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Evidence Based Adolescent Health

HPV Immunisation does not promote unsafe sex amongst young people

posted 2 Nov 2018, 02:09 by Damian Wood

http://www.contemporaryobgyn.net/obstetrics-gynecology-womens-health/does-hpv-vaccination-affect-teens-sexual-behavior
There is a belief that young people who are vaccinated for human papillomavirus may practice unsafe sex. Results of a new population-based study in the setting of school-based immunization and education cast doubt on that association. Published in CMAJ, the findings by Canadian investigators are from an analysis of data from nearly 300,000 heterosexual girls. The information was collected on the BC Adolescent Health Survey, a longitudinal provincial survey administered in schools to capture adolescent physical and emotional health indicators.  READ MORE

Adolescent Perspectives on Eczema Treatment

posted 29 Jun 2018, 12:49 by Damian Wood

Kosse and colleagues from Utrecht in the Netherlands have outline young people's views on eczema treatment. They report that Adolescents were in general satisfied with the efficacy of the treatment, however they prefered a faster and more persistent effect. Almost all adolescents developed their own routine in using topical treatment, which often deviated from the proposed medication regimen by the physician. 

In general, they used topical corticosteroids more and longer than prescribed; half of the adolescents used topical corticosteroids every day and did not (always) use emollients or moisturizers on a daily basis. Some of the patients with abundant topical corticosteroids use reported thinner skin as a side effect, however they continued using it. The main reason for everyday use was the (lack of) efficacy when using less. Limited time, forgetting, and indifference were also mentioned as factors for aberrant use. In our study, the adolescents had a lack of knowledge about the treatment and incorrect beliefs about the mechanism of action. Negative experiences with the treatment were stickiness, bad odor, and itchy/burning feeling. The application of topical treatment was not time consuming, ranging from a few to 10 minutes; however, adolescents mentioned that the dermal absorption was slow and did not always fit with their busy schedules, eg, rushing in the morning to get to school.

Most adolescents had little contact with their physician and the advice on how to use topical corticosteroids (in combination with emollients or moisturizers) differed between clinicians; general practitioner, dermatologist, and pharmacist. Some adolescents (with less severe symptoms) visited a physician only once and received repeat prescriptions without a physician visit, whereas others regularly visited their dermatologist or general practitioner. Most adolescents forgot the information they received at the start of treatment; however, at the time of the focus group they did not feel a need for additional information.

Mainly practical issues were mentioned as suggestion to improve treatment: a faster dermal absorption; oral treatment; test samples; a demonstration on how to use topical corticosteroids at the start of treatment; follow-up visits with the physician, in particular at start of treatment; shorter (digital) information leaflet; other packaging (jar or plastic tube); and (online) contact with peers was preferred during early adolescence.

HEADS4: Social Media Screening in Primary Care

posted 29 Jun 2018, 12:37 by Damian Wood   [ updated 29 Jun 2018, 12:51 ]

A paper published by Clark and colleagues in Paediatrics suggests the following additional questions to HEADSSS to engage adolescents aged >11 years in a discussion about the role of social media in their lives.

1. Which social media sites/apps do you use on a regular basis?
2. On a typical day, how much time do you spend on social media sites/apps?
3. Do you think you use social media too much?
4. Does viewing social media increase or decrease your self-confidence?
5. Have you experienced cyberbullying, sexting, or someone online asking you to have sex with them?

HEADS4: Social Media Screening in Adolescent Primary Care
Danielle L. Clark, Jean L. Raphael, Amy L. McGuire
Pediatrics May 2018, e20173655; DOI: 10.1542/peds.2017-3655

Remember the HEEADSSS training app (from YPHSIG) was launched at the recent RCPCH meeting in March and is available to download for free at https://app.appinstitute.com/heeadsss

Rates of adolescent pertussis increasing despite vaccination

posted 16 Jun 2018, 14:15 by Damian Wood   [ updated 17 Jun 2018, 01:45 ]

Rates of adolescent pertussis disease are increasing despite high Tdap vaccine coverage. The present study shows that Tdap protection decreases significantly within 2 years of receipt regardless of type of childhood primary vaccine. READ MORE

Article courtesy of SAHM Adolescent Health News Round Up

Daily screen time use associated with sleep difficulties in adolescents

posted 16 Jun 2018, 13:50 by Damian Wood   [ updated 17 Jun 2018, 01:47 ]

The American Academy of Sleep Medicine report that preliminary results from a new study indicate that greater amounts of daily screen time are associated with more insomnia symptoms and shorter sleep duration among adolescents. Results show that for social messaging, web surfing and TV/movie watching, insomnia symptoms and sleep duration fully explained the association between screen-based activities and depressive symptoms. READ MORE

Article Courtesy of SAHM Adolescent Health News Round Up

How many young people are seeing unwanted sexual material online?

posted 16 Jun 2018, 13:46 by Damian Wood   [ updated 17 Jun 2018, 01:42 ]

A new study in the Journal of Adolescent Health, reports that 1 in 5 youths are seeing unwanted sexual material online — and 1 in 9 are getting unwanted requests for sexual material from their peers or adults. READ MORE in this article from Time Magazine or access the study from the Journal of Adolescent Health.

Article courtesy of SAHM Adolescent Health News Round Up

Coming of age: the emerging science of adolescence

posted 24 Feb 2018, 13:50 by Damian Wood

A collection of review articles from Nature, Nature Research journals and Scientific American, explore the science of adolescence through multiple lenses, from neuroscience to policy and clinical medicine.


Including Young People enhances Patient Experience Surveys

posted 16 Feb 2018, 15:42 by Damian Wood

Dougal Hargreaves and colleagues publish their findings from a cross sectional analysis of a national patient survey in Arch Dis Child. Their results show that Including CYP (8–15 years) in patient experience surveys is feasible and enhances what is known from parents’ responses.

Majority of irregular menstrual cycles in adolescence are ovulatory

posted 16 Feb 2018, 15:32 by Damian Wood

Alexia Pena and colleagues present the findings of a prospective study of 40 caucasian Western Australian adolescents with irregular menstrual cycles. The study showed through menstrual diaries and urinary markers of ovulation that 80% of the girls ovulated within a three month period and that cycle duration ranged from 24 to 38 days. Thus busting the myth that irregular menstruation is a marker of anovulation.

The ethics of participation

posted 16 Feb 2018, 15:19 by Damian Wood

Sarah Jane Mitchell and colleagues writing in Archives of Disease in Childhood Education and Practice explore the ethical issues surrounding the involvement of young people in research and quality improvement and provide a framework which can be adapted to a range of contexts.

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