Younger Partners Research Articles

Prevalence and predictors of help-seeking steps in a nationally representative Dutch sample of romantic couples.

Couples appear to frequently experience relationship problems, yet estimates of the prevalence and prediction of three distinct help-seeking steps, (1) recognition of serious relationship dissatisfaction, (2) considering help, and (3) receiving relationship help, are unknown for representative population samples. This is unfortunate as such knowledge may inform policy makers in the development of strategies to motivate couples to seek help. The prevalence of these steps along with reasons for not acquiring help was studied in a representative population sample of 1014 Dutch heterosexual couples. Multilevel Actor-Partner Interdependence Modeling (APIM) analyses estimated the extent to which static socio-demographic factors were predictive of help-seeking behaviors. Of all partners, 28.6% reported having ever been seriously dissatisfied with their relationship (step 1), of which 86.2% had told their partner they were dissatisfied, on average 1.5 years after onset of the dissatisfaction. Of the seriously dissatisfied partners 36.4% considered professional relationship help (step 2) and 19.5% eventually received help (step 3), on average 3.7 years after the onset of dissatisfaction. Of these, 88.5% consulted a (couple) therapist. Main reasons for not acquiring help were that "things got better" (48.8%) and "the partner did not want relationship help" (35.4%), whereas financial considerations and shame were rarely endorsed. Although serious relationship dissatisfaction was common (i.e., 40.1% of all couples consisted of at least one partner who was ever dissatified), few couples sought help and they did so rather late. Waxing and waning of dissatisfaction often guided the decision to not seek help. Women and younger partners were more proactive in help-seeking. Marital status, having children, and education were largely unrelated to help-seeking.

Feminist Beliefs, Not Gender Equality Primes, Shape Self-Reported Partner Preferences

AbstractMen are reported to prioritise physical attractiveness in potential intimate partners, while women focus on the abilities of potential partners to provide resources. Yet previous research has suggested that these traditional gender differences vary according to national levels of gender equality. Here, we used priming material to manipulate participants’ perceptions of gender equality and examined the effects on self-reported partner preferences, and we also investigated the association between participants’ gender role attitudes and partner preferences. In Study 1 and 2 (n = 224 and 380), participants were presented with priming material that focused on either inequality between the genders in the present day (Inequality Condition) or recent improvements in gender equality (Equality Condition). Contrary to our predictions, the importance that participants placed on the physical traits and resource-gaining potential of partners did not differ between conditions in either study. However, on average, men placed greater emphasis on physical traits and preferred younger partners, and women placed greater emphasis on resource-gaining characteristics and preferred older partners, in line with previous research. In addition, men who reported more positive feminist attitudes placed less emphasis on physical traits, and women who reported more positive feminist attitudes placed greater emphasis on kindness, compared to same-gender participants who scored lower on feminist attitudes. This research suggests that self-reported partner preferences are related to an individual’s feminist attitudes and highlight the challenges of exploring these associations with forced-choice and experimental priming designs.

Informing Psychosocial Care for Young Couples Coping with Early-Onset Breast Cancer: A Cross-Sectional Examination of Unmet Service Needs and Their Association with Psychological Distress in the First Year Post-Diagnosis.

Objective: Young women diagnosed with breast cancer report greater psychological and physical morbidity than both older women and healthy peers. Similarly, young partners experience elevated cancer-related distress. Psychosocial oncology programs are not frequently attuned to the needs of young adult patients and may exclude their social networks. This marks a critical gap in psychosocial care delivery. The study investigated unmet service needs, psychological distress, and care preferences of young couples managing breast cancer in the first year post-diagnosis. Methods: Forty dyads (n = 80) of women aged 18-45 and their partners completed measures of anxiety (Generalized Anxiety Disorder-7), depression (Patient Health Questionnaire-9), and a service use questionnaire adapted from previously published Adolescent and Young Adult (AYA) literature. The resulting 25 items assessed perceived care needs and service utilization across three domains: informational, emotional/supportive, and practical issues. Descriptive statistics, cross-tabulations, and bivariate correlations were computed. Actor and partner effects of unmet needs on mental health outcomes were investigated with generalized estimating equations (GEE). Results: Patients and partners were in their late thirties, mostly non-Hispanic White, married, highly educated, and employed. Approximately 60% of patients and 43%-66% of partners presented one or more unmet service needs, which correlated with greater distress. Unmet needs about information related to exercise, recurrence, nutrition, and symptom management were prevalent. Unmet supportive service needs of both patients and partners included age-appropriate programs, sexual health, and family counseling. Women reported practical needs for work/school accommodations, integrative care, financial issues and health coverage; while financial concerns, health insurance, and caregiving demands were priorities for partners. Conclusion: Young couples facing early-onset breast cancer experience large proportions of unmet service needs. These challenges were exacerbated by the lack of developmentally targeted psychosocial programs pertaining to informational, supportive, and practical care needs. Enhancing providers' understanding of the psychosocial issues affecting young couples' well-being, and the implementation of systematic procedures to detect and respond to their distress, is urgently needed.

