Sample records for adolescent girls outcome

  1. Late Adolescent and Young Adult Outcomes of Girls Diagnosed with ADHD in Childhood: An Exploratory Investigation (United States)

    Babinski, Dara E.; Pelham, William E., Jr.; Molina, Brooke S. G.; Gnagy, Elizabeth M.; Waschbusch, Daniel A.; Yu, Jihnhee; MacLean, Michael G.; Wymbs, Brian T.; Sibley, Margaret H.; Biswas, Aparajita; Robb, Jessica A.; Karch, Kathryn M.


    Objective: To characterize the late adolescent and young adult outcomes of girls diagnosed with ADHD in childhood. Method: The study included 58 women from a larger longitudinal study of ADHD. A total of 34 (M = 19.97 years old) met "DSM" criteria for ADHD in childhood, whereas the remaining 24 (M = 19.83 years old) did not. Self- and…

  2. Menstrual hygiene among adolescent girls

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    Rakesh Sharma


    Full Text Available Background: Menstruation and menstrual practices are still clouded by taboos and socio-cultural restrictions resulting in adolescent girls remaining ignorant of the scientific facts and hygienic health practices, which sometimes result into adverse health outcomes. Objective: To assess knowledge and practice regarding menstrual hygiene before and after teaching program among adolescent girls. Materials and Methods: A true experimental study was conducted among 50 adolescent girls of a secondary school situated in the Bhaniyawala of Dehradun district, Uttarakhand, with the help of a pre-designed and pre-tested questionnaire. Participants were randomly assigned into control (n=25 and experimental group (n=25. Adolescent girls from both groups were assessed for knowledge and practice regarding menstrual hygiene on day 1 and on 15th day.  Participants of experimental group were administered educational programme regarding menstrual hygiene on day 1 after assessment for knowledge and practice regarding menstrual hygiene. Data were analysed statistically by simple proportions. Results: The mean age of the adolescent girl was 13.88± 1.5 and age of menarche 12.74±0.98. Out of 50, 32 (64% mothers’ of adolescent girls were educated at graduate level.  The mean pre-test knowledge and practice in experimental group 8.04±1.54, 3.52±1.0 and control group 8.02±2.0, 3.24±1.0 respectively. The level of knowledge and practice regarding menstrual hygiene of subjects who participated in educational program was significantly better than that of the control group. Conclusions: Menstrual hygiene, a very important risk factor for reproductive tract infections, is a vital aspect of health education for adolescent girls. Educational television programmes, trained school nurses/health personnel, motivated school teachers and knowledgeable parents can play a very important role in transmitting the vital message of correct menstrual hygiene to the adolescent girl

  3. One-year outcome and incidence of anorexia nervosa and restrictive eating disorders among adolescent girls treated as out-patients in a family-based setting. (United States)

    Rosling, Agneta; Salonen Ros, Helena; Swenne, Ingemar


    Aims To study the 1-year outcome and to analyse predictors of outcome of a cohort of adolescent girls with anorexia nervosa (AN) or restrictive eating disorders not otherwise specified (EDNOSr) treated as out-patients in a family-based programme at a specialized eating disorder service. To calculate the incidence of anorexia nervosa among treatment-seeking girls younger than 18 in Uppsala County from 2004 to 2006. Methods A total of 168 female patients were offered treatment, and 141 were followed-up 1 year after starting treatment, 29 with AN and 112 with EDNOSr. Results Of the 29 girls who initially had AN, 6 (20%) had a good outcome and were free of any form of eating disorder at follow-up; only 1 (3%) had AN. Of the patients with EDNOSr, 54 (48%) had a good outcome and were free of eating disorders. Three (3%) had a poor outcome and had developed AN. The incidence of AN was 18/100,000 person-years in girls younger than 12 and 63/100,000 in girls younger than 18. Conclusion Restrictive eating disorders, including AN, in children and adolescents can be successfully treated in a family-based specialized out-patient service without in-patient care.

  4. Childhood signs of ADHD and psychosocial outcomes in adolescence : a longitudinal study of boys and girls



    Childhood neurodevelopmental problems (NDPs; encompassing attention deficit hyperactivity disorder [ADHD], autism spectrum disorder [ASD], tic disorder [TD], learning disorder [LD], and developmental coordination disorder [DCD]), affect around 10% of children worldwide. ADHD is the most common disorder, with an estimated prevalence between 5 and 10%. Based on its relatively high prevalence and associated impairments and adverse outcomes, ADHD is considered a major public health...

  5. Menstrual hygiene: How hygienic is the adolescent girl?

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    Dasgupta A


    Full Text Available Background: Menstruation and menstrual practices are still clouded by taboos and socio-cultural restrictions resulting in adolescent girls remaining ignorant of the scientific facts and hygienic health practices, which sometimes result into adverse health outcomes. Objectives: (i To elicit the beliefs, conception and source of information regarding menstruation among the study population and (ii to find out the status of menstrual hygiene among adolescent girls. Materials and Methods: A descriptive, cross-sectional study was conducted among 160 adolescent girls of a secondary school situated in the field practice area of Rural Health Unit and Training Center, Singur, West Bengal, with the help of a pre-designed and pre-tested questionnaire. Data were analyzed statistically by simple proportions. Results: Out of 160 respondents, 108 (67.5% girls were aware about menstruation prior to attainment of menarche. Mother was the first informant regarding menstruation in case of 60 (37.5% girls. One hundred and thirty-eight (86.25% girls believed it as a physiological process. Seventy-eight (48.75% girls knew the use of sanitary pad during menstruation. Regarding practices, only 18 (11.25% girls used sanitary pads during menstruation. For cleaning purpose, 156 (97.5% girls used both soap and water. Regarding restrictions practiced, 136 (85% girls practised different restrictions during menstruation. Conclusions: Menstrual hygiene, a very important risk factor for reproductive tract infections, is a vital aspect of health education for adolescent girls. Educational television programmes, trained school nurses/health personnel, motivated school teachers and knowledgeable parents can play a very important role in transmitting the vital message of correct menstrual hygiene to the adolescent girl of today.

  6. Perceived Experiences with Sexism among Adolescent Girls (United States)

    Leaper, Campbell; Brown, Christia Spears


    This study investigated predictors of adolescent girls' experiences with sexism and feminism. Girls (N = 600; M = 15.1 years, range = 12-18), of varied socioeconomic and ethnic backgrounds, completed surveys of personal experiences with sexual harassment, academic sexism (regarding science, math, and computer technology), and athletics. Most girls…

  7. Nutrient intake amongst rural adolescent girls of Wardha

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    Maliye C


    Full Text Available Objective: To assess the nutrient intake of rural adolescent girls. Materials and Methods: The cross-sectional study was carried in four adopted villages of the Department of Community Medicine, M.G.I.M.S., Sewagram. A household survey was carried out in the villages. A list of all the adolescent girls in the age group of 10-19 years was prepared by enumeration through house-to-house visit. All adolescent girls were included in the study. A pre-designed and pre-tested questionnaire was used to collect data on socio-demographic variables and anthropometric variables. A 24 h recall method was used to assess nutrient intake. Data generated was entered and analyzed using epi_info 2000. Nutrient intake was compared with ICMR Recommended Dietary Allowances. Nutritional status was assessed by BMI for age. Results: The mean height of the adolescent girls was 142.9 cm. Overall, 57% of the adolescents were thin (BMI for age <5 th percentile for CDC 2000 reference and 43% of the adolescents were normal (BMI for age between 5 th - 85 th percentile for CDC 2000 reference. The average energy intake, which was 1239.6±176.4 kcal/day, was deficient of RDA by 39%. The average protein intake was 39.5±7 gm/day. It was deficient by 36% and the average iron intake, which was 13.2±2.5 mg/day, was deficient by 48%. Conclusion: The findings reiterate the dietary deficiency among adolescent girls which adversely affects the nutritional status. If the poor nutritional status is not corrected promptly before they become pregnant, it adversely affects the reproductive outcome. If we have to meet out the goals of Reproductive and Child Health Program, intervention strategies to improve the dietary intake of adolescent girls are needed so that their requirements of energy, protein, vitamins and minerals are met.

  8. Personality and adolescent pregnancy outcomes (United States)

    Harville, Emily W.; Madkour, Aubrey Spriggs; Xie, Yiqiong


    Aims To examine the relationship between personality, pregnancy and birth outcomes in adolescents Background Personality has been shown to be a strong predictor of many health outcomes. Adolescents who become pregnant have worse birth outcomes than adults. Design Cross-sectional study using data from the National Longitudinal Study of Adolescent Health (baseline, 1994-1995; follow-up, 2007-2008). Methods The study sample was 6529 girls, 820 of whom reported on pregnancy outcomes for a teenage birth. Personality data was taken from the Mini International Personality Item Pool personality tool, which measures the five-factor personality traits of neuroticism, conscientiousness, intellect/imagination, extraversion and agreeableness. Logistic regression was used to predict teen pregnancy and linear regression was used to predict birth weight and gestational age with adjustment for confounders and stratification by race. Results Agreeableness and intellect/imagination were associated with a reduced likelihood of becoming pregnant as an adolescent, while neuroticism, conscientiousness and extraversion were all associated with an increased likelihood of becoming pregnant. Higher neuroticism was associated with lower birth weight and gestational age among Black girls, but not non-Black. Conscientiousness was associated with lower gestational age among non-Black girls. No relationships were found with extraversion or agreeableness and birth outcomes. Receiving late or no prenatal care was associated with higher intellect/imagination. Conclusions Personality is understudied with respect to pregnancy and birth outcomes compared with other health outcomes. Such research could help professionals and clinicians design and target programs that best fit the characteristics of the population most likely to need them, such as those with high neuroticism. PMID:25040691

  9. How Israeli social workers perceive adolescent girls in prostitution. (United States)

    Peled, Einat; Lugasi, Reut


    The phenomenon of girls in prostitution poses great challenges to professionals who work with adolescent girls at risk and in distress. Prostitution is socially stigmatized and seen as something shameful. However, current theory and research show adolescent girls in prostitution to be victims of violence, exploitation and trauma. This naturalistic qualitative study examined the views of 15 social workers at six Adolescent Girls Treatment Units in Israel on prostitution and on adolescent girls in prostitution. Data was collected through in-depth semi-structured interviews. The participants struggled to link the term "prostitution" with the adolescent girls in their care. The findings explore the source this perceived conflict, and its manifestation in the participants' professional intervention with the girls. The discussion examines the participants' professional discourse about adolescent girls in prostitution, and offers explanations for their difficulty in associating the adolescent girls in their care with prostitution.

  10. Late Adolescent Girls' Sexual Experiences and Sexual Satisfaction (United States)

    Impett, Emily A.; Tolman, Deborah L.


    This study presented and tested a model of sexual satisfaction for late adolescent girls. In this model, sexual self-concept and approach sexual motives were tested as predictors of adolescent girls' sexual satisfaction with their most recent experience of sexual intercourse. A total of 116 girls in 12th grade (ages 16-19) completed measures of…

  11. Diagnosis and Management of Polycystic Ovary Syndrome in Adolescent Girls. (United States)

    Lanzo, Erin; Monge, Maria; Trent, Maria


    Polycystic ovary syndrome (PCOS) is a common endocrine disorder in adolescent girls that has both reproductive and metabolic implications. Patients with PCOS typically present to their pediatrician for evaluation of menstrual irregularity and/or signs of hyperandrogenism, such as hirsutism and acne. The diagnosis of PCOS is made by clinical symptoms and laboratory evaluation. Because of the long-term health consequences that can accompany the disorder, pediatricians should consider PCOS in their initial evaluation of menstrual irregularity. Lifestyle modification is the cornerstone of treatment for girls with PCOS; however, hormonal medication such as oral contraceptive pills and insulin-sensitizing agents are useful and effective adjuncts to therapy. The goals of treatment for girls with PCOS are to improve clinical manifestations of the disorder, health-related quality of life, and long-term health outcomes.

  12. Body Weight Concerns among Urban Adolescent Girls: A Microlevel Study

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    Susmita Mukhopadhyay


    Full Text Available Growing consciousness about ideal body image leads to dietary modifications and consequent eating disorders among girls in developing countries like India. The present study aims to (i assess the prevalence of body weight consciousness and related behaviours among a group of adolescent girls; (ii assess the sociodemographic correlates of weight related behaviours; and (iii compare weight related behaviours of the girls of two religious groups residing in Howrah. The study is the outcome of a cross-sectional school based survey involving 280 (159 Hindu and 121 Muslim girls from standards 8 to 11. Significant differences exist between two religious groups with respect to their family size, socioeconomic profile, and media exposures (in terms of watching television. Consciousness about body weight among girls shows significant difference with respect to religion, family size (χ2=64.77, father’s occupation (χ2=60.28, level of education of both the parents, and media exposure (P<0.05. Consciousness about body weight drives them to adopt several behavioural measures like calorie restriction, food avoidance, and dieting. Sociodemographic correlates of all these behaviours have been analyzed. The study documents that concern over body image and weight loss is quite important among these urban girls.



    Guiot, Denis


    International audience; Until now, the concept of subjective age has only been used to segment the mature market. Research on consumer behavior has shown the effects of a youthful bias, the tendency to see oneself as younger. Using a conceptual framework based on self-concept, social comparison, and symbolic consumption, this research proposes to characterize the antecedents and the effects of an analogous but opposed tendency: an older bias among adolescent girls. An empirical study carried ...

  14. Promoting the menstrual health of adolescent girls in China. (United States)

    Su, Jing Jing; Lindell, Deborah


    In China, nurses have limited presence in schools, thus, adolescent girls often lack accurate information about menstrual health, which may lead to incorrect and unhealthy menstrual-related behavior. This study investigated the effects of a culturally and developmentally tailored nursing intervention on the menstrual health of adolescent girls in China. Following institutional review board approval, adolescent girls aged 12-15 were recruited from two schools. A quasi-experimental, pretest-posttest design examined the effects of five interactive education sessions on menstrual health. The final sample included 116 adolescent girls. Significant improvement was observed in the intervention group regarding menstrual knowledge, confidence in performing menstrual healthcare behavior, and dysmenorrhea related self-care behavior. A nurse-managed education program improved adolescent girls' menstrual knowledge, promoted a more positive attitude, encouraged confidence, and improved pain relief practice. We recommend that professional nurses globally advocate for school nursing and routine menstrual health education for adolescent girls.

  15. Interpersonal influences on late adolescent girls' and boys' disordered eating. (United States)

    Shomaker, Lauren B; Furman, Wyndol


    Perceived socio-cultural pressure to be thin has an important impact on disordered eating during early and middle adolescence, but less is known about late adolescence. Most prospective studies included only girls, and less is known about the influence on boys. This study investigated interpersonal influences on changes in late adolescent boys' and girls' symptoms of disordered eating over one year. Participants were a community sample of late adolescents 16-19 years of age (N=199; 49.75% girls), their mothers, and friends. Structural equation modeling revealed that interpersonal pressure to be thin and criticism about appearance predicted increases in disordered eating over time. Late adolescents', mothers' and friends' reports of pressure were associated with disordered eating at Time 1 and Time 2. Further, adolescents' perceptions and friends' reports of pressure to be thin predicted changes in disordered eating over time. Findings underscore the significance of interpersonal relationships for disordered eating during late adolescence in both girls and boys.

  16. Perceptions of Slimming and Healthiness among Norwegian Adolescent Girls (United States)

    Hjelkrem, Kristiane; Lien, Nanna; Wandel, Margareta


    Objective: To explore what adolescent girls mean when they talk about healthiness and slimming, as well as the distinction between the 2 concepts. Design: Data was collected by the use of 8 focus groups, each with 5-9 adolescent girls. Setting: Four different schools in Oslo and 2 other municipalities in Norway in 2006-2007. Participants:…

  17. Promoting Resiliency in Adolescent Girls through Adventure Programming (United States)

    Whittington, Anja; Aspelmeier, Jeffery E.; Budbill, Nadine W.


    This study examined whether participation in an adventure program increased the resiliency of adolescent girls. Eighty-seven girls who participated in Dirt Divas, a non-profit, adventure program, completed the Resiliency Scale for Children and Adolescents® before and after their experience. Means-comparison tests for within-subjects designs were…

  18. Obesity among Black Adolescent Girls: Genetic, Psychosocial, and Cultural Influences (United States)

    Alleyne, Sylvan I.; LaPoint, Velma


    This article focuses on the causes, consequences, and prevention of obesity among a subgroup of the American population, Black adolescent girls. Using an ecological perspective on obesity among Black adolescent girls, including feminist-womanist perspectives and historical and medical sociological perspectives, the authors discuss genetic,…

  19. Understanding and Responding to Adolescent Girls' Online Cruelty (United States)

    Sokal, Laura


    Many school counsellors have identified "cyber-bullying" among adolescent girls as a growing concern. In order to respond to this issue, this article begins with a new model of cyber-communications from the unique perspective of adolescent girls. Next, it explores the limitations of responding to this model, based on current understandings of…

  20. After-School Physical Activity Programs for Adolescent Girls. (United States)

    Watson, Doris L.; Poczwaradowski, Artur; Eisenman, Pat


    Describes adolescent girls' responses to an after-school physical activity program, examining how it functioned as a listening tool within a social marketing approach to promoting physical activity. Focus groups and interviews indicated that girls enjoyed and valued the program. Though the program did not increase girls' physical activity levels,…

  1. Acculturation and Eating Disorder Symptoms in Adolescent Girls. (United States)

    Gowen, L. Kris; Hayward, Chris; Killen, Joel D.; Robinson, Thomas N.; Taylor, C. Barr


    Examined relationship between acculturation and eating-disorder symptoms in normative samples of 920 adolescents girls of high school age. Found that acculturation was positively associated with structured-interview defined partial syndrome eating disorders in Hispanic girls, but not in Asian or European-American girls. There was no relation…

  2. Fruit and vegetable intake : Few adolescent girls meet national guidelines

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    Striegel-Moore, RH; Thompson, DR; Affenito, SG; Franko, DL; Barton, BA; Schreiber, GB; Daniels, [No Value; Schmidt, M; Crawford, PB


    Objective. To examine longitudinal changes in daily fruit and vegetable consumption among black and white adolescent girls and calculate the percent of girls who met the Healthy People 2010 recommendations. Methods. Girls (1186 black and 1126 white) who participated in the National Heart, Lung, and

  3. A Nutrition Education Intervention Trial for Adolescent Girls in Isfahan: Study Design and Protocol

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    Morvarid Ghasab Shirazi


    Full Text Available BackgroundNutrition behaviors of adolescent girls is of serious health concerns. Although nutrition education interventions in Iran have met with some success, most of them could not promote nutrition behavioral changes. The aim of our study is to determine a school-based nutrition education intervention to improve adolescents’ nutrition behaviors and behavioral mediators based on the social cognitive theory (SCT.Materials and MethodsThis study is a single-blind randomized controlled trial. Eligible participants will be all student girls in grade 6 and 7, their parents and teachers in Isfahan governmental schools. This multi com­ponent school-based intervention include adolescents’ nutrition education package, parents’ nutrition massages, participatory homework, parents and teachers nutrition education package, supportive group, and collaboration with decision makers. Changing in nutrition behaviors including breakfast, fruit and vegetable, snack and fast food consumption will be examined, as primary outcome. Secondary outcome will be behavioral mediators such as knowledge, self-efficacy, intention, situation, self-regulation, social support, outcome expectations and expectancies, in adolescent girls. The outcomes will be assessed at baseline, and after 3 and 6-month follow-up.DiscussionThis study evaluates a school-based, guided SCT intervention, designed to improve healthy dietary behaviors, nutrition knowledge of adolescent girls. Few behavioral interventions have targeted this high-risk population in Iran. The intervention seems to be promising and has the potential to bridge the gap of the limited program outcomes of nutrition education in Iranian adolescents.

  4. Friendships and suicidality among Mexican American adolescent girls and boys. (United States)

    Winterrowd, Erin; Canetto, Silvia Sara; Chavez, Ernest L


    Friendship factors have been implicated in adolescent suicidality, but this relationship has not been verified across ethnicities. This study examined suicidality and friendship problems (i.e., social isolation, poor friendship quality, friends' school disconnection, and friends' delinquency) among Mexican American adolescents, an understudied, vulnerable group in terms of suicidality. Three hundred thirty-eight community adolescents, two-thirds of whom were educationally at-risk, participated in the study. Suicidal ideation and behavior rates were high, particularly among girls. Friends' school disconnectedness increased girls' odds for suicidal ideation by 13%. This association was even greater for girls in good academic standing. Friendship problems were not associated with suicidality in boys. Ethnic identity was a minor factor in suicidal ideation, and only for girls. These findings confirm, among Mexican American adolescents, the role of gender in the relationship between friendship and suicidality.

  5. Sexual Violence Against Adolescent Girls: Labeling It to Avoid Normalization. (United States)

    Barbara, Giussy; Collini, Federica; Cattaneo, Cristina; Facchin, Federica; Vercellini, Paolo; Chiappa, Laura; Kustermann, Alessandra


    Violence against women is a pervasive complex phenomenon that destroys women's feelings of love, trust, and self-esteem. In this commentary, we specifically focus on sexual violence against adolescent girls, whose impact is particularly harmful since it may lead to impaired mental health, social functioning, and neurodevelopment. Between 12% and 25% of adolescent girls throughout the world experience sexual violence, very often perpetrated by a family member or a friend. Moreover, for an alarming proportion of girls, the first sexual experience is coerced. In this article, we review the multiple negative effects of sexual violence against adolescent girls. We also report data derived from our practice in a public Italian referral Centre for Sexual and Domestic Violence (SVSeD) and address the importance of a multidisciplinary clinical approach with adolescent victims of sexual violence.

  6. Adolescent Girls and Exercise: Too Much of a Struggle? (United States)

    Orme, Judy


    Based on a British study of exercise among girls ages 14-15, the article identifies influences and constraints affecting their physical activity levels in and out of school. Interviews with adolescent girls indicated a scope for developing more appropriate ways to encourage physical activity and facilitate the process. (SM)

  7. Psychological Empowerment and Adolescent Girls' Aspirations in India


    Roy, Sanchari; Morton, Matthew; Bhattacharya, Shrayana


    This paper studies the role of social-emotional or psychological capital in determining the education and employment aspirations of adolescent girls and young women in India. The study finds that girls' self-efficacy and mental health are important determinants of their educational and employment aspirations, suggesting that these hidden forms of human capital may serve as critical targets...

  8. Social Cognition in Adolescent Girls with Fragile X Syndrome (United States)

    Turkstra, Lyn S.; Abbeduto, Leonard; Meulenbroek, Peter


    This study aimed to characterize social cognition, executive functions (EFs), and everyday social functioning in adolescent girls with fragile X syndrome, and identify relationships among these variables. Participants were 20 girls with FXS and 20 age-matched typically developing peers. Results showed significant between-groups differences in…

  9. Longitudinal correlates of change in blood pressure in adolescent girls

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    Daniels, [No Value; McMahon, RP; Obarzanek, E; Waclawiw, MA; Similo, SL; Biro, FM; Schreiber, GB; Kimm, SYS; Morrison, JA; Barton, BA


    The objective of this study was to assess the longitudinal changes in blood pressure in black and white adolescent girls and evaluate potential determinants of changes in blood pressure, including sexual maturation and body size. A total of 1213 black and 1166 white girls, ages 9 or 10 years at stud

  10. Reviving Ophelia: Saving the Selves of Adolescent Girls. (United States)

    Pipher, Mary

    More American adolescent girls today are prey to depression, eating disorders, addictions, and suicide attempts than ever before. This book is an exploration of the underlying causes of this disturbing phenomena, structured around therapy case studies of various teenage girls. The position is taken that despite the women's movement, adolescent…

  11. Never-pregnant African American adolescent girls' perceptions of adolescent pregnancy. (United States)

    Childs, Gwendolyn D; Knight, Candace; White, Reashanda


    Despite the decrease in adolescent pregnancy rates, rates among African American girls remain higher than other racial/ethnic adolescent groups. This descriptive qualitative study explored never-pregnant African American adolescent girls' perceptions about adolescent pregnancy. Sixty-four participants participated in individual interviews and focus groups. Individual interviews examined beliefs about adolescent pregnancy and perceptions of life changes resulting from becoming pregnant during adolescence. Focus groups were held to validate findings from the interviews. Participants agreed that becoming pregnant during adolescence would negatively impact their education, family, and peers. Participants anticipated feelings of shame and embarrassment in the event that they became pregnant.

  12. Creating Spaces for Black Adolescent Girls to "Write It Out!" (United States)

    Muhammad, Gholnecsar E.


    Identity and literacy development are two critical processes shaping the life trajectories of adolescents. Identity development in particular can present unique issues for Black adolescent girls, who are positioned in ways to negotiate their identity(ies) when presented with hegemonic language and representations of what is beauty and what is…

  13. Television Images and Adolescent Girls' Body Image Disturbance. (United States)

    Botta, Renee A.


    Contributes to scholarship on the effects of media images on adolescents, using social-comparison theory and critical-viewing theory. Finds that media do have an impact on body-image disturbance. Suggests that body-image processing is the key to understanding how television images affect adolescent girls' body-image attitudes and behaviors. (SR)

  14. Beyond Screen Time: Assessing Recreational Sedentary Behavior among Adolescent Girls

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    Katherine W. Bauer


    Full Text Available Most studies of sedentary behavior have focused on television use or screen time. This study aims to examine adolescent girls' participation in a variety of recreational sedentary behaviors (e.g., talking on the phone and hanging around, and their association with physical activity (PA, dietary behaviors, and body mass index. Data were from a sample of 283 adolescent girls. Recreational sedentary behavior, PA, and dietary behaviors were self-reported, and girls' height and weight were measured. Over 95% of girls engaged in at least one recreational sedentary behavior during the recall period. Watching television and hanging around were the most common behaviors. Watching television, using the Internet, and hanging around were associated with less PA; watching television, hanging around, and talking on the phone were associated with less healthful dietary behaviors. No associations were found with body mass index. Interventions may benefit from capitalizing on and intervening upon girls' common recreational sedentary behaviors.

  15. Why do Adolescent Girls Idolize Male Celebrities? (United States)

    Engle, Yuna; Kasser, Tim


    Girls often idolize male celebrities, but this phenomenon has been studied little. The authors therefore assessed celebrity idolization among 142 junior high school girls and found that girls who strongly idolized a male celebrity had more experience dating, reported secure and preoccupied attachments to same-age boys, and were rated higher in…

  16. Linkages between childhood executive functioning and adolescent social functioning and psychopathology in girls with ADHD. (United States)

    Rinsky, Jenna R; Hinshaw, Stephen P


    We followed an ethnically and socioeconomically diverse sample of preadolescent girls with ADHD (n = 140) and matched comparison girls (n = 88) over a period of 5 years, from middle childhood through early/midadolescence, with the aim of determining whether childhood levels of executive function (EF) would predict adolescent multi-informant outcomes of social functioning and psychopathology, including comorbidity between externalizing and internalizing symptomatology. Predictors were well-established measures of planning, response inhibition, and working memory, along with a control measure of fine motor control. Independent of ADHD versus comparison group status, (a) childhood planning and response inhibition predicted adolescent social functioning and (b) childhood planning predicted comorbid internalizing/externalizing disorders in adolescence. Subgroup status (ADHD-Combined, ADHD-Inattentive, and comparison) moderated the relationship between childhood planning and adolescent internalizing/externalizing comorbidity, with the combined type revealing particularly strong associations between baseline planning and adolescent comorbidity. Mediation analyses indicated that adolescent social functioning mediated the prediction from childhood EF to comorbidity at follow-up; in turn, in the girls with ADHD, adolescent comorbidity mediated the prediction from childhood EF to social functioning at follow-up. We conclude that childhood interventions should target EF impairments in addition to behavioral symptoms.

  17. Sparking connections: An exploration of adolescent girls' relationships with science (United States)

    Wheeler, Kathryn A.

    Despite progress in narrowing the gender gap, fewer women than men pursue science careers. Adolescence is a critical age when girls' science interest is sparked or smothered. Prior research provides data on who drops out of the "science pipeline" and when, but few studies examine why and how girls disconnect from science. This thesis is an in-depth exploratory study of adolescent girls' relationships with science based on a series of interviews with four middle-class Caucasian girls---two from public schools, two homeschooled. The girls' stones about their experiences with, feelings about, and perspectives on science, the science process, and their science learning environments are examined with a theoretical and analytic approach grounded in relational psychology. The potential link between girls' voices and their involvement in science is investigated. Results indicate that girls' relationships with science are multitiered. Science is engaging and familiar in the sense that girls are curious about the world, enjoy learning about scientific phenomena, and informally use science in their everyday fives. However, the girls in this study differentiated between the science they do and the field of science, which they view as a mostly male endeavor (often despite real life experiences to the contrary) that uses rather rigid methods to investigate questions of limited scope and interest. In essence, how these girls defined science defined their relationship with science: those with narrow conceptions of science felt distant from it. Adolescent girls' decreased involvement in science activities may be a relational act---a move away from a patriarchical process, pedagogy, and institution that does not resonate with their experiences, questions, and learning styles. Girls often feel like outsiders to science; they resist considering science careers when they have concerns that implicitly or explicitly, doing so would involve sacrificing their knowledge, creativity, or

  18. 女性青少年特发性脊柱侧凸支具治疗效果和影响因素评估%Bracing treatment for girls with adolescent idiopathic scoliosis: clinical outcomes and predictive factors

    Institute of Scientific and Technical Information of China (English)

    孙旭; 毛赛虎; 王斌; 邱勇; 朱泽章; 朱锋; 俞杨; 钱邦平; 马薇薇; 刘臻


    Objective To analyze the outcomes of bracing treatment for girls with adolescent idiopathic scoliosis (AIS), and to investigate the predictive factors of the protocol. Methods This study included 142 girls with AIS who finished standardized bracing treatment from July 2003 to July 2009. These patients had a mean age of 13.1±1.5 years, a mean main curve of 29.6°±5.4°, and a mean Risser grade of 2.0±1.5 before bracing treatment. Curve progression was defined that Cobb angle was greater than 6° compared to bracing initiation or was aggravated to more than 45° (indicative for surgery). The outcomes of bracing treatment were assessed based on the ratio of curves of progression or indicative for surgery. Chi-square and Logistic regression Analyses were performed to investigate the predictive factors of bracing treatment. Results The duration of bracing treatment averaged 2.5±1.0 years. Twenty-seven girls with curve progression (19%)and 115 girls (81%) with non-progression were found. Final curve which was greater than 45° was found in 18 girls (13%) who need a correction surgery, the remaining 124 girls (87%) had completed bracing treatment and avoided surgery. Chi-square analyses revealed that curve progression were more common in younger girls with lower Risser grade, with initial larger Cobb angle and with a main thoracic curve pattern.Logistic regression analyses found that premenarchal status and a main thoracic curve pattern were the independent risk factors of curve progression despite bracing. While initial Cobb angle which was greater than 30° was the additional independent risk factor of progression requiring surgery. Conclusion Bracing treatment could effectively prevent curve progression in most girls with AIS. The degree of growth maturity, the pattern and grade of curve are the influencing factor for bracing treatment.%目的 评估女性青少年特发性脊柱侧凸(adolescent idiopathic scoliosis,AIS)患者支具治


    Directory of Open Access Journals (Sweden)

    B. Ahmadi


    Full Text Available This study was to determine the health knowledge, attitude, and practice of adolescence girls during puberty among 8th grade students in southern part of Tehran in 1996-1997. It also addressed the health needs and therefore the necessary steps to be taken to promote adolescent's health. Sample study consisted of 225 students, their mothers, and their teachers. Each person was interviewed by a trained personnel and special questionnaire. Analysis of the questionnaires showed that the girls' knowledge about physiological, psychological, and social aspects of puberty was low. Most of them (%75 reported that their first menstruation made them scared because they thought had a disease. The most reported source of information about puberty and menstruation was the mother, %36 reported their knowledge about adolescent's health is not enough and %33 reported having difficulties talking to their daughters about puberty and menstruation %19 of them were illiterate, %39 had primary school, %30 had secondary school, and %12 had higher education. The higher the mother's education level, the higher the age that they considered their daughters to be psychosocially matures. Most of the girls (%76 expected psychologically negative changes during puberty and (%72 experienced them based on this study, it can be suggested that health education programs for adolescent girls should focus their efforts on the mothers knowledge as their main practical method of meeting the girls need for information. Mothers were sensitive to moral and behavioural aspects of adolescent's health. The results show the importance of psychological aspects of adolescent's health Educating mothers will promote their knowledge, attitude, and practice about adolescent's health and therefore decrease their daughter’s mental and emotional problems during this period of time.

  20. Nutritional Health of Indonesian Adolescent Girls: the role of riboflavin and vitamin A on iron status

    NARCIS (Netherlands)

    Dillon, D.


    In developing countries, adolescent girls often have anemia and micronutrient deficiencies. The objective of this thesis was to investigate the role of riboflavin or vitamin A as determinant of anemia and iron deficiency in Indonesian adolescent girls.

  1. Romantic and Sexual Activities, Parent-Adolescent Stress, and Depressive Symptoms among Early Adolescent Girls (United States)

    Davila, Joanne; Stroud, Catherine B.; Starr, Lisa R.; Miller, Melissa Ramsay; Yoneda, Athena; Hershenberg, Rachel


    Building on evidence that romantic experiences are associated with depressive symptoms in adolescence, we examined their bidirectional association, as well as the role of sexual activity and parent-adolescent stress in their association. Data were collected from 71 early adolescent girls (M age 13.45 years; SD = 0.68) and their primary caregiver…

  2. Days of Their Lives: Reflections on Adolescent Girls and Adolescent Mothers. (United States)

    Victor, Susan M.


    Reviews literature on issues of sexuality for adolescent girls, interweaving quotes from adolescent mothers. Information comes from the author's work educating teenage parents. The article focuses on the relationship of social pressures to sexuality, femininity, the body, silence and rebellion, adolescent motherhood, and sexual abuse. (SM)

  3. Brain Structure Abnormalities in Adolescent Girls with Conduct Disorder (United States)

    Fairchild, Graeme; Hagan, Cindy C.; Walsh, Nicholas D.; Passamonti, Luca; Calder, Andrew J.; Goodyer, Ian M.


    Background: Conduct disorder (CD) in female adolescents is associated with a range of negative outcomes, including teenage pregnancy and antisocial personality disorder. Although recent studies have documented changes in brain structure and function in male adolescents with CD, there have been no neuroimaging studies of female adolescents with CD.…

  4. Psychosocial aspects of changes during adolescence among school going adolescent Indian girls

    Directory of Open Access Journals (Sweden)

    Shweta Sinha


    Full Text Available Background: Physical as well as psychological changes during adolescence create a state of physiological stress that must be coped with. This study was undertaken to study the psychosocial aspects of changes associated with adolescence among school going girls. Methods: A predesigned questionnaire was administered to students of class VI to XII prior to a talk on and lsquo;Adolescent health' in two urban schools of Bhopal. The questions were directed at understanding the psychosocial aspects of behavior among the girls during adolescence while they cope with changes of adolescence. Results: A total of 414 schoolgirls from classes VI-XII participated in the study. Their mean age was 14.4years [SD 2.01; Range 10-18 years]. Of them, 277 reported having attained menarche, the mean age at menarche being 12.7 years [SD 1.52]. Almost 63% of girls had knowledge about menstruation before attaining menarche. Majority of them had learned about it from their mother (41%. Nearly one third (30.6% of girls were not comfortable with the bodily changes of adolescence; 41% reported feeling anxious and 26.4% reported suffering from low self-esteem. Excessive irritability was reported by 47% of girls; undue anger by 51.4%, and 34.7% felt uncomfortable interacting with people. One third of girls had frequent arguments with parents. Almost 80% of girls found their parents supportive. Conclusions: A good proportion of adolescent girls appear to be in need for counseling and support for optimally coping with the bodily as well as psychological changes of adolescence. This preliminary study unveils the need for more widespread and regular Adolescent School health programs for increasing awareness and support services. [Int J Reprod Contracept Obstet Gynecol 2014; 3(2.000: 409-413

  5. Body Mass Index Of Nigerian Adolescent Urban Secondary School Girls

    Directory of Open Access Journals (Sweden)

    Onyiriuka Alphonsus N.


    Full Text Available Background and Aims: Body mass index (BMI is an inexpensive and easy-to-perform method of screening for weight status, which may have detrimental health consequences. The aim of our study was to assess the pattern of BMI among Nigerian adolescent secondary school girls and determine the prevalence of underweight, overweight and obesity among them.

  6. Discovering Their Voices: Engaging Adolescent Girls with Young Adult Literature (United States)

    Sprague, Marsha M.; Keeling, Kara K.


    Authors Marsha M. Sprague and Kara K. Keeling propose a language arts curriculum that incorporates literature-based discussions to help adolescent girls deal constructively with difficult issues and develop their own authentic voices. To help put such a curriculum into action, this book offers the following resources: (1) A research base to frame…

  7. Measuring eating concerns in Black and White adolescent girls

    NARCIS (Netherlands)

    Franko, DL; Striegel-Moore, RH; Barton, BA; Schumann, BC; Garner, DM; Daniels, [No Value; Schreiber, GB; Crawford, PB


    Objective: Few instruments exist to measure eating concerns in adolescent girls from diverse ethnic backgrounds. Methods: A Children's version of the Eating Disorder Inventory (EDI-C) has been under development for several years and was designed to be more appropriate for younger children with lower

  8. Dietary habits in adolescent girls of Sari (Mazandaran Province, Iran

    Directory of Open Access Journals (Sweden)

    A. Khalilian


    Full Text Available AbstractBackground and purpose: An appropriate nutrition throughout the lifespan is important. As adolescent girls nutrition status can affect community health in future. We decide to determine the frequency and composition of food from different groups of foods in adolescent girls of Sari (North of Iran.Materials and Methods: In the winter of 2004, 240 adolescent girls (14-18 years of age from Sari high schools were randomly selected and food frequency questionnaires were completed. Also they were asked about their meals and snacks. Data were analyzed using SPSS version 11.5 software and the charts were drown using Microsoft Excel software.Results: The results indicated that the most consumed foods in groups of meats, dairies, grains and potatoes, vegetables, fruits and junky foods were egg, yoghurt, rice, tomato, citrus and chocolate respectively.Conclusion: This survey showed Sari adolescent girls dietary habits (in the winter, and it could be a part of studies to design a food program for them.

  9. The Correlates of Dance Education among Adolescent Girls. (United States)

    Vicario, Terra; Henninger, Erica; Chambliss, Catherine

    This investigation extends previous research on the benefits of dance education, by further exploring the correlates of participation in dance classes for adolescent girls. The survey evaluated self-esteem, body image, dance ability, and perceived quality of peer and parent relationships. Students with greater dance experience were expected to…

  10. Pregnancy and lactation hinder growth and nutritional status of adolescent girls in rural Bangladesh. (United States)

    Rah, Jee H; Christian, Parul; Shamim, Abu Ahmed; Arju, Ummeh T; Labrique, Alain B; Rashid, Mahbubur


    Adolescent pregnancy is associated with adverse birth outcomes. Less is known about its influence on maternal growth and nutritional status. We determined how pregnancy and lactation during adolescence affects postmenarcheal linear and ponderal growth and body composition of 12-19 y olds in rural Bangladesh. In a prospective cohort study, anthropometric measurements were taken among primigravidae (n = 229) in the early first trimester of pregnancy and at 6 mo postpartum. Randomly selected never-pregnant adolescents (n = 458) of the same age and time since menarche were measured within 1 wk of these assessments. Annual changes in anthropometric measurements were compared between the 2 groups adjusting for confounders using mixed effects regression models. The mean +/- SD age and age at menarche of adolescents were 16.3 +/- 1.6 y and 12.7 +/- 1.2 y, respectively. Unlike pregnant girls who did not grow in height (-0.09 +/- 0.08 cm/y), never-pregnant girls increased in stature by 0.35 +/- 0.05 cm/y. The adjusted mean difference between the 2 groups was 0.43 +/- 0.1cm (P pregnancy occurred or =24 mo since menarche (BMI, -1.40 +/- 0.18 vs. -0.60 +/- 0.11 kg/m(2); all interaction terms, P Pregnancy and lactation during adolescence ceased linear growth and resulted in weight loss and depletion of fat and lean body mass of young girls.

