Archive for the ‘adolescents’ Category

Recent Declines in Adolescent Inhalant Use

April 18, 2014 Comments off

Recent Declines in Adolescent Inhalant Use (PDF)
Source: Substance Abuse and Mental Health Services Administration

+ In 2012, almost 650,000 adolescents aged 12 to 17 used inhalants in the past year.

+ Past year inhalant use among adolescents generally has been declining since about 2006; most recently, rates decreased from 3.3 percent in 2011 to 2.6 percent in 2012.

+ Rates of past year inhalant use among adolescents decreased between 2011 and 2012 for several demographic groups, including males, whites, those living in the Northeast and West, and those living in metropolitan areas.

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Social Host Liability for Underage Drinking Statutes

April 16, 2014 Comments off

Social Host Liability for Underage Drinking Statutes
Source: National Conference of State Legislatures

Enacted in 1984, the National Minimum Drinking Age Act set the minimum drinking age at 21. To comply with federal law, states prohibit persons under 21 years of age from purchasing or publicly possessing alcoholic beverages.

According to the 2012 National Survey on Drug Use and Health, about 9.3 million persons aged 12 to 20 (24.3 percent of this age group) reported drinking alcohol in the past month and an estimated 11.2 percent of persons aged 12 or older drove under the influence of alcohol at least once in the past year.

In an effort to combat underage drinking, state legislators have enacted laws that assign responsibility to adults who allow minors to drink alcohol at social gatherings. Thirty-one states allow social hosts to be civilly liable for injuries or damages caused by underage drinkers. Twenty-six states and the Virgin Islands have criminal penalties for adults who host or permit parties with underage drinking to occur in the adults’ homes or in premises under the adults’ control. These social host statutory provisions do not apply to licensed establishments such as restaurants, bars, and liquor stores, which are covered by dram shop laws.

Trends in Unwanted Online Experiences and Sexting — Final Report

April 14, 2014 Comments off

Trends in Unwanted Online Experiences and Sexting — Final Report (PDF)
Source: Crimes Against Children Research Center

This bulletin summarizes findings from the Third Youth Internet Safety Survey (YISS‐3). Topics include youth reports of unwanted sexual solicitations, online harassment, unwanted exposure to sexual material, and “sexting.”

Vital Signs: Births to Teens Aged 15–17 Years — United States, 1991–2012

April 8, 2014 Comments off

Vital Signs: Births to Teens Aged 15–17 Years — United States, 1991–2012
Source: Morbidity and Mortality Weekly Report (CDC)

Teens who give birth at age 15–17 years are at increased risk for adverse medical and social outcomes of teen pregnancy.

To examine trends in the rate and proportion of births to teens aged 15–19 years that were to teens aged 15–17 years, CDC analyzed 1991–2012 National Vital Statistics System data. National Survey of Family Growth (NSFG) data from 2006–2010 were used to examine sexual experience, contraceptive use, and receipt of prevention opportunities among female teens aged 15–17 years.

During 1991–2012, the rate of births per 1,000 teens declined from 17.9 to 5.4 for teens aged 15 years, 36.9 to 12.9 for those aged 16 years, and 60.6 to 23.7 for those aged 17 years. In 2012, the birth rate per 1,000 teens aged 15–17 years was higher for Hispanics (25.5), non-Hispanic blacks (21.9), and American Indians/Alaska Natives (17.0) compared with non-Hispanic whites (8.4) and Asians/Pacific Islanders (4.1). The rate also varied by state, ranging from 6.2 per 1,000 teens aged 15–17 years in New Hampshire to 29.0 in the District of Columbia. In 2012, there were 86,423 births to teens aged 15–17 years, accounting for 28% of all births to teens aged 15–19 years. This percentage declined from 36% in 1991 to 28% in 2012 (p <0.001). NSFG data for 2006–2010 indicate that although 91% of female teens aged 15–17 years received formal sex education on birth control or how to say no to sex, 24% had not spoken with parents about either topic; among sexually experienced female teens, 83% reported no formal sex education before first sex. Among currently sexually active female teens (those who had sex within 3 months of the survey) aged 15–17 years, 58% used clinical birth control services in the past 12 months, and 92% used contraception at last sex; however, only 1% used the most effective reversible contraceptive methods.

Births to teens aged 15–17 years have declined but still account for approximately one quarter of births to teens aged 15–19 years.