Age disparity in couples and the sexual and general health of the male partner.

Several robust epidemiological studies suggest that men are often engaged in sexual relationships with younger women with a variable, age-dependent age difference. However, the ageing process determines a significant worsening of the andrological status, which favors the onset of erectile dysfunction and hypogonadism. To analyze the effects of differences in age between the partners [delta (Δ) age (M - F)] on patients referring to the Andrology Unit of Careggi University Hospital for male sexual dysfunction. A monocentre cohort of 4055 male subjects was evaluated by SIEDY structured interview. The cross-sectional analysis assessed the psychobiological and relational correlates. The rate of forthcoming major cardiovascular events (MACE) was investigated in the longitudinal analysis. All the models have been adjusted for age, education, lifestyle, and chronic disease score. ∆ age (M-F) shows a stepwise increase, according to the increasing age bands of the male partner. ∆ age (M-F) was associated with a greater number of children, at the cost of more conflictual relationships within the family. The phenotype of these relationships is characterized by the report of a partner with a higher sexual desire and a higher ability to reach climax. Men seeking a younger partner show more often a histrionic personality (p=0.023) and higher testosterone levels (p=0.032). However, having a younger partner doesn't improve the ability to obtain a full erection. Kaplan-Maier analysis of a longitudinal subgroup of patients followed longitudinally (N=1402) for 4.3±2,59 years, showed that patients in the fourth quartile had a higher rate of forthcoming MACE versus those in the first quartile (p=0.005). In subjects with sexual dysfunctions (as in the general population) age-different relationships increase as a function of male ageing. A greater Δ age (M-F) is associated with specific men and relationship features and a higher risk of MACE.

Could Savings-Group Interventions Be Interesting and Acceptable for Young Women Intimate Partner Violence Survivors Formerly in Foster Care?

Could Savings-Group Interventions Be Interesting and Acceptable for Young Women Intimate Partner Violence Survivors Formerly in Foster Care?

Health selection, family division of labour and labour market participation of migrant and Australian born couples

Australia is a multi-cultural society, with the majority of recent migrants arriving from non-English speaking Asian countries. Yet we know little about how ethnic diversity in the population is reflected in employment participation and within-family time exchange. This paper investigates how nonmarket time and labour market time vary across migrant groups from non-English speaking country backgrounds (NESCB) compared with English-speaking country background migrants and non-Indigenous Australians (ESB&AU). It uses a longitudinal instrumental variable method to deal with biases caused by endogeneity and unobserved heterogeneity. We find that nonmarket time is strongly influenced by family circumstances such as having young children and partner’s circumstances (health status and life events including health shocks). The relationship of these factors with nonmarket time varies across our two major groups. For example, the relationship between a partner’s life events and partner’s health status and the other partner’s nonmarket time are significantly greater for NESCB migrant couples than for ESB&AU couples. This connects with our initial theories about the collectivist cultural backgrounds in NESCB couples in maintaining gender roles or different levels of economic security facing NESB migrants that affect how they allocate caregiving and housework time, especially when a partner becomes ill or face a life event. This paper also shows clear evidence of health selection into the labour market, and a strong trade-off between nonmarket and market time in both groups.

Quality-of-Life Assessment in Pediatric Advanced Cancer: Development of the Patient-Reported Outcome Measure Advance QoL.