  11. Availability of Reproductive Health Care Services at Schools and Subsequent Birth Outcomes among Adolescent Mothers (United States)

    Madkour, Aubrey S.; Xie, Yiqiong; Harville, Emily W.


    Background: Adverse birth outcomes are more common among adolescent versus adult mothers, but little is known about school-based services that may improve birth outcomes in this group. Methods: Data from Waves I and IV of the National Longitudinal Study of Adolescent Health were analyzed. Girls and women who gave birth to singleton live infants…

  12. "I feel free": Experiences of a dance intervention for adolescent girls with internalizing problems. (United States)

    Duberg, Anna; Möller, Margareta; Sunvisson, Helena


    Adolescent girls today suffer from internalizing problems such as somatic symptoms and mental health problems at higher rates compared to those of previous decades, and effective interventions are warranted. The aim of this study was to explore the experiences of participating in an 8-month dance intervention. This qualitative study was embedded in a randomized controlled trial of a dance intervention for adolescent girls with internalizing problems. A total of 112 girls aged 13-18 were included in the study. The dance intervention group comprised 59 girls, 24 of whom were strategically chosen to be interviewed. Data were analyzed using qualitative content analysis with an inductive approach. The experiences of the dance intervention resulted in five generic categories: (1) An Oasis from Stress, which represents the fundamental basis of the intervention; (2) Supportive Togetherness, the setting; (3) Enjoyment and Empowerment, the immediate effect; (4) Finding Acceptance and Trust in Own Ability, the outcome; and (5) Dance as Emotional Expression, the use of the intervention. One main category emerged, Finding Embodied Self-Trust That Opens New Doors, which emphasizes the increased trust in the self and the ability to approach life with a sense of freedom and openness. The central understanding of the adolescent girls' experiences was that the dance intervention enriched and gave access to personal resources. With the non-judgmental atmosphere and supportive togetherness as a safe platform, the enjoyment and empowerment in dancing gave rise to acceptance, trust in ability, and emotional expression. Taken together, this increased self-trust and they discovered a new ability to "claim space." Findings from this study may provide practical information on designing future interventions for adolescent girls with internalizing problems.

  13. Definitions of night eating in adolescent girls

    NARCIS (Netherlands)

    Striegel-Moore, RH; Thompson, D; Franko, DL; Barton, B; Affenito, S; Schreiber, GB; Daniels, [No Value


    Objective: To describe the prevalence of night eating in a community cohort of black and white girls, using different definitions of night eating as described in the literature. Research Methods and Procedures: Three-day food diaries collected as part of the National Growth and Health Study were exa

  14. Inhalant Use in Latina Early Adolescent Girls (United States)

    Guzmán, Bianca L.; Kouyoumdjian, Claudia


    The purpose of the current study was to examine how lifetime use and extent of use of inhalants by Latina girls is impacted by age, acculturation, grades, ditching, sexual behaviors (light petting, heavy petting, and going all the way) and sexual agency. A total of 273 females who self-identified as being Latina whose mean age was 13.94 completed…

  15. Interpersonal problem areas and alexithymia in adolescent girls with loss of control eating. (United States)

    Berger, Sarah Shafer; Elliott, Camden; Ranzenhofer, Lisa M; Shomaker, Lauren B; Hannallah, Louise; Field, Sara E; Young, Jami F; Sbrocco, Tracy; Wilfley, Denise E; Yanovski, Jack A; Tanofsky-Kraff, Marian


    This study investigated the links among interpersonal problem areas, depression, and alexithymia in adolescent girls at high risk for excessive weight gain and binge eating disorder. Participants were 56 girls (Mage = 14.30, SD = 1.56; 53% non-Hispanic White) with a body mass index (BMI, kg/m(2)) between the 75th and 97th percentiles (MBMI z = 1.57, SD = 0.32). By design, all participants reported loss of control eating patterns in the past month. Adolescents were individually interviewed prior to participating in a group interpersonal psychotherapy obesity and eating disorder prevention program, termed IPT for the prevention of excessive weight gain (IPT-WG). Participants' interpersonal problem areas were coded by trained raters. Participants also completed questionnaires assessing depression and alexithymia. Primary interpersonal problem areas were categorized as interpersonal deficits [as defined in the eating disorders (ED) literature] (n = 29), role disputes (n = 22), or role transitions (n = 5). Girls with interpersonal deficits-ED had greater depressive symptoms and alexithymia than girls with role disputes (p's ≤ 0.01). However, girls with role transitions did not differ from girls with interpersonal deficits-ED or role disputes. Interpersonal problem area had an indirect association with depression via alexithymia; interpersonal deficits-ED were related to greater alexithymia, which in turn, was related to greater depressive symptoms (p = 0.01). Among girls at risk for excess weight gain and eating disorders, those with interpersonal deficits-ED appear to have greater distress as compared to girls with role disputes or role transitions. Future research is required to elucidate the impact of interpersonal problem areas on psychotherapy outcomes.

  16. Dietary habits in adolescent girls with polycystic ovarian syndrome. (United States)

    Eleftheriadou, Maria; Stefanidis, Konstantinos; Lykeridou, Katerina; Iliadis, Iakovos; Michala, Lina


    The phenotype of polycystic ovarian syndrome (PCOS) is known to worsen with weight gain, increased ingestion of carbohydrates and a sedentary lifestyle. The purpose of this study was to assess the dietary habits in a group of adolescent girls with PCOS. Adolescents with PCOS were recruited and asked to complete a questionnaire on their eating habits and a recall dietary diary, from which their caloric and macronutrient intake was calculated. Results were compared with those from a group of normal controls. Thirty-five women with PCOS and 46 controls were included. Girls with PCOS were less likely to have cereals for breakfast (20.7 versus 66.7%) and as a result consumed less fibre than controls. They were more likely to eat an evening meal (97.1 versus 78.3%) and eat this over an hour later when compared to controls. Despite having comparable body mass indexes, girls with PCOS ate a daily surplus calorie average of 3% versus controls that had a negative calorie intake of 0.72% (p = 0.047). Ameliorating eating habits early in adolescence in girls with PCOS may improve future metabolic concerns related to a genetic predisposition and worsened by an unhealthy lifestyle.

  17. Nobody's perfect: a qualitative examination of African American maternal caregivers' and their adolescent girls' perceptions of body image. (United States)

    Pope, Michell; Corona, Rosalie; Belgrave, Faye Z


    Using semi-structured interviews, we explored African American maternal caregivers' and their adolescent girls' (N=25 dyads) perceptions about the adolescent's body using Grounded Theory. Caregivers and adolescent girls (Mage=13.42) were asked what the adolescent girls liked most/least about their bodies and how peers and media may affect adolescent girls' perceptions. While some adolescent girls reported overall body satisfaction, others described features they would like to change. Belief in God, body acceptance, and appreciation for average/moderate features helped the adolescent girls maintain their positive body image. The body-related messages that adolescent girls received from caregivers and peers included compliments, pressure to lose weight, teasing, and advice. Adolescent girls also reported being either influenced by or skeptical of the images presented in the media. Programs that promote caregiver-adolescent communication about body perceptions and that build on the adolescent girls' media skepticism may prove useful for their health-related attitudes and behaviors.

  18. An attempt to detect "pregnancy susceptibility" in indigent adolescent girls. (United States)

    Goldfarb, J L; Mumford, D M; Schum, D A; Smith, P B; Flowers, C; Schum, C


    Since current birth control education programs seem ineffective in reducing the ever-growing number of unplanned teenage pregnancies, an alternative approach might be intensive counseling for girls whose backgrounds and attitudes seem to make them susceptible to such pregnancy. To identify these factors data were gathered from 1294 pregnant girls aged 12-18 and compared with data from a similar socioeconomic population of nonpregnant girls interviewed at school. Families of both groups were all indigent. Based on this information an attitude scale was drawn up and weights assigned to questions most predictive of illegitimate pregnancy. Details of developing this questionnaire are given. The final version showed high predictive correlation when given to another group of 170 pregnant girls. In general, girls from large families, who had repeated 1 or more subjects in school, and who received sex education late and from friends were more likely to become pregnant. Girls from smaller families, who did well in school, and received sex education from parents were less at risk. Use of a scale to identify girls in need of "parenting" has many problems. They may feel singled out. However, intensive counseling may be the only way to reach these adolescents. Also the 1 most predictive factor is age at which sex education was received and from whom. Those who learned about menstruation at age 13 or later and then from friends was 206 times more likely to become pregnant than the girl who receives sex education early from her family. An approach would be to establish intensive counseling programs in schools with a large at-risk population, thus avoiding the stigma of singling out any 1 girl.

  19. Adolescent girls' views on cosmetic surgery: A focus group study. (United States)

    Ashikali, Eleni-Marina; Dittmar, Helga; Ayers, Susan


    This study examined adolescent girls' views of cosmetic surgery. Seven focus groups were run with girls aged 15-18 years (N = 27). Participants read case studies of women having cosmetic surgery, followed by discussion and exploration of their views. Thematic analysis identified four themes: (1) dissatisfaction with appearance, (2) acceptability of cosmetic surgery, (3) feelings about undergoing cosmetic surgery and (4) cosmetic surgery in the media. Results suggest the acceptability of cosmetic surgery varies according to the reasons for having it and that the media play an important role by normalising surgery and under-representing the risks associated with it.

  20. Motivation for eating behaviour in adolescent girls: the body beautiful. (United States)

    Hill, Andrew J


    Body dissatisfaction is commonplace for teenage girls and is associated with dieting and unhealthy weight-control behaviours. The idealisation and pursuit of thinness are seen as the main drivers of body dissatisfaction, with the media prominent in setting thin body ideals. Television and consumer magazine production in the UK are extensive, annually releasing 1x10(6) h programming and >3000 magazine titles. Their engagement by adolescent girls is high, and in surveys girls identify thin and revealing body images as influential to the appeal of thinness and their pursuit of dieting. Experimental studies show a short-term impact of these images on body dissatisfaction, especially in teenagers who are already concerned about body image. Magazine images appear more influential than television viewing. For many adolescents selecting thin-image media is purposive, permitting comparison of themselves with the models or celebrities featured. Indeed, the impact of the media needs to be understood within a social context, as engagement is often a highly-social process. Media influence is uneven because of differences in its content and manner of communication, and individual differences in vulnerability to its content. Greater social responsibility on the part of the media and better media literacy by children would be beneficial. For those working in adolescent nutrition it is a reminder that adolescent food choice and intake are subject to many competing, contradictory and non-health-related determinants.

  1. Nutritional status of married adolescent girls in rural Rajasthan. (United States)

    Chaturvedi, S; Kapil, U; Bhanthi, T; Gnanasekaran, N; Pandey, R M


    Adolescence is period of rapid growth and development. The present study was undertaken to assess the nutritional status of 941 adolescent girls, aged 10-18 years belonging to Scheduled Caste communities in rural Rajasthan, using the probability proportionate to size sampling procedure. Data on 93 married adolescent girls was analysed in detail. Nutritional status of the subjects was assessed by anthropometry, dietary intake and by clinical examination of nutritional deficiency disorders. Anthropometric measurements were recorded for height, weight, chest circumference, MUAC and TSF using standardised techniques. On comparing the present study's data with ICMR's study data (1956-65) it was found that there has been a significant improvement in the height, weight and chest circumference of the adolescent girls but the values were below the well-to-do group study data. Dietary intake was assessed by 24 hours recall method. The dietary intake was compared against ICMR's RDA. It was found that the diets were deficient in calories by 30 to 40% in proteins by 25 to 37%, by 39 to 55% in iron and by 10 to 34% in vitamin A. 78% of the subjects suffered from various grades of anaemia and 40% of the subjects had B-complex deficiency.

  2. Giant Vulvar Epidermoid Cyst in an Adolescent Girl

    Directory of Open Access Journals (Sweden)

    Erbil Karaman


    Full Text Available Introduction. Vulvar cyst in adolescent girls is very uncommon. Epidermoid cyst can be seen in many sites including face, trunk, and extremities but its occurrence in vulva is uncommon. This is the first case of epidermoid cyst of vulva reported in an adolescent girl. Case. A 17-year-old, adolescent girl admitted to our gynecology outpatient clinic with a complaint of painful and palpable mass in her vulva. On examination, a giant mass located in left vulva and labia majora with 11 cm in diameter was seen. The magnetic resonance imaging (MRI showed a well-defined cystic mass without contrast enhancement. The surgery was advised to the patient and the pathologic examination of mass revealed vulvar epidermoid cyst. Discussion. Vulvar cysts generally grow slowly and the main etiologies are vulvar trauma and surgical interventions including episiotomy and female circumcision in some culture. The exact treatment is total surgical excision and pathologic examination. MRI is an important imaging modality for detection of extension to deep perineal tissue and localization of mass in vulva especially in giant ones. Conclusion. Although vulvar mass in adolescents is rare, the epidermoid cyst with benign origin should be kept in mind.

  3. Empowering adolescent girls: developing egalitarian gender norms and relations to end violence. (United States)

    Amin, Avni; Chandra-Mouli, Venkatraman


    On the occasion of the International Day of the Girl Child (October 11), this commentary highlights the problem of violence against adolescent girls. It describes the nature and magnitude of violence faced by adolescent girls, what we know about factors that drive violence against women and against adolescent girls. It highlights the importance of promoting egalitarian gender norms, particularly during adolescence, and empowering women and girls in efforts to end such violence. Finally, it offers lessons learned from some promising interventions in this area.

  4. Emerging Depression Is Associated with Face Memory Deficits in Adolescent Girls (United States)

    Guyer, Amanda E.; Choate, Victoria R.; Grimm, Kevin J.; Pine, Daniel S.; Keenan, Kate


    Objective: To examine the association between memory for previously encoded emotional faces and depression symptoms assessed over 4 years in adolescent girls. Investigating the interface between memory deficits and depression in adolescent girls may provide clues about depression pathophysiology. Method: Participants were 213 girls recruited from…

  5. Explaining dietary intake in adolescent girls from disadvantaged secondary schools. A test of Social Cognitive Theory. (United States)

    Lubans, David R; Plotnikoff, Ronald C; Morgan, Philip J; Dewar, Deborah; Costigan, Sarah; Collins, Clare E


    Much of the research on the determinants of dietary behavior has been guided by Bandura's Social Cognitive Theory (SCT), yet few studies have tested the utility of its proposed structural paths. The aim of this paper was to test the capacity of SCT to explain dietary behaviors in a sample of 357 adolescent girls (13.2±0.5 years) from 12 secondary schools located in low-income communities in New South Wales, Australia. Participants completed validated SCT scales assessing nutrition-related self-efficacy, intention, behavioral strategies, family support, situation, outcome expectations, and outcome expectancies. Participants completed a validated food frequency questionnaire, from which, the percentage of total kilojoules from core-foods, non-core foods and saturated fat were calculated. The theoretical models were tested using structural equation modeling in AMOS. The models explained 48-51% and 13-19% of the variance in intention and dietary behavior, respectively. The models provided an adequate fit to the data, and self-efficacy was positively associated with healthy eating and inversely associated with unhealthy eating. However, the pathway from intention to behavior was not statistically significant in any of the models. While this study has demonstrated the utility of SCT constructs to explain behavior in adolescents girls, the proposed structural pathways were not supported. Further study of the role that implementation intentions play in explaining adolescent girls' dietary behaviors is required.

  6. “I feel free”: Experiences of a dance intervention for adolescent girls with internalizing problems

    Directory of Open Access Journals (Sweden)

    Anna Duberg


    Full Text Available Adolescent girls today suffer from internalizing problems such as somatic symptoms and mental health problems at higher rates compared to those of previous decades, and effective interventions are warranted. The aim of this study was to explore the experiences of participating in an 8-month dance intervention. This qualitative study was embedded in a randomized controlled trial of a dance intervention for adolescent girls with internalizing problems. A total of 112 girls aged 13–18 were included in the study. The dance intervention group comprised 59 girls, 24 of whom were strategically chosen to be interviewed. Data were analyzed using qualitative content analysis with an inductive approach. The experiences of the dance intervention resulted in five generic categories: (1 An Oasis from Stress, which represents the fundamental basis of the intervention; (2 Supportive Togetherness, the setting; (3 Enjoyment and Empowerment, the immediate effect; (4 Finding Acceptance and Trust in Own Ability, the outcome; and (5 Dance as Emotional Expression, the use of the intervention. One main category emerged, Finding Embodied Self-Trust That Opens New Doors, which emphasizes the increased trust in the self and the ability to approach life with a sense of freedom and openness. The central understanding of the adolescent girls’ experiences was that the dance intervention enriched and gave access to personal resources. With the non-judgmental atmosphere and supportive togetherness as a safe platform, the enjoyment and empowerment in dancing gave rise to acceptance, trust in ability, and emotional expression. Taken together, this increased self-trust and they discovered a new ability to “claim space.” Findings from this study may provide practical information on designing future interventions for adolescent girls with internalizing problems.

  7. Subclinical bulimia predicts conduct disorder in middle adolescent girls. (United States)

    Viinamäki, Anni; Marttunen, Mauri; Fröjd, Sari; Ruuska, Jaana; Kaltiala-Heino, Riittakerttu


    This study investigates the comorbidity and longitudinal associations between self-reported conduct disorder and subclinical bulimia in a community-based sample of Finnish adolescents in a 2-year prospective follow-up study. There are 2070 adolescents who participated in the survey as ninth graders (mean age 15.5) and followed-up 2 years later. The Youth Self-Report Externalizing scale was used to measure conduct disorder and DSM-IV-based questionnaire to measure bulimia. Co-occurrence of female conduct disorder and subclinical bulimia was found at ages 15 and 17. Subclinical bulimia among girls at age 15 was a risk factor for conduct disorder at age 17, but conduct disorder at age 15 was not predictive of subclinical bulimia at age 17. The pathway from bulimia to conduct disorder may be suggestive of an association with future borderline personality disorder among girls.

  8. Associations between Father-Daughter Relationship Quality and the Academic Engagement of African American Adolescent Girls: Self-Esteem as a Mediator? (United States)

    Cooper, Shauna M.


    Positive social interactions and relationships may play an influential role in the academic success of African American adolescent girls. Though studies have suggested that the paternal relationships are particularly consequential to girls' outcomes, few studies exist that have explored how aspects of the father-daughter relationship contribute to…

  9. Developing a Web-Based Intervention to Prevent Drug Use among Adolescent Girls (United States)

    Schwinn, Traci Marie; Hopkins, Jessica Elizabeth; Schinke, Steven Paul


    Objectives: Girls' rates of drug use have met up with and, in some instances, surpassed boys' rates. Although girls and boys share risk and protective factors associated with drug use, girls also have gender-specific risks. Interventions to prevent girls' drug use must be tailored to address the dynamics of female adolescence. Methods: One such…

  10. Substance Use and Abuse Trajectories across Adolescence: A Latent Trajectory Analysis of a Community-Recruited Sample of Girls (United States)

    Marti, C. Nathan; Stice, Eric; Springer, David W.


    We used data from a school-based study of 496 adolescent girls to identify qualitatively distinct substance use and substance abuse developmental trajectory groups and tested whether the problematic groups differed from the non-problematic groups on baseline and outcome validation variables. Results identified four substance use groups (late…

  11. Amygdala Response Predicts Trajectory of Symptom Reduction During Trauma-Focused Cognitive-Behavioral Therapy among Adolescent Girls with PTSD


    Cisler, Josh M.; Sigel, Benjamin A.; Kramer, Teresa L.; Smitherman, Sonet; Vanderzee, Karin; Pemberton, Joy; Kilts, Clinton D.


    Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) is the gold standard treatment for pediatric PTSD. Nonetheless, clinical outcomes in TF-CBT are highly variable, indicating a need to identify reliable predictors that allow forecasting treatment response. Here, we test the hypothesis that functional neuroimaging correlates of emotion processing predict PTSD symptom reduction during Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) among adolescent girls with PTSD. Thirty-four adolescent...

  12. Longitudinal associations between smoking and depressive symptoms among adolescent girls. (United States)

    Beal, Sarah J; Negriff, Sonya; Dorn, Lorah D; Pabst, Stephanie; Schulenberg, John


    Adolescence is an important period for initiation of smoking and manifestation of depression, which are often comorbid. Researchers have examined associations between depressive symptoms and smoking to elucidate whether those with increased depressive symptoms smoke more to self-medicate, whether those who smoke experience increased subsequent depressive symptoms, or both. Collectively, there have been mixed findings; however, studies have been limited by (1) cross-sectional or short-term longitudinal data or (2) the use of methods that test associations, or only one direction in the associations, rather than a fully-reciprocal model to examine directionality. This study examined the associations between smoking and depressive symptoms in a sample of adolescent girls using latent dual change scores to model (1) the effect of smoking on change in depressive symptoms, and simultaneously (2) the effect of depressive symptoms on change in smoking across ages 11-20. Data were from a cohort-sequential prospective longitudinal study (N = 262). Girls were enrolled by age cohort (11, 13, 15, and 17 years) and were primarily White (61 %) or African American (31 %). Data were restructured by age. Every 6 months, girls reported depressive symptoms and cigarette use. Results indicated that controlling for sociodemographic characteristics, higher levels of smoking predicted a greater increase in depressive symptoms across adolescence. These findings suggest that a higher level of cigarette smoking does contribute to more depressive symptoms, which has implications for prevention of depression and for intervention and future research.

  13. Contextualising sexual harassment of adolescent girls in Bangladesh. (United States)

    Nahar, Papreen; van Reeuwijk, Miranda; Reis, Ria


    Violence against women is a social mechanism confirming women's subordination in many societies. Sexual violence and harassment have various negative psychological impacts on girls, including a persistent feeling of insecurity and loss of self-esteem. This article aims to contextualize a particular form of sexual harassment, namely "eve teasing", experienced by Bangladeshi adolescent girls (12-18 years) which emerged from a study of adolescent sexual behaviour carried out by young people. The study used qualitative methods and a participatory approach, including focus group discussions, key informant interviews and observation. Despite taboos, unmarried adolescents actively seek information about sex, erotic pleasure and romance. Information was easily available from videos, mobile phone clips and pornographic magazines, but reinforced gender inequality. "Eve teasing" was one outlet for boys' sexual feelings; they gained pleasure from it and could show their masculinity. The girls disliked it and were afraid of being blamed for provoking it. Thus, "eve teasing" is a result of socio-cultural norms relating to sexuality, as well as a lack of access to sexual and reproductive health information and services in Bangladesh. These findings underscore the importance of comprehensive sexuality education that goes beyond a mere health focus and addresses gender norms and helps youth to gain social-sexual interaction skills.

  14. Development of leadership self-efficacy and collective efficacy: adolescent girls across castes as peer educators in Nepal. (United States)

    Posner, J; Kayastha, P; Davis, D; Limoges, J; O'Donnell, C; Yue, K


    Adolescent girls in Nepal face enormous social barriers to accessing education and health services due to exclusionary socio-religious traditions and years of conflict. The programme and study reported here address two issues that a national assembly of in-school and out-of-school adolescent girls, who had completed a basic life skills class, and, in the case of unschooled girls, an intensive literacy course, identified as important to their well-being - menstrual restrictions and HIV awareness and prevention. Local non-governmental organizations developed a peer education programme in three districts of Nepal that paired girls from different castes and different educational levels. The programme sought to increase peer educators' (PE) leadership and collective efficacy for informing peers and adults in their communities about the effects that these issues have on women and girls. In total, 504 girls were selected and trained as PEs. They conducted targeted discussion sessions with other girls and organised mass awareness events, reaching 20,000 people. Examination of the effects of participating in the programme on key outcome measures showed that leadership self-efficacy, which was a central theoretical construct for the programme, provided a strong predictor of both increased HIV knowledge and of practicing fewer menstrual restrictions at endline. The project demonstrated that girls from different caste and educational backgrounds are able to work together to change individual behaviour and to address socio-cultural norms that affect their lives and well-being within their communities.

  15. How Adolescent Girls Understand and Manage Depression Within Their Peer Group: A Grounded Theory Investigation. (United States)

    Pinto-Foltz, Melissa D; Hines-Martin, Vicki; Logsdon, M Cynthia


    Depression is prevalent among adolescent girls, but few receive mental health treatment. Adolescent girls often forgo needed mental health treatment because they fear responses of peers about depression. Understanding the processes of how adolescent girls respond to peers with depression is an important first step to improve access to mental health treatment. This qualitative study describes the knowledge, perceptions, and behaviors of adolescent girls about depression and mental health treatment within their peer group. The investigators conducted two focus groups, with adolescent girls (n=21), in a public high school in the southern U.S. Grounded theory methods were utilized to identify a beginning substantive theory about perceptions and behaviors of adolescent girls related to depression in their peers. Participants cognitively processed mental health concepts similarly to adults. However, their affective responses to peers with mental illness fluctuated between adult and child perspectives. Participants expressed concerns about individuals with depression that have previously been identified in adults, but expressed unique perspectives that reflect their transitional stage of development. Findings provide new information about how adolescent girls respond to peers with depression, define areas for further investigation, provide directions for constructing developmentally appropriate mental health educational interventions for adolescent girls, and elucidate the need to provide guidance to women with whom adolescent girls have sustained contact.

  16. Sexual Coercion of Adolescent Girls in Yoruba Land of Nigeria

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    Akanle Florence Foluso


    Full Text Available This study investigates the magnitude and patterns of sexual coercion experienced by female adolescents in Southwest zone in Nigeria. The study population consists of all female adolescents aged 12-16 years. These adolescents are those who are either enrolled in the secondary school or those with limited education that was not in school at the period of this study. Samples of 475 girls were drawn from both the school and those not in schools. The sample was drawn from three different Yoruba speaking states in the south west Nigeria. The sampling techniques that were used were stratified and simple random sampling. The research instrument was a self constructed questionnaire title (SCAQ- Sexual Coercion of female Adolescents Questionnaire. The instrument has a reliability coefficient of 0.76 and was validated using, face content, validity procedure of testing validity. The data generated were analyzed using frequency counts and percentages for describing the data. The appropriate statistics such as t-test, Pearson product moment correlation and chi-square were used to make inferences about the data. The analysis of the data shows that girls have experienced sexual coercion such as verbal threats, unwanted touch, deceived into sex or forced sex. Other forms of sexual coercion such as verbal pressure, threats or unwanted holding of hands unwanted hugging or kissing as well as forced sexual activities have been experienced by girls. Based on the findings, it was recommended that skill training needs to be provided in and outside the school system. Teachers and counsellors should convey prevention messages so as to sensitize or discourage sexual coercion of female students in school.

  17. Abnormal white matter properties in adolescent girls with anorexia nervosa (United States)

    Travis, Katherine E.; Golden, Neville H.; Feldman, Heidi M.; Solomon, Murray; Nguyen, Jenny; Mezer, Aviv; Yeatman, Jason D.; Dougherty, Robert F.


    Anorexia nervosa (AN) is a serious eating disorder that typically emerges during adolescence and occurs most frequently in females. To date, very few studies have investigated the possible impact of AN on white matter tissue properties during adolescence, when white matter is still developing. The present study evaluated white matter tissue properties in adolescent girls with AN using diffusion MRI with tractography and T1 relaxometry to measure R1 (1/T1), an index of myelin content. Fifteen adolescent girls with AN (mean age = 16.6 years ± 1.4) were compared to fifteen age-matched girls with normal weight and eating behaviors (mean age = 17.1 years ± 1.3). We identified and segmented 9 bilateral cerebral tracts (18) and 8 callosal fiber tracts in each participant's brain (26 total). Tract profiles were generated by computing measures for fractional anisotropy (FA) and R1 along the trajectory of each tract. Compared to controls, FA in the AN group was significantly decreased in 4 of 26 white matter tracts and significantly increased in 2 of 26 white matter tracts. R1 was significantly decreased in the AN group compared to controls in 11 of 26 white matter tracts. Reduced FA in combination with reduced R1 suggests that the observed white matter differences in AN are likely due to reductions in myelin content. For the majority of tracts, group differences in FA and R1 did not occur within the same tract. The present findings have important implications for understanding the neurobiological factors underlying white matter changes associated with AN and invite further investigations examining associations between white matter properties and specific physiological, cognitive, social, or emotional functions affected in AN. PMID:26740918

  18. Abnormal white matter properties in adolescent girls with anorexia nervosa

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    Katherine E. Travis


    Full Text Available Anorexia nervosa (AN is a serious eating disorder that typically emerges during adolescence and occurs most frequently in females. To date, very few studies have investigated the possible impact of AN on white matter tissue properties during adolescence, when white matter is still developing. The present study evaluated white matter tissue properties in adolescent girls with AN using diffusion MRI with tractography and T1 relaxometry to measure R1 (1/T1, an index of myelin content. Fifteen adolescent girls with AN (mean age = 16.6 years ± 1.4 were compared to fifteen age-matched girls with normal weight and eating behaviors (mean age = 17.1 years ± 1.3. We identified and segmented 9 bilateral cerebral tracts (18 and 8 callosal fiber tracts in each participant's brain (26 total. Tract profiles were generated by computing measures for fractional anisotropy (FA and R1 along the trajectory of each tract. Compared to controls, FA in the AN group was significantly decreased in 4 of 26 white matter tracts and significantly increased in 2 of 26 white matter tracts. R1 was significantly decreased in the AN group compared to controls in 11 of 26 white matter tracts. Reduced FA in combination with reduced R1 suggests that the observed white matter differences in AN are likely due to reductions in myelin content. For the majority of tracts, group differences in FA and R1 did not occur within the same tract. The present findings have important implications for understanding the neurobiological factors underlying white matter changes associated with AN and invite further investigations examining associations between white matter properties and specific physiological, cognitive, social, or emotional functions affected in AN.

  19. Adolescents' Mental Health Outcomes According to Different Types of Exposure to Ongoing Terror Attacks (United States)

    Braun-Lewensohn, Orna; Celestin-Westreich, Smadar; Celestin, Leon-Patrice; Verte, Dominique; Ponjaert-Kristoffersen, Ingrid


    This study investigates the impact of several types of exposure to terror attacks on adolescents' psychological outcomes in the context of ongoing terror. A total of 913 adolescents (51 girls) aged 12 to 18 years (12-13.6 = 33%; 13.7-15.6 = 38%; 15.7-18 = 28%) took part in the study. Detailed data were collected concerning objective, subjective…

  20. Nutritional Status of Adolescent Girls from Rural Communities of Tigray, Northern Ethiopia

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    Mulugeta, A.; Hagos, F.; Stroecker, B.; Kruseman, G.; Linderhof, V.G.M.; Zenebe, A.; Mekonen, Y.; Girmay, G.


    Background: Addressing the nutritional needs of adolescents could be an important step towards breaking the vicious cycle of intergenerational malnutrition. Objective: Assess nutritional status of rural adolescent girls. Design: Cross-sectional. Methods: Anthropometric and socio-demographic informat

  1. Eating disorder behaviors and attitudes in Japanese adolescent girls and boys in high schools. (United States)

    Nakai, Yoshikatsu; Noma, Shun'ichi; Nin, Kazuko; Teramukai, Satoshi; Wonderlich, Stephen A


    To investigate eating disorder behaviors and attitudes in adolescents, we administered the eating disorder examination questionnaire (EDE-Q) to Japanese adolescent girls and boys. The EDE-Q global scores in Japanese girls and boys, respectively, were significantly lower than those in girls and boys in previous studies. Objective binge eating episodes and extreme dietary restriction were the common behaviors, whereas self-induced vomiting and the misuse of laxatives were uncommon. Differences in the EDE-Q data between Japanese adolescents and adolescents in previous studies from Western countries suggest that there may be certain cultural differences in eating disorder psychopathology in adolescents.

  2. Being a Girl in a Boys' World: Investigating the Experiences of Girls with Autism Spectrum Disorders during Adolescence (United States)

    Cridland, Elizabeth K.; Jones, Sandra C.; Caputi, Peter; Magee, Christopher A.


    This study investigates the experiences of adolescent girls with autism spectrum disorders (ASD) during adolescence. Semi-structured interviews were conducted with three mother-daughter dyads and two additional mothers. A range of issues were highlighted covering physical, emotional, social and sexual domains. Some of these issues were similar to…

  3. Teasing and weight-control behaviors in adolescent girls

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    Ana Carolina B. Leme


    Full Text Available OBJECTIVE: To analyze the association between weight teasing, body satisfaction and weight control behaviors. METHODS: Cross-sectional study based on adaptation and validity research of a North American questionnaire for adolescent girls about physical activity, nutrition, body image, perceptions, and behaviors. The variables used to conduct the study were weight control behaviors, body satisfaction and presence of teasing by family members. Descriptive analyses were carried out by chi-square test, being significant p<0.05. RESULTS: A total of 159 adolescent girls, with 16.2±1.3 years old were enrolled in this study. Of the total, 60.1% reported that family members did not tease them. The teasing was associated with weight dissatisfaction (p<0.001, body shape (p=0.006, belly (p=0.001, waist (p=0.001, face (p=0.009, arms (p=0.014 and shoulders (p=0.001. As a consequence, there was association with unhealthy weight control behaviors (p<0.001, vomiting (p=0,011, diet (p=0.002 and use of laxatives (p=0.035. CONCLUSIONS: The teasing about body image by family members was associated with risk for unhealthy weight control behaviors in female adolescents.

  4. Young Adult Outcomes Associated with Teen Pregnancy Among High-Risk Girls in an RCT of Multidimensional Treatment Foster Care. (United States)

    Leve, Leslie D; Kerr, David C R; Harold, Gordon T


    Teen pregnancy is associated with a host of deleterious outcomes for girls such as drug use and poor parenting. Thus, reducing teen pregnancy rates could improve long-term developmental outcomes for girls, improving adjustment during young adulthood. Based on the positive effects of Multidimensional Treatment Foster Care (MTFC) relative to group care (GC) in a study of adolescent girls-significantly fewer pregnancies reported in the 2-year follow-up for MTFC girls-the present study followed this sample into young adulthood (approximately 7 years postbaseline) to examine the effects of adolescent pregnancy on young adult substance use and pregnancy-related outcomes. All participants were randomly assigned to MTFC (n = 81) or GC (n = 85) as adolescents as part of two RCTs. Results from logistic regression analyses indicated that becoming pregnant during the 2-year follow-up was significantly related to illicit drug use, miscarriage from a new pregnancy, and child welfare involvement at 7 years postbaseline. In addition, baseline marijuana use predicted marijuana use at 7 years postbaseline.

  5. Late-Adolescent Delinquency: Risks and Resilience for Girls Differing in Risk at the Start of Adolescence (United States)

    Stevens, Tia; Morash, Merry; Park, Suyeon


    Based on resilience and feminist criminological theories, several individual, family, and community characteristics were hypothesized to predict late-adolescent delinquency for girls varying in early-adolescent risk. Girls aged 12 and 13 were interviewed each year as part of the National Longitudinal Survey of Youth 1997. Predictors of…

  6. Anorexia resulting from fear of vomiting in four adolescent girls. (United States)

    Manassis, K; Kalman, E


    Four adolescent girls were referred for psychiatric assessment because of suspected anorexia nervosa. Although all of them had lost at least 15% of their body weight, investigation showed that they did not meet the criteria for anorexia nervosa. In all cases, refusal to eat resulted from fear of vomiting following a viral illness and not from a desire to lose weight. Their family configurations and personal histories showed many similarities, including constricted range of affect and a notable lack of anger. With counseling and, in one case, psychotropic medication, the patients recovered promptly.

  7. Assessment of angle velocity in girls with adolescent idiopathic scoliosis

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    Tejero Marta


    Full Text Available Abstract Background Although it has been demonstrated that the peak height velocity (PHV is a predictive factor of progression in adolescent idiopathic scoliosis (AIS, little is known about the usefulness of angle progression in clinical practice. The purpose of this study was to establish a relationship between height and angle velocities, as well as to determine if peak angle velocity (PAV occurs at the same time than PHV. Methods A retrospective study of a cohort of girls with idiopathic scoliotic curves greater than 10°. Data of 132 girls who participated in a previous retrospective study about growth in AIS were used to calculate height and angle velocities. Relationship between height and angle velocities was estimated by the use of a Linear Mixed Model. Results PHV and PAV take place simultaneously 1 year before menarche in progressive curves managed with a brace in AIS. Changes in angle velocity are influenced by changes in height growth velocity, in such a way that as from 6 months post-menarche, height growth velocity in this group of girls estimates curve progression velocity (β-coefficient -0.88, p = 0.04. Conclusion As from 6 months post-menarche, there is an inverse relationship between height velocity and curve progression in the group of AIS girls with progressive curves managed with a brace. Because height velocity is decreasing from 1 year before menarche, this finding corroborates that at the end of puberty, there is still a risk of progression in this group of girls despite bracing. The assessment of both height and angle velocity might be useful in clinical practice at the time of assessing brace effectiveness and how long bracing has to be indicated.

  8. [Evaluation and treatment of adolescent girls with hirsutism]. (United States)

    Bumbuliene, Zana; Alisauskas, Jonas


    Clinical manifestations of androgen excess which are skin and hair related (hirsutism, acne, alopecia) are common and distressing symptoms for an adolescent girls. During puberty and at the time of the first menstruation cycles, physiological hyperandrogenism can be observed. The causes of hirsutism can be various, including familial, idiopathic, and those, caused by excess androgen secretion by the ovary (PCOS, tumors), or by adrenal glands (congenital adrenal hyperplasia, tumor), or exogenous pharmacologic sources of androgens. The diagnosis and treatment of hirsutism remains quite problematic due to innumerous endocrinologic aspects and unsatisfactory treatment results. Androgen excess during puberty must be appropriately recognized, clinically evaluated and treated. Pharmacologic and cosmetic treatments may have beneficial effect. Oral contraceptives and antiadrogens combinations may be recommended as the treatment of choice in adolescents.

  9. Leadership and adolescent girls: a qualitative study of leadership development. (United States)

    Hoyt, Michael A; Kennedy, Cara L


    This research investigated youth leadership experiences of adolescent girls who participated in a comprehensive feminist-based leadership program. This qualitative study utilized a grounded theory approach to understand changes that occurred in 10 female adolescent participants. The words of the participants revealed that initially they viewed leadership in traditional terms and were hesitant to identify themselves as leaders or to see themselves included within their concepts of leadership. Following the program their view of leadership expanded and diversified in a manner that allowed for inclusion of themselves within it. They spoke with greater strength and confidence and felt better positioned and inspired to act as leaders. Participants identified having examples of women leaders, adopting multiple concepts of leadership, and participating in an environment of mutual respect and trust as factors that contributed to their expanded conceptualization.

  10. Dietary Intakes of Adolescent Girls in Relation to Weight Status

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    K Bidad


    Full Text Available Background: To examine macronutrient and micronutrient intake of adolescent girls of Tehran, capital of Iran to discover any malnutrition in relation to weight status and dieting.Methods: A cross-sectional study was conducted. Four hundred 11- to 17-year-old students were selected by multistage clus­ter sampling from secondary and high schools of Tehran. The information about dietary intakes was taken by food fre­quency questionnaire and 24-hour recall form. The students' body mass indices (BMIs were measured and were classified ac­cording to National Center for Health Statistics /Center for Disease Control and Prevention (2000 growth charts. Partici­pants were also questioned about body image and dieting. Results: 6.7% of adolescent girls were classified as being obese, 14.6% overweight, 75.4% normal and 3.2% underweight. Stu­dents 11-13 year old, had mean intakes lower than estimated average requirement (EAR for folic acid, vitamin E, cal­cium, magnesium, phosphorus, potassium and sodium, and 14-18 year old students had mean intakes lower than EAR for nia­cin, pyridoxine, folic acid, pantothenic acid, vitamin E, calcium, magnesium, phosphorus, potassium, sodium and zinc. Obese and overweight adolescents had less carbohydrate, thiamin, niacin, iron and selenium intake. The participants, who were dieting, used significantly less amounts of proteins, carbohydrates, thiamin, niacin, iron, selenium, sodium and zinc.Conclusion: Knowing the harmful consequences of nutrient deficiency especially in adolescents, nutrition education must be emphasized in schools to promote nutritional literacy.