Implications for public health practice:
These data highlight opportunities to increase younger teens exposure to interventions that delay initiation of sex and provide contraceptive services for those who are sexually active; these strategies include support for evidence-based programs that reach youths before they initiate sex, resources for parents in talking to teens about sex and contraception, and access to reproductive health-care services.

Race for Results: Building a Path to Opportunity for All Children

April 1, 2014 Comments off

Race for Results: Building a Path to Opportunity for All Children
Source: Annie E. Casey Foundation

In this policy report, the Annie E. Casey Foundation explores the intersection of kids, race and opportunity. The report features the new Race for Results index, which compares how children are progressing on key milestones across racial and ethnic groups at the national and state level. The index is based on 12 indicators that measure a child’s success in each stage of life, from birth to adulthood, in the areas of early childhood; education and early work; family supports; and neighborhood context. The report also makes four policy recommendations to help ensure that all children and their families achieve their full potential.

Web-Based Alcohol Screening and Brief Intervention for University Students: A Randomized Trial

March 27, 2014 Comments off

Web-Based Alcohol Screening and Brief Intervention for University Students: A Randomized Trial
Source: Journal of the American Medical Association

Unhealthy alcohol use is a leading contributor to the global burden of disease, particularly among young people. Systematic reviews suggest efficacy of web-based alcohol screening and brief intervention and call for effectiveness trials in settings where it could be sustainably delivered.

To evaluate a national web-based alcohol screening and brief intervention program.

Design, Setting, and Participants
A multisite, double-blind, parallel-group, individually randomized trial was conducted at 7 New Zealand universities. In April and May of 2010, invitations containing hyperlinks to the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) screening test were e-mailed to 14 991 students aged 17 to 24 years.

Participants who screened positive (AUDIT-C score ≥4) were randomized to undergo screening alone or to 10 minutes of assessment and feedback (including comparisons with medical guidelines and peer norms) on alcohol expenditure, peak blood alcohol concentration, alcohol dependence, and access to help and information.

Main Outcomes and Measures
A fully automated 5-month follow-up assessment was conducted that measured 6 primary outcomes: consumption per typical occasion, drinking frequency, volume of alcohol consumed, an academic problems score, and whether participants exceeded medical guidelines for acute harm (binge drinking) and chronic harm (heavy drinking). A Bonferroni-corrected significance threshold of .0083 was used to account for the 6 comparisons and a sensitivity analysis was used to assess possible attrition bias.

Of 5135 students screened, 3422 scored 4 or greater and were randomized, and 83% were followed up. There was a significant effect on 1 of the 6 prespecified outcomes. Relative to control participants, those who received intervention consumed less alcohol per typical drinking occasion (median 4 drinks [interquartile range {IQR}, 2-8] vs 5 drinks [IQR 2-8]; rate ratio [RR], 0.93 [99.17% CI, 0.86-1.00]; P = .005) but not less often (RR, 0.95 [99.17% CI, 0.88-1.03]; P = .08) or less overall (RR, 0.95 [99.17% CI, 0.81-1.10]; P = .33). Academic problem scores were not lower (RR, 0.91 [99.17% CI, 0.76-1.08]; P = .14) and effects on the risks of binge drinking (odds ratio [OR], 0.84 [99.17% CI, 0.67-1.05]; P = .04) and heavy drinking (OR, 0.77 [99.17% CI, 0.56-1.05]; P = .03) were not significantly significant. In a sensitivity analysis accounting for attrition, the effect on alcohol per typical drinking occasion was no longer statistically significant.

Conclusions and Relevance
A national web-based alcohol screening and brief intervention program produced no significant reductions in the frequency or overall volume of drinking or academic problems. There remains a possibility of a small reduction in the amount of alcohol consumed per typical drinking occasion.

The Plummeting Labor Market Fortunes of Teens and Young Adults

March 19, 2014 Comments off

The Plummeting Labor Market Fortunes of Teens and Young Adults
Source: Brookings Institution

Employment prospects for teens and young adults in the nation’s 100 largest metropolitan areas plummeted between 2000 and 2011. On a number of measures—employment rates, labor force underutilization, unemployment, and year-round joblessness—teens and young adults fared poorly, and sometimes disastrously. This report provides a number of strategies to reduce youth joblessness and labor force underutilization.