A recent measure was developed to assess the Quality of Life (QoL) of young people with advanced cancer and is available for parents and professionals (Advance QoL). The present study aimed to elaborate self-reported versions for children and adolescents with advanced cancer. We adopted a four-phase research plan: (1) to elaborate the Advance QoL questionnaire for youth (8-12 and 13-18 years old) with a team of young research partners; (2) to evaluate the understandability of these versions in a sample of 12 young patients from the target population using cognitive interviews; (3) to assess social validity in the same group using a questionnaire and the content validity index (CVI); and (4) to refine the questionnaires according to these results. Four major themes were identified: (1) issues affecting the understanding of the tool; (2) issues that did not affect the understanding of the tool; (3) modifications to improve the tool; and (4) positive features of the tool. Advance QoL was well received, and feedback was positive. Adjustments were made according to young people's comments and two self-reported versions are now available. It is essential to measure the key domains of QoL in advanced cancer. Advance QoL self-report versions will help target the specific needs of young people with this condition and their families.

Desired Employment and Local Social Support: The Strongest Predictors for Wellbeing Outcomes Amongst the Partners of Australian Military Members

Enhancing wellbeing amongst partners of current serving military personnel is a growing area of interest and concern. Because of their military connection, partners of Australian Defence Force (ADF) personnel experience unique challenges compared to those faced by the broader civilian community. This paper sought to undertake an investigation of the most important risk and protective factors, which influence wellbeing in this cohort. This cross-sectional study gathered responses from 444 participants (partners of current serving military members) through an online survey. Bivariate and multivariate regression models found higher wellbeing scores were associated with younger partners, higher military member rank brackets, existing social support in their location, and partners who were in their desired employment status. Additionally, higher COVID-19 impacts were associated with lower wellbeing scores. Moving forward, interventions, which target social support, desired employment, and periods of national crisis requiring a military response should be the focus. The findings of this study impact policy and programs which aim to provide support to military-connected families.

Supporters with Vantage Position: The Role of Youth Work in the Online Lifeworld from the Perspective of Adolescents and Youth Work’s Partners

The online environment, where the boundaries between the domains of home, school, work, and leisure are blurred, poses new challenges for youth work practice. Due to limited research on this subject matter, the theoretical underpinnings of the online youth work practice are constrained. The fulfilment of youth work’s aims online, the position it can take in the online context, and its relation to its partners in the online lifeworld need a theoretical base. This paper seeks to analyse the role of youth work in the online lifeworld according to adolescents and youth work’s partners. The research was conducted in the Netherlands in collaboration with 14 youth work organisations. A qualitative research design was used: group conversations with young people and semi-structured interviews with youth work’s partners (i.e., parents, schools, informal networks, neighbourhood support teams, police, and municipal officials). The findings indicate that youth work in the online lifeworld, according to the respondents, is part of the general youth work practice, with a primary role of addressing the developmental needs of young people and creating new developmental opportunities. This role is expected to be fulfilled by engaging and connecting with young people in the online lifeworld and providing them instrumental, informational, socioemotional, and cognitive support. To do so, according to the partners, youth workers can make use of their vantage position in the online relationship with adolescents in order to access online information relevant for support and prudent prevention aimed at adolescents’ development. This vantage position may potentially encourage a collaboration between young people and partners, and between the online and offline youth work practice.

Mexican Breast Cancer Women and Their Partners: Individual and Couple Analysis

Breast cancer impacts the patients and their partners; their characteristics affect outcomes for themselves and the other members of the dyad and their relationship. This study explored whether the age of both couple members differentiates dyadic adjustment, social support, and quality of life perception and evaluates the relationship between dyadic adjustment, social support, and quality of life perception in Mexican couples with breast cancer. Methods: The cross-sectional correlational study included 120 patients with breast cancer and their partners. Couples were divided into two groups based on patients’ age. The couples’ dyadic adjustment, social support, and quality of life were evaluated. Results: Older dyads obtained the highest dyadic adjustment and social support scores compared to young dyads. Dyadic adjustment was associated with social support in both young and old couples. A positive relationship was found between young partners’ social support and dyadic adjustment and young patients’ quality of life and older partners’ dyadic adjustment and older patients’ quality of life. Conclusion: The results from both partners confirm that age determines the perceptions of younger and older couples concerning to the process and outcome relationship and their quality of life. In this sample, we can observe the relationship between both members of the couple.

Experiences of intimate partner violence (IPV) among females with same-sex partners in South Africa: what is the role of age-disparity?