  11. Impact of Socio-Emotional Adjustment on Academic Achievement of Adolescent Girls in Jammu and Kashmir (United States)

    Gul, Showkeen Bilal Ahmad


    The study examined the impact of socio-emotional adjustment on academic achievement of adolescent girls of Jammu and Kashmir. The purpose of the investigation was to study the relationship and effect of socio-emotional adjustment on academic achievement among adolescent girls. The descriptive survey research method was used for the study and the…

  12. Effects of Learning about Gender Discrimination on Adolescent Girls' Attitudes toward and Interest in Science (United States)

    Weisgram, Erica S.; Bigler, Rebecca S.


    Gender discrimination has contributed to the gender imbalance in scientific fields. However, research on the effects of informing adolescent girls about gender discrimination in these fields is rare and controversial. To examine the consequences of learning about gender-based occupational discrimination, adolescent girls (n= 158, ages 11 to 14)…

  13. Family Financial Hardship and Adolescent Girls' Adjustment: The Role of Maternal Disclosure of Financial Concerns. (United States)

    Lehman, Stephanie Jacobs; Koerner, Susan Silverberg


    A study of 62 adolescent girls and their recently divorced mothers examined the relationship between maternal disclosure of financial concerns and difficulties in adolescent daughters' adjustment. Findings revealed a positive direct relationship between family financial hardship and girls' psychological distress, and that financial hardship was…

  14. The Effect of Recreational Activities on Self-Esteem Development of Girls in Adolescence (United States)

    Bayazit, Betül


    This study aimed to investigate the effect of recreational activities on self-esteem development of girls in adolescence. For this purpose, a total of 20 girls in adolescence period took part in the present study. Recreational activities program included bowling, patenga, orienteering, basketball, volleyball, badminton, ping-pong, dance, fun…

  15. Individual and Sociocultural Influences on Pre-Adolescent Girls' Appearance Schemas and Body Dissatisfaction (United States)

    Sinton, Meghan M.; Birch, Leann L.


    Appearance schemas, a suggested cognitive component of body image, have been associated with body dissatisfaction in adolescent and adult samples. This study examined girls' weight status (BMI), depression, and parent, sibling, peer, and media influences as predictors of appearance schemas in 173 pre-adolescent girls. Hierarchical regression…

  16. Team Sports Achievement and Self-Esteem Development among Urban Adolescent Girls (United States)

    Pedersen, Sara; Seidman, Edward


    In this study we investigate the contribution of achievement in team sports to adolescent girls' self-esteem development. Adolescent girls (N = 247) from racially and ethnically diverse backgrounds were surveyed as part of a larger study investigating the development of poor urban youth. Participants responded to items tapping global self-esteem,…

  17. The Influence of Parental Support, Depressed Affect, and Peers on the Sexual Behaviors of Adolescent Girls. (United States)

    Whitbeck, Les B.; And Others


    Used longitudinal data from 76 adolescent girls and their parents to investigate effects of parental warmth and supportiveness on adolescents' depressed affect, attitudes about sexuality, peer influence, and sexual experience. Girls with more emotionally distant parents were more likely to manifest symptoms of depression. Depressed affect was…

  18. Adolescent Girls' Experiences of Discrimination: An Examination of Coping Strategies, Social Support, and Self-Esteem (United States)

    Ayres, Melanie M.; Leaper, Campbell


    The research examined (a) girls' responses to personal experiences of gender and/or ethnic/racial discrimination, (b) social support from parents and friends following the discrimination, and (c) the relationship between girls' reported coping strategies to the discrimination and their self-esteem. Participants were 74 adolescent girls ("M" = 16.3…

  19. Relationships between Social Information Processing and Aggression among Adolescent Girls with and without ADHD (United States)

    Mikami, Amori Yee; Lee, Steve S.; Hinshaw, Stephen P.; Mullin, Benjamin C.


    This study investigated the relationship between social information processing (SIP) and both relational and overt, physical aggression in a longitudinally-followed sample of 228 adolescent girls (ages 11-18; 140 with ADHD and 88 comparison girls). During childhood, girls participated in naturalistic summer camps where peer rejection, overt…

  20. Measuring Social Provisions for Physical Activity among Adolescent Black and White Girls (United States)

    Motl, Robert W.; Dishman, Rod K.; Saunders, Ruth P.; Dowda, Marsha; Pate, Russell R.


    The authors evaluate the validity of the Social Provisions Scale for physical activity among adolescent Black (n = 896) and White (n = 823) girls. The girls completed the scale and measures of subjective norms and physical activity in the eighth and ninth grades. Within the sample of White girls, the Social Provisions Scale contained 24 items that…

  1. Body Dissatisfaction Prospectively Predicts Depressive Mood and Low Self-Esteem in Adolescent Girls and Boys (United States)

    Paxton, Susan J.; Neumark-Sztainer, Dianne; Hannan, Peter J.; Eisenberg, Marla E.


    This research examined whether body dissatisfaction prospectively predicted depressive mood and low self-esteem in adolescent girls and boys 5 years later. Participants were early-adolescent girls (n = 440, Time 1 M age = 12.7 years) and boys (n = 366, Time 1 M age = 12.8 years) and midadolescent girls (n = 946, Time 1 M age = 15.8 years) and boys…

  2. Exploring Temporal Patterns of Stress in Adolescent Girls with Headache. (United States)

    Björling, Elin A; Singh, Narayan


    As part of a larger study on perceived stress and headaches in 2009, momentary perceived stress, head pain levels and stress-related symptom data were collected. This paper explores a temporal analysis of the patterns of stress, as well as an analysis of momentary and retrospective stress-related symptoms compared by level of headache activity. Adolescent girls (N = 31) ages 14-18 were randomly cued by electronic diaries 7 times per day over a 21-day period responding to momentary questions about level of head pain, perceived stress and stress-related symptoms. Multivariate general linear modelling was used to determine significant differences among headache groups in relation to temporal patterns of stress. Significant headache group differences were found on retrospective and momentary stress-related symptom measures. A total of 2841 diary responses captured stress levels, head pain and related symptoms. The chronic headache (CH) group reported the highest levels of hourly and daily stress, followed by the moderate headache (MH) and low headache (LH) groups. Patterns of stress for the three headache groups were statistically distinct, illustrating increased stress in girls with more frequent head pain. This evidence suggests that because of increased stress, girls with recurrent head pain are likely a vulnerable population who may benefit from stress-reducing interventions. Copyright © 2016 John Wiley & Sons, Ltd.

  3. Emotional and psychosocial aspects of menstrual poverty in resource-poor settings: a qualitative study of the experiences of adolescent girls in an informal settlement in Nairobi. (United States)

    Crichton, Joanna; Okal, Jerry; Kabiru, Caroline W; Zulu, Eliya Msiyaphazi


    We introduce the concept of "menstrual poverty" to categorize the multiple deprivations relating to menstruation in resource-poor settings across the Global South, and we examine how this affects the psychological well-being of adolescent girls in an urban informal settlement in Kenya. We use qualitative data collected through 34 in-depth interviews and 18 focus group discussions with girls, women, and key informants. Menstrual poverty involved practical and psychosocial challenges affecting girls at home and at school. Its emotional impacts included anxiety, embarrassment, fear of stigma, and low mood. Further research is needed on how menstrual poverty affects girls' psychological and educational outcomes.


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    Full Text Available Often health and nutritional status of adolescent girls are direct reflection of the cumulative effects of various factors. One of the important parameters that causes under nutrition in adolescent girls is their poor socio - economic status. Further low li teracy levels aggravate this dismal situation. OBJECTIVES: (a To assess nutritional status of adolescent girls; (b to study socioeconomic variables of adolescents ; and (c to find out the association of socioeconomic variables with the nutritional statu s of adolescent girls. METHODS AND MATERIALS: A cross - sectional study was carried out in Primary Health Centre, Agroha , Haryana. Sample size (273 estimation was based on the extent of under nutrition in adolescent girls. Thirty nine adolescent girls were selected by simple random sampling from each of the 7 villages covered under PHC, Agroha. A predesigned and pretested interview and examination schedule was used for recording of family and individual information. Nutritional status of study subjects was assessed on the basis of BMI. STATISTICAL ANALYSIS: Proportions and X 2 test. RESULTS: Two third of the adolescent girls were under nourished. Under - nutrition was significantly least in subjects with main occupation of the family as service (p<0.05. With increasing level of highest literacy in the family, literacy status of father, mother and adolescent girls, significant improvement in nutritional status was noticed. There existed significant (P<0.01 association be tween socioeconomic status and nutritional status of study subjects. CONCLUSIONS: For improvement of nutritional status of adolescent girls there is a need to develop strategies for improving adult and adolescent education.

  5. The relationship between mother’s parenting style and social adaptability of adolescent girls in Isfahan


    Kazemi, Ashraf; Solokian, Soheila; Ashouri, Elaheh; Marofi, Maryam


    Background: Social adaptability is an important requirement of the social life of adolescents, which can be affected by their mother’s parenting style (PS). The purpose of this study is to compare the social adaptability in four parenting styles (authoritative, authoritarian, permissive and neglectful) through which mothers interact with their adolescent girls. Materials and Methods: This survey is a cross-sectional and analytical study on 737 adolescents that study in the all girls junior hi...

  6. Examining Means of Reaching Adolescent Girls for Iron Supplementation in Tigray, Northern Ethiopia

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    Afework Mulugeta


    Full Text Available Background: Iron deficiency is the most prevalent nutritional deficiency in adolescent girls from the developing world. One of the recommended interventions to improve iron status in adolescent girls is iron supplementation. Yet the provision of iron supplements to adolescent girls proved to be a challenging task for the health systems across the developing world. Objective: The objective of the study was to examine means of reaching adolescent girls for iron supplementation in Northern Ethiopia. Methodology: Analytical cross-sectional study consisting of both quantitative and qualitative approaches to data collection and analysis was used in this study. Stratified multi-stage systematic random sampling technique was adopted and primary quantitative data were collected from 828 (578 school attending and 250 non school attending adolescent girls recruited from nine districts of Tigray. The primary quantitative data were analyzed using SPSS version 20 software. The qualitative data collected through key informant interviews and focus group discussions were transcribed verbatim and qualitatively analyzed. Results: The mean (SD age of the girls was 16.7 (1.4 years. Four hundred forty seven (54%, 355 (42.9% and 26 (3.1% of the adolescent girls had low, medium and high diet diversity scores, respectively. More than half, 467 (56%, of the adolescent girls believed that adolescent girls were overloaded with household jobs everyday compared to boys from their respective communities. Key informants said that, there is no adolescent nutrition message promoted in the study area. Low community awareness, perceiving iron tablet as a contraceptive, religious and cultural influences, and lack of confidence in supplementation value of iron tablets, are some of the potential barriers mentioned by the key informant and focus group discussion participants. Schools (45%, health centers (27% and health posts (26% were the preferred public facilities for provision of

  7. Amygdala response predicts trajectory of symptom reduction during Trauma-Focused Cognitive-Behavioral Therapy among adolescent girls with PTSD. (United States)

    Cisler, Josh M; Sigel, Benjamin A; Kramer, Teresa L; Smitherman, Sonet; Vanderzee, Karin; Pemberton, Joy; Kilts, Clinton D


    Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) is the gold standard treatment for pediatric PTSD. Nonetheless, clinical outcomes in TF-CBT are highly variable, indicating a need to identify reliable predictors that allow forecasting treatment response. Here, we test the hypothesis that functional neuroimaging correlates of emotion processing predict PTSD symptom reduction during Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) among adolescent girls with PTSD. Thirty-four adolescent girls with PTSD related to physical or sexual assault were enrolled in TF-CBT, delivered in an approximately 12 session format, in an open trial. Prior to treatment, they were engaged in an implicit threat processing task during 3T fMRI, during which they viewed faces depicting fearful or neutral expressions. Among adolescent girls completing TF-CBT (n = 23), slopes of PTSD symptom trajectories during TF-CBT were significantly related to pre-treatment degree of bilateral amygdala activation while viewing fearful vs neutral images. Adolescents with less symptom reduction were characterized by greater amygdala activation to both threat and neutral images (i.e., less threat-safety discrimination), whereas adolescents with greater symptom reduction were characterized by amygdala activation only to threat images. These clinical outcome relationships with pre-treatment bilateral amygdala activation remained when controlling for possible confounding demographic or clinical variables (e.g., concurrent psychotropic medication, comorbid diagnoses). While limited by a lack of a control group, these preliminary results suggest that pre-treatment amygdala reactivity to fear stimuli, a component of neurocircuitry models of PTSD, positively predicts symptom reduction during TF-CBT among assaulted adolescent girls, providing support for an objective measure for forecasting treatment response in this vulnerable population.

  8. Romantic Functioning and Depressive Symptoms among Early Adolescent Girls: The Moderating Role of Parental Emotional Availability (United States)

    Steinberg, Sara J.; Davila, Joanne


    This study tested associations between adolescent romantic functioning and depressive symptoms and predicted that adolescents with emotionally unavailable parents would be most likely to show an association between poor romantic functioning and depressive symptoms. Data collected from 80 early adolescent nonreferred girls (average age of 13.45; SD…


    Gyan, Sylvia Esther; Ahorlu, Collins; Dzorgbo, Dan-Bright S; Fayorsey, Clara K


    This study focuses on how older adolescent girls access and utilize social capital to develop resilience against teenage pregnancy in Begoro, Ghana. A survey of 419 non-pregnant girls aged 15-19 years, selected using a multi-stage cluster sampling technique, was conducted in 2012. Qualitative data were gathered through in-depth interviews with ten girls purposively selected from the survey respondents. Parents, relatives, teachers and religious groups were found to be important sources of social capital for the non-pregnant girls in developing resilience against teenage pregnancy. In addition, resilient girls tended to rely on multiple sources of social capital. It is recommended that stakeholders and policymakers in Ghana ensure that these significant sources of social capital in adolescent girls' sexual experience are equipped with the right information to help girls decrease the risk of teenage pregnancy.

  10. Talking Circles for Adolescent Girls in an Urban High School

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    Ann Schumacher


    Full Text Available Restorative Practices (RP in schools is a new and emerging field. Meeting in Circles to build friendships, develop emotional literacy skills, resolve conflict, or learn interactively are some of the core components of these programs. This article describes a 2-year study of 12 weekly Talking Circles organized under the auspices of a RP program in an urban high school with 60 adolescent girls. Primary data sources included 257 hr of participant observations in Talking Circles and individual, semi-structured interviews with 31 students. The Relational Cultural model, rooted in the work of Jean Baker Miller, served as the conceptual framework for understanding teens’ interactions within the Circle’s unique set of social conditions in a school environment. Findings demonstrated that Talking Circles provided a safe space for peers helping peers, and that the girls improved their listening, anger management, and empathic skills, which led to greater self-efficacy. It appears that Talking Circles could provide another venue for developing social-emotional literacy skills and growth-fostering relationships in schools.

  11. Nutrition education improves serum retinol concentration among adolescent school girls. (United States)

    Lanerolle, Pulani; Atukorala, Sunethra


    Dietary diversification has been identified as a sustainable intervention method in developing countries where subclinical vitamin A deficiency exists. Nutrition education is central to all methods of nutrition intervention including dietary diversification. The paucity of available data currently limits the effective use of nutrition education in national programs in Sri Lanka. We assessed the effect of nutrition education on nutrition related knowledge, food consumption patterns and serum retinol concentrations among 229 adolescent school girls, aged between 15-19 years. Knowledge on nutrition, food consumption patterns and serum retinol concentration was assessed at baseline. Intervention included nutrition education as lecture discussions, interactive group discussions and four different methods of reinforcement. Knowledge, food consumption patterns and serum retinol concentrations were reassessed after a ten week period of intervention. Educational intervention resulted in a significant increase in knowledge (P nutrition education on serum retinol concentration was highly significant (PNutrition education was effective in improving knowledge and food consumption patterns among these girls. Effectiveness was of biological significance, as a positive change in serum retinol concentration was observed in subjects with initially low concentrations, and not in subjects with initially normal serum concentrations.

  12. Neuropsychological Function in Adolescent Girls with Conduct Disorder (United States)

    Pajer, Kathleen; Chung, Jessica; Leininger, Lisa; Wang, Wei; Gardner, William; Yeates, Keith


    A study was conducted to determine whether neuropsychological function is poorer in girls with conduct disorder (CD) than in girls without any psychiatric disorder. It is concluded that girls with CD had deficits in several areas of neuropsychological function.

  13. Consequences of Parenting on Adolescent Outcomes

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    Donna Hancock Hoskins


    Full Text Available In recent years, substantial gains have been made in our understanding of the influence of parenting behaviors and styles on adolescent emotional and behavioral outcomes. Empirical work focusing on the associations between parenting and adolescent outcomes is important because the influence of parenting during adolescence continues to affect behaviors into adulthood. Additionally, there has been considerable attention paid to the mechanisms that shape parenting that then influence adolescent outcomes. For instance, researchers have found that neighborhood conditions moderated the association between parenting and adolescent development. In this paper, several covariates and contextual effects associated with parenting and adolescent outcomes will be discussed. Also, parental behaviors, parental styles and adolescent outcomes are discussed in this literature review. This review provides an assessment of the literature on parenting and adolescent outcomes from the past decade and includes advancements in parenting research. The review concludes with a summary of major research findings, as well as a consideration of future directions and implications for practice and policy.

  14. When a girl's decision involves the community: the realities of adolescent Maya girls' lives in rural indigenous Guatemala. (United States)

    Wehr, Heather; Tum, Silvia Ester


    Adolescent Maya girls are among the most vulnerable, marginalized sub-populations in Guatemala, a country that is largely young, indigenous and poor. Adolescent Maya girls have limited access to secondary schooling, opportunities to work or earn an income, and sexual and reproductive health information and services. This article explores the extent to which adolescent Maya girls are able to adopt what they have learned in a community-based skills-building and sex education programme in isolated rural, indigenous Guatemalan communities. This is presented through an interview between the authors, who met and worked together in the Population Council's programme Abriendo Oportunidades (Opening Opportunities) for girls aged 8-19 years. The interview discusses what can be done so that indigenous adolescents not only obtain the sexual health information they need, but develop the skills to make decisions, communicate with their peers and parents, and exercise their rights. Much culturally and linguistically sensitive work must be done, using a community-based participatory approach, so that young people who do want to use condoms for protection or contraceptive methods not only have access to the methods, but the support of their families and communities, and government-sponsored sex education programmes, to use them.

  15. Higher cognitive ability buffers stress-related depressive symptoms in adolescent girls. (United States)

    Riglin, Lucy; Collishaw, Stephan; Shelton, Katherine H; McManus, I C; Ng-Knight, Terry; Sellers, Ruth; Thapar, Ajay K; Frederickson, Norah; Rice, Frances


    Stress has been shown to have a causal effect on risk for depression. We investigated the role of cognitive ability as a moderator of the effect of stressful life events on depressive symptoms and whether this varied by gender. Data were analyzed in two adolescent data sets: one representative community sample aged 11-12 years (n = 460) and one at increased familial risk of depression aged 9-17 years (n = 335). In both data sets, a three-way interaction was found whereby for girls, but not boys, higher cognitive ability buffered the association between stress and greater depressive symptoms. The interaction was replicated when the outcome was a diagnosis of major depressive disorder. This buffering effect in girls was not attributable to coping efficacy. However, a small proportion of the variance was accounted for by sensitivity to environmental stressors. Results suggest that this moderating effect of cognitive ability in girls is largely attributable to greater available resources for cognitive operations that offer protection against stress-induced reductions in cognitive processing and cognitive control which in turn reduces the likelihood of depressive symptomatology.

  16. A Study of Menstrual Hygiene among Adolescent School Girls in a Slum Area of Kolkata

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    Madhumita Bhattacharyya, Papia Sen, Suprakash Hazra, Rabindra Nath Sinha, Sanjoya Sahoo


    Conclusion: Use of sanitary napkin is highly prevalent among the adolescent girls from slum and incidence of symptomatic leucorrhoea and vaginal itch/burning was significantly less among sanitary napkin users."

  17. Anaemia and nutritional status of adolescent girls in Babile District, Eastern Ethiopia (United States)

    Teji, Kedir; Dessie, Yadeta; Assebe, Tesfaye; Abdo, Meyrema


    Introduction Nutritional status during adolescence plays an important role in the human lifecycle that influences growth and development and during this period nutrient needs are the greatest. The objective of this study is to assess anaemia and nutritional status of adolescent girls in the Babile district, Eastern Ethiopia. Methods Data were collected from 547 adolescent aged 10-19 years by cross sectional study design. WHO Anthro-plus software was used to analyse Nutritional statuses of adolescents and magnitudes were determined using WHO 2007 references point. Haemoglobin was measured on site by hem cue machine. Descriptive and inferential statistical analysis was carried out depending on the nature of variables. Results The result of the study show that 21.6% thin, 4.8% were over weighted and 1.1% was obese, 32% were anaemic and 15% of adolescents were stunted/ short stature than normal. Nutritional status of adolescent were low both in urban and rural adolescents, but severe thinness were higher among of rural (39.3%) compared to urban (37.5%) adolescents. Factors independently associated with stunting were place of residence, father occupation source of drinking water and age of the adolescents. Conclusion Nutritional status of adolescent girls contributes to the nutritional status of the community. There is a need to initiate intervention measures to improve the nutritional status of adolescent girls who are the future ‘mothers-to-be’. Hence, there is a need to create awareness among adolescents and their family about nutrition and health. PMID:27642403

  18. Delinquency in Adolescent Girls: Using a Confluence Approach to Understand the Influences of Parents and Peers


    Henneberger, Angela K.; Tolan, Patrick H.; Hipwell, Alison E.; Keenan, Kate


    Determining the interdependence of family and peer influences on the development of delinquency is critical to defining and implementing effective interventions. This study explored the longitudinal relationship among harsh punishment, positive parenting, peer delinquency, and adolescent delinquency using data from a sub-sample of the Pittsburgh Girls Study. Participants were 622 adolescent girls (42% European American, 53% African American); families living in low-income neighborhoods were o...

  19. Awareness about Menstruation and Menstrual Hygiene Practices among Adolescent Girls in Central India


    Sanjay Dixit; Deepa Raghunath; Rahul Rokade3; Syed Akbar Nawaz4; Taruna Nagdeve4; Ishu Goyal4


    "Background: Menstruation is a natural phenomenon unique to women and menstrual hygiene is fundamental to the wellbeing of women and girls. Objectives: To find the awareness about menstruation among ado-lescent girls in a government and private school and ascertain their menstrual hygiene practices. Methods: A cross sectional study was done on 100 girls between age of 12-16 years studying in a government school and a private school, after taking consent from the authority in charge. A...

  20. A Typology of Retaliation Strategies against Social Aggression among Adolescent Girls (United States)

    Kozlowski, Karen Phelan; Warber, Kathleen M.


    Girls respond to peer attacks of indirect social aggression in various ways. This study explores when and how victims retaliate against their aggressors. Qualitative interviews with 15 adolescent girls ages 10-16 suggest that victims of social aggression are likely to retaliate when their aggressors communicate the following: identity attacks,…

  1. Unraveling the Slut Narrative: Gender Constraints on Adolescent Girls' Sexual Decision-Making (United States)

    Summit, Aleza K.; Kalmuss, Debra; DeAtley, Jenifer; Levack, Andrew


    Limited research exists on the slut labeling process, a key means of enforcing rules around appropriate female sexuality. This study explores that process through qualitative interviews with 44 adolescent girls in Travis County, Texas. Labeling girls as sluts or hos was pervasive and was based on a number of factors beyond sexual behavior,…

  2. Emotional Dysregulation and Interpersonal Difficulties as Risk Factors for Nonsuicidal Self-Injury in Adolescent Girls (United States)

    Adrian, Molly; Zeman, Janice; Erdley, Cynthia; Lisa, Ludmila; Sim, Leslie


    The purpose of this study was to examine a model of factors that place psychiatrically hospitalized girls at risk for non-suicidal self-injury (NSSI). The role of familial and peer interpersonal difficulties, as well as emotional dysregulation, were examined in relationship to NSSI behaviors. Participants were 99 adolescent girls (83.2% Caucasian;…

  3. Body Image Concerns in Young Girls: The Role of Peers and Media Prior to Adolescence (United States)

    Dohnt, Hayley K.; Tiggemann, Marika


    Peer and media influences have been identified as important conveyors of socio-cultural ideals in adolescent and preadolescent samples. This study aims to explore peer and media influences in the body image concerns and dieting awareness of younger girls, aged 5-8 years. A sample of 128 girls was recruited from the first 4 years of formal…

  4. The Relationship between STD Locus of Control and STD Acquisition among Adolescent Girls. (United States)

    Rosenthal, Susan L.; Griffith, Jennifer O.; Succop, Paul A.; Biro, Frank M.; Lewis, Lisa M.; DeVellis, Robert F.; Stanberry, Lawrence R.


    Adolescent girls from an urban-based clinic participated in a longitudinal study about psychosexual development and risk of STD acquisition. The girls were asked about their perceptions of loci of control (parents, internal control) as it relates to STD acquisition. Responses to locus of control correlated over time but variations were not found…

  5. Changes in Strength Abilities of Adolescent Girls: The Effect of a 3-Year Physical Education Curriculum (United States)

    Czarniecka, Renata; Milde, Katarzyna; Tomaszewski, Pawel


    Study aim: To evaluate changes in strength abilities of adolescent girls that underwent a 3-year physical education curriculum. Material and methods: The research participants comprised 141 girls aged 13.3 plus or minus 0.35 years who participated in a 3-year physical education curriculum (PEC). Evaluation was based on the following EUROFIT…

  6. Knowledge, attitude and practices related to menstruation among adolescent girls in Chennai

    Directory of Open Access Journals (Sweden)

    Seenivasan P


    Full Text Available Background: Adolescence in girls is a special period which signifies the transition from girlhood to womanhood. Lack of good hygienic practices has increased the vulnerability to reproductive tract infections. Due to societal attitude, girls also associate a variety of negative physical and psychological changes on their body with menstruation. The objective of this study was to assess the knowledge, practices and attitude related to menstruation. Methods: This cross-sectional study was carried out among 500 school going adolescent girls. A pre-tested questionnaire was administered to the study population after obtaining written consent. Results: In our study 69% of the girls attained menarche at 11 to 13 years; 40 % of the girls knew about menstruation before menarche with mother being the informant in 47.7% of the subjects. Most of the girls felt scared on first menstruation (59%. All the girls in the study practised one restriction or the other. Conclusions: The study has highlighted the needs of the adolescents to have accurate and adequate information about menstruation and its appropriate management. Immense efforts are needed to curb myths about menstruation among the adolescent school going girls.

  7. A Multi-Dimensional Model of Groupwork for Adolescent Girls Who Have Been Sexually Abused. (United States)

    Lindon, Jillian; Nourse, Carol A.


    A treatment approach for sexually abused adolescent girls, using a group work model, incorporated three treatment modalities: a skills component, a psychotherapeutic component, and an educative component. Abused girls demonstrated difficulties in many areas of their lives. The six participants showed improvement according to self-statements and…

  8. Body Image and Self-Esteem among Adolescent Girls: Testing the Influence of Sociocultural Factors (United States)

    Clay, Daniel; Vignoles, Vivian L.; Dittmar, Helga


    In Western cultures, girls' self-esteem declines substantially during middle adolescence, with changes in body image proposed as a possible explanation. Body image develops in the context of sociocultural factors, such as unrealistic media images of female beauty. In a study of 136 U.K. girls aged 11-16, experimental exposure to either ultra-thin…

  9. Comparison of Social Variables for Understanding Physical Activity in Adolescent Girls (United States)

    Saunders, Ruth P.; Motl, Robert W.; Dowda, Marsha; Dishman, Rod K.; Pate, Russell R.


    Objective : To evaluate social support and theory of planned behavior (TPB) constructs in explaining physical activity in adolescent girls. Methods : One thousand seven hundred ninety-seven 8 th -grade girls completed a survey measuring social provisions, family support, TPB constructs, moderate-to-vigorous physical activity (MVPA), and team sport…

  10. Adolescent Girls' Experiences of Discrimination: An Examination of Coping Strategies, Social Support, and Self-Esteem (United States)

    Ayres, Melanie M.; Leaper, Campbell


    The research examined (a) girls' responses to personal experiences of gender and/or ethnic/racial discrimination, (b) social support from parents and friends following the discrimination, and (c) the relationship between girls' reported coping strategies to the discrimination and their self-esteem. Participants were 74 adolescent girls…

  11. Exploring the relationship between timing of menarche and eating disorder symptoms in black and white adolescent girls

    NARCIS (Netherlands)

    Striegel-Moore, RH; McMahon, RP; Biro, FM; Schreiber, G; Crawford, PB; Voorhees, C


    Objective: This study examined the relationship between timing of sexual maturation and eating disorders symptoms in adolescent girls. Method: Data were collected over 10 years for a cohort of 1,213 Black girls and 1,166 White girls who were either 9 or 10 years old at study entry. Annually, girls'

  12. Delinquency in Adolescent Girls: Using a Confluence Approach to Understand the Influences of Parents and Peers. (United States)

    Henneberger, Angela K; Tolan, Patrick H; Hipwell, Alison E; Keenan, Kate


    Determining the interdependence of family and peer influences on the development of delinquency is critical to defining and implementing effective interventions. This study explored the longitudinal relationship among harsh punishment, positive parenting, peer delinquency, and adolescent delinquency using data from a sub-sample of the Pittsburgh Girls Study. Participants were 622 adolescent girls (42% European American, 53% African American); families living in low-income neighborhoods were oversampled. After controlling for the effects of race, living in a single parent household, and receipt of public assistance, harsh punishment and peer delinquency in early adolescence were positively related to delinquency in mid-adolescence. No significant main effects of positive parenting or interaction effects between parenting and peer delinquency were observed. Thus, the effects of harsh parenting and peer delinquency are independent and perhaps additive, rather than interdependent. Results indicate the continued importance of targeting both parenting and peer relationships to prevent delinquency in adolescent girls.

  13. Principles and strategies of programming for adolescent girls. (United States)

    Rohde, J E


    In consort with the focus on women's enrichment and status improvement in developing countries, the following principles and strategies are discussed: decentralized planning, maximizing schooling, experiential learning, avoidance of exploitation. Planning must involve adolescents and women and be consistent with cultural influences and patterns. Girls also need to be encouraged by parents to stay in schools as long as possible, with minimizing the attractions of staying out of school, and provision for dropouts to return. Experiential learning through interaction, observation, and enjoyment is the best method and will work best with the disadvantaged and neglected, and enable women to, for instance, understand the importance of breastfeeding, immunization, or hygiene. The program which may involved service is not to be exploitative, be a convenience, and benefit her. The content needs to be flexible and suitable to the age such that nutrition must be taught before menarche and at the first sign of breast development, and when bone growth is at its peak. School feeding programs are of proven benefit. Goals can be satisfied without being rigid and allowing for dream time also. The shape of a better tomorrow will depend upon these women. Adequate funding is always necessary, and something for nothing doesn't work without adequate food, useful learning materials, and attractive incentives such as a culturally appropriate items of clothing, confidence and prestige building are a must. The challenges are to provide formal schooling and the concomitant self-esteem building and public recognition of women's competence. Seclusion of pubescent girls in purdah needs to be eliminated and replaced with programs of responsible, mature and positive interaction with older women, who provide leadership skills and linkages to larger society. Interactions between girls is also important with village based continuing education, and practical self-guided curricula. Vocational training

  14. Girl-Child Education Outcomes: A Case Study from Ghana (United States)

    Arku, Frank S.; Angmor, Emmanuel N.; Tetteh, Isaac K.


    The importance of girl-child education is largely documented and initiatives to promote girl-child education are widespread. However, studies on service delivery methods, processes and the impacts are limited in the literature. This study assessed the Plan Ghana's girl-child educational project. According to the findings, the project has helped to…

  15. A school-based intervention to promote physical activity among adolescent girls: Rationale, design, and baseline data from the Girls in Sport group randomised controlled trial

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    Puglisi Lauren


    Full Text Available Abstract Background Physical activity levels decline markedly among girls during adolescence. School-based interventions that are multi-component in nature, simultaneously targeting curricular, school environment and policy, and community links, are a promising approach for promoting physical activity. This report describes the rationale, design and baseline data from the Girls in Sport group randomised trial, which aims to prevent the decline in moderate-to-vigorous intensity physical activity (MVPA among adolescent girls. Methods/Design A community-based participatory research approach and action learning framework are used with measurements at baseline and 18-month follow-up. Within each intervention school, a committee develops an action plan aimed at meeting the primary objective (preventing the decline in accelerometer-derived MVPA. Academic partners and the State Department of Education and Training act as critical friends. Control schools continue with their usual school programming. 24 schools were matched then randomized into intervention (n = 12 and control (n = 12 groups. A total of 1518 girls (771 intervention and 747 control completed baseline assessments (86% response rate. Useable accelerometer data (≥10 hrs/day on at least 3 days were obtained from 79% of this sample (n = 1199. Randomisation resulted in no differences between intervention and control groups on any of the outcomes. The mean age (SE of the sample was 13.6 (± 0.02 years and they spent less than 5% of their waking hours in MVPA (4.85 ± 0.06. Discussion Girls in Sport will test the effectiveness of schools working towards the same goal, but developing individual, targeted interventions that bring about changes in curriculum, school environment and policy, and community links. By using community-based participatory research and an action learning framework in a secondary school setting, it aims to add to the body of literature on effective school

  16. A low pulse food intake may contribute to the poor nutritional status and low dietary intakes of adolescent girls in rural southern Ethiopia. (United States)

    Roba, Alemzewed C; Gabriel-Micheal, Kebebush; Zello, Gordon A; Jaffe, Joann; Whiting, Susan J; Henry, Carol J


    Poor nutrition in adolescent girls poses critical health risks on future pregnancy and birth outcomes especially in developing countries. Our purpose was to assess nutritional status and dietary intake of rural adolescent girls and determine pulse and food intake patterns associated with poor nutritional status. A cross-sectional community-based study was conducted in a traditional pulse growing region of southern Ethiopia on 188 girls between 15 to 19 years of age, with 70% being from food insecure families. Prevalence of stunting (30.9%) and underweight (13.3%) were associated with low food and nutrient intake. Diets were cereal-based, with both animal source foods and pulses rarely consumed. Improving dietary intakes of female adolescents with nutrient dense foods would ensure better health for themselves and for the next generation.

  17. Preventing Depression among Adolescent Girls: Pathways toward Effective and Sustainable Programs (United States)

    Wolfe, Vicky Veitch; Dozois, David J. A.; Fisman, Sandra; DePace, JoAnne


    Up to 25% of adolescent girls experience an episode of major depression, at least twice the rate found with adolescent boys. In addition to reducing the suffering associated with depression, prevention efforts with this high-risk population have the potential to avert short- and long-term functional impairment, reduce the risk of associated mental…

  18. Predictors of Peer Victimization among Hispanic Adolescent Girls: Implications for School Social Work (United States)

    Powell, Anne; Jenson, Jeffrey M.


    Aggressive behavior aimed at peers in school settings is a persistent problem for students, teachers, parents, and school social workers. Peer victimization is particularly troubling for adolescent girls in light of recent increases in aggression and violence among female adolescents. However, most studies of peer victimization, particularly among…

  19. Severe vulvovaginitis as a presenting problem of type 2 diabetes in adolescent girls: a case series. (United States)

    Curran, Jacqueline; Hayward, Jenette; Sellers, Elizabeth; Dean, Heather


    This article describes the presentation of 4 adolescent girls who sought medical attention for severe vulvovaginitis and were subsequently found to have type 2 diabetes. Symptomatic vulvovaginitis is rare in adolescent girls, and its presence should alert health care providers to test for underlying hyperglycemia. These 4 girls represent 8.5% of the females with new-onset type 2 diabetes during a 3-year period (2007-2009). The 4 cases fulfilled the current Canadian Diabetes Association screening criteria for type 2 diabetes in youth, yet none of these girls had been screened. These cases highlight the need for better awareness of screening criteria for type 2 diabetes in adolescents. Consideration should be given in clinical practice guidelines to including the presence of unusual or severe infections as a risk factor for type 2 diabetes in youth.

  20. What's Sexy? Adolescent Girls Discuss Confidence, Danger, and Media Influence (United States)

    Lamb, Sharon; Farmer, Kaelin M.; Kosterina, Elena; Lambe Sariñana, Susan; Plocha, Aleksandra; Randazzo, Renee


    Building on qualitative research about sexualisation by media and culture and the impact on girls' development, in this article we present a discourse analysis of three focus groups of teen girls of colour and of diverse ethnicities asked to talk about sexiness. We focus on the ways the girls both support and resist hegemonic discourses about…

  1. The Benefits Associated with Dance Education for Adolescent Girls. (United States)

    Vicario, Terra; Chambliss, Catherine

    Dance education provides an opportunity for aerobic exercise and conditioning that is especially appealing to many girls. Dance may act as an outlet for girls and give them confidence, but, at the same time, it may create risks associated with perceived body-image. The benefits of taking dance classes were examined for girls, ages 13-20, enrolled…

  2. Trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh (United States)

    ALFaris, Nora A.; Al-Tamimi, Jozaa Z.; Al-Jobair, Moneera O.; Al-Shwaiyat, Naseem M.


    Background Saudi Arabia has passed through lifestyle changes toward unhealthy dietary patterns such as high fast food consumption. Adolescents and young adults, particularly girls, are the main groups exposed to and affected by these adverse eating behaviors. Objective The aim of this study was to examine the trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh, and to compare between them. Design In a cross-sectional survey, 127 adolescent Saudi girls (13–18 years) and 69 young adult Saudi girls (19–29 years) were randomly recruited to participate in this study. Weight, height, waist circumference, and hip circumference were measured using standardized methods. Twenty-four-hour diet recall and a face-to-face interview food questionnaire were performed. Results Most of the participants had adequate intake of protein, riboflavin, iron, and sodium, but exhibited low intake for several other nutrients. Among study participants, 95.4% consume restaurants’ fast food and 79.1% eat fast food at least once weekly. Burgers and carbonated soft drinks were the main kinds of fast food meals and beverages usually eaten by girls. Adolescent girls who usually ate large portion sizes of fast food had significantly higher mean waist circumference and hip circumference. Participants eat fast food primarily for enjoying the delicious taste, followed by convenience. Restaurants’ hygiene and safety standards were the main concern regarding fast food for 62.2% of girls. Finally, international restaurants were preferable by participants to buy fast food compared with local restaurants (70.9% vs. 29.1%). Conclusion Our findings provide evidence on the high prevalence of fast food consumption among Saudi girls, suggesting an urgent need for community-based nutrition interventions that consider the trends of fast food consumption and targeted eating behaviors of adolescent and young adult girls. PMID:25792229

  3. Trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh. (United States)

    ALFaris, Nora A; Al-Tamimi, Jozaa Z; Al-Jobair, Moneera O; Al-Shwaiyat, Naseem M


    Background : Saudi Arabia has passed through lifestyle changes toward unhealthy dietary patterns such as high fast food consumption. Adolescents and young adults, particularly girls, are the main groups exposed to and affected by these adverse eating behaviors. Objective : The aim of this study was to examine the trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh, and to compare between them. Design : In a cross-sectional survey, 127 adolescent Saudi girls (13-18 years) and 69 young adult Saudi girls (19-29 years) were randomly recruited to participate in this study. Weight, height, waist circumference, and hip circumference were measured using standardized methods. Twenty-four-hour diet recall and a face-to-face interview food questionnaire were performed. Results : Most of the participants had adequate intake of protein, riboflavin, iron, and sodium, but exhibited low intake for several other nutrients. Among study participants, 95.4% consume restaurants' fast food and 79.1% eat fast food at least once weekly. Burgers and carbonated soft drinks were the main kinds of fast food meals and beverages usually eaten by girls. Adolescent girls who usually ate large portion sizes of fast food had significantly higher mean waist circumference and hip circumference. Participants eat fast food primarily for enjoying the delicious taste, followed by convenience. Restaurants' hygiene and safety standards were the main concern regarding fast food for 62.2% of girls. Finally, international restaurants were preferable by participants to buy fast food compared with local restaurants (70.9% vs. 29.1%). Conclusion : Our findings provide evidence on the high prevalence of fast food consumption among Saudi girls, suggesting an urgent need for community-based nutrition interventions that consider the trends of fast food consumption and targeted eating behaviors of adolescent and young adult girls.

