The Journal of adolescent health : official publication of the Society for Adolescent Medicine
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Randomized Controlled Trial
A sex risk reduction text-message program for young adult females discharged from the emergency department.
To pilot test a text message (SMS) sex risk reduction program among at-risk young adult female patients discharged from an emergency department (ED). ⋯ SMS programs may be useful to reduce risk for sexually transmitted diseases among at-risk young adults being discharged from the ED. Future trials should examine ways to improve adherence to SMS dialog over time and measure objective outcomes in a larger sample.
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To determine the effect of a standardized 6-week self-defense program on the incidence of sexual assault in adolescent high school girls in an urban slum in Nairobi, Kenya. ⋯ A standardized 6-week self-defense program is effective in reducing the incidence of sexual assault in slum-dwelling high school girls in Nairobi, Kenya.
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Although both vaccines are designed to prevent human papillomavirus (HPV) infection, HPV2 and HPV4 have different indications. This study sought to determine HPV and HPV vaccine knowledge among providers and examine factors affecting HPV vaccine delivery. ⋯ This study demonstrates that adolescent medicine providers, in particular, are knowledgeable about HPV and HPV vaccines. They reported routinely offering HPV vaccine to male patients during the time before the recent change in recommendation for universal, routine HPV vaccination of males by the Advisory Committee on Immunization Practices.
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In 2002, the Centers for Disease Control and Prevention (CDC) broadened the pelvic inflammatory disease (PID) diagnostic criteria to increase detection and prevent serious sequelae of untreated PID. The impact of this change on PID detection is unknown. Our objectives were to estimate trends in PID diagnosis among adolescent emergency department (ED) patients before and after the revised CDC definition and to identify factors associated with PID diagnoses. ⋯ Despite broadened CDC diagnostic criteria, PID diagnoses did not increase over time. This raises concern about awareness and incorporation of the new guidelines into clinical practice.
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The current study examines the prevalence and demographic correlates of self-reported substance use and identifies subgroups of polysubstance users among a cohort of United States 10th-grade students. ⋯ The findings from this national study of 10th-grade students indicate high rates of substance and polysubstance use. The high level of depressive and somatic symptoms among polysubstance users indicates the need for mental health screening and referral.