From Courts to Communities: The Right Response to Truancy, Running Away, and Other Status Offenses

March 18, 2014 Comments off

From Courts to Communities: The Right Response to Truancy, Running Away, and Other Status Offenses
Source: Vera Institute of Justice

Young people who run away from home, skip school, or engage in other risky behaviors that are only prohibited because of their age end up in courtrooms every year by the thousands. Responding to these cases, called “status offenses,” in the juvenile justice system can lead to punitive outcomes that are out of proportion to the young person’s actions and do nothing to assess or address the underlying circumstances at the root of this misbehavior. With From Courts to Communities: The Right Response to Truancy, Running Away, and Other Status Offenses, Vera’s Center on Youth Justice, supported by funding from the MacArthur Foundation’s Models for Change Resource Center Partnership, aims to raise awareness about status offenses and spur conversations about how to effectively handle these cases by offering promising examples of state and local reform.

Teen Births Are Falling: What’s Going On?

March 14, 2014 Comments off

Teen Births Are Falling: What’s Going On?
Source: Brookings Institution

The United States has experienced a remarkable 52 percent decline in teen childbearing since 1991. Understanding the causes of this decline are important for developing subsequent policies to continue this trend. This decline can be distinguished by two periods. Teen births fell at a rate of 2.5 percent per year between 1991 and 2008; that rate tripled to 7.5 percent per year between 2008 and 2012. We investigate these two periods separately.

United Nations 2013 World Youth Report — Youth & Migration

March 13, 2014 Comments off

United Nations 2013 World Youth Report — Youth & Migration
Source: United Nations

The United Nations 2013 World Youth Report offers a broad understanding of the situation of young migrants from the perspective of young migrants themselves. The report highlights some of the concerns, challenges and successes experienced by young migrants based on their own lives and told in their own voices. The report focuses largely on the phenomena of international migration which increasingly has a significant impact on the origin, transit and destination countries and communities. The consequences are complex, context-specific and subject to change over time. The Report has been drafted in an interactive manner, allowing you to navigate chapters individually.

American Psychological Association Survey Shows Teen Stress Rivals That of Adults

February 12, 2014 Comments off

American Psychological Association Survey Shows Teen Stress Rivals That of Adults
Source: American Psychological Association

American teens report experiences with stress that follow a similar pattern as adults, according to a new survey released today by the American Psychological Association (APA). In fact, during the school year, teens say their stress level is higher than levels reported by adults in the past month. For teens and adults alike, stress has an impact on healthy behaviors like exercising, sleeping well and eating healthy foods.

Findings from Stress in America™: Are Teens Adopting Adults’ Stress Habits?, which was conducted online by Harris Interactive Inc., (on behalf of APA) among 1,950 adults and 1,018 teens in the U.S. in August 2013, suggest that unhealthy behaviors associated with stress may begin manifesting early in people’s lives.

Teens report that their stress level during the school year far exceeds what they believe to be healthy (5.8 versus 3.9 on a 10-point scale) and tops adults’ average reported stress levels (5.8 for teens versus 5.1 for adults). Even during the summer — between Aug. 3 and Aug. 31, 2013, when interviewing took place — teens reported their stress during the past month at levels higher than what they believe is healthy (4.6 versus 3.9 on a 10-point scale). Many teens also report feeling overwhelmed (31 percent) and depressed or sad (30 percent) as a result of stress. More than one-third of teens report fatigue or feeling tired (36 percent) and nearly one-quarter of teens (23 percent) report skipping a meal due to stress.

Despite the impact that stress appears to have on their lives, teens are more likely than adults to report that their stress level has a slight or no impact on their body or physical health (54 percent of teens versus 39 percent of adults) or their mental health (52 percent of teens versus 43 percent of adults).

Increasing socioeconomic disparities in adolescent obesity

February 6, 2014 Comments off

Increasing socioeconomic disparities in adolescent obesity
Source: Proceedings of the National Academy of Sciences

Childhood and youth obesity represent significant US public health challenges. Recent findings that the childhood obesity ‘‘epidemic’’ may have slightly abated have been met with relief from health professionals and popular media. However, we document that the overall trend in youth obesity rates masks a significant and growing class gap between youth from upper and lower socioeconomic status (SES) backgrounds. Until 2002, obesity rates increased at similar rates for all adolescents, but since then, obesity has begun to decline among higher SES youth but continued to increase among lower SES youth. These results underscore the need to target public health interventions to disadvantaged youth who remain at risk, as well as to examine how health information circulates through class-biased channels.