  4. Trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh

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    Nora A. ALFaris


    Full Text Available Background: Saudi Arabia has passed through lifestyle changes toward unhealthy dietary patterns such as high fast food consumption. Adolescents and young adults, particularly girls, are the main groups exposed to and affected by these adverse eating behaviors. Objective: The aim of this study was to examine the trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh, and to compare between them. Design: In a cross-sectional survey, 127 adolescent Saudi girls (13–18 years and 69 young adult Saudi girls (19–29 years were randomly recruited to participate in this study. Weight, height, waist circumference, and hip circumference were measured using standardized methods. Twenty-four-hour diet recall and a face-to-face interview food questionnaire were performed. Results: Most of the participants had adequate intake of protein, riboflavin, iron, and sodium, but exhibited low intake for several other nutrients. Among study participants, 95.4% consume restaurants’ fast food and 79.1% eat fast food at least once weekly. Burgers and carbonated soft drinks were the main kinds of fast food meals and beverages usually eaten by girls. Adolescent girls who usually ate large portion sizes of fast food had significantly higher mean waist circumference and hip circumference. Participants eat fast food primarily for enjoying the delicious taste, followed by convenience. Restaurants’ hygiene and safety standards were the main concern regarding fast food for 62.2% of girls. Finally, international restaurants were preferable by participants to buy fast food compared with local restaurants (70.9% vs. 29.1%. Conclusion: Our findings provide evidence on the high prevalence of fast food consumption among Saudi girls, suggesting an urgent need for community-based nutrition interventions that consider the trends of fast food consumption and targeted eating behaviors of adolescent and young adult girls.

  5. Overweight and Obese Adolescent Girls: The Importance of Promoting Sensible Eating and Activity Behaviors from the Start of the Adolescent Period

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    Alwyn S. Todd


    Full Text Available The adolescent period is associated with changes in eating and activity behaviors in girls. Less reliance on parental provision and choice of food, coupled with a decrease in participation in physical activity and sport, can create an energy imbalance, predisposing to weight gain. Physiological alterations to body composition, reduction in insulin sensitivity, and psychological adjustments may further amplify the risk of becoming overweight and maintaining an unhealthy level of body fat into childbearing years. During pregnancy excess body fat is a risk factor for poor pregnancy outcomes and may predispose an infant to a lifelong heightened risk of being overweight and developing chronic disease. Interventions aimed at preventing the accumulation of body fat in adolescent girls and young women may have far reaching impact and be critically important in reducing intergenerational weight gain. Lifestyle interventions in adolescence have the potential to modify adult obesity risk by switching at-risk individuals from a high to lower obesity risk trajectory. This paper discusses multiple approaches to assist at-risk individuals reduce obesity risk. A key focus is placed on engagement in food preparation and choice, and opportunities for physical activity and sport. Support, education, and opportunity at home and at school, are often associated with the success of lifestyle interventions, and may enable adolescents to make positive choices, and engage in health promoting behaviors during adolescence and childbearing years.

  6. Qualitative Iranian study of parents' roles in adolescent girls' physical activity habit development. (United States)

    Hosseini, Seyyed Vahide; Anoosheh, Monireh; Abbaszadeh, Abbas; Ehsani, Mohammad


    Parents are likely to be key influences on children's physical activity behaviors, although it is not clear how. This study was designed to explore parents' roles in Iranian adolescent girls' physical activity habit development. A qualitative study was conducted by means of semistructured one-to-one interviews with 25 participants, including 16 adolescent girls (10-19 years of age), seven mothers, and two fathers. Content analysis was applied. Two main themes emerged as parental role in adolescent girls' physical activity behavior: developing interest in physical activity (making children familiar with physical activity, discovering talents, and role modeling) and providing support to adolescents for physical activity (material and immaterial). This study provided a better understanding of how Iranian parents influence their children's physical activity behavior. This will enable nurses to design more effective family-based interventions.

  7. The influence of urban literature on African-American adolescent girls' sexual behaviors. (United States)

    Harris, Allyssa L


    Many African-American teenaged girls are reading urban literature. This genre of literature is known for its gritty portrayal of urban life and has themes of violence, promiscuity, substance abuse and misogyny. Although research has demonstrated that the portrayal of sex and violence in the media are influential on adolescent sexual behavior, to date there has been little research on the influence of "urban lit" on adolescent sexual risk behaviors. This qualitative study explores the influence of urban literature on the sexual risk behaviors among a group of African-American adolescent girls. Findings from this study suggest that African-American adolescent girls may be influenced by the sexual themes depicted in this genre of literature. Additional research is needed to gain a greater understanding of this phenomon.

  8. The effect of educational group therapy plan on self–esteem rate in adolescent girls


    Roya Turkashvand; Sima Kermanshahi; Parviz Azadfalah


    Background: Adolescence is a period of major changes in various aspects of physical, mental and social caracters they may get. There are new requirements for the changes have been occurred. Attention to these needs, in turn, are faster and better compatibility and increase self-esteem. Self-esteem is the basic factor of personality development in adolescents. Therefore, the aim of this study was to evaluate the effect of educational group therapy on self-esteem of adolescent girls.Materials a...

  9. The Nutrition and Enjoyable Activity for Teen Girls (NEAT girls randomized controlled trial for adolescent girls from disadvantaged secondary schools: rationale, study protocol, and baseline results

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    Okely Anthony D


    Full Text Available Abstract Background Child and adolescent obesity predisposes individuals to an increased risk of morbidity and mortality from a range of lifestyle diseases. Although there is some evidence to suggest that rates of pediatric obesity have leveled off in recent years, this has not been the case among youth from low socioeconomic backgrounds. The purpose of this paper is to report the rationale, study design and baseline findings of a school-based obesity prevention program for low-active adolescent girls from disadvantaged secondary schools. Methods/Design The Nutrition and Enjoyable Activity for Teen Girls (NEAT Girls intervention will be evaluated using a group randomized controlled trial. NEAT Girls is a 12-month multi-component school-based intervention developed in reference to Social Cognitive Theory and includes enhanced school sport sessions, interactive seminars, nutrition workshops, lunch-time physical activity (PA sessions, PA and nutrition handbooks, parent newsletters, pedometers for self-monitoring and text messaging for social support. The following variables were assessed at baseline and will be completed again at 12- and 24-months: adiposity, objectively measured PA, muscular fitness, time spent in sedentary behaviors, dietary intake, PA and nutrition social-cognitive mediators, physical self-perception and global self-esteem. Statistical analyses will follow intention-to-treat principles and hypothesized mediators of PA and nutrition behavior change will be explored. Discussion NEAT Girls is an innovative intervention targeting low-active girls using evidence-based behavior change strategies and nutrition and PA messages and has the potential to prevent unhealthy weight gain and reduce the decline in physical activity and poor dietary habits associated with low socio-economic status. Few studies have reported the long-term effects of school-based obesity prevention programs and the current study has the potential to make an

  10. Valeologic knowledge in adolescent girls studied at secondary and professional schools

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    Kunina A.M.


    Full Text Available The purpose: The study was performed to estimate the valeologic knowledge in adolescent girls. Material and methods: The study included 169 girls (aged 12-18. The anonymous questioning, the lessons on a healthy life style and sexual education were conducted. Results: The investigation showed that girls have had low level of the healthy life style and sexual education. More than half of girls in this study had no accurate understanding about the menstruation, normal sexual development. After the healthy life style lessons among the girls the level of valeologic knowledge was increased in 1.5-5 times. Conclusion: The awareness among girls on issues related to sexual and reproductive health through valeologic and sex education may be developed by means of school programs.

  11. [Atypical celiac disease in an adolescent girl--case report]. (United States)

    Hozyasz, Kamil; Czerwińska, Barbara


    Coeliac disease is characterized by life-long gluten intolerance. There are a wide variety of clinical presentations, which range from severe diarrhoea and weight loss to asymptomatic forms. The primary treatment for coeliac disease is the removal of gluten from the diet to prevent both immediate and long-term complications. The case of 16-year-old girl with coeliac disease was presented. At the age of 2 years the patient with impaired growth and abnormal stools was suspected to have coeliac disease. She experienced symptomatic improvement on gluten-free diet, but after 3 years the treatment was discontinued. The patient denied gastrointestinal or skin problems. At the age of 14 years Raynaud's phenomenon was observed for the first time. Two years later episodes of Raynaud's phenomenon involved all fingers and toes. Body mass index (BMI) was 23.8 kg/m2. Levels of free-carnitine, tocopherol, vitamin B12 were below normal limits and homocysteine level was increased. Antiendomysial IgA, antireticulin IgA, antigliadin IgA and IgG antibodies were positive. The duodenal mucosa showed total villous atrophy. Gluten free-diet and multivitamin supplementation provided some benefit in reducing Raynaud's phenomenon. The patient's well being has improved markedly. Atypical coeliac disease is usually seen in adolescents and adults in whom features of overt malabsorption are often absent. In cases of health problems occurring in persons with history of malabsorption syndrome in childhood suspicion of coeliac disease should be heightened and appropriate evaluation undertaken.

  12. Age at Time of Initial Sexual Intercourse and Health of Adolescent Girls. (United States)

    Lara, Lúcia A S; Abdo, Carmita H N


    Adolescence is characterized by marked changes in the body, psychology, and sexual behavior due to increasing production of hormones. In this review we aimed to assess the effect of age at the time of first sexual intercourse (sexarche) on the health of adolescent girls, and identify factors that might protect against early initiation of sexual relations in girls. The PubMed, Lilacs, and Google Scholar databases were searched for clinical trials, comparative studies, case-control studies, cross-sectional studies, cohort studies, multicenter studies, observational studies, meta-analyses, and systematic reviews published up to December 2014 on this theme. The search terms were: "sexual debut," "coitarche," "sexarche," and "young people," "adolescent," "unplanned pregnancy," "adolescent contraception," and "STDs." Data were extracted from 28 studies and 41 references were used to introduce the theme and to support the discussion. Sexarche has been occurring in increasingly younger girls. A young age at sexarche can lead to subsequent risky sexual behavior. Girls who have sexarche when they are 14 years old or younger are less likely to use contraception on this occasion, take more time before they start using contraception in subsequent sexual relations, are more likely to have several sex partners, have a higher risk for depression, have lower self-esteem and more episodes of repentance, and have a higher risk for a sexually transmitted disease and cervical cancer. Girls with low educational, socioeconomic, and cultural status, little parental monitoring, parental separation, and absence of religiosity tend to experience sexarche at a younger age. Adolescent girls who postpone sexarche until they are 16 years old are physically and psychologically healthier than those who have sexarche at a younger age. This suggests that providing adolescent girls with appropriate education about sexual relations might reduce the negative effect of sexual relations at a young age.

  13. Forced migration and sexual abuse: experience of Congolese adolescent girls in Kigeme refugee camp, Rwanda

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    Innocent Iyakaremye


    Full Text Available Background This study deals with the link between forced migration and sexual abuse, with a special focus on adolescent girls. Existing literature associates forced migration with sexual abuse and identifies adolescent girls as the most vulnerable. However, little is known about the situation of sexual abuse among Congolese refugees in Rwanda since their arrival in 2012 due to the conflict between Congolese government forces and the M23 rebel group. This study was initiated to explore the situation of sexual abuse of Congolese adolescent girls in Kigeme camp and to suggest remedial strategies. Participants and procedure Qualitative data were collected through individual interviews and focus group discussions (FGDs with adolescent girls. Interviews also involved parents, boys, camp authorities, and neighbouring citizens. Results The findings show that rape, unwanted physical touching, sexual exploitation, commercial sex, early marriage and girl trafficking are the main forms of sexual abuse. These are facilitated by the miserable life in the camp, shortcomings in the camp layout and security system, and adolescent developmental stage. They negatively impact girls’ reproductive health, social integration and mental health. Conclusions Existing strategies to address sexual abuse in the camp have had positive but insufficient results, and thus need to be improved and reinforced. Improvement is suggested in the areas of the abuse reporting system, the camp layout and security system, involvement of men and youth, and the consolidation of anti-GBV (gender-based violence clubs.

  14. A study of the menstrual pattern and problems among rural school going adolescent girls of Amravati district of Maharashtra, India

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    Vinod Ramdasji Wasnik


    Methods: The Prospective observational study was carried out among selected 435 Secondary and higher secondary girls students (12-16 years of age of Ner Pinglai by purposive sampling method. The study was done in the month August 2013 to February 2014. Statistical analyses were done using SPSS 16.0 version. Results: Total 435 adolescent girls had attained menarche. The mean age of menarche was 13.5 (1.0 years. 17.9% of adolescent girls reported premenstrual syndrome. 81.3% girls had abdominal pain during menstruation followed by 28.5% cramp, 11% were uncomfortable, 11% had backache, 6.6% had headache and 2.5% girls had depression. 3.4% of the adolescent girls were did not have any symptoms during menses. Dysmenorrhoea was the most common menstrual complaint reported by 62.3% girls. 33.5 % girls have reported use of sanitary pads during menstruation. 41.6% girls have reported use of old clothes during menstruation. 21.8% had irregular menstrual cycle. Conclusion: Menstruation is an important milestone for adolescent girls and menstrual problems are common among adolescent girls. The mean age of menarche was 13.1 +/- 1.0 of years. There were 1.5 menstrual symptom per adolescent girls commonest being abdominal pain. Dysmenorrhoea was seen in 62.3% of the adolescent girls. 33.5% girls have reported use of sanitary pads during menstruation. 41.6% girls have reported use of old clothes during menstruation. [Int J Res Med Sci 2015; 3(5.000: 1252-1256


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    Ruchi Juyal


    Full Text Available Context: Adolescence in girls signifies the transition from girlhood to womanhood. Good menstrual hygiene is crucial for the health, education, and dignity of girls and women. This is an important sanitation issue which has long been in the closet and still there is a long standing need to openly discuss it. Aims: 1. To elicit the knowledge and source of information regarding menstruation among the adolescent girl students. 2. To find out the practices of menstrual hygiene among them. Settings and Design: Cross-Sectional study conducted in two randomly selected Inter colleges (one rural and one urban of district Dehradun of Uttarakhand state. Methods and Material: 453 girls studying in 9th to 12th grades were interviewed by using a prestructured and pretested questionnaire. Statistical analysis used: percentages and Chi-square test Results: 64.5 % girls (71.1% Rural and 57% Urban were aware about menstruation prior to the attainment of menarche. Awareness among rural girls was significantly more as compared to urban girls. Friends were the first informant in about 31.8 % girls. But the correct reason and source of bleeding during menstruation was not known to most of the respondents. Overall 38.4 % adolescent girls (48.1% Rural and 27.6% Urban were using sanitary napkins as menstrual absorbent, while 30 % were using a new cloth/rag every time. Conclusions: There is a need to educate the girls about menstruation, its importance and hygiene maintenance; so as to enable them to lead a healthy reproductive life in future.

  16. Building psychosocial assets and wellbeing among adolescent girls: A randomized controlled trial. (United States)

    Leventhal, Katherine Sachs; Gillham, Jane; DeMaria, Lisa; Andrew, Gracy; Peabody, John; Leventhal, Steve


    We conducted a randomized controlled trial of a 5-month resilience-based program (Girls First Resilience Curriculum or RC) among 2308 rural adolescent girls at 57 government schools in Bihar, India. Local women with at least a 10th grade education served as group facilitators. Girls receiving RC improved more (vs. controls) on emotional resilience, self-efficacy, social-emotional assets, psychological wellbeing, and social wellbeing. Effects were not detected on depression. There was a small, statistically significant negative effect on anxiety (though not likely clinically significant). Results suggest psychosocial assets and wellbeing can be improved for girls in high-poverty, rural schools through a brief school-day program. To our knowledge, this is one of the largest developing country trials of a resilience-based school-day curriculum for adolescents.

  17. Immigration status, acculturation, and dating violence risk for Hispanic adolescent girls in New Mexico. (United States)

    Ramos, Mary M; Green, Dan; Booker, John; Nelson, Anna


    Little data exist on dating violence experienced by immigrant Hispanic adolescents. The present study examined the relationships between immigration status, language spoken at home, and dating violence experienced by Hispanic adolescent girls in New Mexico. Data from the 2007 New Mexico Youth Risk and Resiliency Surveys were analyzed. Adjusted logistic regression analyses were conducted among the full sample of Hispanic females (N = 3,412) and among strata based on immigration status. Immigrant Hispanic girls were as likely as non-immigrant Hispanic girls to have experienced dating violence in the prior year (P = 0.93). Among immigrant Hispanic girls, those who were Non-English-dominant were one-fourth as likely to have experienced dating violence as those immigrant girls who were English-dominant (aOR 0.27 [95% CI 0.08-0.87]). Among US-born Hispanic girls, those who were Non-English-dominant were less likely to have experienced dating violence; however, this value did not reach statistical significance (aOR 0.65 [95% CI 0.33-1.27]). Past sexual experience was a significant risk factor for dating violence for US-born Hispanic girls (aOR 4.99 [95% CI 3.18-7.83]) but not for immigrant Hispanic girls (aOR 1.66 [95% CI 0.63-4.43]). Immigrant status was not found to be protective against dating violence for New Mexico Hispanic girls. However, those immigrant girls who were less acculturated in terms of language used at home were found to have only a quarter of the risk of dating violence as those more acculturated. The use of heritage language by immigrant Hispanic girls may be a protective factor against dating violence. Further studies are indicated to confirm this finding.

  18. Maternal Influences on Smoking Initiation among Urban Adolescent Girls (United States)

    Nichols, Tracy R.; Graber, Julia A.; Brooks-Gunn, Jeanne; Botvin, Gilbert J.


    This study examined associations between maternal social influences to smoke and girls' early smoking behaviors. Data were collected separately from 450 urban minority girls (65.7% Black, 21.5% Latina, and 12.8% other) and their mothers on smoking frequency as well as demographic and social factors hypothesized to promote smoking. Results showed…

  19. Nutritional status, dietary intake, and relevant knowledge of adolescent girls in rural Bangladesh. (United States)

    Alam, Nurul; Roy, Swapan Kumar; Ahmed, Tahmeed; Ahmed, A M Shamsir


    This study estimated the levels and differentials in nutritional status and dietary intake and relevant knowledge of adolescent girls in rural Bangladesh using data from the Baseline Survey 2004 of the National Nutrition Programme. A stratified two-stage random cluster-sampling was used for selecting 4,993 unmarried adolescent girls aged 13-18 years in 708 rural clusters. Female interviewers visited girls at home to record their education, occupation, dietary knowledge, seven-day food-frequency, intake of iron and folic acid, morbidity, weight, and height. They inquired mothers about age of their daughters and possessions of durable assets to divide households into asset quintiles. Results revealed that 26% of the girls were thin, with body mass index (BMI)-for-age 95th percentile), and 32% stunted (height-for-age food items in the last week were less frequent and correlated well positively with the household asset quintile. Girls of the highest asset quintile ate fish/meat 2.1 (55%) days more and egg/milk two (91%) days more than the girls in the lowest asset quintile. The overall dietary knowledge was low. More than half could not name the main food sources of energy and protein, and 36% were not aware of the importance of taking extra nutrients during adolescence for growth spurt. The use of iron supplement was 21% in nutrition-intervention areas compared to 8% in non-intervention areas. Factors associated with the increased use of iron supplements were related to awareness of the girls about extra nutrients and their access to mass media and education. Community-based adolescent-friendly health and nutrition education and services and economic development may improve the overall health and nutritional knowledge and status of adolescents.

  20. Testing Social-Cognitive Theory to Explain Physical Activity Change in Adolescent Girls from Low-Income Communities (United States)

    Dewar, Deborah L.; Plotnikoff, Ronald C.; Morgan, Philip J.; Okely, Anthony D.; Costigan, Sarah A.; Lubans, David R.


    Purpose: The aim of this study was to test the hypothesized structural paths in Bandura's social-cognitive theory (SCT) model on adolescent girls' physical activity following a 12-month physical activity and dietary intervention to prevent obesity. Method: We conducted a 12-month follow-up study of 235 adolescent girls ("M[subscript…

  1. Focus Group Studies on Food Safety Knowledge, Perceptions, and Practices of School-Going Adolescent Girls in South India (United States)

    Gavaravarapu, Subba Rao M.; Vemula, Sudershan R.; Rao, Pratima; Mendu, Vishnu Vardhana Rao; Polasa, Kalpagam


    Objective: To understand food safety knowledge, perceptions, and practices of adolescent girls. Design: Focus group discussions (FGDs) with 32 groups selected using stratified random sampling. Setting: Four South Indian states. Participants: Adolescent girls (10-19 years). Phenomena of Interest: Food safety knowledge, perceptions, and practices.…

  2. The Selection and Prevalence of Natural and Fortified Calcium Food Sources in the Diets of Adolescent Girls (United States)

    Rafferty, Karen; Watson, Patrice; Lappe, Joan M.


    Objective: To assess the impact of calcium-fortified food and dairy food on selected nutrient intakes in the diets of adolescent girls. Design: Randomized controlled trial, secondary analysis. Setting and Participants: Adolescent girls (n = 149) from a midwestern metropolitan area participated in randomized controlled trials of bone physiology…

  3. On Their Own and in Their Own Words: Bolivian Adolescent Girls' Empowerment through Non-Governmental Human Rights Education (United States)

    Gervais, Christine


    In recognition of the profound benefits of children's engagement with their rights, this article presents an experiential account of how Bolivian adolescent indigenous girls discover, articulate, experience, and advocate human rights. This study explores adolescent girls' demonstrations of empowerment, agency, resistance, and solidarity as part of…

  4. Analysis of obstetric and gynecological surgeries among adolescent girls: lessons for prevention

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    Ruchi Kalra


    Full Text Available Background: Health of adolescent girls is a priority. Any operative surgery affects her physical and psychological health adversely. Aim: The study was done to analyze the operative burden on adolescent girls and identify the health needs of adolescent girls at our institute. Methods: A cross sectional study was done from May 2010 till Aug 2013. All adolescent girls (19 years age and below operated during this period at department of obstetrics and gynaecology, People's college of medical science and RC, Bhopal were included. Results: The operations were done on 54 adolescent girls during this period which was 1.37% of the total surgeries. Age wise distribution was as 50% were of 19 years age, 37% were 18 years, 7.4% were of 17 years and 5.5% were 16 years and below. 41% of them were admitted with labour complaints, 26% cases as abortions, 13% cases with pain in abdomen. 11% of cases had cyclical pain with primary amenorrhoea 5% were admitted with Primary amenorrhoea, 4% had complaints of perineum pain. Maximum surgeries for obstetrical indications were caesarean sections (41% cases followed by suction evacuation for abortion(26%. Among gynecological surgeries, maximum were done for imperforate hymen and partial vaginal septum (11% casesexploratory laparotomy for benign ovarian masses (9.25% cases. Diagnostic laparoscopy for primary amenorrhea was done (5.5% cases and operative laparoscopy (3.7% cases. 1.85% cases each were of pelvic abscess and bartholin cyst where I and D and marsupialization were done respectively. Conclusions: Obstetric operative burden on adolescent girls was very high. 67% of obstetric related surgeries can be prevented by educating and encouraging them to delay the onset of sexual activity and also by providing health related and contraceptive advices in schools and community settings. [Int J Reprod Contracept Obstet Gynecol 2015; 4(2.000: 355-359

  5. Urban adolescent girls' perspectives on romantic relationships: initiation, involvement, negotiation, and conflict. (United States)

    Volpe, Ellen M; Morales-Alemán, Mercedes M; Teitelman, Anne M


    The purpose of this paper was to describe romantic relationships from the perspective of urban, adolescent girls, to address gaps in our understanding of their relationship dimensions. Minority adolescent girls (n  =  17) participated in private semi-structured interviews aimed to elicit the understanding of the adolescents' perspectives on their own relationship experiences and dynamics. The research team conducted conventional content analysis of the interview transcripts. Four major themes emerged about romantic relationships: (1) influence of male pursuit and social norms on relationship initiation factors; (2) a romantic partner is a confidant, friend, and companion; (3) negotiating intimacy respectfully; and (4) relationship conflict through control and abuse. Adolescents described sub-themes of social norms of male pursuit and relationship pressures that dictated relationship initiation. Relationships were depicted by emotional support, caring, and companionship. Adolescents described positive negotiation skills. However, relationship conflict, including controlling behaviors and violence, was illustrated in these same relationships. This study provides a rich description of romantic relationships from the perspectives of urban, adolescent girls. Most salient findings included social pressures and a combination of both positive and negative attributes. Implications include the need for intervention development at the community level to address social pressures, recognition of positive adolescent relationship attributes, and facilitation of skills to identify and address low-quality relationship characteristics.

  6. The role of initial bone mineral status in predicting the early outcome of brace treatment in girls with adolescent idiopathic scoliosis%初诊骨密度对女性青少年特发性脊柱侧凸患者早期支具治疗效果的预测价值

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    孙旭; 朱泽章; 邱勇; 王斌; 李卫国; 朱锋; 俞杨; 钱邦平; 马薇薇


    Objective To investigate whether initial bone mineral status acts as a predictor factor in evaluating the early outcome of brace treatment in adolescent idiopathic scoliosis (AIS) girls. Methods Seventy-sevengirls with AIS, aged 10-15 years old, were included in this study. A standardized bracing protocol was performed in these girls, and the early outcomes of brace treatment were evaluated at over-1-year follow-up. Girls with a progressed scoliosis and those with a non-progressed scoliosis were identified.The associations between the outcome and the indices before bracing, including age, menstrual status,Risser grade, bone mineral density (BMD) status, curve magnitude and curve pattern were assessed using univariate analysis. A multiple Logistic stepwise regression was used to determine the risk factors in curve progression in AIS girls treated with brace treatment. Results There were 16 girls (21%) with a progressed scoliosis and 61 girls (79%) with a non-progressed scoliosis, respectively. In the girls with a progressed scoliosis, higher ratios of subjects were found with premenarchal status ( X2>= 9. 628, P =0. 004), lower Risser grade ( X2> = 4. 565, P = 0.037 ), main thoracic scoliosis ( X2> = 4. 009, P = 0. 045 ), a larger curve (X2> = 1. 685 ,P = 0.194), as well as osteopenia (X2>= 3. 828, P = 0. 050), as compared with those with a non- progressed scoliosis. During brace treatment, besides premenarchal status, a larger Cobb angle, and a main thoracic scoliosis, osteopenia ( OR = 5. 362, P = 0. 022) was identified as the risk factor in curve progression in AIS girls, as revealed by the multiple Logistic regression analysis. Conclusions Osteopenia might be an independent risk factor in the curve progression during brace treatment. The analysis of initial BMD status before bracing may help to predict the outcome of brace treatment.%目的 探讨青少年特发性脊柱侧凸女性患者初诊时骨密度对短期支具治疗期间侧凸畸

  7. Underage drinking among young adolescent girls: the role of family processes. (United States)

    Fang, Lin; Schinke, Steven P; Cole, Kristin C


    Guided by family interaction theory, this study examined the influences of psychological, peer, and familial processes on alcohol use among young adolescent girls and assessed the contributions of familial factors. An ethnically diverse sample of 1,187 pairs of girls (M age = 12.83 years), and their mothers completed surveys online. Questionnaires assessed girls' lifetime and recent alcohol use, as well as girls' demographic, psychological, peer, and family characteristics. Hierarchical logistic regression models showed that although girls' drinking was associated with a number of psychological and peer factors, the contributions of family domain variables to girls' drinking were above and beyond that of psychological and peer factors. The interaction analyses further highlighted that having family rules, high family involvement, and greater family communication may offset risks in psychological and peer domains. Study findings underscore the multifaceted etiology of drinking among young adolescent girls and assert the crucial roles of familial processes. Prevention programs should be integrative, target processes at multiple domains, and include work with parents.

  8. ‘‘I feel free’’: Experiences of a dance intervention for adolescent girls with internalizing problems


    Duberg, Anna; Möller, Margareta; Sunvinsson, Helena


    Adolescent girls today suffer from internalizing problems such as somatic symptoms and mental health problems at higher rates compared to those of previous decades, and effective interventions are warranted. The aim of this study was to explore the experiences of participating in an 8-month dance intervention. This qualitative study was embedded in a randomized controlled trial of a dance intervention for adolescent girls with internalizing problems. A total of 112 girls aged 13–18 were inclu...


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    Full Text Available INTRODUCTION Adolescents constitute about 22 per cent of India's population. This huge section of population represents a great 'demographic dividend' and offers a dependable potential to drive and sustain economic growth that India has experienced in last few years. Adolescents are generally considered healthy by themselves, their families, even healthcare providers and society at large. Yet they are known to suffer significant morbidity caused by risk taking behaviour and inadequate access to health care. OBJECTIVES  To study the demographic profile of the adolescent girls living in rural areas.  To study the psychosocial risk profile of the adolescent girls using the ‘HEEADSSS’ approach. MATERIALS AND METHODS A cross-sectional observational study was conducted in Chinakakani village, the Rural Field Practice Area of NRI Medical College, Guntur for six months from February to July 2015. A total of 191 sample was selected by systematic random sampling method after listing out the adolescent girls residing in the study village. The pre- designed, pre-tested semi- structured schedule was administered to the respondents by interview method. WHO ‘HEEADSSS’ questionnaire is made appropriate and suitable to the rural areas consisting of eight components namely, Home and Environment, Education and Employment, Eating habits, Activities, Drugs, Sexuality, Suicide and Depression and Safety. STATISTICAL ANALYSIS The data collected was analyzed using Microsoft Excel and EPI Info statistical package. The psychosocial risk of each adolescent was quantified using a 100 point scale developed by the Institute of Medical Sciences, Banaras Hindu University, Varanasi. RESULTS Only 9.9% of the rural adolescent girls were found to be normal based upon the psychosocial ‘HEEADSSS’ risk score, 73.3% girls are having mild-to-moderate psychosocial risk, 13.6% and 3.1% were found with severe and very severe risk respectively. CONCLUSION Psychosocial risk

  10. An analysis of anger in adolescent girls who practice the martial arts. (United States)

    Lotfian, Sara; Ziaee, Vahid; Amini, Homayoun; Mansournia, Mohammad-Ali


    The effect of martial arts on adolescents' behavior, especially aggression, is controversial. The aim of this study was to assess and compare anger ratings among adolescent girl athletes of different martial arts. 291 female adolescents between the ages of 11 and 19 were assessed according to the Adolescent Anger Rating Scale designed by DM Burney. In the case group, the martial arts practiced were either judo (n = 70) or karate (n = 66), while the control group was composed of swimmers (n = 59) and nonathletes (n = 96). Total anger scores showed statistically significant differences between the groups (P = 0.001) decreasing from girls who practiced judo to nonathletes, karate, and swimmers. Instrumental and reactive anger subscales also showed significant differences between the groups, but this difference was not found for anger control. As a conclusion, the anger rate did not differ between judoka and nonathletes, but that both of these groups received higher scores in total anger than karateka and swimmers.

  11. Heterosocial Involvement, Peer Pressure for Thinness, and Body Dissatisfaction among Young Adolescent Girls


    Gondoli, Dawn M.; Corning, Alexandra F.; Blodgett Salafia, Elizabeth H.; Bucchianeri, Michaela M.; Fitzsimmons, Ellen E.


    The purpose of this study was to examine longitudinal connections among young adolescent heterosocial involvement (i.e., mixed-sex interactions), peer pressure for thinness, and body dissatisfaction. Three years of self-report questionnaire data were collected from 88 adolescent girls as they completed 6th through 8th grades. Results indicated that the relation between heterosocial involvement and body dissatisfaction was mediated by perceived peer pressure for thinness. Within this model, he...

  12. Adolescent Girls and Their Mothers Talk About Experiences of Binge and Loss of Control Eating


    Palmberg, Allison A.; Stern, Marilyn; Kelly, Nichole R.; Bulik, Cynthia; Belgrave, Faye Z.; Trapp, Stephen K.; Hofmeier, Sara M.; Mazzeo, Suzanne E.


    Evidence suggests that adolescents’ experience of binge eating (BE) might differ in important ways from that of adults. Moreover, although BE appears more common in African American women than other disordered eating behaviors, little is known about the influence of cultural factors on this behavior in adolescents. The current investigation used qualitative methodology to examine the perceptions of White and African American adolescent girls and their mothers regarding experiences of binge an...

  13. Perceived Cause and Effect Relationship for Nutritional Anemia Among Adolescent Girls in Rural Puducherry

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    Mayura S


    Full Text Available Background & Objectives: The prevalence of nutritional anemia among adolescent girls is high (47.6% to 90% as previously reported in the different parts of North India. Since there are limited studies on nutritional anemia at the sub-district level in the Southern part of India, there is a need to know the extent of the problem among adolescent girls to plan context specific interventions. With this background, the present study was done with the objectives 1 To find the prevalence of nutritional anemia among adolescent girls 2 To ‘qualitatively’ explore their perceptions of the causes and effects of nutritional anemia. Methods: The study was undertaken in two wards of Kallitheerthalkuppam village, the field practice area of the Department of Community Medicine, SMVMCH, Puducherry. Mixed-methods design which includes quantitative (survey and qualitative (cause-effect diagram methods was used. A representative sample of 100 adolescent girls aged 12-19 years were the study participants. Data for quantitative (survey using a questionnaire and qualitative (cause-effect diagram methods were collected over the period of two months. Result: The prevalence of anemia among the study population was 58 per cent. In The cause and effect diagram exercise, girls linked deficiency of iron as the cause for tiredness, irregular menstrual cycles and low birth weight. They also linked deficiency of iron and the habit of not wearing footwear to tiredness, reduced intake of green leafy vegetables, and intestinal worm infections to giddiness and hookworm infections to peptic ulcer. Interpretation & Conclusions: The study found a gap between knowledge and practice as reflected in the cause and effect diagram. This result indicates the need to initiate an effective behavior change communication for improving the hemoglobin status of adolescent girls.

  14. Exploring Maternal Health Care-Seeking Behavior of Married Adolescent Girls in Bangladesh: A Social-Ecological Approach (United States)

    Shahabuddin, Asm; Nöstlinger, Christiana; Delvaux, Thérèse; Sarker, Malabika; Delamou, Alexandre; Bardají, Azucena; Broerse, Jacqueline E. W.; De Brouwere, Vincent


    Background The huge proportion of child marriage contributes to high rates of pregnancies among adolescent girls in Bangladesh. Despite substantial progress in reducing maternal mortality in the last two decades, the rate of adolescent pregnancy remains high. The use of skilled maternal health services is still low in Bangladesh. Several quantitative studies described the use of skilled maternal health services among adolescent girls. So far, very little qualitative evidence exists about attitudes and practices related to maternal health. To fill this gap, we aimed at exploring maternal health care-seeking behavior of adolescent girls and their experiences related to pregnancy and delivery in Bangladesh. Methods and Findings A prospective qualitative study was conducted among thirty married adolescent girls from three Upazilas (sub-districts) of Rangpur district. They were interviewed in two subsequent phases (2014 and 2015). To triangulate and validate the data collected from these married adolescent girls, key informant interviews (KIIs) and focus group discussions (FGDs) were conducted with different stakeholders. Data analysis was guided by the Social-Ecological Model (SEM) including four levels of factors (individual, interpersonal and family, community and social, and organizational and health systems level) which influenced the maternal health care-seeking behavior of adolescent girls. While adolescent girls showed little decision making-autonomy, interpersonal and family level factors played an important role in their use of skilled maternal health services. In addition, community and social factors and as well as organizational and health systems factors shaped adolescent girls’ maternal health care-seeking behavior. Conclusions In order to improve the maternal health of adolescent girls, all four levels of factors of SEM should be taken into account while developing health interventions targeting adolescent girls. PMID:28095432

  15. Nutritional Status of Adolescent School Girls in a Rural Area in Sri Lanka; Anthropometric Assessment

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    A.M.N.T. Adikari


    Full Text Available Adolescence is the transition period between childhood and adulthood in where rapid physical, mental, emotional and social development takes place. Adolescence females are at greatest risk for nutrient deficiency and it badly affects to their education and physical development. Nutritional status of female adolescents is important not only for their growth and development, but also for future pregnancies. The objective of this study was assessing the nutritional status of adolescent school girls in a rural area, located in North Western Province in Sri Lanka by using anthropometric measurements. A total number of 110 adolescent school girls, age range of 13 to 15 years, studied schools in Pannala sub-zonal education division were randomly selected after briefly explained the purpose of the study and getting a written consent from their parents. Anthropometric measurements were measured. Epi info version 3.4 was used to generate Z scores and percentiles for weight for age, height for age and Body Mass Index (BMI for age. According to WHO cut off subjects were categorized in to underweight, stunting, overweight and obese. In the study sample 20.7%, 19.8% 19.1%, 9.1%, 0.9% and 52.7% were underweight, stunting, wasting, overweight, obese and normal nutritional status, respectively. Since 46 % of the studied subjects were under-nutritional status appropriate intervention should be directed towards adolescent school girls to improve their nutritional status and education for healthy diets.

  16. Depressed affect and dietary restraint in adolescent boys' and girls' eating in the absence of hunger. (United States)

    Kelly, Nichole R; Shomaker, Lauren B; Pickworth, Courtney K; Grygorenko, Mariya V; Radin, Rachel M; Vannucci, Anna; Shank, Lisa M; Brady, Sheila M; Courville, Amber B; Tanofsky-Kraff, Marian; Yanovski, Jack A


    Data suggest that depressed affect and dietary restraint are related to disinhibited eating patterns in children and adults. Yet, experimental research has not determined to what extent depressed affect acutely affects eating in the absence of physiological hunger (EAH) in adolescents. In the current between-subjects experimental study, we measured EAH in 182 adolescent (13-17 y) girls (65%) and boys as ad libitum palatable snack food intake after youth ate to satiety from a buffet meal. Just prior to EAH, participants were randomly assigned to view either a sad or neutral film clip. Dietary restraint was measured with the Eating Disorder Examination. Adolescents who viewed the sad film clip reported small but significant increases in state depressed affect relative to adolescents who viewed the neutral film clip (p < .001). Yet, there was no main effect of film condition on EAH (p = .26). Instead, dietary restraint predicted greater EAH among girls, but not boys (p < .001). These findings provide evidence that adolescent girls' propensity to report restrained eating is associated with their greater disinhibited eating in the laboratory. Additional experimental research, perhaps utilizing a more potent laboratory stressor and manipulating both affective state and dietary restraint, is required to elucidate how state affect may interact with dietary restraint to influence EAH during adolescence.

  17. Menstruation and menstrual hygiene amongst adolescent school girls in Kano, Northwestern Nigeria. (United States)

    Lawan, U M; Yusuf, Nafisa Wali; Musa, Aisha Bala


    This study examined the knowledge and practices of adolescent school girls in Kano, Nigeria around menstruation and menstrual hygiene. Data was collected quantitatively and analyzed using Epi info version 3.2.05. The mean age of the students was 14.4 +/- 1.2 years; majority was in their mid adolescence. The students attained menarche at 12.9 +/- 0.8 years. Majority had fair knowledge of menstruation, although deficient in specific knowledge areas. Most of them used sanitary pads as absorbent during their last menses; changed menstrual dressings about 1-5 times per day; and three-quarter increased the frequency of bathing. Institutionalizing sexuality education in Nigerian schools; developing and disseminating sensitive adolescent reproductive health massages targeted at both parents and their adolescent children; and improving access of the adolescents to youth friendly services are veritable means of meeting the adolescent reproductive health needs in Nigeria.

