Objective: Engaging youth in planning, developing, and implementing substance misuse prevention efforts can improve those efforts. However, specific local policies and systems constrain youth engagement practice. This study examines how to engage youth in substance misuse prevention within state prevention systems. Methods: In the qualitative study, semi-structured interviews with 13 prevention providers in the North Carolina prevention system were conducted via video call and transcribed and analyzed via thematic and codebook approaches. Procedures are reported according to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Results: Providers viewed youth engagement favorably yet mostly did not differentiate between youth-targeted prevention initiatives and youth-engaged initiatives. Findings reveal how state-level decisions, such as definitions and funding policies, support and challenge how providers implement youth engagement. Conclusions: To encourage youth engagement, state prevention systems should clarify for providers the distinction between prevention efforts targeted to youth and those that engage youth in planning and implementing and define which activities are desirable and what the role of youth should be in the activities. Finally, prevention providers need support for youth-engaged approaches to prevention, specifically training for youth and adult allies and opportunities for knowledge-sharing.
El vitíligo es una enfermedad dermatológica frecuente que afecta a alrededor del 1% de la población mundial. Aunque no es considerada una enfermedad con riesgo de morbimortalidad elevado, se ha evidenciado que puede asociarse con manifestaciones psicopatológicas diversas que pudieran ser una consecuencia de la misma. En el presente artículo se lleva a cabo una revisión de las evidencias actuales sobre la relación existente entre el vitíligo, los parámetros definitorios de calidad de vida, la presencia de trastornos afectivos y el posible vínculo con el aumento del riesgo de ideación suicida. Es claro que la identificación de los factores de riesgo es de suma utilidad para que los profesionales de la dermatología puedan detectar pacientes que deban ser manejados psicológicamente de manera concomitante.
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