diversity. Black or African-American respondents in particular reported mixing with older or younger family members, which could increase the risk of transmission to vulnerable age groups. Understanding community mixing patterns can inform infectious disease risk, support analyses to predict epidemic size, or be used to design campaigns such as vaccination strategies so that community members who have vulnerable contacts are prioritized.

ДЕМОГРАФИЧЕСКИЙ КРИЗИС В СОВРЕМЕННОЙ РОССИИ

The demographic situation in Russia requires close attention and analysis due to the relevance and significance of the socio–economic consequences. The article examines the problem of the demographic crisis in modern Russia. The current causes of the demographic crisis and the decline in the birth rate are considered. The socio–economic consequences of a decrease in the population and a decrease in the birth rate are revealed. The data on the dynamics of the population, fertility, and mortality in Russia are presented. The forecast of the birth rate in Russia is given, the dynamics of the total birth rate in the period from 1960 to 2023 is studied. The necessity and directions of developing additional measures aimed at overcoming the demographic crisis are substantiated. The goals, objectives, and directions of the national project "Demography" are presented. In addition, measures of state support for young families aimed at increasing the birth rate were considered.

Minimally Invasive Controlled Growing Rods for the Surgical Treatment of Early-Onset Scoliosis—A Surgical Technique Video

Background: Spinal deformities in children and adolescents can be easily divided into those occurring and diagnosed before the age of 10—early-onset scoliosis—and those occurring and diagnosed after the age of 10—late-onset scoliosis. When the curvature continues to progress and exceeds a Cobb angle of more than 60–65 degrees, surgical treatment should be considered. The most common treatment procedure for EOS is the surgical correction of the deformity using standard growing rods (SGRs), and in the case of congenital defects with additional hemivertebrae, it is the resection of the hemivertebra and short fusion. Minimally invasive controlled growing rods (MICGRs) need to be distracted every 6–9 months through a minimally invasive approach that involves sedation and neuromonitoring to obtain the best possible correction while minimizing complications. The aim of our study is to present a less-invasive surgical technique for MICGR implantation based on a two-case presentation—early-onset idiopathic scoliosis and congenital kyphosis. The surgical technique is the less-invasive percutaneous and subfascial implantation of MICGRs without long incisions in the back. Conclusions: The use of MICGRs is an alternative and safe surgical technique for patients undergoing surgical treatment for EOS. Without the risk of metallosis, like in other implant systems, and the need for replacement after 2 years of use, like in using magnetically controlled growing rods (MCGRs), the MICGR system can be used as a less-invasive procedure, allowing for the avoidance of many periodic invasive procedures in children with a wider opening of the spine (like in using standard growing rods), minimizing the number of planned hospitalizations, reducing the length of hospital stays, and reducing the physical and mental burdens on young patients, parents, and families.

Asuhan Keperawatan Keluarga Tahap Perkembangan Dewasa Muda dengan Intervensi Senam Kaki terhadap Penurunan Glukosa Darah Lansia

The young adult family is the stage that begins when the first child decides to leave the parental home. The tasks of family development at this stage include helping and preparing children to be independent, maintaining harmony with a partner, expanding the nuclear family into a large family, preparing to take care of a large family entering old age, and providing examples to children regarding a positive home environment. According to most people, this stage is a stage full of stressors and is prone to suffering from diseases, one of which is diabetes mellitus. Based on the results of the assessment of the family of Mr. This family type is a nuclear family with a young adult stage of development where the child is 19 years old. In the family of Mr. S, it was found that Mr. S suffered from diabetes mellitus since 1 year ago, Mr. S likes to consume sweet foods, Mr. S was also lazy to exercise because his legs hurt, Mr. S also did not know how to reduce diabetes mellitus other than taking medication given by the doctor. The purpose of this study is to describe foot exercises in families who experience diabetes mellitus to determine the effectiveness of foot exercises on lowering blood glucose. This research method is a case study conducted with foot exercise therapy for 6 meetings with 10-15 minutes, foot exercise treatment intervention and diabetes mellitus education. The results of this study are that post foot gymnastics therapy Mr. S experienced different results, namely before being done. S experienced different results, namely before foot gymnastics in patients with diabetes mellitus with GDS 249 mg / dL then after foot gymnastics became GDS 150 mg.dL which was carried out for 6 days of meetings with 10-15 minutes. The conclusion of this study is that while providing foot gymnastics techniques effectively reduce glucose in the blood felt by Mr. S so that it decreased by 99 mg / dL. S so that it decreased by 99 mg/dL.

Possible Ways to Help Raise China's Fertility Rate

This paper explores the reasons why the current problem of fertility reduction in China is mainly due to the unclear future family planning of women and young people and the incomplete inclusion of the responsibility of raising children in their future planning. By comparing the three types of countries in the world - backward countries, developing countries and developed countries - as "three small islands" and comparing the welfare they provide to their citizens, as well as their demands for different productive forces and human resources, we gradually determine the orientation of China and its future development direction. Finally, by citing and learning from the fertility policies of Japan and South Korea, the article gives several feasible plans to help China raise its fertility rate. With mild encouragement and some financial support, young families can be helped to settle down in their plans to start a family.