  18. Family mealtimes and eating psychopathology: the role of anxiety and depression among adolescent girls and boys. (United States)

    White, Hannah J; Haycraft, Emma; Meyer, Caroline


    Characteristics of family mealtimes are associated with disordered eating behaviours. However, little is known about the relationships between characteristics of family mealtimes and disordered eating attitudes, or how symptoms of anxiety or depression may contribute to these relationships. This study therefore aimed to examine differences between adolescent girls and boys in the relationship between family mealtime characteristics and eating psychopathology, and to explore the influence of anxiety and depression on this relationship. Adolescents (N=535; 286 girls and 249 boys) aged 14-18years completed self-report measures of family mealtime characteristics, eating psychopathology, anxiety and depression. Reports of more frequent family mealtimes, a more positive mealtime atmosphere and a high level of priority placed on mealtimes were all associated with significantly lower levels of eating-disordered attitudes among girls only. For boys, all four mealtime measures (higher mealtime frequency, more positive mealtime atmosphere, greater priority of mealtimes and higher levels of mealtime structure) were associated with lower levels of depression. Among girls, several of the family mealtime and eating psychopathology relationships were partially or fully mediated by either anxiety or depression. While these findings require longitudinal replication, family mealtimes are likely to be important in promoting psychological well-being among both girls and boys. Families should be encouraged to think beyond the frequency of mealtimes and to foster a positive mealtime environment which may help to promote adolescent psychological wellbeing, and might even protect young females against the development of eating psychopathology.

  19. Narratives of Adolescent Girls Journeying via Feminist Participatory Action Research through the Aftermath of Divorce (United States)

    Botha, Carolina S.; Hay, Johnnie


    This article documents the (often counter-normative) narrative journey of four South African adolescent girls whose biological parents had divorced--and one (or both) parent(s) remarried. Through purposive sampling within a qualitative research paradigm of feminist participatory action research, they were supported in group context by the primary…

  20. Impact of Group Sandtray Therapy on the Self-Esteem of Young Adolescent Girls (United States)

    Shen, Yu-Pei; Armstrong, Stephen A.


    The effectiveness of group sandtray therapy was examined using a pretest-posttest control group design with young adolescent girls (n = 37) identified as having low self-esteem. A split-plot analysis of variance (SPANOVA) revealed statistically significant differences between participants in the treatment and control groups in self-esteem on five…

  1. Study Habits and Academic Achievement of Kashmiri & Ladakhi Adolescent Girls: A Comparative Study (United States)

    Nadeem, N. A.; Puja, Javeed Ahamd; Bhat, Shabir Ahmad


    The present study was conducted to study the Study Habits and Academic Achievement of Adolescents girls in Jammu and Kashmir. 400 sample subjects were selected randomly from two ethnic groups' viz. Kashmiri and Ladakhi. The investigators used Palsane & Sharma's study habits inventory (PSSHI) to collect data from the field. Certain statistical…

  2. Body Weight, Body Image, and Perception of Fad Diets in Adolescent Girls. (United States)

    Storz, Nancy S.; Greene, Walter H.


    Examined relationships among adolescent girls' (N=203) satisfaction with body weight, body image, and perception/use of fad diets. Subjects wanting to lose weight were placed into two groups based on amount of weight-loss desired and compared in terms of body image scores, ratings of fad diets, and frequency of using the diets. (JN)

  3. Socio-Demographic Aspects of Selected Menstrual Hygienic Practices among Adolescent School Girls in Pondicherry

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    Abhijit Vinodrao Boratne


    Conclusion: The place of residence has emerged as a significant factor for adolescent school girls to practice selected menstrual hygienic practices such as usage of sanitary pads during menstruation. [Natl J Community Med 2016; 7(6.000: 510-514

  4. Emotion Awareness and Identification Skills in Adolescent Girls with Bulimia Nervosa (United States)

    Sim, Leslie; Zeman, Janice


    This study examined emotion-identification skills in 19 adolescent girls (M age = 16 years, 8 months) diagnosed with a Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV], American Psychiatric Association, 1994) diagnosis of bulimia nervosa or eating disorder not otherwise specified in the bulimic spectrum, 19 age-matched girls…

  5. A Prospective Test of Cognitive Vulnerability Models of Depression with Adolescent Girls (United States)

    Bohon, Cara; Stice, Eric; Burton, Emily; Fudell, Molly; Nolen-Hoeksema, Susan


    This study sought to provide a more rigorous prospective test of two cognitive vulnerability models of depression with longitudinal data from 496 adolescent girls. Results supported the cognitive vulnerability model in that stressors predicted future increases in depressive symptoms and onset of clinically significant major depression for…

  6. Explaining Why Early-Maturing Girls Are More Exposed to Sexual Harassment in Early Adolescence (United States)

    Skoog, Therése; Bayram Özdemir, Sevgi


    In this study, we tested two competing explanations of the previously established link between early female puberty and sexual harassment in early adolescence. The sample included 680 seventh-grade Swedish girls (M[subscript age] = 13.40, SD = 0.53). Findings revealed that looking more sexually mature and being sexually active mediated the link…

  7. A Prospective Study of Extreme Weight Change Behaviors among Adolescent Boys and Girls (United States)

    McCabe, Marita P.; Ricciardelli, Lina A.


    This study examined changes in extreme weight change attitudes and behaviors (exercise dependence, food supplements, drive for thinness, bulimia) among adolescent boys and girls over a 16 month period. It also investigated the impact of body mass index, puberty, body image, depression and positive affect on these attitudes and behaviors 16 months…

  8. Psychological and Behavioral Risk Factors for Obesity Onset in Adolescent Girls: A Prospective Study (United States)

    Stice, Eric; Presnell, Katherine; Shaw, Heather; Rohde, Paul


    Because little is known about risk factors for obesity, the authors tested whether certain psychological and behavioral variables predicted future onset of obesity. The authors used data from a prospective study of 496 adolescent girls who completed a baseline assessment at age 11-15 years and 4 annual follow-ups. Self-reported dietary restraint,…

  9. Longitudinal Association between Childhood Impulsivity and Bulimic Symptoms in African American Adolescent Girls (United States)

    Bodell, Lindsay P.; Joiner, Thomas E.; Ialongo, Nicholas S.


    Objective: Using a longitudinal design, the authors of this study examined the relationship between externalizing problems and impulsivity in early childhood and symptoms of disordered eating in late adolescence. Method: Participants were urban, African American first-grade girls (N = 119) and their parents who were participating in a longitudinal…

  10. Factorial Validity and Invariance of a Self-Report Measure of Physical Activity among Adolescent Girls (United States)

    Motl, Robert W.; Dishman, Rod K.; Dowda, Marsha; Pate, Russell R.


    The authors examined the factorial validity and factorial invariance of the 3-day physical activity recall (3DPAR) using confirmatory factor analysis. Adolescent girls from two cohorts (N=955, N=1,797) completed the 3DPAR in the eighth grade; participants in Cohort 2 (N=1,658) completed the 3DPAR again 1 year later in the ninth grade. The 3DPAR…

  11. Self-Motivation and Physical Activity among Black and White Adolescent Girls. (United States)

    Motl, Robert W.; Dishman, Rod K.; Felton, Gwen; Pate, Russell R.


    Established the psychometric properties of the Self-Motivation Inventory for Children (SMI-C) using tests of factorial validity, factorial invariance, latent mean structure, and predictive validity. Two cohorts of black and white adolescent girls completed the SMI-C and various physical activity measures. The single-factor, positively worded,…

  12. A study on premenstrual syndrome among adolescent girl students in an urban area of West Bengal

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    Ranjana Mandal


    Conclusions: Proper medical care and psychological counselling should be sought earlier for increased blood flow during menstruation and dysmenorrhoea to get rid of PMS in adolescent girls. [Int J Reprod Contracept Obstet Gynecol 2015; 4(4.000: 1012-1015

  13. Background, Personal, and Environmental Influences on the Career Planning of Adolescent Girls (United States)

    Novakovic, Alexandra; Fouad, Nadya A.


    This study investigated the influence of background variables (age, race/ethnicity, mother's work status outside of the home, and socioeconomic status), personal variables (anticipatory role conflict and academic self-efficacy), and environmental variables (parental attachment and parental support) on aspects of adolescent girls' career planning.…

  14. A Life History of a Korean Adolescent Girl Who Attempted Suicide (United States)

    Yang, Sungeun


    The present study explores the life history of a South Korean adolescent girl who attempted suicide. The study focuses on how sociocultural values affected her suicide attempt and how she made meaning out of the experience. The results revealed that her life history was a process of seeking independence and autonomy, and freeing herself from…

  15. Girls, identities and agency in adolescents' digital literacy practices

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    Vassiliki Adampa


    Full Text Available This paper focuses on the ways girls use digital environments, like Word, PowerPoint and chatting programmes, for writing and communication purposes. By combining quantitative and qualitative methods of analysis and by adopting a critical discourse framework, we will explore the relationship between girls and new media, especially the ones related to digital writing, in terms of three interconnected variables. The first one is related to the role of the two most important socialisation institutions, home and school, at the present historical juncture, characterised by intense mobility and an expansion of traditional forms of literacy. The strategic choices of the girls' families and their schools' teaching practices contributed significantly to the formulation of their digital writing practices. The second variable is gender. Our data clearly show that a substantial number of girls were more inclined than their male peers to use word-processing and presentation software, performing, thus, the school discourses of 'diligent students'. The third key variable concerns the personality of the girls who filtered in their own unique ways their social experiences, overcame limitations, took initiatives and appropriated technologically-mediated writing media for personally meaningful ends that enhanced their school and/or entertainment Discourses.

  16. Sedentary Activity and Body Composition of Middle School Girls: The Trial of Activity for Adolescent Girls (United States)

    Pratt, Charlotte; Webber, Larry S.; Baggett, Chris D.; Ward, Dianne; Pate, Russell R.; Murray, David; Lohman, Timothy; Lytle, Leslie; Elder, John P.


    This study describes the relationships between sedentary activity and body composition in 1,458 sixth-grade girls from 36 middle schools across the United States. Multivariate associations between sedentary activity and body composition were examined with regression analyses using general linear mixed models. Mean age, body mass index, and…

  17. Girls' and boys' experience with teen sexting in early and late adolescence. (United States)

    Ševčíková, Anna


    This study explored the extent to which sexting represents a problematic behavior in early and late adolescence. Using data from the EU Kids Online II project (17,016 participants aged 11-16 from 25 European countries, 49.7% boys), multilevel logistic regression analyses were conducted separately for four groups: younger girls, older girls, younger boys, and older boys. Irrespective of age and gender, sexting was associated with emotional problems and alcohol use. Its effect decreased in older adolescents, except for emotional difficulties, which remained relatively high in older boys. Vaginal sex was associated with sexting in both younger and older boys while, in girls, the association was observed only in the older group. Younger boys with higher self-efficacy were more likely to send sexts than those with lower self-efficacy. Although sexting is associated with psychological challenges and other types of risk behavior, sexting in some younger boys may not necessarily represent problematic behavior.

  18. Considerations for the definition, measurement, consequences, and prevention of dating violence victimization among adolescent girls. (United States)

    Teten, Andra L; Ball, Barbara; Valle, Linda Anne; Noonan, Rita; Rosenbluth, Barri


    Violence experienced by adolescent girls from their dating partners poses considerable threat to their health and well-being. This report provides an overview of the prevalence and consequences of heterosexual teen dating violence and highlights the need for comprehensive prevention approaches to dating violence. We also discuss some considerations and future directions for the study and prevention of dating violence. We begin with a discussion of the definition of dating violence and also discuss measurement concerns and the need for evaluation of prevention strategies. Although women and men of all ages may be the victims or perpetrators, male-to-female dating violence experienced by adolescent girls is the main focus of this article. We incorporate research regarding girls' perpetration of dating violence where appropriate and as it relates to prevention.

  19. Green girls and bored boys? Adolescents' environmental consumer learning

    DEFF Research Database (Denmark)

    Grønhøj, Alice


    that adolescents conceptualize environmental issues in quite traditional, individualistic, "non-radical" terms. A substantial amount of parental influence appears to be exerted on adolescents' learning within this field. However, some differences in the roles of fathers and mothers in this process could...

  20. Latina and European American Girls' Experiences with Academic Sexism and their Self-Concepts in Mathematics and Science During Adolescence. (United States)

    Brown, Christia Spears; Leaper, Campbell


    The study investigated Latina and European American adolescent girls' (N = 345, M = 15.2 years, range = 13 to 18) experiences with academic sexism in mathematics and science (M/S) and their M/S perceived competence and M/S value (liking and importance). M/S academic sexism was based on girls' reported experiences hearing sexist comments about girls' abilities in math and science. Older European American adolescents, and both younger and older Latina adolescents, who experienced several instances of academic sexism felt less competent in M/S than girls who experienced less sexism (controlling for M/S grades). In addition, among older girls (regardless of ethnicity), those who experienced several instances of academic sexism valued M/S less than girls who experienced less sexism.

  1. Fourteen is fourteen and a girl is a girl: validating the identity of adolescent bloggers. (United States)

    Blinka, Lukas; Smahel, David


    This study focuses on the phenomenon of lying on adolescents' weblogs. The sample consisted of 113 completed surveys out of 120 in total. The age of participants ranged between 13 and 17 years old. Interviews were conducted with 10 randomly selected participants whose answers were then verified. The results suggest not only that adolescents present personal information such as their age, gender, and place of residence but that these pieces of information are presented truthfully. Generally, the level of dishonesty was low, with young adolescents tending to lie more often about their interests. Public topics (school and life) had the most truthful answers, whereas the least truthful answers concerned intimate topics (family life, partnership). These results suggest that adolescents' blogs serve as a place where the writers can both present themselves and communicate with their peers in a way that goes beyond a traditional diary.

  2. Socioeconomic and Marital Outcomes of Adolescent Marriage, Adolescent Childbirth, and Their Co-Occurrence. (United States)

    Teti, Douglas M.; Lamb, Michael E.


    Examined adolescent marriage, adolescent childbirth, and their co-occurrence in adult women. Poorest socioeconomic outcomes were associated with adolescent childbirth regardless of presence or timing of first marriage. Marital instability was associated with both adolescent marriage and adolescent childbirth. Findings suggest that risk associated…

  3. Social Anxiety, Depression and Self-Esteem in Obese Adolescent Girls with Acanthosis Nigricans (United States)

    Pirgon, Özgür; Sandal, Gonca; Gökçen, Cem; Bilgin, Hüseyin; Dündar, Bumin


    Objective: To assess the impact of acanthosis nigricans (AN) on depression symptoms, related quality of life and self-esteem scores in obese adolescent girls. Methods: Fifty-nine obese adolescent girls (mean age: 13.19±1.3 years, age range: 12-17 years, mean body mass index: 29.89±3.30) were enrolled in this study. The obese adolescent girls were divided into two groups based on presence or absence of AN. Non-obese healthy adolescents constituted the control group (30 girls, mean age: 13.5±1.4 years). All subjects were evaluated using the Children’s Depression Inventory (CDI), the State-Trait Anxiety Inventory for Children (STAI-C), and the modified Rosenberg Self-Esteem Scale (SES). Higher scores indicated more severe depression and anxiety, as well as low self-esteem status. Results: The AN and non-AN obese groups showed significantly higher CDI, STAI-C and SES scores than the control group, and the two obese groups demonstrated no significant differences for these scores. The AN obese group with higher total testosterone levels (>50 ng/dL) had higher scores for SES (2.55±1.8 vs. 1.42±1.2; p=0.03) than the AN obese group with low total testosterone levels. SES scores significantly correlated with total testosterone levels (r=0.362; p=0.03) and fasting insulin (r=0.462; p=0.03) in the AN obese group. Conclusion: Higher SES scores (low self-esteem status) were determined in obese adolescents with acanthosis and were related to hyperandrogenism. This study also showed that a high testosterone level may be one of the important indicators of low self-esteem status in obese girls with AN. PMID:25800478

  4. Impact of a nutrition intervention program on the growth and nutritional status of Nicaraguan adolescent girls. (United States)

    Pawloski, Lisa Renee; Moore, Jean Burley


    This research examines the impact of a nutrition education intervention program on the nutritional status and knowledge of Nicaraguan adolescent girls. Anthropometric measurements, hemoglobin values, and data concerning nutritional knowledge were collected from adolescent girls living in Managua, Nicaragua. Using a pre-test/post-test design, data are compared prior to and after the nutrition intervention program. When using Mexican American reference data, statistically significant differences in height-for-age z-scores and weight-for-age z-scores were found when comparing the entire sample of baseline data with data collected after three years of the nutrition intervention program (p nutrition intervention programs in Nicaragua, and examines the possibility that catch-up growth occurs during adolescence.

  5. A study on the menstruation of Korean adolescent girls in Seoul

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    Jin Chul Lee


    Full Text Available Purpose : Westernized eating habits have been associated with earlyage menstruation, which increases the incidence of dysmenorrhea and premenstrual syndrome among adolescent girls. We therefore surveyed changes in menarche timing and the general menstrual characteristics of adolescent girls in Seoul, Korea. Methods : We surveyed 538 teenage girls who visited our hospital between July and November 2007. Items explored included age at menarche, general menstrual characteristics, occurrence of premenstrual syndrome and treatment thereof, and an association between present dysmenorrhea and a family history of the condition. Results : Average age at menarche was 12.6 years, with 29% (n=156 subjects beginning menstruation at age 12 years. The prevalence of dysmenorrhea was 82% (n=435. The main symptoms were abdominal (53.2% and lower back pain (34.2%, and 15.2% of girls who experienced such symptoms required medication. Present dysmenorrhea, and a family history thereof, were statistically correlated (P&lt;0.05. In addition, 58.8% (n=316 of teenage girls had symptoms of premenstrual syndrome. The most frequent psychological symptoms were fatigue (36.4% and nervousness (38.7%, whereas the most common physical symptom was menstrual cramps (46.5%. Most subjects (87.6% tolerated the symptoms of premenstrual syndrome without medication; 11.4% took medicines including painkillers; but only 0.1% of subjects visited a doctor. Conclusion : The average age at menarche in Korean girls was 12.6 years, thus younger than in the past. Most teenage girls experienced dysmenorrhea and premenstrual syndrome, but few consulted a doctor. Organized treatment plans are required to manage menstrual problems in teenage girls.

  6. Case Series: Outbreak of Conversion Disorder among Amish Adolescent Girls. (United States)

    Cassady, Joslyn D.; Kirschke, David L.; Jones, Timothy F.; Craig, Allen S.; Bermudez, Ovidio B.; Schaffner, William


    Objective: Outbreak investigations are challenging in a cross-cultural context, and outbreaks of psychiatric disease are rare in any community. We investigated a cluster of unexplained debilitating illness among Amish girls. Method: We reviewed the medical records of cases, consulted with health care providers, performed active case finding,…

  7. Pubertal Timing and Adolescent Sexual Behavior in Girls (United States)

    Moore, Sarah R.; Harden, K. Paige; Mendle, Jane


    Girls who experience earlier pubertal timing relative to peers also exhibit earlier timing of sexual intercourse and more unstable sexual relationships. Although pubertal development initiates feelings of physical desire, the transition into romantic and sexual relationships involves complex biological and social processes contributing both to…

  8. Giant Fibroadenoma of Breast in an Adolescent Girl

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    Nithya Thuruthiyath


    Full Text Available A 12-year-old girl presented with a 15 × 15 cm, rapidly enlarging mass in left breast. Fine-needle aspiration cytology showed a benign proliferative breast lesion. Total excision of the mass was done preserving nipple and areola. Histopathology features were suggestive of giant fibroadenoma with benign phyllodes.

  9. The relationship between unsupervised time after school and physical activity in adolescent girls

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    Elder John P


    Full Text Available Abstract Background Rising obesity and declining physical activity levels are of great concern because of the associated health risks. Many children are left unsupervised after the school day ends, but little is known about the association between unsupervised time and physical activity levels. This paper seeks to determine whether adolescent girls who are without adult supervision after school are more or less active than their peers who have a caregiver at home. Methods A random sample of girls from 36 middle schools at 6 field sites across the U.S. was selected during the fall of the 2002–2003 school year to participate in the baseline measurement activities of the Trial of Activity for Adolescent Girls (TAAG. Information was collected using six-day objectively measured physical activity, self-reported physical activity using a three-day recall, and socioeconomic and psychosocial measures. Complete information was available for 1422 out of a total of 1596 respondents. Categorical variables were analyzed using chi square and continuous variables were analyzed by t-tests. The four categories of time alone were compared using a mixed linear model controlling for clustering effects by study center. Results Girls who spent more time after school (≥2 hours per day, ≥2 days per week without adult supervision were more active than those with adult supervision (p = 0.01. Girls alone for ≥2 hours after school, ≥2 days a week, on average accrue 7.55 minutes more moderate to vigorous physical activity (MVPA per day than do girls who are supervised (95% confidence interval ([C.I]. These results adjusted for ethnicity, parent's education, participation in the free/reduced lunch program, neighborhood resources, or available transportation. Unsupervised girls (n = 279 did less homework (53.1% vs. 63.3%, spent less time riding in a car or bus (48.0% vs. 56.6%, talked on the phone more (35.5% vs. 21.1%, and watched more television (59.9% vs. 52

  10. Negotiated media effects. Peer feedback modifies effects of media's thin-body ideal on adolescent girls. (United States)

    Veldhuis, Jolanda; Konijn, Elly A; Seidell, Jacob C


    The present study introduces a theoretical framework on negotiated media effects. Specifically, we argue that feedback of peers on thin-body ideal media images and individual dispositions guide effects on adolescent girls' psychosocial responses to media exposure. Therefore, we examined the thin-body ideal as portrayed in media and peers' feedback on such thin-ideal images in their combined effects on adolescent girls' body dissatisfaction, objectified body consciousness, and social comparison with media models. Hence, media models and peer comments were systematically combined as incorporated entities in YouTube-formats. Hypotheses were tested in a 3 (media models: extremely thin vs. thin vs. normal weight)×3 (peer comments: 6kg-underweight vs. 3kg-underweight vs. normal-weight)×2 (appearance schematicity: lower vs. higher) between-subjects design (N=216). Results showed that peer comments indicating that a media model was 'only 3kg-underweight' exerted most negative responses, particularly in girls who strongly process appearance relevant information. Peer feedback interacts with media models in guiding perceptions of what is considered an 'ideal' body shape. Results highlight the important role of peers as well as individual predispositions in view of understanding how thin-ideal media images may impact adolescent girls' body image concerns.

  11. Community Support and Adolescent Girls' Vulnerability to HIV/AIDS: Evidence From Botswana, Malawi, and Mozambique. (United States)

    Underwood, Carol; Schwandt, Hilary M


    Girls are vulnerable to HIV in part because the social systems in which they live have failed to support and protect them. The goal of this research was to develop a viable supportive community index and test its association with intermediate variables associated with HIV risk across 16 communities in Botswana, Malawi, and Mozambique. This cross-sectional survey with separate samples randomly drawn in each country (2010) yielded a total sample of 1,418 adolescent girls (aged 11-18). Multilevel, multivariate logistic regression, while controlling for vulnerability, age, religion, and residence, found that an increase in supportive community index is positively associated with the odds of indicating improved community support for girls and with the confidence to refuse unwanted sex with a boyfriend across the three countries, as well as with self-efficacy to insist on condom use in Botswana and Mozambique. Program implementers and decision makers alike can use the supportive community index to identify and measure structural factors associated with girls' vulnerability to HIV/AIDS; this will potentially contribute to judicious decision making regarding resource allocation to enhance community-level, protective factors for adolescent girls.

  12. Adherence to ACIP Recommendation for Human Papillomavirus Vaccine Among US Adolescent Girls. (United States)

    Rahman, Mahbubur; Hirth, Jacqueline M; Berenson, Abbey B


    The objective of this study was to examine correlates of human papillomavirus (HPV) vaccine use according to Advisory Committee on Immunization Practices (ACIP)'s recommendations among US adolescent girls. We used National Immunization Survey of Teens 2013 data. Based on provider-verified (n = 9403) information, 57.3, 39.1 and 19.0 % of adolescent girls, initiated, completed and completed the HPV vaccine according to ACIP's recommendation (by age 12), respectively. Hispanic race/ethnicity, a physician recommendation for HPV vaccine and ≥1 influenza vaccine in the past 3 years were all associated with a higher likelihood of compliance with ACIP's recommendation. Girls from a larger family and those whose immunization provider was a STD/school/teen clinic were less likely to receive the vaccine at the recommended age compared to a girl raised in a smaller sized family and received immunization from a hospital facility, respectively. Only one-fifth of 13-17 yo girls receive the HPV vaccine by age 12 as recommended by ACIP. Physician visits and influenza vaccination settings are opportunities to improve vaccine series completion at the recommended age.

  13. The effect of educational group therapy plan on self–esteem rate in adolescent girls

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    Roya Turkashvand


    Full Text Available Background: Adolescence is a period of major changes in various aspects of physical, mental and social caracters they may get. There are new requirements for the changes have been occurred. Attention to these needs, in turn, are faster and better compatibility and increase self-esteem. Self-esteem is the basic factor of personality development in adolescents. Therefore, the aim of this study was to evaluate the effect of educational group therapy on self-esteem of adolescent girls.Materials and Method: This is a quasi- experimental study. Seventy-one adolescent girls of 13-15 years old were selected cluster-randomly from guidance school and divided in two groups of experimental and control (35 cases, 36 controls. Self-esteem of adolescents in two groups measured using Pop test. Then the educational group therapy plan was utilized based on promotion of adolescent’s self- esteem at 10 sessions for case group. Self-esteem rate was measured just after the performance of planned session and were analyzed with SPSS-14 software.Results: The results of the study indicated that performing educational group therapy session can increase the mean self-esteem score for case group (84.74 comparing to control group (74.05. Independent t-test shows significant difference between self-esteem score in case and control groups.Conclusion: According to our results the authors suggest that using educational group therapy plan is an effective approach in increasing self-esteem in adolescent girls and may improve mental health. Therefore, we suggest this plan for increasing self-esteem of adolescents in the schools

  14. Food Group Intake and Micronutrient Adequacy in Adolescent Girls

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    M. Loring Bradlee


    Full Text Available This study explores the contribution of food group intakes to micronutrient adequacy among 2379 girls in the National Growth and Health Study during three age periods (9–13, 14–18, and 19–20 years. Data on food and nutrient intakes from 3-day diet records over 10 years were used to estimate mean intakes and percent meeting Dietary Guidelines (DGA recommendations for food intakes and Institute of Medicine’s recommendations for vitamins and minerals. More than 90% of girls failed to consume the recommended amounts of fruit, vegetables and dairy; 75% consumed less than the recommended amounts in the “meat” group. The vast majority of girls of all ages had inadequate intakes of calcium, magnesium, potassium, and vitamins D and E. In contrast, they consumed >750 kcal/day (~40% of total energy from the DGA category of solid fat and added sugars, about five times the recommended maximum intakes. This study shows the importance of consuming a variety of foods in all five food groups, including those that are more energy dense such as dairy and meats, in order to meet a broad range of nutrient guidelines. Diet patterns that combined intakes across food groups led to greater improvements in overall nutritional adequacy.

  15. Television Time among Brazilian Adolescents: Correlated Factors are Different between Boys and Girls

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    Diego Augusto Santos Silva


    Full Text Available Objective. The aim of this study was to identify the prevalence of excess television time and verify correlated factors in adolescent males and females. Methods. This cross-sectional study included 2,105 adolescents aged from 13 to 18 years from the city of Aracaju, Northeastern Brazil. Television time was self-reported, corresponding to the time spent watching television in a typical week. Several correlates were examined including age, skin color, socioeconomic status, parent education, physical activity level, consumption of fruits and vegetables, smoking status, alcohol use, and sports team participation. Results. The prevalence excess television time (≥2 hours/day in girls and boys was 70.9% and 66.2%, respectively. Girls with low socioeconomic status or inadequate consumption of fruits and vegetables were more likely to have excess television time. Among boys, those >16 years of age or with black skin color were more likely to have excess television time. Conclusions. Excess television time was observed in more than two-thirds of adolescents, being more evident in girls. Correlated factors differed according to sex. Efforts to reduce television time among Brazilian adolescents, and replace with more active pursuits, may yield desirable public health benefits.

  16. Menstruation and menstrual hygiene among adolescent girls of West Bengal, India: A school based comparative study

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    Adrija Datta


    Full Text Available Background: Adolescents are often less informed, less experienced, and less comfortable accessing reproductive health information and services than adults. In many developing countries, a culture of silence surrounds the topic of menstruation and related issues; as a result many young girls lack appropriate and sufficient information regarding menstrual hygiene. This may result in incorrect and unhealthy behaviour during their menstrual period. Objectives: To assess and compare knowledge, belief, ideas, source of knowledge and practice of menstrual hygiene between school-going adolescents in an urban and a rural school of West Bengal, India. Methods: Cross-sectional, descriptive study was conducted among adolescent female students of Howrah district of West Bengal, India in the year 2011. Data was collected by pre-designed, pre-tested semi-structured self administered questionnaire. Results: The mean age at menarche was 12.1 years among urban and 12.2 years among the rural participants. More than 80% participants had some restrictions imposed during menstruation. Significantly higher number of urban girls had pre-menarchal knowledge on menstruation and used sanitary napkins. Conclusions: Menstrual hygiene is a vital aspect of health education for adolescent girls. For improvement of menstrual hygiene, sanitary napkins should be made universally available and affordable.

  17. Perceived stress, recurrent pain, and aggregate salivary cortisol measures in mid-adolescent girls and boys. (United States)

    Lindfors, Petra; Folkesson Hellstadius, Lisa; Östberg, Viveca


    Measures of perceived stress have been criticized for theoretical inconsistency. However, the validated pressure activation stress scale has been suggested as a theoretically sound alternative. But it is unclear how pressure and activation stress relate to objective and subjective measures including commonly used aggregate cortisol measures and health complaints respectively. Specifically, this study aimed at investigating how pressure and activation stress were related to aggregate salivary cortisol measures and recurrent pain in mid-adolescent girls and boys. Mid-adolescents (119 girls and 56 boys) provided self-reports in questionnaires on activation and pressure stress and recurrent pain (headache, stomach ache, neck/shoulder and back pain). Additionally, adolescents sampled saliva during an ordinary school day: (1) immediately at awakening; (2) 30 minutes after waking up; (3) 60 minutes after waking up, and (4) at 8 p.m. These samples were analyzed for cortisol. Hierarchical regressions showed no statistically significant associations between activation and pressure stress and cortisol, neither for girls nor for boys. However, activation and pressure stress were significantly associated with recurrent pain but only for girls. The findings may relate to subjective and objective measures reflecting distinct aspects of stress-related functioning. However, the study participants included mid-adolescents whose bodily systems are flexible and still relatively unaffected by the strain of their daily stress perceptions. To conclude, the non-significant relationships between activation and pressure stress and commonly used aggregate measures of cortisol adds to the understanding of how perceived stress may relate to physiological functioning in the daily life of adolescents when using such aggregate measures.

  18. Adolescent girls, illegal abortions and "sugar-daddies" in Dar es Salaam: vulnerable victims and active social agents

    DEFF Research Database (Denmark)

    Silberschmidt, M; Rasch, V


    Adolescent girls' early sexual activity, early pregnancy, induced abortions and the increase in HIV infections have become major concerns in Sub-Saharan Africa. Efforts, though, to understand their sexual behaviour and to prevent reproductive health problems are almost non-existent. Adolescent...... girls are normally seen as victims and easy preys of (often older and married) men's sexual exploitation. This article, which is based on a qualitative study of 51 adolescent girls who had just had an illegal abortion in Dar es Salaam, Tanzania, reveals that these girls are not only victims but also...... willing preys and active social agents engaging in high-risk sexual behaviour. In order to get material benefits they expose themselves to serious health risks, including induced abortion - without realising their own vulnerability. In our study, one out of four girls had more than one partner at the time...

  19. The impact of menstrual cycle-related physical symptoms on daily activities and psychological wellness among adolescent girls

    NARCIS (Netherlands)

    Iersel, K.C. van; Kiesner, J.; Pastore, M.; Scholte, R.H.J.


    Associations between perimenstrual physical and psychological symptoms have not been adequately studied among adolescent girls. The purpose of the present study was to test a mediation hypothesis postulating that perimenstrual disengagement from daily activities would mediate the association between

  20. Study of Adiponectin Level in Diabetic Adolescent Girls in Relation to Glycemic Control and Complication of Diabetes

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    Soha M. Abd El Dayem


    CONCLUSION: Serum adiponectin level is high in adolescent type 1 diabetic girls. It can be used as a predictor of diabetes complications rather than a sensitive biochemical marker for glycemic control.

  1. Adolescents' Sexual Inferences about Girls Who Consume Alcohol (United States)

    Young, Amy M.; McCabe, Sean Esteban; Boyd, Carol J.


    The purpose of this study was to document whether adolescents make inferences regarding male and female vignette characters in terms of the characters' sexuality, social skills, impairment, and aggressiveness when the characters consume alcohol. A Web-based survey of 1,691 middle and high school students (grades 6-11) from diverse socioeconomic…

  2. Ewing Sarcoma of the Posterior Fossa in an Adolescent Girl

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    Andreas M. Stark


    Full Text Available Medulloblastoma, astrocytoma, and ependymoma represent the most common infratentorial tumors in childhood, while Ewing sarcomas in that localization are extremely rare. A large left infratentorial space-occupying lesion was diagnosed in a 12-year-old girl with signs of increased intracranial pressure. Following total tumor resection, histological and molecular examination revealed Ewing sarcoma with rearranged EWSR-1 gene. The patient achieved complete remission following adjuvant chemotherapy and radiotherapy according to Euro-EWING 2008 treatment protocol. Intracranial Ewing sarcoma, although rare, should be an important differential diagnosis of intracranial tumors in childhood which requires aggressive multimodal treatment.

  3. Screening of Novice Adolescent Girls for Anemia studying in Medical and Paramedical Colleges at Civil Hospital Campus, Ahmedabad, Gujarat, India


    Mallika V Chavada, Jagruti D Prajapati, Dinesh M Rathod, Pooja Chaudhary, Kriti M Agrawal


    Introduction: Anemia is major public health problem in adoles-cents in India. This study was conducted to estimate the preva-lence of anemia among novice medical and paramedical adolescent girls students and to study the socio-demographic factors associated with anemia in them. Methods: This cross-sectional study was conducted by purposive non random sampling method in March 2011. Data was collected from 357 novice girl students of four medical and paramedical colleges and one nursing sc...

  4. Adolescent Girls' Preferences Pertaining to Cardiovascular Fitness Testing: A Comparison between the One-Mile Run and PACER Tests (United States)

    Wilkinson, Carol; Brown, Lanell; Graser, Sue Vincent; Pennington, Todd R.


    Many adolescent girls are not participating in the recommended levels of physical activity (PA) and are at risk for unhealthy lifestyles (U.S. Department of Health and Human Services, 2008). Helping girls understand the importance of PA and giving them positive experiences in physical education classes, including fitness testing, may help to…

  5. Resisting Pressure from Peers to Engage in Sexual Behavior: What Communication Strategies Do Early Adolescent Latino Girls Use? (United States)

    Norris, Anne E.; Pettigrew, Jonathan; Miller-Day, Michelle; Hecht, Michael L.; Hutchison, Janet; Campoe, Kristi


    A content analysis of early adolescent X-bar = 12.02 years) Latino girls' (n = 44) responses to open-ended questions embedded in an electronic survey was conducted to explore strategies girls may use to resist peer pressure with respect to sexual behavior. Analysis yielded 341 codable response units, 74% of which were consistent with the REAL…

  6. Contributing Factors to High-Risk Sexual Behaviors among Iranian Adolescent Girls: A Systematic Review (United States)

    Alimoradi, Zainab; Kariman, Nourossadat; Simbar, Masoumeh; Ahmadi, Fazlollah


    ABSTRACT Background: Adolescence is a period of overwhelming changes and challenges, which expose the adolescents to high-risk behaviors. Risky sexual relationship is one of these behaviors that entails physical risks and psychosocial harms. Various factors have been recognized to shape sexual behaviors in adolescents. This paper is an attempt to investigate the factors contributing to high-risk sexual behaviors in Iranian adolescent girls. Methods: A literature review of the research published by Iranian authors, in Farsi or English language in local and foreign journals, was conducted using PubMed, Science Direct, Scopus, Scientific Information Database (SID), IranMedex, IranDoc, and Google Scholar. The search in each database included all the years covered at that time using keywords such as “sexual, adolescents, and Iran”, and continued using other keywords such as “sexual behavior, high-risk behavior, sexual risk and reproductive behavior” individually and in combination Results: Sixteen published articles were identified. Factors contributing to high-risk sexual behaviors in girls can be divided into four general groups including personal, family, peer, school and community. Conclusion: Regarding the identified risk and protective factors, appropriate individual, family and school-based interventions can be designed and implemented to strengthen protective factors. While individual and family factors are considered more in research, factors related to peers, school and community have received less attention. Since social values, beliefs and norms are important factors in formation of sexual behaviors, further research regarding these factors is suggested. PMID:28097173

  7. Coming of age under Hitler and Stalin: the everyday life of adolescent girls in occupied Latvia. (United States)

    McDowell, Linda


    This article explores the possibility of the continuation of everyday life in occupied Europe through a case study of the lives of twenty-five adolescent girls and young women living in Latvia between 1939 and 1944. Late adolescence is the period in which young women are struggling to establish some degree of independence, especially through leaving the parental home and entering the labour market. These transitions are the conventional markers of adulthood in modern societies. The article explores how occupation by the Soviet Union and the Third Reich affected daily life and the speed and nature of the transition to adulthood.

  8. Heterosocial involvement, peer pressure for thinness, and body dissatisfaction among young adolescent girls. (United States)

    Gondoli, Dawn M; Corning, Alexandra F; Salafia, Elizabeth H Blodgett; Bucchianeri, Michaela M; Fitzsimmons, Ellen E


    The purpose of this study was to examine longitudinal connections among young adolescent heterosocial involvement (i.e., mixed-sex interactions), peer pressure for thinness, and body dissatisfaction. Three years of self-report questionnaire data were collected from 88 adolescent girls as they completed 6th through 8th grades. Results indicated that the relation between heterosocial involvement and body dissatisfaction was mediated by perceived peer pressure for thinness. Within this model, heterosocial involvement was associated with greater peer pressure for thinness. In turn, peer pressure for thinness was associated with greater body dissatisfaction. Results are discussed in terms of their implications for prevention and intervention efforts aimed at girls during their middle-school years.

  9. Sexual abuse and violence among adolescent girls in Botswana: a mental health perspective. (United States)

    Seloilwe, Esther Salang; Thupayagale-Tshweneagae, Gloria


    The presence of sexual abuse among societies in Botswana is a phenomenon whose occurrence is usually denied albeit the police report on it and legal frameworks have been established to combat it. Several factors influence the concealment of sexual abuse among adolescent girls, which includes cultural factors and social status of the perpetrators. This paper espouses the concept of sexual abuse among adolescent girls, the existence of the problem, its magnitude, the factors that increase vulnerability to violence and abuse, and how these factors intersect with HIV and AIDS. Two case studies using a discovery method were used to explore the phenomenon under the study. The findings of the study indicated that sexual abuse and violence have profound mental health consequences including guilt, anxiety, depression and anger. Future research is suggested to explore this problem on a wider scale and develop interventions that can assist victims and perpetrators to cope with the situation.

  10. Development and aetiology of body dissatisfaction in adolescent boys and girls (United States)

    Dion, Jacinthe; Blackburn, Marie-Eve; Auclair, Julie; Laberge, Luc; Veillette, Suzanne; Gaudreault, Marco; Vachon, Patrick; Perron, Michel; Touchette, Évelyne


    This longitudinal study aims to describe the development of body dissatisfaction (BD), measured with the Contour Drawing Rating Scale, between the ages of 14 and 18, and to identify factors associated with BD at age 18, among 413 adolescents. Between the ages of 14 and 18, the proportion of girls wanting to be thinner increased, although it remained unchanged among boys. A ratio of 1:2 girls and 1:5 boys reported having seriously tried to lose weight. Factors associated with BD in girls at age 18 were (1) wanting to be thinner, (2) body mass index (BMI), (3) weight control behaviours and (4) negative comments about weight. Factors associated with BD in boys at age 18 were (1) wanting to be thinner or bigger, (2) BMI, (3) having experienced sexual intercourse and (4) negative comments about weight. The high prevalence of BD and weight-related concerns suggest a need for early interventions. PMID:25931646

  11. Happiness and health behaviour in Iranian adolescent girls. (United States)

    Fararouei, M; Brown, I J; Akbartabar Toori, M; Estakhrian Haghighi, R; Jafari, J


    This study was conducted to examine the association of happiness in adolescent females with leisure time and health related behaviours namely diet, physical activity and first or second hand smoking. Using a self-administered questionnaire, data were collected from 8159 female high school students ages 11-19 years. Multivariate linear regression analysis revealed statistically significant associations between happiness and weight, regular exercise, exposure to second-hand tobacco smoke, daily fruit or vegetable consumption and the way participants spent their leisure time. Happiness was associated with lower BMI, regular physical activity, absence of exposure to second-hand smoke, higher consumption of fruits and vegetables, and spending leisure time with family (all P < 0.005). These exploratory findings suggest that encouraging children and adolescents to adopt healthy behaviours, providing family time and a smoke-free environment may make them not only healthier but also happier.