Motor Vehicle Crashes and Injuries Involving Teenage Drivers: Future Directions for Research

February 3, 2014 Comments off

Motor Vehicle Crashes and Injuries Involving Teenage Drivers: Future Directions for Research
Source: Transportation Research Board

This circular includes a summary of the discussions by experts on teenage driving that took place at a 2008 meeting and workshop organized by the TRB Subcommittee on Young Drivers. The meeting and workshop were convened to identify research that is needed to answer the most critical and timely scientific questions about teenage drivers. During the meeting, full-group discussions were intermixed with smaller subgroup deliberations. Each of these sessions involved a particular goal for the participating groups. The intent of this structure was to elicit and discuss as many research-specific issues as the participants considered important for identifying needed research in the young driver field. Participants reviewed ways in which the teenage driver problem has been addressed, how approaches have developed and changed over time, and commented on the past and present status of research in this area. The context and state of existing knowledge led to the identification of the following areas of research as most critical: 1) advancing the science of teenage driving; 2) learning to drive safely: how competence develops; 3) teenage driving exposure issues; 4) parenting issues: how parents influence teenage driving; and 5) passenger issues: how passengers influence teenage driving and crash risk. Following the meeting, members of the planning committee developed potential research topics and specific items for suggested research in the five priority areas. The document is intended to provide both new and veteran researchers with a guide to research questions whose answers are of particular importance for efforts to reduce motor vehicle crashes, injuries, and deaths involving teenage drivers.

Media Influences on Social Outcomes: The Impact of MTV’s 16 and Pregnant on Teen Childbearing

January 15, 2014 Comments off

Media Influences on Social Outcomes: The Impact of MTV’s 16 and Pregnant on Teen Childbearing (PDF)
Source: National Bureau of Economic Research

This paper explores how specific media images affect adolescent attitudes and outcomes. The specific context examined is the widely viewed MTV franchise, 16 and Pregnant, a series of reality TV shows including the Teen Mom sequels, which follow the lives of pregnant teenagers during the end of their pregnancy and early days of motherhood. We investigate whether the show influenced teens’ interest in contraceptive use or abortion, and whether it ultimately altered teen childbearing outcomes. We use data from Google Trends and Twitter to document changes in searches and tweets resulting from the show, Nielsen ratings data to capture geographic variation in viewership, and Vital Statistics birth data to measure changes in teen birth rates. We find that 16 and Pregnant led to more searches and tweets regarding birth control and abortion, and ultimately led to a 5.7 percent reduction in teen births in the 18 months following its introduction. This accounts for around one-third of the overall decline in teen births in the United States during that period.

Functional Impairment in Delinquent Youth

January 13, 2014 Comments off

Functional Impairment in Delinquent Youth (PDF)
Source: Office of Juvenile Justice and Delinquency Prevention

This bulletin is one in a series that presents the results of the Northwestern Juvenile Project—a longitudinal study of youth detained at the Cook County Juvenile Temporary Detention Center in Chicago, IL. The authors present the results of their examination of youth’s functional impairment as assessed 3 years after their release from detention. Key findings include the following:

  • Only 7.5 percent of youth had no notable impairment in functioning.
  • Approximately one of every five youth had markedly impaired functioning.
  • Markedly impaired functioning was much more common in males than in females; however, females were more likely to be severely impaired in the moods/emotions and self-harm domains than males.
  • Among males living in the community, African Americans and Hispanics were more likely to be severely impaired in school and work than non-Hispanic whites.

American teens more cautious about using synthetic drugs

December 19, 2013 Comments off

American teens more cautious about using synthetic drugs (PDF)
Source: University of Michigan (Monitoring the Future)

—The use of synthetic marijuana by the nation’s teens dropped substantially this year, and a sharply increasing proportion of them see great risk in using so-called “bath salts.”

Both of these drugs are synthetics sold over the counter in many outlets such as gas stations and convenience stores, as well as on the Internet. They have been the subject of great concern because of their serious and unpredictable consequences for the user’s health. These and other findings come from the University of Michigan’s Monitoring the Future study, which is funded by the National Institute of Drug Abuse.