BackgroundSouth African women have been exposed to epidemic proportions of intimate partner violence (IPV) amongst heterosexual relationships but not much is known about same-sex partnerships. Sexual minorities are excluded from research but are subject to intimate partner violence as much as heteronormative persons. The purpose of this study is to determine the association between age-disparity and IPV outcomes among females with same-sex partners in South Africa.MethodsA cross-sectional study of the nationally representative South African National HIV Prevalence, Incidence, Behaviour and Communication Survey (SABSSM 2017) is used. A weighted sample of 63,567 female respondents identified as having a same-sex partner are analysed. IPV is measured as ever been physically and/ or sexually abused. Any experience of IPV is included in the dependent variable of this study. Descriptive and inferential statistics are used to estimate the relationship between demographic, socioeconomic, age-disparity and IPV.ResultsAlmost 16% of females in same-sex relationships experienced IPV and about 22% from younger partners. In female same-sex partnerships, partner age-disparity (OR: 1.30, CI: 1.18 - 1.51), type of place of residence (OR: 2.27, CI: 1.79 - 3.79), highest level of education (OR: 1.07, CI: 0.97 - 1.17), marital status (OR: 1.60, CI: 1.37 - 1.88), and race (OR: 1.47, CI: 1.41 - 1.54) are associated with an increased likelihood of violence.ConclusionIPV programs that are specifically targeted for non-heteronormative orientations are needed. These programs should promote health equity and safety for non-confirmative sexual identities in the country.

Syndromic diagnosis, sexual behavior, and management in rural population among all cases attending sexually transmitted infection clinic in a tertiary care center from the east-central zone of India: A retrospective study.

Rural population constitutes a significant population of our country. According to the regions, the sexual behavior and pattern of sexually transmitted infections (STIs) changes because of variation in health facilities, education, and sociocultural belief. To study the sociodemographic profile, sexual behavior, and pattern of STIs based on the syndromic approach in the rural population attending STIs clinic from the east-central zone of India. Between January 2020 and July 2022, a retrospective study was carried out in a STIs clinic at a tertiary care facility in India's east-central region. Data included demographics, clinical profiles (syndromic approach), and sexual behavior from all the rural population suffering from STIs. The data were corroborated using the proper statistical tools. Seven hundred and twenty-two (63.6%) of the 1135 STI cases were from the rural population. The gender ratio was 17:1, with 333 (46.1%) patients between the ages of 20 and 30 years. Four hundred and ninety-four (68.4%) of the rural population had education qualifications below the 10th class. The predominant occupation was a homemaker (582; 80.6%). Drug abuse was noted in 13 (1.8%) cases. Lower abdominal pain was the most clinical manifestation seen in 441 (61%) cases, followed by vaginal discharge in 89 (12.3%) cases. The majority of the patients presented with the first episode of symptoms and had a single regular partner with no symptoms in a partner. In 22.9% of cases, the partner had a history of frequent travel. In 94.1% of cases, protective measures were not used. Young married adults, female partners, lower education, and low-income classes were among those who had STIs, with frequent unprotected sexual activity. Lower abdominal pain is the most common symptom in this area.

“I Was Worshiped and in Control”: Sugar Arrangements Involving Transactional Sex from the Perspective of Both Sugar Babies and Sugar Benefactors

ABSTRACT Sugar dating arrangements involve an older partner (“sugar daddy/mommy”) who provides financial support to a younger partner (“sugar baby”) in exchange for intimacy. The current study recruited a U.S. and Canadian sample of sugar babies (n = 45) and sugar benefactors (n = 32) through social media sources to survey them about perceived power in their sugar arrangement, gender roles, and stigma. Sugar benefactors did not differ in perceived power from sugar babies, nor in endorsement of traditional gender roles or stigma. Directed content analysis analyzing open-ended responses about associated outcomes indicated that both partners placed strong emphasis on companionship despite the importance of sex within arrangements. Sugar babies reported that money drives participation, although arrangements fulfill other needs, such as pleasure. Other benefits include having an arrangement with clear boundaries and expectations. Disadvantages include concerns for safety, that being physical safety for babies, and reputation and being used for money for daddies. Notably, both groups perceived sugar babies as having equal or more power than sugar benefactors, although this was often attributed to sugar babies’ attractiveness and youth. Findings include insights from both babies and benefactors, and support perspectives that sugar dating is distinct from traditional sex work.