  12. India moves towards menstrual hygiene: subsidized sanitary napkins for rural adolescent girls-issues and challenges. (United States)

    Garg, Rajesh; Goyal, Shobha; Gupta, Sanjeev


    The onset of menstruation is one of the most important physiological changes occurring among girls during the adolescent years. Menstruation heralds the onset of physiological maturity in girls. It becomes the part and parcel of their lives until menopause. Apart from personal importance, this phenomenon also has social significance. In India, menstruation is surrounded by myths and misconceptions with a long list of "do's" and "don'ts" for women. Hygiene-related practices of women during menstruation are of considerable importance, as it may increase vulnerability to Reproductive Tract Infections (RTI's). Poor menstrual hygiene is one of the major reasons for the high prevalence of RTIs in the country and contributes significantly to female morbidity. Most of the adolescent girls in villages use rags and old clothes during menstruation, increasing susceptibility to RTI's. Adolescents constitute one-fifths of India's population and yet their sexual health needs remain largely unaddressed in the national welfare programs. Poor menstrual hygiene in developing countries has been an insufficiently acknowledged problem. In June 2010, the Government of India proposed a new scheme towards menstrual hygiene by a provision of subsidized sanitary napkins to rural adolescent girls. But there are various other issues like awareness, availability and quality of napkins, regular supply, privacy, water supply, disposal of napkins, reproductive health education and family support which needs simultaneous attention for promotion of menstrual hygiene. The current article looks at the issue of menstrual hygiene not only from the health point of view, but also considers social and human rights values attached to it.

  13. Menstruation and menstrual hygiene among adolescent girls of West Bengal, India: A school based comparative study


    Adrija Datta; Nirmalya Manna; Mousumi Datta; Jhuma Sarkar; Baijayanti Baur; Saraswati Datta


    Background: Adolescents are often less informed, less experienced, and less comfortable accessing reproductive health information and services than adults. In many developing countries, a culture of silence surrounds the topic of menstruation and related issues; as a result many young girls lack appropriate and sufficient information regarding menstrual hygiene. This may result in incorrect and unhealthy behaviour during their menstrual period. Objectives: To assess and compare knowledge, bel...

  14. Sexual Maturation Pattern in Adolescent School Girls of Rural India: A Cross Sectional Study from Nagpur

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    Dr. Charuhas V Akre


    Full Text Available Background: Puberty is transformation of the child into an adult. It includes all the events of somatic and mental maturation. Secondary sex characters were also a part of this period. The objective was to assess the pattern of sexual maturation of adolescent school girls in rural India.Methods: This was a community based cross sectional study conducted among school children of Sevanand High school, Mahadula, Nagpur. 322 girls in the age group of 10-18 years were assessed for sexual maturation. The pubertal evaluation was made with reference to Tanner stages and grading was done as per Tanner’s scale. For statistical analysis, median and standard error along with 95% confidence interval (CI were calculated using Epi Info statistical package programme version 6.0 updated 2009. Statistical significance was assessed at a type I error rate of 0.05.Results: We found that pubertal changes appeared earlier in girls. The first to appear was breast development at a median age of 10.40 years. The last to appear was pubic hair development (PH5 at median age 16.87 years, the total time taken for complete sexual maturation being 6.38 years. Median age of menarche was found to be13.18 years.Conclusion: The pattern of sexual maturation in rural adolescent school children revealed that though puberty set in earlier in girls, but took longer time for complete maturation.

  15. Linking physical education with community sport and recreation: a program for adolescent girls. (United States)

    Casey, Meghan; Mooney, Amanda; Eime, Rochelle; Harvey, Jack; Smyth, John; Telford, Amanda; Payne, Warren


    The engagement of adolescent girls in physical activity (PA) is a persistent challenge. School-based PA programs have often met with little success because of the lack of linkages between school and community PA settings. The Triple G program aimed to improve PA levels of secondary school girls (12-15 years) in regional Victoria, Australia. The program included a school-based physical education (PE) component that uniquely incorporated student-centered teaching and behavioral skill development. The school component was conceptually and practically linked to a community component that emphasized appropriate structures for participation. The program was informed by ethnographic fieldwork to understand the contextual factors that affect girls' participation in PA. A collaborative intervention design was undertaken to align with PE curriculum and coaching and instructional approaches in community PA settings. The theoretical framework for the intervention was the socioecological model that was underpinned by both individual-level (social cognitive theory) and organizational-level (building organizational/community capacity) strategies. The program model provides an innovative conceptual framework for linking school PE with community sport and recreation and may benefit other PA programs seeking to engage adolescent girls. The objective of this article is to describe program development and the unique theoretical framework and curriculum approaches.

  16. Linkages of biomarkers of zinc with cognitive performance and taste acuity in adolescent girls. (United States)

    Chiplonkar, Shashi A; Kawade, Rama


    A cross-sectional study (n = 403) was conducted to examine the relationship of plasma zinc (PZ) and erythrocyte zinc (EZ) levels with cognitive performance and taste acuity for salt in Indian adolescent girls. PZ, EZ and hemoglobin were estimated in schoolgirls (10-16 years). Cognitive performance was assessed by simple-reaction-time (SRT), recognition-reaction-time (RRT), visual-memory, Raven's Progressive Matrices (RPM) test. Taste acuity was determined by recognition-thresholds-for-salt (RTS) using 10 different salt concentrations. Low PZ (<0.7 mg/l) and EZ (<8 µg/g of packed cells) were observed in 72% and 23.6% of girls, respectively. PZ and EZ were negatively associated with SRT (r = -0.41, -0.34), RRT (r = -0.49, -0.4), and positively with Memory (r = 0.43, 0.34) and RPM (r = 0.39, 0.31; p < 0.05) and remained significant after adjusting for socio-demographic factors and hemoglobin. RTS was impaired in 18.3% girls and significantly correlated with EZ (r = -0.31, p < 0.05). Zinc deficiency in adolescent girls was associated with poor cognition and taste function implying need for improving their dietary zinc intakes.

  17. Maternal-related deaths and impoverishment among adolescent girls in India and Niger: findings from a modelling study (United States)

    Verguet, Stéphane; Nandi, Arindam; Filippi, Véronique; Bundy, Donald A P


    Background High levels of maternal mortality and large associated inequalities exist in low-income and middle-income countries. Adolescent pregnancies remain common, and pregnant adolescent women face elevated risks of maternal mortality and poverty. We examined the distribution across socioeconomic groups of maternal deaths and impoverishment among adolescent girls (15–19 years old) in Niger, which has the highest total fertility rate globally, and India, which has the largest number of maternal deaths. Methods In Niger and India, among adolescent girls, we estimated the distribution per income quintile of: the number of maternal deaths; and the impoverishment, measured by calculating the number of cases of catastrophic health expenditure incurred, caused by complicated pregnancies. We also examined the potential impact on maternal deaths and poverty of increasing adolescent girls' level of education by 1 year. We used epidemiological and cost inputs sourced from surveys and the literature. Results The number of maternal deaths would be larger among the poorer adolescents than among the richer adolescents in Niger and India. Impoverishment would largely incur among the richer adolescents in Niger and among the poorer adolescents in India. Increasing educational attainment of adolescent girls might avert both a large number of maternal deaths and a significant number of cases of catastrophic health expenditure in the 2 countries. Conclusions Adolescent pregnancies can lead to large equity gaps and substantial impoverishment in low-income and middle-income countries. Increasing female education can reduce such inequalities and provide financial risk protection and poverty alleviation to adolescent girls. PMID:27670517

  18. Facebook photo activity associated with body image disturbance in adolescent girls. (United States)

    Meier, Evelyn P; Gray, James


    The present study examined the relationship between body image and adolescent girls' activity on the social networking site (SNS) Facebook (FB). Research has shown that elevated Internet "appearance exposure" is positively correlated with increased body image disturbance among adolescent girls, and there is a particularly strong association with FB use. The present study sought to replicate and extend upon these findings by identifying the specific FB features that correlate with body image disturbance in adolescent girls. A total of 103 middle and high school females completed questionnaire measures of total FB use, specific FB feature use, weight dissatisfaction, drive for thinness, thin ideal internalization, appearance comparison, and self-objectification. An appearance exposure score was calculated based on subjects' use of FB photo applications relative to total FB use. Elevated appearance exposure, but not overall FB usage, was significantly correlated with weight dissatisfaction, drive for thinness, thin ideal internalization, and self-objectification. Implications for eating disorder prevention programs and best practices in researching SNSs are discussed.

  19. The experience of puberty in Iranian adolescent girls: a qualitative content analysis

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    Golchin Nayereh Azam


    Full Text Available Abstract Background Adolescence is an important stage in human life span. Physiologic changes associated with puberty manifest themselves in often complex and bizarre ways to which girls show different reactions. This study aims to explore to puberty experiences in adolescent girls who live in the city of Sari in Iran. Methods The present study is a qualitative study of content analysis. Sampling took place in the city of Sari, Iran and was objective focused in accordance with qualitative studies. Participants were 38 girls of 12–20 years old who had at least experienced 3 menstrual cycles. Data was collected by means of focus group and in-depth interviews. Results As follows, Seven main themes were extracted from the interviews are follows: Menarche as the most unpleasant event in puberty, getting nervous about and ashamed of bodily changes, psychological changes, discordance with parents, sexual orientation and the need for education on this issue, scholastic dysfunction and religious considerations. Conclusion The results showed that for the majority of the participants puberty was an unpleasant experience. Most of them were in need of education on how to go about the issues surrounding puberty. The society, families and of course the adolescents themselves are responsible to work together in order to create an atmosphere in which correct information on puberty and the associated issues are readily accessible.

  20. Sexuality-Related Outcomes of Adolescent Children of Teen Mothers (United States)

    Eshbaugh, Elaine M.


    The relationship between being an adolescent child of a teen mother and sexuality-related outcomes was investigated using data from the National Longitudinal Survey of Youth. Adolescents whose mothers were teenagers at first birth were more likely to have had sex by age 16 than other adolescents. Gender moderated this effect, as this relationship…

  1. Sexual Harassment, Bullying, and School Outcomes for High School Girls and Boys. (United States)

    Gruber, James; Fineran, Susan


    A comparison of the impact of bullying and sexual harassment on five school outcomes was conducted on a sample of high school students. Results revealed that sexual harassment was a stronger predictor than bullying of all school outcomes for both sexes, but especially for girls. This study suggests that sexual harassment, which activates sexist and heterosexist stereotypes, erodes school engagement, alienates students from teachers, and adversely affects academic achievement, to a greater degree than bullying does.

  2. Heterosexual Men's Ratings of Sexual Attractiveness of Adolescent Girls: A Cross-Cultural Analysis. (United States)

    Bennett, Paul; Lowe, Rob; Petrova, Hristina


    Following an identical procedure to the one we previously reported (O'Donnell, Lowe, Brotherton, & Bennett, 2014), we examined ratings of sexual attraction to photographs of (the same) adolescent girls (Tanner stages 3-4) labelled as either 14-15 years or 16-17 years old, women, and men. Ratings were made by Bulgarian heterosexual men by pressing buttons on a response box which recorded the ratings made and the time in milliseconds taken to respond. Despite the age of sexual consent in Bulgaria being 14 years, the pattern of findings did not differ from those found in the UK, where the age of consent is 16 years. That is, mean ratings of the sexual attractiveness of the girls labelled as younger were lower than those of the (same) girls labelled as older, and those of the women. In addition, correlations revealed significantly longer responding times when younger girls (and men) were rated as more highly sexually attractive. These associations were reversed in response to the photographs of women. We take these findings to indicate an inhibitory effect arising from generalized sexual norms relating to the inappropriateness of sexual attraction to young girls; the greater the attraction, the higher the inhibition. This second replication of our initial findings suggests a robust effect that may be of benefit in exploration of pedophile or sex offender groups.

  3. Awareness and health seeking behaviour of rural adolescent school girls on menstrual and reproductive health problems. (United States)

    Singh, M M; Devi, R; Gupta, S S


    A study was conducted on 130 girl students aged 13-17 years in Haryana to assess their awareness and health seeking behaviour regarding menstrual and reproductive health. Mean age at menarche of the girls was 13.6 +/- 0.83 years. Awareness about the process of menstruation was poor. Commonest reported menstrual problem was dysmenorrhoea (40.7%) followed by irregular menses (2.3%) of which only 5.3% consulted a doctor and 22.4% took over the counter medications from the chemist shops. Knowledge about normal duration of pregnancy and need for extra food during pregnancy was poor. Most of the girls knew about importance, duration of child spacing and need for three medical examinations during pregnancy. Major sources of information were television (73.1%), radio (37.1%) and parents (36.1%). Girls preferred to consult parents (49.2%) and doctors (44.6%) for help at times of having reproductive health problems. This study highlights the need for educating school girls about adolescent health, pregnancy and reproductive health problems through schools and parents by the health professionals.

  4. Sigmoid volvulus in an adolescent girl: staged management with emergency colonoscopic reduction and decompression followed by elective sigmoid colectomy. (United States)

    Patel, Ramnik V; Njere, Ike; Campbell, Alison; Daniel, Rejoo; Azaz, Amer; Fleet, Mahmud


    A case of acute sigmoid volvulus in a 14-year-old adolescent girl presenting with acute low large bowel obstruction with a background of chronic constipation has been presented. Abdominal radiograph and CT scan helped in diagnosis. She underwent emergency colonoscopic detorsion and decompression uneventfully. Lower gastrointestinal contrast study showed very redundant sigmoid colonic loop without any transition zone and she subsequently underwent elective sigmoid colectomy with good outcome. The sigmoid volvulus should be considered in the differential diagnosis of paediatric acute abdomen presenting with marked abdominal distention, absolute constipation and pain but without vomiting. Plain abdominal radiograph and the CT scan are helpful to confirm the diagnosis. Early colonoscopic detorsion and decompression allows direct visualisation of the vascular compromise, assessment of band width of the volvulus and can reduce complications and mortality. Associated Hirschsprung's disease should be suspected if clinical and radiological features are suggestive in which case a rectal biopsy before definitive surgery should be considered.

  5. Mediators of the relationship between media literacy and body dissatisfaction in early adolescent girls: implications for prevention. (United States)

    McLean, Siân A; Paxton, Susan J; Wertheim, Eleanor H


    This study examined in young adolescent girls the fit of a theoretical model of the contribution of media literacy to body dissatisfaction via the mediating influences of internalisation of media ideals and appearance comparisons. Female Grade 7 students (N=469) completed self-report assessments of media literacy, internalisation, appearance comparisons, body dissatisfaction, and media exposure. Strong, significant inverse associations between media literacy and body dissatisfaction, internalisation, and appearance comparisons were observed. Path analysis revealed that a slightly modified revision of the model provided a good fit to the data. Specifically, body dissatisfaction was influenced directly by appearance comparisons, internalisation, and body mass index, and indirectly by media literacy and media exposure. Indirect pathways were mediated by appearance comparisons and internalisation. Thus, a relationship between media literacy and eating disorder risk factors was observed. Findings may explain positive outcomes of media literacy interventions in eating disorder prevention.

  6. A model for promoting physical activity among rural South African adolescent girls

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    John Kinsman


    Full Text Available Background: In South Africa, the expanding epidemic of non-communicable diseases is partly fuelled by high levels of physical inactivity and sedentary behaviour. Women especially are at high risk, and interventions promoting physical activity are urgently needed for girls in their adolescence, as this is the time when many girls adopt unhealthy lifestyles. Objective: This qualitative study aimed to identify and describe facilitating factors and barriers that are associated with physical activity among adolescent girls in rural, north-eastern South Africa and, based on these, to develop a model for promoting leisure-time physical activity within this population. Design: The study was conducted in and around three secondary schools. Six focus group discussions were conducted with adolescent girls from the schools, and seven qualitative interviews were held with sports teachers and youth leaders. The data were subjected to thematic analysis. Results: Seven thematic areas were identified, each of which was associated with the girls’ self-reported levels of physical activity. The thematic areas are 1 poverty, 2 body image ideals, 3 gender, 4 parents and home life, 5 demographic factors, 6 perceived health effects of physical activity, and 7 human and infrastructural resources. More barriers to physical activity were reported than facilitating factors. Conclusions: Analysis of the barriers found in the different themes indicated potential remedial actions that could be taken, and these were synthesised into a model for promoting physical activity among South African adolescent girls in resource-poor environments. The model presents a series of action points, seen both from the ‘supply-side’ perspective (such as the provision of resources and training for the individuals, schools, and organisations which facilitate the activities and from the ‘demand-side’ perspective (such as the development of empowering messages about body image for

  7. Structural determinants of adolescent girls' vulnerability to HIV: views from community members in Botswana, Malawi, and Mozambique. (United States)

    Underwood, Carol; Skinner, Joanna; Osman, Nadia; Schwandt, Hilary


    In sub-Saharan Africa, adolescent girls are three to four times more likely than adolescent boys to be living with HIV/AIDS. A literature review revealed only four studies that had examined HIV vulnerability from the perspective of community members. None of the studies focused specifically on adolescent girls. To fill this gap, in 2008 12 focus group discussions were held in selected peri-urban and rural sites in Botswana, 12 in Malawi, and 11 in Mozambique to identify factors that render girls vulnerable to HIV infection from the community members' perspective. The preponderance of comments identified structural factors--insufficient economic, educational, socio-cultural, and legal support for adolescent girls--as the root causes of girls' vulnerability to HIV through exposure to unprotected sexual relationships, primarily relationships that are transactional and age-disparate. Community members explicitly called for policies and interventions to strengthen cultural, economic, educational, and legal structures to protect girls, recognized community members' responsibility to take action, and requested programs to enhance adult-child communication, thus revealing an understanding that girls' vulnerability is multi-level and multi-faceted, so must be addressed through a comprehensive approach to HIV prevention.

  8. Natural sagittal spino-pelvic alignment in boys and girls before, at and after the adolescent growth spurt

    NARCIS (Netherlands)

    Schlösser, Tom; Vincken, Koen L.; Rogers, Kenneth; Castelein, RM; Shah, Suken A.


    Adolescent idiopathic scoliosis occurs far more often in girls than in boys, and its initiation and progression normally takes place around the adolescent growth spurt. Despite extensive research into the topic, no solid explanation for both well-known phenomena has been offered. The sagittal profil

  9. The role of maternal perceptions and ethnic background in the mental health help-seeking pathway of adolescent girls

    NARCIS (Netherlands)

    I.J.E. Flink (Ilse); T.M.J. Beirens (Tinneke); D. Butte (Dick); H. Raat (Hein)


    textabstractMothers play a crucial role in the help-seeking pathway of adolescents. This study examined how mothers with different ethnic backgrounds perceive the issue of help-seeking for internalizing problems (e.g. depression) in adolescent girls. Seven focus group discussions were conducted with

  10. The Relationship between Media Influence and Ethnic Identity Development among Low-Income African American and White Adolescent Girls (United States)

    Byrd, Kenycia


    The purpose of this study was to examine the relationship between media influence and ethnic identity among low-income African American and White adolescent girls. According to the U.S. Census (2008), 98% of Americans have a television in their home. Prior research suggests that low-income African American adolescents are exposed to more media…

  11. An Analysis of Anger in Adolescent Girls Who Practice the Martial Arts

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    Sara Lotfian


    Full Text Available The effect of martial arts on adolescents' behavior, especially aggression, is controversial. The aim of this study was to assess and compare anger ratings among adolescent girl athletes of different martial arts. 291 female adolescents between the ages of 11 and 19 were assessed according to the Adolescent Anger Rating Scale designed by DM Burney. In the case group, the martial arts practiced were either judo (n=70 or karate (n=66, while the control group was composed of swimmers (n=59 and nonathletes (n=96. Total anger scores showed statistically significant differences between the groups (P=0.001 decreasing from girls who practiced judo to nonathletes, karate, and swimmers. Instrumental and reactive anger subscales also showed significant differences between the groups, but this difference was not found for anger control. As a conclusion, the anger rate did not differ between judoka and nonathletes, but that both of these groups received higher scores in total anger than karateka and swimmers.

  12. Age at menarche and current substance use among Canadian adolescent girls: results of a cross-sectional study

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    Al-Sahab Ban


    Full Text Available Abstract Background Substance use is among the key public health threats that find its genesis during adolescence. Timing of puberty has been lately researched as a potential predictor of subsequent substance abuse. The present study, therefore, aims to assess the effect of age at menarche on current practices of smoking, alcohol drinking and drug use among 14-15 year old Canadian girls. Methods The analysis of the study was based on all female respondents aged 14 to 15 years during Cycle 4 (2000/2001 of the National Longitudinal Survey of Children & Youth (NLSCY. The main independent variable was age at menarche assessed as the month and year of the occurrence of the first menstrual cycle. The dependent variables were current smoking, heavy alcohol drinking in the past 12 months and drug use in the past 12 months. Three logistic regression models were performed to investigate the association between age at menarche and each of the substance use outcomes, adjusting for possible confounders. Bootstrapping was performed to account for the complex sampling design. Results The total weighted sample included in the analysis represented 295,042 Canadian girls. The prevalence of current smokers, heavy drinkers (drunk in the past 12 months and drug users in the past 12 months was approximately 22%, 38% and 26%, respectively. After adjusting of all potential confounders, no association was found between age at menarche and any of the substance use outcomes. School performance and relationship with the father, however, stood out as the main variables to be associated with smoking, heavy drinking and drug use. Conclusions Qualitative studies understanding the social and psychological changes experienced by early maturing Canadian adolescents are warranted to identify other correlates or pathways to substance use in this higher risk population.

  13. Callous unemotional traits in children with disruptive behavior disorder: Predictors of developmental trajectories and adolescent outcomes. (United States)

    Muratori, Pietro; Lochman, John E; Manfredi, Azzurra; Milone, Annarita; Nocentini, Annalaura; Pisano, Simone; Masi, Gabriele


    The present study investigated trajectories of Callous Unemotional (CU) traits in youth with Disruptive Behavior Disorder diagnosis followed-up from childhood to adolescence, to explore possible predictors of these trajectories, and to individuate adolescent clinical outcomes. A sample of 59 Italian referred children with Disruptive Behavior Disorder (53 boys and 6 girls, 21 with Conduct Disorder) was followed up from childhood to adolescence. CU traits were assessed with CU-scale of the Antisocial Process Screening Device-parent report. Latent growth curve models showed that CU traits are likely to decrease linearly from 9 to 15 years old, with a deceleration in adolescence (from 12 to 15). There was substantial individual variability in the rate of change of CU traits over time: patients with a minor decrease of CU symptoms during childhood were at increased risk for severe behavioral problems and substance use into adolescence. Although lower level of socio-economic status and lower level of parenting involvement were associated to elevated levels of CU traits at baseline evaluation, none of the considered clinical and environmental factors predicted the levels of CU traits. The current longitudinal research suggests that adolescent outcomes of Disruptive Behavior Disorder be influenced by CU traits trajectories during childhood.

  14. Thyroid ophthalmopathy in an adolescent girl: a case report

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    Bhanu Devi


    Full Text Available A 14 year old girl presented with protrusion of both the eyes for duration of 3 months and pain, redness and watering of right eye for 20 days. On examination, she was thin built, poorly nourished and the thyroid gland was found to be enlarged. Both eyes were proptosed and there was incapability of complete closure of the eyelids on both sides. On right eye, conjunctiva was congested and there was a corneal lesion seen inferomedially with an epithelial defect. CT scan of the orbit revealed picture of thyroid ophthalmopathy. Thyroid profile revealed picture suggestive of hyperthyroidism and anti-thyroid peroxidase antibody was found to be very high. She was diagnosed as a case of thyroid ophthalmopathy both eyes with exposure keratitis right eye. She was treated with anti-thyroid medication along with conservative treatment for ocular symptoms and lateral tarsorrhaphy of right eye for exposure keratopathy. Pulse steroid therapy was started and subsequent follow up showed resolution of the signs. [Int J Res Med Sci 2016; 4(8.000: 3640-3643

  15. An Adolescent Girl with Giant Fibroadenoma – A Case Report

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    Ferdousee Ishrat


    Full Text Available Though fibroadenoma is the most common benign tumor of the breast and is more common under the age of 30, giant fibroadenoma is rare representing less than 4% of all fibroadenomas. A 12 years old girl presented with rapidly enlarging well-circumscribed firm, non-tender mass in right breast for 2 months which was painless and with no history of trauma, nipple discharge, fever, anorexia, weight loss or axillary lymphadenopathy. There was no family history of neoplasms. Clinically, the lump was about 12 × 12 cm and not fixed to skin or underlying structures with the absence of nipple retraction or discharge. There was no axillary lymphadenopathy. Fine needle aspiration cytology showed a benign proliferative breast disease. Total excision of mass was done preserving nipple and areola having weight of 535 gm with histopathological features suggestive of giant fibroadenoma. Giant fibroadenoma is a benign breast disease that may mimic rare malignant lesion. So, breast and nipple conserving surgery should always be performed irrespective of size of tumor as in this case.

  16. A qualitative exploration of the work of embodiment in adolescent girls with obesity. (United States)

    Liné, C; Moro, M R; Lefèvre, H; Thievenaz, J; Lachal, J


    Social representations generally associate obesity, especially in adolescent girls, with sedentariness, lack of self-control and laziness. These girls thus have substantial problems of self-esteem. Dietary, lifestyle and behavioural approaches alone cannot address this issue, for they do not apprehend all of the complexity of obesity. This qualitative study is based on a dual observation: that the work performed by adolescents is unrecognized and that the body is not considered as a subject of analysis. It raises the question of the corporality of these teens through an original perspective: that of the perspective of their organization of actions on, to and by the body, in specific situations. The objective is to have access to the corporal experience of young girls with obesity, so that we can understand and support them better. The data come from semi-directive interviews with 10 adolescent girls with obesity. The content was analysed in terms of concepts of professional didactics (a branch of educational psychology) and enaction. Five situations were identified from these interviews: the first, shopping with friends, concerns actions by the subjects towards their bodies; the other four are enacted actions: conduct towards a normal-weight person, conduct in public transportation, performing physical activity, and eating. The results show the work of these young women with obesity, the means they mobilize to live in their bodies and their considerable efforts of embodiment. Recognition of this work should help to enhance their self-esteem. Treatment and support may take this dimension of work into account and help them to become aware of the efforts they make every day.

  17. The Role of Mothers' and Adolescents' Perceptions of Ethnic-Racial Socialization in Shaping Ethnic-Racial Identity among Early Adolescent Boys and Girls (United States)

    Hughes, Diane; Hagelskamp, Carolin; Way, Niobe; Foust, Monica D.


    The current study examined relationships between adolescents' and mothers' reports of ethnic-racial socialization and adolescents' ethnic-racial identity. The sample included 170 sixth graders (49% boys, 51% girls) and their mothers, all of whom identified as Black, Puerto Rican, Dominican, or Chinese. Two dimensions of ethnic-racial socialization…

  18. Mindfulness and Eating Behavior in Adolescent Girls at Risk for Type 2 Diabetes (United States)

    Pivarunas, Bernadette; Kelly, Nichole R.; Pickworth, Courtney K.; Cassidy, Omni; Radin, Rachel M.; Shank, Lisa M.; Vannucci, Anna; Courville, Amber B.; Chen, Kong Y.; Tanofsky-Kraff, Marian; Yanovski, Jack A.; Shomaker, Lauren B.


    Objective The purpose of this investigation was to examine the relationship of dispositional mindfulness to binge eating and associated eating attitudes and behaviors among adolescent girls at risk for type 2 diabetes (T2D). Methods Participants were 114 overweight or obese adolescents enrolled in a study of girls with a family history of T2D and mild depressive symptoms. Adolescent self-reports of mindfulness, eating in the absence of hunger, and depressive symptoms were collected. An interview was administered to determine presence of binge eating episodes and a behavioral task was used to assess the reinforcing value of food relative to other non-snack food rewards. Body composition was assessed using dual-energy x-ray absorptiometry. Results In analyses accounting for race, percent body fat, lean mass, height, age, and depressive symptoms, dispositional mindfulness was associated with a lower odds of binge eating (p = .002). Controlling for the same potential confounds, mindfulness was also inversely associated with eating concern, eating in the absence of hunger in response to fatigue/boredom, and higher food reinforcement relative to physical activity (all p < .05). Conclusions In girls with a family history of T2D, independent of body composition and depressive symptoms, intra-individual differences in mindfulness are related to binge eating and associated attitudes and behaviors that may confer risk for obesity and metabolic problems. Further research is needed to determine the extent to which mindfulness plays a role in the etiology and/or maintenance of disinhibited eating in adolescents at risk for T2D. PMID:26172157

  19. Food insecurity and age at menarche among adolescent girls in Jimma Zone Southwest Ethiopia: a longitudinal study

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    Getachew Yehenew


    Full Text Available Abstract Background Age at menarche is the reflection of cumulative pre-adolescent exposure of girls to either adverse environment such as food insecurity or affluent living conditions. Food insecurity could result in inadequate nutrient intake and stress, both of which are hypothesized to have opposing effects on the timing of menarche through divergent pathways. It is not known whether food insecure girls have delayed menarche or early menarche compared with their food secure peers. In this study we test the competing hypothesis of the relationship between food insecurity and age at menarche among adolescent girls in the Southwest Ethiopia. Methods We report on 900 girls who were investigated in the first two rounds of the five year longitudinal survey. The semi-parametric frailty model was fitted to determine the effect of adolescent food insecurity on time to menarche after adjusting for socio-demographic and economic variables. Results Food insecure girls have menarche one year later than their food secure peer (median age of 15 years vs 14 years. The hazard of menarche showed a significant decline (P = 0.019 as severity of food insecurity level increased, the hazard ratio (HR for mild food insecurity and moderate/severe food insecurity were 0.936 and 0.496, respectively compared to food secure girls. Stunted girls had menarche nearly one year later than their non-stunted peers (HR = 0.551, P Conclusion Food insecurity is associated with delay of age at menarche by one year among girls in the study area. Stunted girls had menarche one year later than their non-stunted peers. Age at menarche reflects the development of girls including the timing of sexual maturation, nutritional status and trajectory of growth during the pre-pubertal periods. The findings reflect the consequence of chronic food insecurity on the development and well-being of girls in the study area.

  20. Reciprocal effects of parenting and borderline personality disorder symptoms in adolescent girls. (United States)

    Stepp, Stephanie D; Whalen, Diana J; Scott, Lori N; Zalewski, Maureen; Loeber, Rolf; Hipwell, Alison E


    Theories of borderline personality disorder (BPD) postulate that high-risk transactions between caregiver and child are important for the development and maintenance of the disorder. Little empirical evidence exists regarding the reciprocal effects of parenting on the development of BPD symptoms in adolescence. The impact of child and caregiver characteristics on this reciprocal relationship is also unknown. Thus, the current study examines bidirectional effects of parenting, specifically harsh punishment practices and caregiver low warmth, and BPD symptoms in girls aged 14-17 years based on annual, longitudinal data from the Pittsburgh Girls Study (N = 2,451) in the context of child and caregiver characteristics. We examined these associations through the use of autoregressive latent trajectory models to differentiate time-specific variations in BPD symptoms and parenting from the stable processes that steadily influence repeated measures within an individual. The developmental trajectories of BPD symptoms and parenting were moderately associated, suggesting a reciprocal relationship. There was some support for time-specific elevations in BPD symptoms predicting subsequent increases in harsh punishment and caregiver low warmth. There was little support for increases in harsh punishment and caregiver low warmth predicting subsequent elevations in BPD symptoms. Child impulsivity and negative affectivity, and caregiver psychopathology were related to parenting trajectories, while only child characteristics predicted BPD trajectories. The results highlight the stability of the reciprocal associations between parenting and BPD trajectories in adolescent girls and add to our understanding of the longitudinal course of BPD in youth.

  1. How perfectionism and ineffectiveness influence growth of eating disorder risk in young adolescent girls. (United States)

    Wade, Tracey D; Wilksch, Simon M; Paxton, Susan J; Byrne, Susan M; Austin, S Bryn


    While perfectionism is widely considered to influence risk for eating disorders, results of longitudinal studies are mixed. The goal of the current study was to investigate a more complex model of how baseline perfectionism (both high personal standards and self-critical evaluative concerns) might influence change in risk status for eating disorders in young adolescent girls, through its influence on ineffectiveness. The study was conducted with 926 girls (mean age of 13 years), and involved three waves of data (baseline, 6- and 12-month follow-up). Latent growth curve modelling, incorporating the average rate at which risk changed over time, the intercept (initial status) of ineffectiveness, and baseline perfectionism, was used to explore longitudinal mediation. Personal standards was not supported as contributing to risk but results indicated that the higher mean scores on ineffectiveness over the three waves mediated the relationship between higher baseline self-critical evaluative concerns and both measures of eating disorder risk. The relationship between concern over mistakes and change in risk was small and negative. These results suggest the usefulness of interventions related to self-criticism and ineffectiveness for decreasing risk for developing an eating disorder in young adolescent girls.

  2. Time perceptions and time allocation preferences among adolescent boys and girls. (United States)

    Bruno, J E


    How time is allocated between competing directed and nondirected activities can greatly define persona and lifestyle objectives. The important process of learning about time and the consequences of its various uses begins in childhood and adolescence, and provides the foundation for later life. This study examines whether girls differ from boys with regard to certain directed and nondirected types of time allocation preferences. Lifestyle objectives related to personal development (spending time), material achievement (selling time), social acceptance (giving time), and passive entertainment (passing or killing time), are explored using a time allocation preference model that defines a person's time investment portfolio. This study extends recent research by psychologists, sociologists, and anthropologists regarding the allocation and perception of time by examining student time allocation preferences and their association with teacher-observed behaviors in school. It was found that adolescent girls, whether considered by their teachers to exhibit at-risk or normal behaviors, seem to be less inclined toward nondirected activities and more toward other-directed activities. Boys seem to be more inclined toward nondirected activities. Being at risk as a school behavioral classification, is particularly associated with a large amount of nondirected activities in boys and large amounts of other-directed activities in girls.

  3. Pre-Pregnancy Dating Violence and Birth Outcomes Among Adolescent Mothers in a National Sample. (United States)

    Madkour, Aubrey Spriggs; Xie, Yiqiong; Harville, Emily W


    Although infants born to adolescent mothers are at increased risk of adverse birth outcomes, little is known about contributors to birth outcomes in this group. Given past research linking partner abuse to adverse birth outcomes among adult mothers, we explored associations between pre-pregnancy verbal and physical dating violence and the birth weight and gestational age of infants born to adolescent mothers. Data from the National Longitudinal Study of Adolescent Health Waves I (1995/1996), II (1996), and IV (2007/2008) were analyzed. Girls whose first singleton live births occurred after Wave II interview and before age 20 (N = 558) self-reported infants' birth weight and gestational age at Wave IV. Dating violence victimization (verbal and physical) in the 18 months prior to Wave II interview was self-reported. Controls included Wave I age, parent education, age at pregnancy, time between reporting abuse and birth, and childhood physical and sexual abuse. Weighted multivariable regression models were performed separately by race (Black/non-Black).On average, births occurred 2 years after Wave II interview. Almost one in four mothers reported verbal dating violence victimization (23.6%), and 10.1% reported physical victimization. Birth weight and prevalence of verbal dating violence victimization were significantly lower in Black compared with non-Black teen mothers. In multivariable analyses, negative associations between physical dating abuse and birth outcomes became stronger as time increased for Black mothers. For example, pre-pregnancy physical dating abuse was associated with 0.79 kilograms lower birth weight (p< .001) and 4.72 fewer weeks gestational age (p< .01) for Black mothers who gave birth 2 years post-reporting abuse. Physical dating abuse was unassociated with birth outcomes among non-Black mothers, and verbal abuse was unassociated with birth outcomes for all mothers. Reducing physical dating violence in adolescent relationships prior to

  4. [Diagnosis and management of amenorrhea in adolescent girls]. (United States)

    Laroche, E; Bricaire, L; Christin-Maitre, S


    Amenorrhea in adolescents can be primary, with or without breast development, or secondary. Whether amenorrhea is primary or secondary, height, body mass index, food intake, the level of physical activity per week, the presence of hirsutism or galactorrhea, pelvic pain and past history of intercourse need to be investigated. Initially, blood tests should include hCG, FSH, estradiol, testosterone and prolactin serum levels. This screening will discriminate between hypogonadotropic hypogonadism and amenorrhea from primary ovarian insufficiency (POI). In case of primary amenorrhea, hypogonadism may be due to congenital hypogonadotropic hypogonadism (HH) or more rarely acquired HH. If FSH is elevated, amenorrhea is due to primary ovarian failure, mainly related to Turner syndrome. If pubertal development is normal, a pelvic ultrasound should be performed. It may visualize a hindering of menses output or less frequently an absence of uterus, as in Rokitansky syndrome or androgen insentivity syndrome. The most frequent etiologies of secondary amenorrhea are polycystic ovarian syndrome (PCOS), functional hypothalamic amenorrhea and less frequently POI and hyperprolactinemia. The differential diagnoses of PCOS are late-onset 21-hydroxylase deficiency and very rare ovarian or adrenal tumors. When contraception is not necessary, hormonal replacement therapy, including estrogen and progestins should be administered in order to avoid hypoestrogenism. In case of PCOS, sequential progestins can be prescribed. A contraceptive pill can be considered when contraception is needed and/or when hyperandrogenism needs to be treated.

  5. Perceived side effects of oral contraceptives among adolescent girls. (United States)

    Herold, E S; Goodwin, M S


    Knowledge and attitudes of adolescent females regarding the side effects of oral contraceptives were investigated. The data source was a large study of sexual and contraceptive attitudes and experience. The questionnaire responses of 486 single females attending 10 birth control and pregnancy counseling centers in Ontario, Canada were examined. The age range of the subjects was from 13-20; 71% were attending school and 69% were living at home. They were attending the centers in order to obtain contraceptives (55%), to renew OC prescriptions (20%), or to receive pregnancy counseling (25%). 29% of the subjects had used OCs before coming to the clinic, but 91% planned to use OC after their clinic visit. 8% were planning to use an IUD; 1% were planning to use a diaphragm; and less than 1% were planning to have their boyfriend use condoms. 85% of the subjects indicated that they had heard abut side effcts of OCs with weight gain as the best known side effect. Other side effects familiar to many included nausea, circulatory disorders, headaches, emotional changes, menstrual problems and cancer. About 1/2 of the subjects had learned about these side effects from the mass media or female friends, 25% from a school sex education class, 15% from their mothers, and 3% from a physician. Despite knowledge regarding side effects, most of the subjects had positive attitudes toward OCs with 59% believing that the advnatages outweighed any disadvantages.

  6. Polycystic ovarian syndrome: Prevalence and its correlates among adolescent girls

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    Nagaraja Bhuvanashree


    Full Text Available Background: Polycystic ovarian syndrome (PCOS is the most frequent endocrinological disorder affecting young women of reproductive age having wide spread morbidity. Though, several factors have been identified attributing to its cause, yet it demands further investigations. Materials and Methods: A community-based cross-sectional study was carried out among 253 adolescent females (age: 10-19 years to elicit the associations between PCOS and the cesarean mode of delivery, eruption of wisdom tooth and other factors through a binary logistic regression analysis. Results: The mean age was 18.57 ΁ 0.19 (standard error of mean years. The prevalence of PCOS in Nellore district is 15.4% (95% confidence interval: 10.97-19.83. Higher risk of PCOS was associated with the cesarean mode of delivery (odds ratio [OR] = 4.91, P < 0.0001, eruption of at least 1 wisdom tooth (OR = 2.61, P = 0.025 and the presence of central obesity (OR = 2.57, P = 0.05. Discussion: An attempt has been taken to hypothesize causal association of associated factors with PCOS from the available literature, which in turn may pave the path for newer approaches for prevention and management.