Preventing Revictimization in Teen Dating Relationships

December 12, 2013 Comments off

Preventing Revictimization in Teen Dating Relationships (PDF)
Source: National Institute of Justice

Revictimization refers to the occurrence of two or more instances of violence and poses an enormous criminal justice problem . Adolescent girls in the child welfare system are at high risk of revictimization in adolescence. Most interventions with teens have focused on primary prevention (that is, prevention in teens not previously exposed to violence) of physical (usually not sexual) violence. In addition, interventions have frequently targeted youth in school settings, though youth in the child welfare system experience frequent transitions in housing/care that disrupt regular attendance at a single school. Thus, child welfare youth at high risk of revictimization may not receive preve ntion programming as consistently as their peers. Thus, the current study compared two active interventions designed to decrease revictimization in a diverse sample of adolescent girls in the child welfare system. The interventions targeted theoretically distinct risk factors for revictimization. The social learning/feminist (SL/F) intervention focused on concepts derived from social le arning and feminist models of risk, such as sexism and beliefs about relationships. The risk detection/executive function (RD/EF) intervention focused on potential disruptions in the ability to detect and respond to risky situations/people due to problems in executive function.

National Action Alliance for Suicide Prevention Releases Life-Saving Juvenile Justice System Resources

December 3, 2013 Comments off

National Action Alliance for Suicide Prevention Releases Life-Saving Juvenile Justice System Resources (PDF)
Source: National Action Alliance for Suicide Prevention

The National Action Alliance for Suicide Prevention ( Action Alliance) today released a set of comprehensive suicide prevention resources to support professionals who work with youth in the juvenile justice system. The newly developed educational tools advance the National Strategy for Suicide Prevention, which guides efforts to prevent suicide across the nation. Online versions of the nine resources are now available to the juvenile justice workforce and the general public…

Emerging tobacco products gaining popularity among youth

November 15, 2013 Comments off

Emerging tobacco products gaining popularity among youth
Source: Morbidity and Mortality Weekly Report (CDC)

Emerging tobacco products such as e-cigarettes and hookahs are quickly gaining popularity among middle- and high-school students, according to a report in this week’s Morbidity and Mortality Weekly Report.

While use of these newer products increased, there was no significant decline in students’ cigarette smoking or overall tobacco use. Data from the 2012 National Youth Tobacco Survey (NYTS) show that recent electronic cigarette use rose among middle school students from 0.6 percent in 2011 to 1.1 percent in 2012 and among high school students from 1.5 percent to 2.8 percent. Hookah use among high school students rose from 4.1 percent to 5.4 percent from 2011 to 2012.

The report notes that the increase in the use of electronic cigarettes and hookahs could be due to an increase in marketing, availability, and visibility of these tobacco products and the perception that they may be safer alternatives to cigarettes. Electronic cigarettes, hookahs, cigars and certain other new types of tobacco products are not currently subject to FDA regulation. FDA has stated it intends to issue a proposed rule that would deem products meeting the statutory definition of a “tobacco product” to be subject to the Federal Food, Drug, and Cosmetic Act.

+ Tobacco Product Use Among Middle and High School Students — United States, 2011 and 2012

Identifying and Addressing the Needs of Adolescents and Young Adults with Cancer: Workshop Summary

November 14, 2013 Comments off

Identifying and Addressing the Needs of Adolescents and Young Adults with Cancer: Workshop Summary
Source: Institute of Medicine

Identifying and Addressing the Needs of Adolescents and Young Adults with Cancer is the summary of a workshop convened by the Institute of Medicine’s National Cancer Policy Forum in July 2013 to facilitate discussion about gaps and challenges in caring for adolescent and young adult cancer patients and potential strategies and actions to improve the quality of their care. The workshop featured invited presentations from clinicians and other advocates working to improve the care and outcomes for the adolescent and young adult population with cancer.

Cancer is the leading disease-related cause of death in adolescents and young adults. Each year nearly 70,000 people between the ages of 15 and 39 are diagnosed with cancer, approximately 8 times more than children under age 15. This population faces a variety of unique short- and long-term health and psychosocial issues, such as difficulty reentering school, the workforce, or the dating scene; problems with infertility; cardiac, pulmonary, or other treatment repercussions; and secondary malignancies. Survivors are also at increased risk for psychiatric conditions such as anxiety, depression, substance abuse, and suicide and may have difficulty acquiring health insurance and paying for needed care. Identifying and Addressing the Needs of Adolescents and Young Adults with Cancer discusses a variety of topics important to adolescent and young adult patients with cancer, including the ways in which cancers affecting this group differ from cancers in other age groups and what that implies about the best treatments for these cancer patients. This report identifies gaps and challenges in providing optimal care to adolescent and young adult patients with cancer and to discuss potential strategies and actions to address them.


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