PERAN DOA BERSAMA DALAM KELUARGA KATOLIK UNTUK MENGEMBANGKAN IMAN ANAK DI LINGKUNGAN SANTO YUSUP PAROKI SANTO YUSUP BINTARAN YOGYAKARTA

This study aims to determine the views of Catholic families regarding the role of joint prayer, to find out the supporting and inhibiting factors in carrying out joint prayer, and to find out what efforts can be implemented to increase the activity and awareness of the implementation of joint prayer in Catholic families to develop children's faith in the Saint Joseph Parish Bintaran. The main problem of this paper is the extent to which the implementation of joint prayer in Catholic families in the Saint Joseph's Neighborhood is neglected because it is difficult to divide the time because both parents are busy with work. In connection with this main problem, the writer is interested in writing this thesis with the hope that it can help Catholic families to increase their activity and awareness of the implementation of joint prayer. To study the main issues, the authors conducted observations and interviews with parents as resource persons, children and the head of the Santo Yusup neighborhood as validators to obtain data. The results of the research in this paper are that there are still a number of Catholic families who neglect the implementation of prayer along with busyness due to work, laziness and low awareness of inviting to pray together. Realizing this, efforts are needed to increase the activity and awareness of the implementation of joint prayer in Catholic families to develop children's faith. With suggestions from sources, the authors suggest family catechism activities using the Shared Christian Praxis (SCP) model. Through family catechesis with the SCP model, it is hoped that it will become a means for young families and young people to become more aware of being more active in carrying out joint prayers in the family. Collective Prayer in Catholic Families

Unlocking Creativity with Playful Probes

Acquiring data from potential users regarding their daily activities, especially young users or families, can present considerable challenges. Employing playful probes is a method for gathering data from young users; these probes are interactive, intuitive, and visually appealing. This approach allows users to express their thoughts in a non-traditional manner, producing rich qualitative data that can reveal the nuances of their perceptions and behaviors. Although only a few researchers have employed this technique in game design, it has shown great potential in gathering user information for the ideation process. However, there is a need for further exploration of this approach, especially when it comes to children as users. This study seeks to explore the potential of employing playful probes in game design and to identify any obstacles that may arise. Understanding the needs and characteristics of the target users is crucial to adapting the probes to effectively connect with them. By engaging participants in playful and immersive activities, design probes could provide deeper insights into the user and stimulate their creativity, leading to a more efficient final design that accommodates the wants and needs of the users. Keywords: design probes, playful probes, game design, human-centered design

Trade liberalization and women's marriage and fertility decisions in Vietnam

This study investigates the impact of a large demand shock driven by the US-Vietnam Bilateral Trade Agreement (BTA) in 2001 on the timing of women's marital decisions and first childbirth experiences in Vietnam. We hypothesize that the reduction in women's and men's self-employment would delay family formation and childbirth, with the ultimate impact on marriage remaining ambiguous. Analyzing data from the Vietnam Household Living Standards Surveys, we find that both men and women are less likely to be self-employed in the face of a substantial trade shock. Notably, the decreasing impact on women's self-employment becomes more pronounced than that for men post-2012, a decade after the agreement's enforcement. Employing the Multiple Indicator Cluster Survey and survival analysis, we empirically demonstrate that increased exposure to trade postpones women's timing of marriage and first childbirth. On average, in 2013, the BTA resulted in a 7.39- and 7.42 %-point decrease in the probability of entering marriage and becoming a mother, respectively. We also present suggestive evidence that increased exposure to trade liberalization eventually increases the likelihood of marriage and the number of children among women over 40. The findings in this study imply that policy promoting trade liberalization should consider its extensive impacts on young labor force's family formation through change in their individual economic prospects.

Life course predictors of child emotional distress during the COVID-19 pandemic: Findings from a prospective intergenerational cohort study.

We examine precursors of child emotional distress during the COVID-19 pandemic in a prospective intergenerational Australian cohort study. Parents (N = 549, 60% mothers) of 934 1-9-year-old children completed a COVID-19 specific module in 2020 and/or 2021. Decades prior, a broad range of individual, relational and contextual factors were assessed during parents' own childhood, adolescence and young adulthood (7-8 to 27-28 years old; 1990-2010) and again when their children were 1 year old (2012-2019). After controlling for pre-pandemic socio-emotional behaviour problems, COVID-19 child emotional distress was associated with a range of pre-pandemic parental life course factors including internalising difficulties, lower conscientiousness, social skills problems, poorer relational health and lower trust and tolerance. Additionally, in the postpartum period, pre-pandemic parental internalising difficulties, lower parental warmth, lower cooperation and fewer behavioural competencies predicted child COVID-19 emotional distress. Findings highlight the importance of taking a larger, intergenerational perspective to better equip young populations for future adversities. This involves not only investing in child, adolescent, and young adult emotional and relational health, but also in parents raising young families.

"Too young to have this kind of diagnosis": A qualitative exploration of younger adults' experiences of colorectal cancer diagnosis.

Colorectal cancer (CRC) incidence is rising among adults under the age of 50 (early- or young-onset CRC). This population is more likely to have advanced-stage disease at diagnosis, suggesting their diagnostic pathway may be prolonged. To better understand factors influencing this pathway, this study explored patients' experiences of decision-making during a diagnosis of young-onset CRC. Semi-structured interviews were conducted with 17 participants with young-onset CRC diagnosed in 2021-2022 in Victoria, Australia. Interviews were conducted online or by phone an average 7months (range 1-13) after diagnosis. Analysis was approached from a critical realist perspective, with themes developed inductively using reflexive thematic analysis. Five themes were identified: Shifting Perception of Urgency, Multidimensional Perception of Role, Making the Most of Resources, Stage of Life, and COVID Adds Complexity. Participants' decision-making evolved over the diagnostic period. As participants perceived urgency to act, they took on a more active role in decision-making, utilising personal resources to access timely care. Their decisions were shaped by stage-of-life considerations, including employment and caring for a young family, with the COVID-19 pandemic adding "…a whole other layer of complexity" to the process. Younger adults with CRC make decisions in the context of unique considerations, adapting to reduce time to diagnosis, with decisions complicated by the COVID-19 pandemic. Greater support from health care providers/systems in the diagnostic period may improve timeliness of CRC diagnosis and outcomes in younger adults.