  7. Girls feeling good at school: School gender environment, internalization and awareness of socio-cultural attitudes associations with self-esteem in adolescent girls. (United States)

    Cribb, Victoria L; Haase, Anne M


    As society continues to advocate an unrealistically thin body shape, awareness and internalization of appearance and its consequent impact upon self-esteem has become increasingly of concern, particularly in adolescent girls. School gender environment may influence these factors, but remains largely unexplored. This study aimed to assess differences between two different school environments in appearance attitudes, social influences and associations with self-esteem. Two hundred and twelve girls (M = 13.8 years) attending either a single-sex or co-educational school completed measures on socio-cultural attitudes towards appearance, social support and self-esteem. Though marginal differences between school environments were found, significantly higher internalization was reported among girls at the co-educational school. School environment moderated relations between internalization and self-esteem such that girls in co-educational environments had poorer self-esteem stemming from greater internalization. Thus, in a single-sex school environment, protective factors may attenuate negative associations between socio-cultural attitudes towards appearance and self-esteem in adolescent girls.

  8. Adolescent girls and young women: key populations for HIV epidemic control

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    Rachael C Dellar


    Full Text Available Introduction: At the epicentre of the HIV epidemic in southern Africa, adolescent girls and young women aged 15–24 contribute a disproportionate ~30% of all new infections and seroconvert 5–7 years earlier than their male peers. This age–sex disparity in HIV acquisition continues to sustain unprecedentedly high incidence rates, and preventing HIV infection in this age group is a pre-requisite for achieving an AIDS-free generation and attaining epidemic control. Discussion: Adolescent girls and young women in southern Africa are uniquely vulnerable to HIV and have up to eight times more infection than their male peers. While the cause of this vulnerability has not been fully elucidated, it is compounded by structural, social and biological factors. These factors include but are not limited to: engagement in age-disparate and/or transactional relationships, few years of schooling, experience of food insecurity, experience of gender-based violence, increased genital inflammation, and amplification of effects of transmission co-factors. Despite the large and immediate HIV prevention need of adolescent girls and young women, there is a dearth of evidence-based interventions to reduce their risk. The exclusion of adolescents in biomedical research is a huge barrier. School and community-based education programmes are commonplace in many settings, yet few have been evaluated and none have demonstrated efficacy in preventing HIV infection. Promising data are emerging on prophylactic use of anti-retrovirals and conditional cash transfers for HIV prevention in these populations. Conclusions: There is an urgent need to meet the HIV prevention needs of adolescent girls and young women, particularly those who are unable to negotiate monogamy, condom use and/or male circumcision. Concerted efforts to expand the prevention options available to these young women in terms of the development of novel HIV-specific biomedical, structural and behavioural

  9. The Relationship between Body Image Coping Strategy and Eating Disorders among Iranian Adolescent Girls

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    Malihe Farid


    Full Text Available Background: Due to physical and psychological changes during puberty, most common problem of young people is body image defined as degree of size, shape and general appearance. Wrong perception of body image and dissatisfaction with body image in people can lead to eating disorders and stress. Peace of mind is in fact a mental mechanism that people use it to reduce physical and emotional strains coping with stressful situations. The aim of this study was to determine the type of coping strategy of adolescent girls and its relationship with their eating disorders. Methods: This is study is a cross-sectional study in which 573 female adolescent of Karaj participated. Two-Stage Random Sampling was used in this study. In this study, to assess people who are at risk of eating disorder, the nutritional approach assessment questionnaire of EAT-26 was used, while Strategy Inventory Body Image Coping- BICSI questionnaire was used to determine the type of coping strategy. Results: In this study, the mean age of participants was 16.6 (±26/1 (19- 14 years. In this study, 23.7% of participants had an eating disorder. Mental image of an individual of his body had significant correlation with eating disorder (P= 0.000. Kruskal-Wallis test showed a significant relationship between the type of coping strategy adopted by adolescent girls and eating disorder score of them (P= 0.007. The relationship between coping strategy and body image and having or not having the eating disorder was determined by Chi-square test at the borderline level (P= 0.054. Conclusion: In this study, results showed that there is relationship between coping strategy of adolescent girls and the eating disorder score of adolescent girls. The highest score was assigned to getting involved with body image, followed by avoidance and rational acceptance. Since the use of inappropriate coping strategies is associated with negative results such as eating disorders and depression, it is expected

  10. Heterosexual romantic involvement and depressive symptoms in black adolescent girls: effects of menarche and perceived social support. (United States)

    Carter, Rona; Caldwell, Cleopatra Howard; Matusko, Niki; Jackson, James S


    Research has accumulated to demonstrate that depressive symptoms are associated with heterosexual romantic involvement during adolescence, but relatively little work has linked this body of literature to the existing literature on associations between early pubertal timing and adolescent depressive symptoms. This study extends prior research by examining whether early menarche and heterosexual romantic involvement interact to predict depressive symptoms in a national sample of Black adolescent girls (N = 607; M age = 15 years; 32 % Caribbean Black and 68 % African American). We further examined whether the adverse effects of heterosexual romantic involvement and early menarche would be mediated by perceived social support from mothers, fathers, and peers. Path analysis results indicated that girls who report current involvement in a heterosexual romantic relationship also reported high levels of perceived peer support than girls with no romantic involvement. High levels of perceived peer support, in turn, predicted low levels of depressive symptoms. Romantically involved girls with an early menarche also reported significantly less depressive symptoms than girls not romantically involved with an early menarche. Neither perceived maternal support nor perceived paternal support mediated associations between heterosexual romantic involvement, menarche, and depressive symptoms. The findings suggest that individual and social factors can impede heterosexual romantic involvement effects on depressive symptoms in Black adolescent girls.

  11. Psychometric properties of the Social Cognitive Theory questionnaire for physical activity in a sample of Iranian adolescent girl students. (United States)

    Ardestani, M S; Niknami, S; Hidarnia, A; Hajizadeh, E


    This research examined the validity and reliability of a researcher-developed questionnaire based on Social Cognitive Theory (SCT) to assess the physical activity behaviour of Iranian adolescent girls (SCT-PAIAGS). Psychometric properties of the SCT-PAIAGS were assessed by determining its face validity, content and construct validity as well as its reliability. In order to evaluate factor structure, cross-sectional research was conducted on 400 high-school girls in Tehran. Content validity index, content validity ratio and impact score for the SCT-PAIAGS varied between 0.97-1, 0.91-1 and 4.6-4.9 respectively. Confirmatory factor analysis approved a six-factor structure comprising self-efficacy, self-regulation, family support, friend support, outcome expectancy and self-efficacy to overcoming impediments. Factor loadings, t-values and fit indices showed that the SCT model was fitted to the data. Cronbach's α-coefficient ranged from 0.78 to 0.85 and intraclass correlation coefficient from 0.73 to 0.90.

  12. The Internet as a source of reproductive health information among adolescent girls in an urban city in Nigeria

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    Nwagwu Williams E


    Full Text Available Abstract Background There exists some research evidence regarding how adolescents utilize the Internet for health information seeking purposes. The purpose of this study is to understand how in-school and out-of-school adolescent girls in Owerri, Nigeria use online resources to meet their reproductive health information needs. The result could be considered very crucial in assessing the potential role of the Internet in providing health information to adolescent girls in a typical Nigerian urban city. Methods A questionnaire was used to collect data from 1011 adolescent girls in selected secondary schools in the communities, and also from 134 out-of-school girls selected from the same communities. Results More than 73% of the girls reported having ever used the Internet; more than 74% and 68% of them being in-school and out-of-school respectively. The in-school girls (43.9% reported having home access more than the out-of-school (5.6% although the out-of-school have used the Internet for finding reproductive and related information more than the in-school. While parents (66.22% and teachers (56.15% are the two sources most used to the in-school girls, friends (63.18% and the Internet (55.19% were reported by the out-of-school youth as the two most used sources of information to them. Conclusion The Internet is not a first choice of source of reproductive health information for both the in-school and out-of-school adolescent girls in Owerri, Nigeria. The source is however, more commonly used by the out-of-school than the in-school, but the in-school have a more favorable assessment of the quality of information they obtain from the Internet.

  13. The energy cost of cycling and aerobic performance of obese adolescent girls. (United States)

    Lafortuna, C L; Agosti, F; Busti, C; Galli, R; Sartorio, A


    In order to assess the energy cost of cycling and aerobic capacity in juvenile obesity, responses to cycle ergometer exercise were studied in 10 pubertal obese (OB) [body mass index (BMI) SD score (SDS): 3.40+/-0.58 SD] adolescent girls (age: 16.0+/-1.2 yr) and in 10 normal-weight (NW, BMI SDS: -0.30+/-0.54) girls of the same age (15.1+/-1.9). To this aim, gas exchange, heart rate (HR), and energy expenditure (EE) were studied during graded cycle ergometer test at 40, 60, 80, 100, and 120 W. The energy cost of cycling was higher in OB, being oxygen uptake (VO2) higher (about 20%) in OB than in NW girls at all workloads (pcycling, OB girls can rely on a larger aerobic capacity which makes them able to sustain this kind of exercise within a wide range of work loads, with relevant implications when planning protocols of physical activity in the context of interventions for the reduction of juvenile obesity.

  14. Hyperandrogenism Does Not Influence Metabolic Parameters in Adolescent Girls with PCOS

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    Kim Forrester-Dumont


    Full Text Available Background. Underlying insulin resistance and/or obesity has clearly been implicated in the development of metabolic syndrome in adolescents and young adults with polycystic ovarian syndrome (PCOS. It is not clear however what role hyperandrogenism has on the development of metabolic syndrome or its role on those metabolic parameters associated with metabolic syndrome. Methods. We studied 107 adolescent girls; 54 had PCOS according to NIH criteria. Data was obtained for systolic and diastolic blood pressure (SBP and DBP, body mass index (BMI, total testosterone (T, luteinizing hormone (LH, follicle-stimulating hormone (FSH, prolactin, fasting lipid profile, and glucose. The PCOS group was divided initially into subgroups according to BMI (kg/m2, then based on T (ng/dL levels as follows: High Testosterone PCOS (HT, Intermediate Testosterone PCOS (IT, Obese and Normal Testosterone (ONT, and lean and normal T (Control, C. t-test analysis was performed in between all the groups. Results. There was no statistical difference between HT and IT, HT and ONT, or IT and ONT in SBP, DBP, fasting blood glucose, lipid panel, LH, FSH, and prolactin levels. The control group had lower SBP and BMI comparing with ONT, IT, and HT groups. There were no statistical differences found in DBP, fasting blood glucose, lipid panel, LH, FSH, or Prolactin. Conclusion. Metabolic profile in adolescent girls with PCOS is not affected by either the presence of hyperandrogenism or the degree of hyperandrogenism.

  15. A study on knowledge and practices regarding menstrual hygiene among rural and urban adolescent girls in Udupi Taluk, Manipal, India

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    Kamath R


    Full Text Available Background Adolescent girls often lack knowledge regarding reproductive health including menstruation hygiene which can be due to socio-cultural barriers in which they grow up. Objectives: To explore the knowledge, practices and sources of information regarding menstruation and hygiene among adolescent girls in Udupi taluk, India. Methods: An epidemiologic study was undertaken using cross-sectional study method among 550 school-going adolescent girls aged13-16 years. A total of 270 were from urban and 280 from the rural area. Stratified cluster sampling was adopted to select the schools and simple random sampling technique to select the participants. Data was collected using a pre-tested questionnaire and analyzed using SPSS version 15.Results Around 34% participants were aware about menstruation prior to menarche, and mothers were the main source of information among both groups. Overall, 70.4% of adolescent girls were using sanitary napkins as menstrual absorbent, while 25.6% were using both cloth and sanitary napkins. Almost half of the rural participants dried the absorbent inside their homes. Conclusions: There is a need to equip the adolescent girls with knowledge regarding safe, hygienic practices to enable them to lead a healthy reproductive life.

  16. Forms of Aggression, Peer Relationships, and Relational Victimization among Chinese Adolescent girls and boys: Roles of Prosocial Behavior

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    Shujun eWang


    Full Text Available Through a sample of 686 Chinese adolescents (mean age = 13.73 years; 50% girls, we examined the compensatory and moderating effects of prosocial behavior on the direct and indirect associations between forms of aggression and relational victimization mediated by peer relationships among adolescent girls and boys. The results indicated that only adolescent girls’ relationally aggressive behaviors could be directly linked with their experiences of relational victimization, and both relationally and overtly aggressive adolescent boys and girls might be more often rejected by their peers, which, in turn, could make them targets of relational aggression. Next, we found that prosocial behavior indirectly counteracts the effects of aggression on relational victimization through reducing adolescents’ peer rejection and promoting adolescents’ peer attachment. In addition, relationally aggressive girls with high levels of prosocial behavior might be less rejected by peers; however, they might also have lower levels of peer attachment and be more likely to experience relational victimization. Last, adolescent boys scored higher on risks, but lower on the protective factors of relational victimization than girls, which, to some degree, might explain the gender difference in relational victimization. Finally, we discussed the theoretical and practical implications of these findings.

  17. Innovative Sexually Transmitted Infection Prevention-Intervention for African-American Adolescent Girls

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    Ringer, Brialle D.


    Full Text Available The purpose of this study is to determine whether implementation of an innovative STI prevention intervention design affects participants’ knowledge of sexually transmitted infections and sexual self-efficacy. The population this research focuses on is African-American adolescent girls. The participants included in this study are aged 13-19. This particular population is disproportionately infected by sexually transmitted diseases, so it is vital that intervention programs be tailored to fit their culture and gender-specific needs in order to achieve maximum results. However, current interventions for African-American girls could be improved. The researcher has designed an innovative STI prevention intervention that draws from current, best evidence interventions. The researcher has hypothesized that: (1 participants that complete the intervention will have increased STI knowledge; and, (2 upon completion of the intervention, participants will have greater sexual self-efficacy.

  18. Body image concern among Australian adolescent girls: the role of body comparisons with models and peers. (United States)

    Carey, Renee N; Donaghue, Ngaire; Broderick, Pia


    This study investigated the potential mediating roles of body comparisons with peers and models in the relationship between the internalization of thinness norms and body image concern. A total of 224 Western Australian girls aged 14-15 completed questionnaires assessing their endorsement of thinness norms, body image concerns, and frequency of body comparisons with peers and with models. Both targets of body comparisons were found to significantly mediate the relationship between the endorsement of thinness norms and body image concern, with body comparison with peers a stronger mediator than comparison with models. These findings show that body comparison with peers, in particular, plays a significant role in the experience of body image concerns among adolescent girls, and should be given a higher profile in programs designed to prevent or reduce body image concern.

  19. Psycho-social picture of sexually active adolescent girls: Results of research survey

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    Stanković Biljana


    Full Text Available In a demographic sense, adolescents are a population group which is yet to take part in birth giving. Therefore, their sexual behavior and especially sexual activity at early ages which is not only unfavorable from the aspect of the individual, meaning risk for psycho-physical health, but from the aspect of society as well, as regards population fertility, deserves special attention. This paper shows the results of in-depth research carried out in Belgrade from September 2001 to October 2002 with an aim to establish which factors determine a young person, of sixteen years old or younger, to become sexually active. It was carried out on a sample of 111 adolescent girls between 14 and 20 years old which turned to the Republic Family Planning Center Youth Counseling Clinic of the Institute for Mother and Child Health Care of Serbia. The research showed that sexual experience, realized at an early age was an integral part of development and maturing for the largest number of surveyed girls. In the largest number of cases it was a positive experience, induced by love and experienced with a partner, mainly of the same age, with which they were in a longer, stable relationship. Nevertheless, it could be concluded from the results obtained by the research that the surveyed girls could have more easily and efficiently solved their problems and dilemmas regarding sexuality had they had the possibility to obtain a better insight into their personal feelings and feelings of others at the right time, as well as developed social experience and experience in mastering control of their impulses. With a certain number of surveyed girls that would have meant a delay in their sexual activities to a later age. This also refers to the prevention of other risky behavior such as use of alcohol and drugs, which also have an influence on changing sexual behavior, making it more risky. It is important to stress that the surveyed adolescent girls themselves recognized the

  20. Urban ninth-grade girls interactions with and outcomes from a design-oriented physics project (United States)

    Higginbotham, Thomas Eric Miksad

    Past literature has documented a shrinking but persistent gap in physics and engineering for females, both in school and in the workforce. A commonly recommended strategy to invite girls into science at the school level is to have students work on design-projects in groups, which has been shown to increase all students' learning outcomes and attitudes towards science. Students (n=28) in a ninth-grade inner-city physics class participated in such a project, in which they built remotely operated underwater vehicles (ROV's) over the course of one month. Students (n=23) in a comparison classroom learned the same content using the Active Physics curriculum during the same time frame. Mixed methods were used to study the ROV classroom. Students in both classes were given pre- and post-physics content tests. Qualitative data collected during the project included field notes, video, and teacher interviews. Macro-level data analysis was done, which informed further micro-analysis. Macro-analysis revealed significantly higher learning outcomes for the ROV class than for the non-ROV class. Within the ROV class, girls, and in particular, girls in female-majority groups had increased learning outcomes and high levels of interest and engagement with the project, while girls in mixed-sex and male-majority groups did not. Qualitative macro-analysis revealed that in all of the female-majority groups, females took leadership roles within the groups, while in all of the non female-majority groups, males took leadership roles. The only groups in which girls completely disengaged from the project were mixed-sex or male majority groups. Case studies and cross case analysis suggested that girls foregrounded group process over product, and used the level of group unity as a metric of the groups' success. Groups led by girls were more cooperative and exhibited distributed leadership and participation. These findings were interpreted through lenses of expectation states theory and social

  1. Body Fat Distribution and Its Association with Cardiovascular Risk Factors in Adolescent Iranian Girls

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    Mohammad-Reza Parizadeh


    Full Text Available Objective: The relationships between body fat distribution, lipid profile and blood pressure, have not been studied extensively in young population. This study was designed to evaluate the association between measures of adiposity and established cardiovascular risk factors in adolescent girls.Methods: A total of 477 adolescent girls aged 15 to 18 years were recruited from Mashhad high schools.Socio-demographic characteristics were assessed using a self-administered questionnaire. Anthropometricassessments, blood pressure measurement and biochemical assessment were performed. Total and regionalfat mass were determined by bio-impedance analysis. Cardiovascular disease risk factors were assessed in relation to body fat measures with adjustment for confounder factors including age and family socioeconomic status.Findings: The prevalence of overweight and obesity was 14.6% and 3.4% respectively; 16% of study population had greater fat mass compared to its ideal distribution. The majority of cardiovascular riskfactors, especially systolic and diastolic blood pressure, triglyceride concentration, CRP and fasting blood sugar were significantly higher in group with a high body fat when compared to those with normal and low values. All anthropometric indices showed significant correlation with fat mass, fat free mass, total andregional body fat percent (P<0.001. After adjustment for age and family socioeconomic status, a high fat massespecially, truncal fat, was positively associated with triglyceride and blood pressure.Conclusion: Adiposity, especially truncal adiposity, which can be assessed by simple measures such as Body Mass Index (BMI and Waist Circumference (WC may predispose adolescent girls for demonstration of metabolic abnormalities and consequently cardiovascular diseases.


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    Full Text Available : Adolescence is a time when the body prepares itself for the nutritional demands of pregnancy, lactation and heavy workloads that girls will soon experience. Good nutrition is essential for good health, physical growth and development, body composition and mental development In recent years, the incidence of adolescent pregnancy and childbirth is increasing due to the early onset of puberty, the declining age of menarche and early sexual activity. They need to earn to cope with the future demands of life. Nutritional needs during adolescence are increased because of the increased growth rate and changes in the body composition associated with puberty. The dramatic increase in energy and nutrient requirements coincides with other factors that may affect adolescents’ food choices and nutrient intake and thus nutritional status. National and population based surveys have found that adolescents often fail to meet dietary recommendations for over all nutritional status and for specific nutrient intakes. Nutritional requirements in relation to body size are more during adolescence. In a country like India with varying social customs and common beliefs against females there is a high prevalence of malnutrition amongst girls. Adolescents are tomorrow’s adult population and their health and well-being are crucial. Yet, interest in adolescents’ health is relatively recent and a focus on nutrition is even more recent. Nutrition influences growth and development throughout infancy, childhood and adolescence; it is, however, during the period of adolescence that nutrient needs are the greatest. A questionnaire-based study was undertaken in Jaipur city of Rajasthan with 500 respondents divided equally between government schools and private schools populations. Adolescent girl is subjected to more physical and mental challenges on a day –to-day basis due to ever increasing pressure of modernization. Hence they have to work hard physically as well as

  3. Bristol Girls Dance Project Feasibility Trial: outcome and process evaluation results

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    Jago Russell


    Full Text Available Abstract Background Many adolescent girls do not engage in sufficient physical activity (PA. This study examined the feasibility of conducting a cluster randomized controlled trial (RCT to evaluate an after-school dance program to increase PA among 11–12 year old girls in Bristol, UK. Methods Three-arm, cluster RCT. Three secondary schools were assigned to intervention arm. Intervention participants received a 9-week dance program with 2, 90-minute dance classes per week. Participants at 2 control schools received incentives for data collection. Participants at 2 additional control schools received incentives and a delayed dance workshop. Accelerometer data were collected at baseline (time 0, during the last week of the dance program (time 1 and 20 weeks after the start of the study (time 2. Weekly attendance, enjoyment and perceived exertion were assessed in intervention participants. Post-study qualitative work was conducted with intervention participants and personnel. Results 40.1% of girls provided consent to be in the study. The mean number of girls attending at least one dance session per week ranged from 15.4 to 25.9. There was greater number of participants for whom accelerometer data were collected in control arms. The mean attendance was 13.3 sessions (maximum = 18. Perceived exertion ratings indicated that the girls did not find the sessions challenging. The dance teachers reported that the program content would benefit from revisions including less creative task time, a broader range of dance genres and improved behavioral management policies. At time 2, the 95% confidence intervals suggest between 5 and 12 minutes more weekday MVPA in the intervention group compared with the control incentives only group, and between 6 minutes fewer and 1 minute more compared with the control incentives plus workshop group. Between 14 and 24 schools would be required to detect a difference of 10 minutes in mean weekday MVPA between

  4. Adolescent girls' and parents' views on recruiting and retaining girls into an after-school dance intervention: implications for extra-curricular physical activity provision

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    Powell Jane


    Full Text Available Abstract Background Many adolescents are not sufficiently active and girls are less active than boys. Physical activity interventions delivered during curriculum time have reported weak effects. More sustained changes in physical activity may be obtained by facilitating participation in enjoyable activities. Dance is the favourite activity of UK girls but there is a shortage of dance provision. Dance sessions delivered after the school day could prove to be an effective means of engaging adolescent girls in physical activity. There is a lack of information about the factors that would affect girls' recruitment and retention in an after-school dance programme. Methods Focus groups were conducted with 65, Year 7 (11-12 year old girls from 4 secondary schools in Bristol. In-depth phone interviews were also conducted with 16 (4 per school of the girls' parents. Interviews and focus groups examined issues that would affect recruitment into the intervention, strategies that could be used to attract girls who have little or no previous experience in dance, any factors that would increase their interest in participating in an after-school dance programme and any factors that would affect retention in the programme. All interviews and focus groups were digitally recorded and thematically analysed. Results Girls reported that a taster session in which they had an opportunity to sample the intervention content and "word of mouth" campaigns by peers, who did not need to be their friends, would encourage them to participate in an after-school dance programme. Sessions that maximised enjoyment and facilitated socialisation opportunities would enhance retention. Parents reported that encouraging groups of friends to join the programme, and stressing the enjoyment of the session would increase participation. Conclusions Recruitment and retention campaigns that focus on enjoyment, socialisation, mastery, goal setting and relating to other girls may be effective

  5. Primary Leiomyosarcoma of Breast in an Adolescent Girl: A Case Report and Review of the Literature

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    Swapnil Ulhas Rane


    Full Text Available Leiomyosarcoma of the breast is a rare neoplasm, primarily reported in older women. Only 44 cases have been reported in world literature and to the best of our knowledge, no case has been reported from India till date. We report a case of primary breast leiomyosarcoma in an adolescent girl who underwent a lumpectomy for rapidly increasing lump in the left breast. Here we report the histological findings and immunohistochemical profile of this entity, along with a review of existing literature.

  6. Primary intracranial malignant melanoma in an adolescent girl: A case report

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    Sajeeb Mondal


    Full Text Available Primary intracranial malignant melanoma is a very rare tumor, and most of the central nervous system melanomas are metastatic diseases. Diagnosis needs extensive dermatological, opthalmological, and radiological workup to exclude metastatic melanoma. Histologically, it should be differentiate from benign melanocytic lesions, pigmented choroid plexus carcinoma, and pigmented papillary medulloblastoma. Here, we are reporting a case of primary malignant melanoma of posterior fossa in an adolescent girl diagnosed in squash cytology as well as in histology and confirmed by immunohistochemistry and by excluding metastatic melanoma.

  7. The impact of adolescent girls' life concerns and leisure activities on body dissatisfaction, disordered eating, and self-esteem. (United States)

    Tiggemann, M


    The aim of this study was to situate adolescent girls' body dissatisfaction, disordered eating, and self-esteem in the context of their life concerns and leisure activities. Questionnaires containing measures of life concerns, leisure activities, body dissatisfaction, disordered eating, and self-esteem were administered to 306 girls with a mean age of 16 years. It was found that although academic success and intelligence were rated as the most important life concerns, an emphasis on slimness was most strongly linked to body dissatisfaction, disordered eating, and global self-esteem. An emphasis on popularity with girls also was related to body dissatisfaction, and hours spent watching television were related to lower self-esteem. In contrast, emphasis on sport seemed to serve a protective function. It was concluded that adolescent girls who have a high concern for slimness should be assisted in decreasing this emphasis in order to improve their general well-being.

  8. Longitudinal prediction and concurrent functioning of adolescent girls demonstrating various profiles of dating violence and victimization. (United States)

    Chiodo, Debbie; Crooks, Claire V; Wolfe, David A; McIsaac, Caroline; Hughes, Ray; Jaffe, Peter G


    Adolescent girls are involved in physical dating violence as both perpetrators and victims, and there are negative consequences associated with each of these behaviors. This article used a prospective design with 519 girls dating in grade 9 to predict profiles of dating violence in grade 11 based on relationships with families of origin (child maltreatment experiences, harsh parenting), and peers (harassment, delinquency, relational aggression). In addition, dating violence profiles were compared on numerous indices of adjustment (school connectedness, grades, self-efficacy and community connectedness) and maladjustment (suicide attempts, distress, delinquency, sexual behavior) for descriptive purposes. The most common profile was no dating violence (n = 367) followed by mutual violence (n = 81). Smaller numbers of girls reported victimization or perpetration only (ns = 39 and 32, respectively). Predicting grade 11 dating violence profile membership from grade 9 relationships was limited, although delinquency, parental rejection, and sexual harassment perpetration predicted membership to the mutually violent group, and delinquency predicted the perpetrator-only group. Compared to the non-violent group, the mutually violent girls in grade 11 had lower grades, poorer self-efficacy, and lower school connectedness and community involvement. Furthermore, they had higher rates of peer aggression and delinquency, were less likely to use condoms and were much more likely to have considered suicide. There were fewer differences among the profiles for girls involved with dating violence. In addition, the victims-only group reported higher rates of sexual intercourse, comparable to the mutually violent group and those involved in nonviolent relationships. Implications for prevention and intervention are highlighted.

  9. Gender matters, too: the influences of school racial discrimination and racial identity on academic engagement outcomes among African American adolescents. (United States)

    Chavous, Tabbye M; Rivas-Drake, Deborah; Smalls, Ciara; Griffin, Tiffany; Cogburn, Courtney


    The authors examined relationships among racial identity, school-based racial discrimination experiences, and academic engagement outcomes for adolescent boys and girls in Grades 8 and 11 (n = 204 boys and n = 206 girls). The authors found gender differences in peer and classroom discrimination and in the impact of earlier and later discrimination experiences on academic outcomes. Racial centrality related positively to school performance and school importance attitudes for boys. Also, centrality moderated the relationship between discrimination and academic outcomes in ways that differed across gender. For boys, higher racial centrality related to diminished risk for lower school importance attitudes and grades from experiencing classroom discrimination relative to boys lower in centrality, and girls with higher centrality were protected against the negative impact of peer discrimination on school importance and academic self-concept. However, among lower race-central girls, peer discrimination related positively to academic self-concept. Finally, socioeconomic background moderated the relationship of discrimination with academic outcomes differently for girls and boys. The authors discuss the need to consider interactions of individual- and contextual-level factors in better understanding African American youths' academic and social development.

  10. Menstrual Hygiene Practices and Sources of Menstrual Hygiene Information among Adolescent Secondary School Girls in Abakaliki Education Zone of Ebonyi State (United States)

    Ilo, Cajetan I.; Nwimo, Ignatius O.; Onwunaka, Chinagorom


    Menstruation is clouded by socio-cultural restrictions resulting in adolescent girls remaining ignorant of hygienic practices. The study was designed to ascertain the menstrual hygiene practices and sources of menstrual hygiene information among 1200 adolescent secondary school girls, who completed the questionnaire designed for the study. Out of…

  11. Prevalence of Thinness and Stunting and Associated Factors among Adolescent School Girls in Adwa Town, North Ethiopia

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    Tsgehana Gebregyorgis


    Full Text Available Introduction. Despite the fact that adolescence is a window of opportunity to break the intergenerational cycle of malnutrition, adolescents are the neglected age groups. Hence information regarding the nutritional status of adolescents is lacking making creating and implementing intervention programs difficult. Objective. To assess the prevalence of thinness, stunting, and associated factors among adolescent school girls in Adwa town, Northern Ethiopia. Methods. Data on 814 adolescent female students were collected from March to April 2015 using interviewer administered pretested semistructured questionnaire and anthropometric measurements. Data were entered using EPI INFO version 3.5.3 and analyzed using SPSS version 20 and WHO Anthroplus software. Results. The prevalence of thinness and stunting was 21.4% and 12.2%, respectively. Age of adolescent [AOR = 2.15 (1.14,4.03], mother’s educational status [AOR = 2.34 (1.14,4.80], eating less than 3 meals per day [AOR = 1.66 (1.12,2.46], having family size >5 [AOR = 2.53 (1.66,3.86] were significantly associated with thinness among the adolescent girls. Family size >5 [AOR = 2.05 (1.31,3.23] and unimproved source of drinking water [AOR = 3.82 (2.20,6.62] were significantly associated with stunting. Conclusion and Recommendation. Thinness and stunting are prevalent problems in the study area. Strategies to improve the nutritional status of girls should be given much attention.

  12. Prevalence of Thinness and Stunting and Associated Factors among Adolescent School Girls in Adwa Town, North Ethiopia (United States)

    Gebregyorgis, Tsgehana; Tadesse, Takele; Atenafu, Azeb


    Introduction. Despite the fact that adolescence is a window of opportunity to break the intergenerational cycle of malnutrition, adolescents are the neglected age groups. Hence information regarding the nutritional status of adolescents is lacking making creating and implementing intervention programs difficult. Objective. To assess the prevalence of thinness, stunting, and associated factors among adolescent school girls in Adwa town, Northern Ethiopia. Methods. Data on 814 adolescent female students were collected from March to April 2015 using interviewer administered pretested semistructured questionnaire and anthropometric measurements. Data were entered using EPI INFO version 3.5.3 and analyzed using SPSS version 20 and WHO Anthroplus software. Results. The prevalence of thinness and stunting was 21.4% and 12.2%, respectively. Age of adolescent [AOR = 2.15 (1.14,4.03)], mother's educational status [AOR = 2.34 (1.14,4.80)], eating less than 3 meals per day [AOR = 1.66 (1.12,2.46)], having family size >5 [AOR = 2.53 (1.66,3.86)] were significantly associated with thinness among the adolescent girls. Family size >5 [AOR = 2.05 (1.31,3.23)] and unimproved source of drinking water [AOR = 3.82 (2.20,6.62)] were significantly associated with stunting. Conclusion and Recommendation. Thinness and stunting are prevalent problems in the study area. Strategies to improve the nutritional status of girls should be given much attention. PMID:27294107

  13. Awareness of legal and social issues related to reproductive health among adolescent girls in rural Varanasi

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    Sangeeta Kansal


    Full Text Available Background: Data on awareness of adolescent's on the legal and social issues/acts related to reproductive health, especially in rural areas, are scarce. Objectives: The aim of the present cross-sectional study is to assess the awareness level of legal and social issues related to reproductive health and its association with the various individual and family/household level characteristics. Methods: 650 adolescent girls in the age group of 15–19 years were interviewed with the help of pretested and semistructured questionnaire and focus group discussions were also conducted for qualitative findings in Chiraigaon block of district Varanasi. Results: It was observed that 42.9% of the respondents were aware of legal age of marriage, 14.9% knew about the right age of childbearing. Dowry prohibition act and domestic violence act were known to 46% and 27% respondents, respectively, and only 2.6% were aware of medical termination of pregnancy act. Logistic regression analysis shows the significant effect of education on awareness of legal age of marriage, right age of childbearing, domestic violence, and dowry prohibition acts, which is also supported by qualitative findings. Conclusion: All the important legal issues/acts should be included in high school curriculum and female teachers should be involved in training program for adolescents. Role of mass media in creating awareness about these issues in their routine programs should be ascertained. Accredited Social Health Activist and Anganwadi workers should be aware of and include these issues/acts in adolescent meetings.

  14. Does Smoking Intervention Influence Adolescent Substance Use Disorder Treatment Outcomes? (United States)

    Myers, Mark G.; Prochaska, Judith J.


    Although tobacco use is reported by the majority of substance use disordered (SUD) youth, little work has examined tobacco focused interventions with this population. The present study is an initial investigation of the effect of a tobacco use intervention on adolescent SUD treatment outcomes. Participants were adolescents in SUD treatment taking…

  15. The Healthy Teen Girls project: comparison of health education and STD risk reduction intervention for incarcerated adolescent females. (United States)

    Robertson, Angela A; Robertson, Angela R; St Lawrence, Janet; Morse, David T; Baird-Thomas, Connie; Liew, Hui; Gresham, Kathleen


    Adolescent girls incarcerated in a state reformatory (N = 246) were recruited and assigned to an 18-session health education program or a time-equivalent HIV prevention program. Cohorts were assigned to conditions using a randomized block design separated by a washout period to reduce contamination. Post intervention, girls in the HIV risk reduction program demonstrated the acquisition of risk-reduction behavioral skills and improved condom application skill. At a follow-up assessment approximately 9 months after release from the correctional facility, girls in both conditions reported fewer unprotected sexual intercourse occasions and less sex while under the influence of alcohol or other drugs.

  16. Development and validation of psychosocial determinants measures of physical activity among Iranian adolescent girls

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    Faghihzadeh Soghrate


    Full Text Available Abstract Background The present study aimed at assessing the psychometric properties of psychosocial determinants of physical activity-related measures in Iranian adolescent girls. Methods Several measures of psychosocial determinants of physical activity were translated from English into Persian using the back-translation technique. These translated measures were administered to 512 ninth and tenth-grade Iranian high school students. Results The results of a series of factor analysis showed that the self-efficacy scale contained a single factor, the social support scale contained two factors: family support and friend support, the physical activity 'pros & cons' scale contained two factors: physical activity pros scale and physical activity cons scale, the change strategies scale contained a single factor, the environment scale also contained a single factor. Chronbach's alphas, mean inter-item correlations and test-retest coefficients showed that these solutions were reliable. Conclusions These preliminary results provide support for using the mentioned scales to measure psychosocial determinants of physical activity in Iranian adolescent girls.

  17. Nutritional status and effect of seaweed chocolate on anemic adolescent girls

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    A. Thahira Banu


    Full Text Available The study was carried out to study the nutritional status, develop a product incorporating seaweed and assess its impact on anemic adolescent girls. Five hundred adolescent girls in the age group of 15–18 years were selected from a women's college at Kilakarai, Tamil Nadu, India as the target group to find the prevalence of anemia. Among the 500 subjects 100 with a hemoglobin level of 7–9 g/dL (moderate anemia were selected by purposive sampling technique for supplementation. Seaweed incorporated chocolate was formulated, standardized, tested for consumer acceptability and in vitro iron bioavailability and supplemented to the selected subjects. The result of the study indicates that seaweed chocolate developed obtained the highest score for overall acceptability, 56 mg of iron/100 g and 11.80 mg of bioavailable iron. The results were found to be promising as there was a significant increase in hemoglobin, TIBC, MCH, MCV, serum iron and serum ferritin levels in the selected subjects. Seaweeds are a less consumed natural resource but abundantly available in the coastal areas of India as they are rich source of nutrients and can be used as an effective therapeutic and nutrient adjunct.

  18. Knowledge, attitudes and perceptions on infant and young child nutrition and feeding among adolescent girls and young mothers in rural Bangladesh. (United States)

    Hackett, Kristy M; Mukta, Umme S; Jalal, Chowdhury S B; Sellen, Daniel W


    Improved infant and young child feeding (IYCF) practices have the potential to improve child health and development outcomes in poorly resourced communities. In Bangladesh, approximately 60% of rural girls become mothers before the age of 18, but most interventions to improve IYCF practices target older mothers. We investigated the knowledge, attitudes and perceptions regarding IYCF among adolescent girls and young women aged 15-23 years old in two rural regions in north-west Bangladesh and identified the main points of concordance with, or mismatch to, key international IYCF recommendations. We compared qualitative data collected during interviews and focus groups with participants who were unmarried, married without a child and married with at least one child, and stratified by region. Qualitative indicators of concordance with international recommendations suggest that IYCF knowledge of participants was limited, irrespective of marriage or maternity. Young mothers in our study were no more knowledgeable about feeding practices than their nulliparous peers. Some participants were well aware of an IYCF recommendation (e.g. to exclusively breastfeed for 6 months), but their interpretation of the recommendation deviated from the intended public health message. Notions of insufficient or 'spoiled' breast milk, gender-based biases in feeding intentions and understandings of infant needs, and generational shifts in feeding practices were commonly reported. Conclusions are that female adolescence is a window of opportunity for improving health outcomes among future children, and increased investment in early education of adolescent girls regarding safe IYCF may be an effective strategy to promote and support improved infant feeding practices.

  19. Blood selenium levels and contribution of food groups to selenium intake in adolescent girls in Iceland

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    Ingibjorg Gunnarsdottir


    Full Text Available Background/objectives: Significant changes have been reported in dietary habits and food availability in Iceland that would be expected to compromise selenium intake and status, especially among young people. These include substantial decreases in the consumption of fish and milk, as well as the selenium content of imported wheat. The aim of this study was to assess selenium in the diet and whole blood of adolescent girls, as well as define the most important foods contributing to intake and blood concentrations of selenium. Design: The subjects were 96 randomly selected girls, aged 16–20, who answered a validated food frequency questionnaire (FFQ for dietary assessment. Selenium intake from each food group was calculated in µg/day. Blood samples were collected for measurement of whole blood selenium. Results: Mean dietary selenium was 51±25 µg/day. Milk/dairy products, including cheese, contributed 36±14% of total dietary selenium; fish 18±12%; and bread/cereal products 13±6%. Mean whole blood selenium was 117±12 µg/l (range 90–208; nearly 90% of subjects were above the optimal level of 100 µg/l. Fish and bread/cereal products were the only foods significantly correlated with selenium in blood (r=0.32; P = 0.002 and r=0.22; P = 0.04, respectively while no correlation was found with milk and dairy products in spite of their greater contribution to total selenium intake. Conclusion: In this population of Icelandic adolescent girls, selenium intake and status seem acceptable. Judging from associations between intake and blood levels, fish and cereals may be the most important contributors to blood selenium.