Joint retirement of couples: Evidence from discontinuities in Denmark

We study joint retirement and its underlying determinants. First, we use full-population data from Denmark and a discontinuity design to document joint retirement at the early pension eligibility age. For every 100 individuals who retire when they reach pension eligibility, around 8 of their spouses adjust their behavior to retire at the same time. Next, we investigate mechanisms. We begin by arguing that our estimates are explained primarily by leisure complementarities. We then explore heterogeneity and pathways couples take to retire together. We find that age differences are a fundamental determinant of joint retirement, which is driven by older spouses waiting to retire and claim pension benefits until their younger partners reach pension eligibility as well. We also show that females respond more than males and that secondary earners respond more than primary earners. Finally, we show that a reform increasing eligibility ages induced similar joint retirement spillovers.

Prevalence and predictors of use of long-term and short-acting reversible contraceptives among women of reproductive age in Wakiso and Hoima districts, Uganda: A cross-sectional study

Modern contraceptive use has increased globally, but unmet needs persist in low- and middle-income countries. This study in Uganda aimed to examine the prevalence and factors influencing the use of short-acting reversible contraceptives (SARC) like pills and long-term methods such as intrauterine devices. Limited evidence exists on the use of SARC and long-term methods in Uganda. Data from the Africa Medical and Behavioural Sciences Organization (AMBSO) Population Health Surveillance (APHS) in Hoima and Wakiso districts were analysed. Among the 1642 women aged 15–49 years, the prevalence of modern contraceptive use was 30% for SARC, and 18% for long-term method. Women with formal education were three times more likely to use long-term methods than those without formal education, relative risk ratios (RRR), 3.1–3.4, (95%CI 1.2–8.2). Joint decision-making for contraceptive use increased SARC usage, RRR 1.4 (95%CI 1.1–1.8). Urbanization played a role, with women in more urbanized Wakiso district less likely to use any modern contraception, RRR 0.6–0.7 (95%CI 0.5–0.9) compared to those living in the less urbanized Hoima. About half of the women in the study used modern contraceptives and the use of SARC was almost twice that of long-term methods. Increased access to contraception education for all women of reproductive age could significantly improve the use of long-term methods which offer more reliable protection against unintended pregnancies. The findings shed light on the need to strengthen both general and sexuality education to girls and women and to tailor contraception access for all in need, for mobile semi-urban as well as rural women. Well-informed strategies that engage young men and male partners in informed decision-making for contraceptive use could enhance progress.

Social enrichment alters the response of brain leukocytes to chemotherapy and tumor development in aged mice

Aging is a risk factor for the development of breast cancer. Foundational science studies have supported associations among neuroinflammation, breast cancer, and chemotherapy, but to date, these associations are based on studies using young adult rodents. The current study examined the neuroinflammatory effects of chemotherapy in aged, tumor-naïve and tumor-bearing mice with or without social enrichment. Mice received two intravenous injections of doxorubicin (A) and cyclophosphamide (C) at a two-week interval. Brain immune cells were enriched/assessed via flow cytometry, seven days following the second chemotherapy injection. Social enrichment enhanced peripheral immune cell trafficking in aged tumor-naive mice treated with AC. Group housed aged tumor bearing mice receiving AC had reduced percentage of IL-6+ monocytes and granulocytes relative to their singly housed counterparts. Notably, group housing aged experimental mice with young cage partners significantly reduced TNF + monocytes, tumor volume, and tumor mass. These data illustrate the importance of social enrichment in attenuating neuroinflammation and are the first to demonstrate that social support with young housing partners reduces tumor growth in aged mice.

Adverse experiences in early intimate relationships and next‐generation infant–mother attachment: findings from the ATP Generation 3 Study

