“…The pattern of change in rates of smoking between girls in the intervention and comparison groups was more similar. The limited data on primary care interventions for teenage smokers suggest that further attention to this differential effect of the intervention is warranted [22].…”
Section: Discussionmentioning
confidence: 99%
“…Evidence, although mixed, suggests that preventive interventions may show some success in improving adolescent behavior in certain risk areas [22]. Office-based interventions have increased condom use among adolescents, but have not shown significant effects for changing rates of sexual intercourse [23,24]; an intervention to reduce alcohol use resulted in educational benefits, but no reduction in actual use of alcohol [25]; and a safety intervention was unable to detect behavioral changes in seat belt and bicycle helmet use after 3 months [26].…”
“…The pattern of change in rates of smoking between girls in the intervention and comparison groups was more similar. The limited data on primary care interventions for teenage smokers suggest that further attention to this differential effect of the intervention is warranted [22].…”
Section: Discussionmentioning
confidence: 99%
“…Evidence, although mixed, suggests that preventive interventions may show some success in improving adolescent behavior in certain risk areas [22]. Office-based interventions have increased condom use among adolescents, but have not shown significant effects for changing rates of sexual intercourse [23,24]; an intervention to reduce alcohol use resulted in educational benefits, but no reduction in actual use of alcohol [25]; and a safety intervention was unable to detect behavioral changes in seat belt and bicycle helmet use after 3 months [26].…”
“…Furthermore, consistent with clinical preventive screening guidelines (Solberg, Nordin, Bryant, Kristensen, & Maloney, 2009), pediatricians and adolescent medicine doctors should routinely screen adolescents for bullying and substance use behaviors – and this appears to be particularly crucial for youth who present with a transgender or gender nonconforming gender identity. Our findings bolster the recommendations of the American Academy of Pediatrics, which acknowledges the nexus between bullying and substance use by recommending physicians to ask about bullying when children and adolescents present with tobacco, alcohol, and other drug use (Lyznicki, McCaffree, & Robinowitz, 2004).…”
Bullying and substance use represent serious public health issues facing adolescents in the U.S. Few large-sample national studies have examined differences in these indicators by gender identity. The Teen Health and Technology Study (N=5,542) sampled adolescents 13–18 years-old online. Weighted multivariable logistic regression models investigated disparities in substance use and tested a gender minority social stress hypothesis, comparing gender minority youth (i.e., who are transgender/gender nonconforming and have a gender different from their sex assigned at birth) and cisgender (i.e., whose gender identity or expression matches one’s sex assigned at birth). Overall, 11.5% of youth self-identified as gender minority. Gender minority youth had increased odds of past-12 month alcohol use, marijuana use, and non-marijuana illicit drug use. Gender minority youth disproportionately experienced bullying and harassment in the past 12 months, and this victimization was associated with increased odds of all substance use indicators. Bullying mediated the elevated odds of substance use for gender minority youth compared to cisgender adolescents. Findings support the use of gender minority stress perspectives in designing early interventions aimed at addressing the negative health sequelae of bullying and harassment.
“…158 The CDC Advi- The delivery of sexual/reproductive health services is one of the few effective clinical preventive services that can positively affect male adolescents' and young adults' health. 160 However, health care providers miss many opportunities to assess young men's sexual health and deliver STI/HIV services; on average, fewer than one-quarter of male adolescents and young adult men report receiving sexual/reproductive health services compared with more than half of similarly aged female adolescents. 9,10,161,162 Health care providers can use each encounter in the office setting as an opportunity to address the core recommended components of male adolescents' sexual/reproductive health with all male adolescent patients, including the provision of appropriate resources to patients and parents.…”
Section: Role Of the Health Care Provider A Provide Individualizmentioning
Male adolescents' sexual and reproductive health needs often go unmet in the primary care setting. This report discusses specific issues related to male adolescents' sexual and reproductive health care in the context of primary care, including pubertal and sexual development, sexual behavior, consequences of sexual behavior, and methods of preventing sexually transmitted infections (including HIV) and pregnancy. Pediatricians are encouraged to address male adolescent sexual and reproductive health on a regular basis, including taking a sexual history, performing an appropriate examination, providing patient-centered and age-appropriate anticipatory guidance, and delivering appropriate vaccinations. Pediatricians should provide these services to male adolescent patients in a confidential and culturally appropriate manner, promote healthy sexual relationships and responsibility, and involve parents in age-appropriate discussions about sexual health with their sons. Pediatrics 2011;128:e1658-e1676
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.