AbstractChronic insecurities that emerge from adverse experiences in early intimate partner relationships in adolescence and emerging adulthood can have profound impacts on mental health and well‐being. Less clear is the extent to which these experiences for parents impact subsequent relationships within and across generations. We examine the extent to which secure, dismissing, pre‐occupied, and fearful intimate partner relationships in adolescence and emerging adulthood, well before becoming a parent, are associated with next‐generation patterns of attachment between mothers and infant offspring. Data were drawn from a nested study of infant–mother attachment (n = 220) within the Australian Temperament Project Generation 3 Study (N = 1167, est. 1983). Intimate partner relationships in adolescence and young adulthood were assessed by self‐report at 23–24 years of age. Over a decade later, infant–mother attachment security was assessed at 12 months post‐partum. Young adult intimate partner relationships defined by high levels of fearful, pre‐occupied, and dismissing attachment styles were reported in 11%, 17%, and 38% of young mothers, respectively. Increases in fear of intimacy in relationships were associated with an increase in the odds, by around 50%, of infant–mother insecure attachments (vs secure; OR = 1.56, 95% CI = 1.07, 2.28) and disorganised attachments (vs organised; OR = 1.49, 95% CI = 1.00, 2.22). A mother's self‐reported history of fear of intimacy within young adult relationships predicts later insecure and disorganised mother–infant attachments. Guidance and greater support for young people navigating their earliest intimate relationships may not only prevent adverse relational experiences at the time but also on becoming a parent. Findings have relevance for family and infant mental health therapies. Translating these findings into supported conversations may help prevent infant–mother attachment difficulties, or later repair them, through validation of the lingering effects of early fear of intimacy and empowerment of parents to prevent next‐generation infant experiences of distrust.

The protective roles of affectionate behaviors and communication on mental quality of life of couples living with fibromyalgia: movement toward a dyadic perspective

ABSTRACT This study assessed the impact of affectionate behaviors and communication problems on the mental quality of life (mQoL) in couples with fibromyalgia. Dyadic multilevel modeling in 204 fibromyalgia couples found that people with fibromyalgia (PwFM) who engaged in high levels of affectionate behaviors with their partner had improved mQoL. There was no significant association between affectionate behaviors and mQoL for their partners. Similarly, when PwFM and their partners had more communication problems within the couple, they had poor mQoL. Both models found that higher levels of pain interference for PwFM were significantly associated with poorer mQoL for both members of the couple. Young partners were significantly more likely to report poorer mQoL. Findings highlight the importance of the interpersonal context of fibromyalgia and the protective roles that affectionate behaviors and positive communication can play. Clinicians should include the partner in the care plan and treat the couple as one unit to better optimize the health of both members.

Communal coping and glycemic control: Daily patterns among young adult couples with type 1 diabetes.

Young adulthood is a time when persons with Type 1 diabetes (T1D) become more fully responsible for diabetes management. Establishing healthy diabetes routines during this period is foundational for successful management across adulthood. Although partner support is generally considered helpful in T1D management, less is known about specific partner behaviors that could benefit glucose levels. The aim of this study was to explore associations between communal coping behaviors and T1D glucose management. During 2018-2020, 23 young married opposite-sex couples (Mage = 25.7 years), wherein one spouse had T1D, completed daily measures of communal coping for 9 consecutive days. Daily average glucose and time-in-range were computed from the person with T1D's glucose meter or continuous glucose monitor. Multilevel model results suggested that higher time-in-range on a given day was predicted by reports of lower daily spousal instrumental support, lower overprotective and controlling behaviors, and by higher emotional support. Controlling spousal behavior on one day was associated with higher time-in-range the next day. At the same time, patient reports of higher average spousal controlling behavior (across all days) were associated with lower time-in-range and higher average glucose. Average glucose was also predicted by communal coping behaviors (especially within-person higher instrumental support), yet results were less robust after covariates were considered. Some young romantic partners may engage in behaviors that are associated with higher average blood glucose and lower time-in-range for the person with T1D. Persons with T1D could communicate to their partners types of support that are helpful versus not. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Kailo: a systemic approach to addressing the social determinants of young people's mental health and wellbeing at the local level.

The mental health and wellbeing of children and young people is deteriorating. It is increasingly recognised that mental health is a systemic issue, with a wide range of contributing and interacting factors. However, the vast majority of attention and resources are focused on the identification and treatment of mental health disorders, with relatively scant attention on the social determinants of mental health and wellbeing and investment in preventative approaches. Furthermore, there is little attention on how the social determinants manifest or may be influenced at the local level, impeding the design of contextually nuanced preventative approaches. This paper describes a major research and design initiative called Kailo that aims to support the design and implementation of local and contextually nuanced preventative strategies to improve children's and young people's mental health and wellbeing. The Kailo Framework involves structured engagement with a wide range of local partners and stakeholders - including young people, community partners, practitioners and local system leaders - to better understand local systemic influences and support programmes of youth-centred and evidence-informed co-design, prototyping and testing. It is hypothesised that integrating different sources of knowledge, experience, insight and evidence will result in better embedded, more sustainable and more impactful strategies that address the social determinants of young people's mental health and wellbeing at the local level.