  20. Navigating Adolescence with a Chronic Health Condition: A Perspective on the Psychological Effects of HAIR-AN Syndrome on Adolescent Girls

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    Kimberly K. McClanahan


    Full Text Available HAIR-AN syndrome is a subphenotype of polycystic ovary syndrome and is characterized by acne, obesity, hirsutism, and acanthosis nigricans. It usually manifests in early adolescence, a time of significant developmental change in females across physical, cognitive, social, and emotional domains. We contend that adolescent development for females is difficult, even in the best of circumstances, and having a chronic health condition, like HAIR-AN syndrome, will likely impact the afflicted individual’s development and psychological well-being. While many researchers have discussed the long-term health effects of HAIR-AN and similar disorders, little has been written about the potential psychological sequelae of HAIR-AN on the adolescent girl. We discuss the normal developmental sequence for adolescent girls across early, middle, and late adolescence; discuss common mental health problems that adolescents experience; define HAIR-AN syndrome and its clinical manifestations; and discuss its likely psychological impact on adolescent girls. We also make suggestions for future clinical interventions and research in the area of HAIR-AN syndrome and its psychological sequelae.

  1. Nutritional status of adolescent girls residing in rural area: A community-based cross-sectional study

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    Sulakshana S Baliga


    Full Text Available Background: Adolescence is a period of transition between childhood and adulthood. Nutritional requirements during this period increase tremendously compared to preceding years of growth. The nutritional status of adolescent girls, the future mothers, contributes significantly to the nutritional status of the community. The present study was aimed to assess the current nutritional status of the adolescent girls. Materials and Methods: This one-year community-based, cross-sectional study was undertaken at a village Peeranwadi of District Belgaum, Karnataka among 400 adolescent girls of 10 to 19 years. Information on socio-demographic variables was collected by an interview using pre-designed and pre-tested questionnaire. A 24-hour recall method was used to assess nutrient intake. The nutrient intake was calculated using tables of nutritive value of Indian foods. For the comparison of anthropometric data, National Center for Health Statistics and National Health and Nutrition Examination Survey standards were used. Results: The mean age among the study population was 12.9 ± 2.06 years. Majorities (73.5% of them were Hindus, 98.5% were literate, and 90% were currently studying. Adolescent girls between 10 and 14 years were more stunted (63.82% as compared to 15 to 19 years (40.84% (P = 0.0003 and thin (60.79% vs. 39.43%; P = 0.0009. Overall, the mean calorie intake was observed to be 1272.20 ± 133.28 kcal/day, protein intake was 40.99 ± 3.32 gm, and iron intake was 14.42 ± 2.58 mg. Conclusion: Overall, majority of girls were having dietary intake less than 50% of RDA, and almost three fourth of girls were anemic.

  2. Parent-Adolescent Discrepancies in Perceived Parenting Characteristics and Adolescent Developmental Outcomes in Poor Chinese Families. (United States)

    Leung, Janet T Y; Shek, Daniel T L


    We examined the relationships between parent-adolescent discrepancies in perceived parenting characteristics (indexed by parental responsiveness, parental demandingness, and parental control) and adolescent developmental outcomes (indexed by achievement motivation and psychological competence) in poor families in Hong Kong. A sample of 275 intact families having at least one child aged 11-16 experiencing economic disadvantage were invited to participate in the study. Fathers and mothers completed the Parenting Style Scale and Chinese Parental Control Scale, and adolescents completed the Social-Oriented Achievement Motivation Scale and Chinese Positive Youth Development Scale in addition to paternal and maternal Parenting Style Scale and Chinese Parental Control Scale. Results indicated that parents and adolescents had different perceptions of parental responsiveness, parental demandingness, and paternal control, with adolescents generally perceived lower levels of parenting behaviors than did their parents. While father-adolescent discrepancy in perceived paternal responsiveness and mother-adolescent discrepancy in perceived maternal control negatively predicted adolescent achievement motivation, mother-adolescent discrepancy in perceptions of maternal responsiveness negatively predicted psychological competence in adolescents experiencing economic disadvantage. The present findings provided support that parent-child discrepancies in perceived parenting characteristics have negative impacts on the developmental outcomes of adolescents experiencing economic disadvantage. The present study addresses parent-child discrepancies in perceived parental behaviors as "legitimate" constructs, and explores their links with adolescent psychosocial development, which sheds light for researchers and clinical practitioners in helping the Chinese families experiencing economic disadvantage.

  3. The Moderating Effect of State Anger on Treatment Outcome in Female Adolescents With PTSD. (United States)

    Kaczkurkin, Antonia N; Asnaani, Anu; Zhong, Jody; Foa, Edna B


    Trauma experienced in childhood and adolescence negatively affects the development of adaptive regulation of emotions and is associated with greater symptoms of anger. Prior research has suggested that high levels of anger may impede the outcome of treatment in adults with posttraumatic stress disorder (PTSD). The current study investigated whether high levels of anger resulted in poorer treatment outcomes in adolescent girls with PTSD. Participants included 61 female adolescent survivors of sexual abuse or assault who were randomized to either prolonged exposure for adolescents (PE-A) or client-centered therapy (CCT) for traumatized children for 8-14 weekly sessions. Participants were followed for 12 months posttreatment. High levels of state anger at baseline were associated with less improvement in PTSD symptoms in the CCT group than the PE-A group (d = 0.62). The moderating effects of state anger on improvement in PTSD symptoms was significant with emotion regulation difficulties, which may underlie anger symptoms (d = 0.58) in the model. The results of this study suggessted that high state anger was less of an impediment to treatment of PTSD for those receiving PE-A than those receiving less differentiated approaches such as CCT.

  4. Essential fatty acid intake and serum fatty acid composition among adolescent girls in central Mozambique. (United States)

    Freese, Riitta; Korkalo, Liisa; Vessby, Bengt; Tengblad, Siv; Vaara, Elina M; Hauta-alus, Helena; Selvester, Kerry; Mutanen, Marja


    Many African diets are low in fat but are currently changing because of nutrition transition. We studied fat and fatty acid (FA) intake and the essential fatty acid (EFA) status of adolescent girls (aged 14-19 years, n 262) in Zambezia Province, central Mozambique. A cross-sectional study was carried out in a city as well as in the towns and rural villages of a coastal and an inland district. Dietary intake and FA sources were studied in a 24 h dietary recall. FA compositions of cholesteryl esters and phospholipids of non-fasting serum samples were analysed by GLC. Fat intake was low (13-18 % of energy) in all areas. Coconut and palm oil were the main sources of fat, and soyabean oil and maize were the main sources of PUFA. Compared to Food and Agriculture Organization/WHO 2010 recommendations, intake of linoleic acid (LA, 18 : 2n-6) was inadequate in the coastal district, and intakes of n-3 PUFA were inadequate in all areas. FA compositions of serum lipids differed between areas. The proportions of LA tended to be highest in the city and lowest in the rural areas. The phospholipid mead (20 : 3n-9):arachidonic acid (20 : 4n-6) ratio did not indicate EFA insufficiency. LA proportions in phospholipids were low, but those of long-chain n-6 and n-3 PUFA were high in comparison with Western adolescents. To conclude, fat sources, FA intake and EFA status differed between adolescent girls living in different types of communities. Fat intake was low, but EFA insufficiency was not indicated.

  5. Psychosocial factors associated with smoking and drinking among Japanese early adolescent boys and girls: Cross-sectional study

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    Simons-Morton Bruce G


    Full Text Available Abstract Background Smoking and drinking alcohol among early adolescents are serious public health concerns, but few studies have been conducted in Japan to assess their prevalence and etiology. A regional survey was conducted in eight schools in two Japanese school districts to identify psychosocial factors associated with smoking and drinking behaviors for boys and girls. Methods Junior high school students from seventh to ninth grades (N = 2,923 completed a self-reported questionnaire between December 2002 and March 2003. Relationships between psychosocial variables (i.e., self-assertive efficacy to resist peer pressure, parental involvement, school adjustment, and deviant peer influence and smoking and drinking were investigated using logistic regression analyses and path analyses. Results Smoking in the last six months was significantly more prevalent in boys (7.9% than girls (5.1%. The prevalence of drinking in the last six months was similar in boys (23.7% and girls (21.8%. Self-efficacy to resist peer pressure was negatively associated with both smoking and drinking among both boys and girls and provided both direct and indirect effects through deviant peer influence. Parental involvement showed indirect effects through school adjustment and/or deviant peer influence to both smoking among both boys and girls and drinking among girls, although parental involvement showed direct effects on smoking only for boys. School adjustment was negatively associated with smoking among both boys and girls and drinking among girls. Conclusion These findings suggest that self-assertive efficacy to resist peer pressure, parental involvement, school adjustment and deviant peer influence are potentially important factors that could be addressed by programs to prevent smoking and/or drinking among early adolescent boys and girls in Japan.

  6. Anaemia and iron deficiency anaemia among young adolescent girls from the peri urban coastal area of Indonesia. (United States)

    Kurniawan, Yustina Anie Indriastuti; Muslimatun, Siti; Achadi, Endang L; Sastroamidjojo, Soemilah


    Anaemia due to iron deficiency is still a widespread problem. Among adolescent girls, it will bring negative consequences on growth, school performance, morbidity and reproductive performance. This cross sectional study aimed to identify the different nutritional and iron status characteristics of young adolescent girls 10-12 years old with iron deficiency anaemia and anaemia without iron deficiency in the rural coastal area of Indonesia. Anaemic girls (N =133) were recruited out of 1358 girls from 34 elementary schools. Haemoglobin, serum ferritin, serum transferrin receptor and zinc protophorphyrin were determined for iron status, whilst weight and height were measured for their nutritional status. General characteristics and dietary intake were assessed through interview. Out of 133 anaemic subjects, 29 (21.8%) suffered from iron deficiency anaemia, which was not significantly related to age and menarche. About 50% were underweight and stunted indicating the presence of acute and chronic malnutrition. The proportion of thinness was significantly higher (P < 0.05) among subjects who suffered from iron deficiency anaemia (51.7% vs. 29.8%). Furthermore, thin subjects had a 5 fold higher risk of suffering from iron deficiency anaemia (P< 0.05) than non-thin subjects (OR: 5.1; 95%CI 1.34-19.00). Further study was recommended to explore other factors associated with anaemia and iron deficiency anaemia, such as the thalassemia trait and vitamin A deficiency. The current iron-folate supplementation program for pregnant women should be expanded to adolescent girls.

  7. Longitudinal associations between depressive problems, academic performance, and social functioning in adolescent boys and girls. (United States)

    Verboom, Charlotte E; Sijtsema, Jelle J; Verhulst, Frank C; Penninx, Brenda W J H; Ormel, Johan


    Depressive problems and academic performance, social well-being, and social problems in adolescents are strongly associated. However, longitudinal and bidirectional relations between the two remain unclear, as well as the role of gender. Consequently, this study focuses on the relation between depressive problems and three types of functioning in adolescents while testing gender differences. Depressive problems and functioning of 2,230 children were measured with structured questionnaires. The measurements took place biennially over 3 waves, from late childhood into adolescence (age range = 10-18 years). To examine the longitudinal relation between depression and functioning, path analyses with cross-lagged effects were conducted with structural equation modeling. Multigroup analyses were used to test for gender differences, which were only observed for academic performance. Other findings indicated substantial stability in depressive problems and functioning over time and within-wave correlations between depression and the 3 types of functioning. Poor social well-being was predicted by depressive problems but not the other way around. The relation between depressive and social problems was bidirectional, that is, they predicted each other. Finally, depressive problems and academic performance were bidirectionally related as well but only in girls.


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    Full Text Available The perimenarcheal onset of polycystic ovarian syndrome (PCOS has long been recognized , through both its pathophysiology and the frequent onset of hirsutism and menstrual irregularities in this age group. How e ver , there is often a delay in diagnosing PCOS in adolescence because menstrual irregularity is frequently thought to be n ormal in the first 2 or 3 years after menarche, particularly if clinical signs of hyperandrogenism such as hirsutism or acne are mild or absent. This was a Cross - sectional Study consisting of 102 adolescent girls, aged 12 to 19 years, selected from patients attending the Gynecology Outpatient Clinic. In present study, level of insulin resistance along with markers of PCOS was assessed and compared in adolescent women with (cases or without (controls menstrual irregularities, a hall mark of PCOS. 18(35.29% cases versus 01(1.96% controls the Rotterdam criteria of PCOS. Clinical manife stations of hyper androgenism were not yet present in all cases who met Rotterdam criteria of PCOS, suggesting menstrual irregularity, especially oligomenorrhoea ( 83.3% of all PCOS ( cases , as the most precocious marker of PCOS. CONCLUSIONS : A dolescents with persistent menstrual irregularities 2 years after menarche frequently have PCOS and elevated HOMA - IR values than controls, indicating a high probability of developing insulin resistance and metabolic syndrome later in life.

  9. The Interactive Effects of Puberty and Peer Victimization on Weight Concerns and Depression Symptoms among Early Adolescent Girls (United States)

    Compian, Laura J.; Gowen, L. Kris; Hayward, Chris


    Utilizing a cross-sectional design, the authors examined associations between pubertal status, peer victimization, and their interaction in relation to weight concerns and symptoms of depression in a sample of early adolescent girls (N = 261). Multivariate analyses revealed a significant interaction between pubertal status and relational…

  10. Mediating Effect of Body Image Distortion on Weight Loss Efforts in Normal-Weight and Underweight Korean Adolescent Girls (United States)

    Choi, Jeong-Sil; Kim, Ji-Soo


    Background: We explored the relationship between body mass index-for-age percentile, body image distortion, and unnecessary weight loss efforts in Korean adolescent girls who are underweight and normal weight and examined the mediating effect of body image distortion on weight loss efforts. Methods: This study used data from the 2013 Korea Youth…

  11. The Role of Literary Mentors in Writing Development: How African American Women's Literature Supported the Writings of Adolescent Girls (United States)

    Muhammad, Gholnecsar E.


    Coupling Royster's (2000) conceptual framework of "zamani" with Rosenblatt's (1978) reader response theory, the researcher explores the ways African American women's writings supported, nurtured, and "mentored" the writings of adolescent girls. Findings show that the mentor texts helped in generating ideas for writing, thinking…

  12. Interpersonal Sensitivity, Romantic Stress, and the Prediction of Depression: A Study of Inner-City, Minority Adolescent Girls (United States)

    Rizzo, Christie J.; Daley, Shannon E.; Gunderson, Brent H.


    The role of interpersonal sensitivity in the relation between romantic stress and depression was examined in 55 adolescent girls from an inner-city high school. Depression, interpersonal sensitivity, and chronic and episodic romantic stress were measured at two time points, 6 months apart. Interpersonal sensitivity was found to moderate the…

  13. Ethnic Identity Trajectories among Mexican-Origin Girls during Early and Middle Adolescence: Predicting Future Psychosocial Adjustment (United States)

    Gonzales-Backen, Melinda A.; Bámaca-Colbert, Mayra Y.; Allen, Kimberly


    We examined trajectories of ethnic identity exploration, resolution, and affirmation and their associations with depressive symptoms and self-esteem 3.5 years later among early and middle adolescent Mexican-origin girls (N = 338). Findings indicated that exploration, resolution, and affirmation increased over time for both cohorts. Among early…

  14. Being admired or being liked: Classroom social status and depressive problems in early adolescent girls and boys

    NARCIS (Netherlands)

    A.J. Oldehinkel (Albertine); J.G.M. Rosmalen (Judith); R. Veenstra (René); J.K. Dijkstra (Jan); J. Ormel (Johan Hans)


    textabstractThis study investigates associations between depressive problems and classroom social status in a large population cohort of Dutch early adolescents (N = 1046, age 13.52 ± 0.51, 52.4% girls). Depressive problems were assessed by parent and self-reports and classroom status by peer nomina

  15. Being admired or being liked : Classroom social status and depressive problems in early adolescent girls and boys

    NARCIS (Netherlands)

    Oldehinkel, A.J.; Rosmalen, J.G.M.; Veenstra, R.; Dijkstra, J.K.; Ormel, Johan


    This study investigates associations between depressive problems and classroom social status in a large population cohort of Dutch early adolescents (N = 1046, age 13.52 +/- 0.51, 52.4% girls). Depressive problems were assessed by parent and self-reports and classroom status by peer nominations. We

  16. Body Size and Social Self-Image among Adolescent African American Girls: The Moderating Influence of Family Racial Socialization (United States)

    Granberg, Ellen M.; Simons, Leslie Gordon; Simons, Ronald L.


    Social psychologists have amassed a large body of work demonstrating that overweight African American adolescent girls have generally positive self-images, particularly when compared with overweight females from other racial and ethnic groups. Some scholars have proposed that elements of African American social experience may contribute to the…

  17. Adolescent girls, illegal abortions and "sugar-daddies" in Dar es Salaam: vulnerable victims and active social agents

    DEFF Research Database (Denmark)

    Silberschmidt, Margrethe; Rasch, V


    are not aware about their right to such services. The paper concludes that the vulnerability of adolescent girls increases without the recognition that sexuality education and contraceptive services do not constitute a licence to practice illicit sex - but rather a means to create more mature and responsible...

  18. Adolescent Girls' Experiences and Gender-Related Beliefs in Relation to Their Motivation in Math/Science and English (United States)

    Leaper, Campbell; Farkas, Timea; Brown, Christia Spears


    Although the gender gap has dramatically narrowed in recent decades, women remain underrepresented in many science, technology, engineering, and mathematics (STEM) fields. This study examined social and personal factors in relation to adolescent girls' motivation in STEM (math/science) versus non-STEM (English) subjects. An ethnically diverse…

  19. Taking Flight: Adolescent Girls' Camps in Lok Jumbish of Rajasthan, India. Education for All: Making It Work. Innovation Series. (United States)

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    The Education for All: Making It Work series is a major international interagency program designed to collect, analyze, and promote successful basic education projects in the least developed and developing countries. This project report describes the innovative work being undertaken in adolescent girls' camps in Lok Jumbish (Rajasthan, India).…

  20. Risky Lifestyle as a Mediator of the Relationship between Deviant Peer Affiliation and Dating Violence Victimization among Adolescent Girls (United States)

    Vezina, Johanne; Hebert, Martine; Poulin, Francois; Lavoie, Francine; Vitaro, Frank; Tremblay, Richard E.


    Few studies have explored the possible contribution of the peer group to dating violence victimization. The current study tested the hypothesis that a risky lifestyle would mediate the relationship between deviant peer affiliation and dating violence victimization among adolescent girls. The proposed mediation model was derived from lifestyles and…

  1. Early Parenting Practices and Outcomes for Adolescents (United States)

    Washington, Amy; Dunham, Mardis


    This study compared early parenting practices and adolescent behavior to determine whether parental attachment-promoting behaviors in the first year of life were associated with psychosocial adjustment in teenagers. The mothers of 22 adolescents completed a behavioral assessment of their teenager and an inventory of their recollected parenting…

  2. Moral Identity as Moral Ideal Self: Links to Adolescent Outcomes (United States)

    Hardy, Sam A.; Walker, Lawrence J.; Olsen, Joseph A.; Woodbury, Ryan D.; Hickman, Jacob R.


    The purposes of this study were to conceptualize moral identity as moral ideal self, to develop a measure of this construct, to test for age and gender differences, to examine links between moral ideal self and adolescent outcomes, and to assess purpose and social responsibility as mediators of the relations between moral ideal self and outcomes.…

  3. Randomized controlled trial testing the effectiveness of a depression prevention program ('Op Volle Kracht') among adolescent girls with elevated depressive symptoms. (United States)

    Wijnhoven, Lieke A M W; Creemers, Daan H M; Vermulst, Ad A; Scholte, Ron H J; Engels, Rutger C M E


    Depression rates rise dramatically from the early to late adolescence. Especially young adolescent girls with elevated depressive symptoms are at high risk for developing a depression during adolescence or adulthood. Therefore, the prevention of depression is important especially in this high-risk group. The aim of the present study was to examine the effectiveness of the Cognitive Behavioral Therapy (CBT) component of the depression prevention program 'Op Volle Kracht' (OVK) among Dutch adolescent girls with elevated depressive symptoms. In total, 102 adolescent girls (11-15 years) in the first and second year of secondary school participated in this study. The girls in the experimental group (n = 50) followed the eight CBT-lessons of OVK and reported depressive symptoms 1 week prior to the start of the lessons, after every lesson, at one-month and 6-months follow-up. The girls in the control group (n = 52) exclusively reported depressive symptoms at the same time points. Latent Growth Curve Modeling showed that the decrease in depressive symptoms was significantly larger for girls in the experimental group compared to the girls in the control group. Furthermore, it was found that at 6-months follow-up, the girls in the experimental group had significantly lower levels of depressive symptoms compared to the girls in the control group. These findings indicate that the CBT-component of OVK effectively reduces depressive symptoms in short term and possibly prevents the development of a clinical depression.

  4. Prevalence of thinness among the adolescent girls (age group 13yrs-18yrs of Garhkhal village of Himachal Pradesh, India.

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    Priyanka Rani Garg


    Full Text Available Malnutrition has now been redefined in terms of “under nutrition” and conceptualized in terms of thinness which is an important problem among children and adolescents in rural areas of developing countries like India. Therefore, present study was carried out to assess the prevalence of thinness among the adolescent girls (age group 13yrs-18yrs of Garhkhal Village of Himachal Pradesh, India. The study design was cross-sectional. Height and weight were measured and Body Mass Index (BMI was carried out. Identification of thinness was done according to the new International BMI-based classification cut offs as given by Cole et al., 2007. In general the mean BMI increased with increasing age. Overall age-combined prevalence was 79.5%. Present study indicated the poor health status of the adolescent girls of the selected area which indicates the high nutritional stress among them as evident from the thinness prevalent among them.

  5. An adolescent girl with Rapunzel syndrome: Case report with review of literature

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    Pradnya M Diggikar


    Full Text Available Trichobezoar is a collection of dense mass of hair in stomach. When this extends into any part of the small intestine it is called Rapunzel Syndrome (RS. We report here, a case of RS in an adolescent girl who had presented with epigastric pain and swelling. Gastroscopy confirmed the presence of trichobezoar. She underwent gastrotomy and a large dense mass of hair extending up to first part of duodenum was removed. Her parents revealed their daughter′s impulsive nature of scalp-hair pulling. Following surgery, Psychiatric consultation was sought to prevent recurrence. Trichobezoar is a very rare cause of upper abdominal mass and should be considered if there is a very strong history of impulsive hair pulling. Surgical removal of a large trichobezoar is the only treatment of cure and psychiatric treatment that prevents its recurrence.

  6. Post-traumatic Stress Disorder After Sexual Abuse in Adolescent Girls. (United States)

    Ashby, Bethany D; Kaul, Paritosh


    The sexual assault of girls and women in this country is estimated at approximately 20%. The development of post-traumatic stress disorder (PTSD) after sexual abuse and assault is one of the potential lingering aftereffects. In this article we describe PTSD after sexual abuse and its effect on presenting complaints, such as sexually transmitted infections, contraception, and chronic pain, for the pediatric and adolescent gynecology (PAG) clinician. Treatment approaches, including the use of antidepressants and anxiolytics, as well as evidenced-based psychotherapies, are highlighted. In addition, this article will assist the PAG clinician in identifying trauma-related concerns during clinic visits and will cover specific screening tools to aid in identification of PTSD. A better understanding of PTSD after sexual abuse will allow PAG providers to deliver better care to their patients.

  7. Early postpartum gastric band slippage after bariatric surgery in an adolescent obese girl (United States)

    Schmitt, Françoise; Topart, Philippe; Salle, Agnès; Sentilhes, Loïc; Bouhours-Nouet, Natacha; Coutant, Régis; Weil, Dominique; Podevin, Guillaume


    We report here a case of a rarely described complication of laparoscopic adjustable gastric banding (LAGB), slippage during the postpartum period, after LAGB had been performed in an adolescent obese girl. The LAGB had been placed after one year of clinical survey initiated at the age of 16. Maximal pre-operative body mass index (BMI) was 48.5 kg.m−2 and obesity was associated with insulin resistance. Before pregnancy, there was a loss of 17 Kg (final BMI = 41.5 kg.m−2) and a resolution of insulin resistance. The patient became pregnant 21 months after LAGB, and whole pregnancy and delivery were uneventful for both mother and fetus. Six weeks after delivery, the patient suddenly complained for total food intolerance, due to a band slippage, leading to removal of the band. Slippage is now a rare complication of LAGB, but can happen during pregnancy and the postpartum period as well. PMID:27619323

  8. Hashimoto's thyroiditis and papillary carcinoma in an adolescent girl: A case report. (United States)

    Dong, Li-Qun; Sun, Xiao-Mei; Xiang, Cheng-Fa; Wu, Jin; Yu, Ping


    Hashimoto's thyroiditis with thyroid cancer in childhood is not as common in the adult population. Hashimoto's thyroiditis is an autoimmune disease associated with autoantibodies, and the association between Hashimoto's thyroiditis and papillary carcinoma of the thyroid remains controversial. The present study reported a 15-year-old adolescent girl with the diagnosis of Hashimoto's thyroiditis with thyroid cancer. With the complexity of the clinical manifestations of Hashimoto's thyroiditis, it can be expressed as not only hyperthyroidism or hypothyroidism, but also normal thyroid function. The long-term treatment, and for children with thyroid cancer, early diagnosis is particularly difficult. In the present case, the diagnosis of Hashimoto's thyroiditis is primarily based on clinical manifestations, anti-thyroglobulin antibody and anti-thyroid microsomal antibody. The only diagnostic imaging ultrasound was negative. The present study discussed the possible reason and the identification of this unique case of Hashimoto's thyroiditis with thyroid cancer.

  9. Psychological risk factors for compulsive exercise : a longitudinal investigation of adolescent boys and girls


    Goodwin, Huw; Haycraft, Emma; Meyer, Caroline


    Compulsive exercise is associated with unhealthy outcomes and is common among eating disorder populations. This study aimed to replicate previous cross-sectional work by considering psychological characteristics as longitudinal predictors of compulsive exercise. A sample of 369 adolescents (n = 221 female, n = 148 male) completed measures of compulsive exercise, eating disorder psychopathology, obsessive–compulsiveness, perfectionism, anxiety, and depression at baseline, and a measure of comp...

  10. Internalizing behavior in adolescent girls affects parental emotional overinvolvement: a cross-lagged twin study. (United States)

    Moberg, Therese; Lichtenstein, Paul; Forsman, Mats; Larsson, Henrik


    The aim of this study was to examine the direction and the etiology of the association between different parenting styles (parental emotional overinvolvement [EOI] and parental criticism) and internalizing behavior from adolescence to early adulthood. A longitudinal genetically informative cross-lagged design was applied to a population-based sample of Swedish twins contacted at age 16-17 (n = 2369) and at age 19-20 (n = 1705). Sex-limitation modelling revealed different effects for boys and girls. For girls, genetic influences on internalizing problems at age 16-17 independently explained 2.7% of the heritability in parental EOI at age 19-20. These results suggest that emotionally overinvolved and self-sacrificing parental behavior stems in part from daughters (but not sons) genetic predisposition for internalizing behavior. These findings highlight the importance of genetically influenced child-driven effects underlying the parenting-internalizing association, and clarify that the role of such effects may differ depending on sex, type of parenting and developmental period.

  11. Outcome of Adolescent Pregnancy: A Retrospective Cohort Study

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    S Ozdogan


    Full Text Available Objective: The aim of this study is to review the sociodemographic characteristics, maternal, natal and postnatal outcomes of adolescent pregnancy. Subjects and method: The records of all adolescent pregnancies (aged 13–19 years delivered at Sisli Hamidiye Etfal Research and Training Hospital, Istanbul, Turkey, over a period of two years were reviewed. Structured survey was conducted with adolescent mothers over the phone. Results: The incidence of adolescent pregnancy was 7.06%; 91.1% of the cases were reported to be married. Consanguineous marriage was found to be 27.6%. Maternal anaemia was detected in 43.1% of cases. Premature birth rate was 6.3%. The rate of Cesarean section was 31.8%. Adolescent mothers were categorized into two groups: 17 years and below and above 17 years. The maternal, natal and postnatal outcomes were not statistically different between the two groups. Conclusions: Health policies should be revised and improved to take the necessary steps for providing adequate health services for adolescents and for improving prenatal, natal and postnatal care of pregnant adolescents.

  12. Coding task performance in early adolescence: A large-scale controlled study into boy-girl differences

    Directory of Open Access Journals (Sweden)

    Sanne eDekker


    Full Text Available This study examined differences between boys and girls regarding efficiency of information processing in early adolescence. 306 healthy adolescents (50.3% boys in grade 7 and 9 (aged 13 and 15 respectively performed a coding task based on over-learned symbols. An age effect was revealed as subjects in grade 9 performed better than subjects in grade 7. Main effects for sex were found in the advantage of girls. The 25% best-performing students comprised twice as many girls as boys. The opposite pattern was found for the worst performing 25%. In addition, a main effect was found for educational track in favor of the highest track. No interaction effects were found. School grades did not explain additional variance in LDST performance. This indicates that cognitive performance is relatively independent from school performance. Student characteristics like age, sex and education level were more important for efficiency of information processing than school performance. The findings imply that after age 13, efficiency of information processing is still developing and that girls outperform boys in this respect. The findings provide new information on the mechanisms underlying boy-girl differences in scholastic performance.

  13. A 2-year longitudinal study of eating attitudes, BMI, perfectionism, asceticism and family climate in adolescent girls and their parents. (United States)

    Westerberg, J; Edlund, B; Ghaderi, A


    The aim of this longitudinal study of 383 Swedish adolescent girls (11 and 13 years old at year 1) and their parents was to examine changes in eating attitudes over a two-year period, and to investigate the predictive value of eating attitudes, perfectionism, asceticism, family climate and body mass index (BMI) for the development of disturbed eating attitudes. The following self-report questionnaires were used: Children's Eating Attitudes test, Eating Attitudes Test, Eating Disorder Inventory for Children, Eating Disorder Inventory 2, I Think I Am and The Family Climate. The frequency of disturbed eating attitudes increased with increased age in the girls. Children's eating attitudes, higher BMI than peers, the girls rating of a less healthy relation to family and their fathers' eating attitudes at year 1 contributed most to the prediction of disturbed eating attitudes for the girls 2 years later. The results suggest that early signs of disturbed eating attitudes and higher BMI than peers may be important predictors for the development of more serious eating disturbances among adolescent girls.

  14. Girls Discuss Choice of an All-Girl Middle School: Narrative Analysis of an Early Adolescent Identity Project (United States)

    Baron, Emilia; Bell, Nancy J.; Corson, Kimberly; Kostina-Ritchey, Erin; Frederick, Helyne


    The narrative creation of identity by young adolescents has so far been addressed mainly from an identity-in-interaction perspective, focusing attention on the multiplicity and variability of identity negotiation as adolescents interact with others, typically with peers. In contrast, a sociocultural/dialogical perspective draws attention to the…

  15. The effect of increasing dairy calcium intake of adolescent girls on changes in body fat and weight. (United States)

    Lappe, Joan M; McMahon, Donald J; Laughlin, Ann; Hanson, Corrine; Desmangles, Jean Claude; Begley, Margaret; Schwartz, Misty


    Background: Overweight is epidemic in adolescents and is a major concern because it tracks into adulthood. Evidence supports the efficacy of high-calcium, high-dairy diets in achieving healthy weight in adults. However, no randomized controlled trials of the effect of dairy food on weight and body fat in adolescents have been reported to our knowledge.Objective: The aim was to determine whether increasing calcium intake to recommended amounts with dairy foods in adolescent girls with habitually low calcium intakes would decrease body fat gain compared with girls who continued their low calcium intake. Participants had above-the-median body mass index (BMI; in kg/m(2)).Design: We enrolled 274 healthy postmenarcheal 13- to 14-y-old overweight girls who had calcium intakes of ≤600 mg/d in a 12-mo randomized controlled trial. Girls were randomly assigned in a 1:1 ratio to 1 of 2 groups within each of 3 BMI percentiles: 50th to dairy, which included low-fat milk or yogurt servings providing ≥1200 mg Ca/d or 2) control, which included the usual diet of ≤600 mg Ca/d.Results: We failed to detect a statistically significant difference between groups in percentage of body fat gain over 12 mo (mean ± SEM: dairy 0.40% ± 0.53% > control; P dairy group gained body fat similar to the control group provide no support for dairy food as a stratagem to decrease body fat or weight gain in overweight adolescent girls. This trial was registered at as NCT01066806.

  16. Post-dexamethasone cortisol, self-inflicted injury, and suicidal ideation among depressed adolescent girls. (United States)

    Beauchaine, Theodore P; Crowell, Sheila E; Hsiao, Ray C


    Although the dexamethasone suppression test (DST) has limited use as a biomarker of depression given inadequate sensitivity and specificity, it marks prospective risk for suicide among adults. However, few studies have examined associations between the DST, suicidal ideation, and self-inflicted injury (SII) among adolescents, even though SII is the single best predictor of eventual suicide. We evaluated the DST as a correlate of suicidal ideation and retrospective reports of self-inflicted injury (SII) among adolescent girls, ages 13-17, with histories of depression (n = 28) or depression and self-harm (n = 29). Lower post-DST cortisol was associated with suicidal ideation and SII, over-and-above parent-reports and combined parent-/self-reports of internalizing and externalizing behavior. These findings are consistent with recent acquired capacity models of stress-related psychopathology in which hypothalamic-pituitary adrenal (HPA) axis function is altered through epigenetic/allostatic mechanisms among vulnerable individuals who incur adversity early in life.

  17. The effect of backpack load on the gait of normal adolescent girls. (United States)

    Chow, Daniel H K; Kwok, Monica L Y; Au-Yang, Alexander C K; Holmes, Andrew D; Cheng, Jack C Y; Yao, Fiona Y D; Wong, M S


    Concerns regarding the effects of load carriage have led to recommendations that backpacks be limited to 10?-?15% of body weight, based on significant changes in physical performance. However, gait responses to backpack loads are not entirely consistent and there is a particular lack of data regarding load-bearing gait in adolescent females. Gait patterns of 22 normal adolescent girls were recorded at backpack loads of 0, 7.5, 10.0, 12.5 and 15.0% body weight. Temporal-distance, ground reaction force and joint kinematic, moment and power parameters were analysed by repeated measures ANOVA with factors of backpack load and side (left or right). Walking speed and cadence decreased significantly with increasing backpack load, while double support time increased. Kinematic changes were most marked at the proximal joints, with a decreased pelvic motion but a significant increase in the hip sagittal plane motion. Increased moments and power at the hip, knee and ankle showed increasing demand with backpack load. Parameters showed different responses to increasing load, and those that suggested a critical load indicated this to be approximately 10% body weight. While this may be due to a change in gait due to increased demand, further work is required to verify this and also to examine the cumulative effects of backpack load on the musculoskeletal system, which may be more appropriate in determining recommended load limits.

  18. Estimation of the dietary requirement for vitamin D in healthy adolescent white girls

    DEFF Research Database (Denmark)

    Cashman, Kevin D.; FitzGerald, A. P.; Viljakainen, H. T.


    Background: Knowledge gaps have contributed to considerable variation (between 0 and 15 μg/d) in international dietary recommendations for vitamin D in adolescents. Objective: We aimed to establish the distribution of dietary vitamin D required to maintain serum 25-hydroxyvitamin D (25(OH...... 8.3, 13.5, and 18.6 μg/d, respectively, whereas an intake of 6.3 μg/d maintained a serum 25(OH)D concentration >40 nmol/L in 50% of the sample. Conclusion: The vitamin D intakes required to ensure that adequate vitamin D status (defined variably as serum 25(OH)D >25 and >50 nmol/L) is maintained...... during winter in the vast majority (>97.5%) of adolescent girls (mean age: 11.3 y) at northern latitudes (>55°N) are 8.3 and 18.6 μg/d, respectively. This trial was registered at as NCT00267540. ©American Society for Nutrition. All rights reserved....

  19. Fast Food Consumption, Quality of Diet, and Obesity among Isfahanian Adolescent Girls (United States)

    Rouhani, Mohammad Hossein; Mirseifinezhad, Maryam; Omrani, Nasrin; Esmaillzadeh, Ahmad; Azadbakht, Leila


    Background and Objective. Few data are available linking fast food intake to diet quality in developing countries. This study was conducted to determine the association between fast food consumption and diet quality as well as obesity among Isfahani girls. Methods. This cross-sectional study was done among 140 Iranian adolescents selected by the use of systematic cluster random sampling. Dietary intakes were assessed using a validated food frequency questionnaire. Diet quality was defined based on energy density and nutrient adequacy ratios (NARs). Results. Individuals in the highest quartile of fast food intake had significantly lower NARs for vitamin B1 (P = 0.008), phosphorus (P = 0.0250), selenium (P < 0.001) and vitamin B2 (P = 0.012) compared with those in the lowest quartile. Those in top quartile of fast food intake consumed more energy-dense diets than those in the bottom quartile (P = 0.022). High intakes of fast foods were significantly associated with overweight (top quartile: 40% versus bottom quartile: 0%, P = 0.0001) and obesity (11.4% versus 2.9%, P = 0.0001). Conclusion. Fast food consumption is associated with poor diet quality and high prevalence of overweight and obesity among Isfahani adolescents. Prospective data are required to confirm these findings. PMID:22619703

  20. Fast Food Consumption, Quality of Diet, and Obesity among Isfahanian Adolescent Girls

    Directory of Open Access Journals (Sweden)

    Mohammad Hossein Rouhani


    Full Text Available Background and Objective. Few data are available linking fast food intake to diet quality in developing countries. This study was conducted to determine the association between fast food consumption and diet quality as well as obesity among Isfahani girls. Methods. This cross-sectional study was done among 140 Iranian adolescents selected by the use of systematic cluster random sampling. Dietary intakes were assessed using a validated food frequency questionnaire. Diet quality was defined based on energy density and nutrient adequacy ratios (NARs. Results. Individuals in the highest quartile of fast food intake had significantly lower NARs for vitamin B1 (P=0.008, phosphorus (P=0.0250, selenium (P<0.001 and vitamin B2 (P=0.012 compared with those in the lowest quartile. Those in top quartile of fast food intake consumed more energy-dense diets than those in the bottom quartile (P=0.022. High intakes of fast foods were significantly associated with overweight (top quartile: 40% versus bottom quartile: 0%, P=0.0001 and obesity (11.4% versus 2.9%, P=0.0001. Conclusion. Fast food consumption is associated with poor diet quality and high prevalence of overweight and obesity among Isfahani adolescents. Prospective data are required to confirm these findings.

  1. Recommendations for Recruiting and Retaining Adolescent Girls in Chronic Exercise (Training Research Studies

    Directory of Open Access Journals (Sweden)

    Rachel Massie


    Full Text Available Extensive challenges are often encountered when recruiting participants to chronic exercise (training studies. High participant burden during chronic exercise training programmes can result in low uptake to and/or poor compliance with the study. The aim of this qualitative study was to identify factors affecting adolescent girls’ recruitment and adherence to chronic exercise training research studies. Twenty-six adolescent girls (aged 12 to 15 years participated in one of five focus groups discussing recruitment and retention to exercise physiology research involving a chronic exercise training programme. A thematic analysis was used to analyse the data and eight final themes were inductively identified. Seven evidence-based practical recommendations are suggested to improve the recruitment and retention of participants for prospective, chronic exercise training studies. Successful recruitment requires: (i the defining of exercise-related terms; (ii appropriate choice of recruitment material; and (iii an understanding of participant motivations. Retention strategies include: (iv regular monitoring of participant motives; and (v small groups which foster peer and researcher support. Finally, (vi friendship and ability groups were favoured in addition to (vii a variety of activities to promote adherence to an exercise training programme.

  2. The meaning of seasonal changes, nature, and animals for adolescent girls' wellbeing in northern Finland: A qualitative descriptive study. (United States)

    Wiens, Varpu; Kyngäs, Helvi; Pölkki, Tarja


    Wellbeing is complex, holistic, and subjectively perceived. Issues such as gender, age, and environment seem to affect it. Therefore, the aim of this qualitative study was to describe the meaning of seasonal changes, nature, and animals towards 13-16-year-old girls' wellbeing in Northern Finland. In the spring of 2014, through purposive sampling, a total of 19 girls participated in semi-structured interviews from various parts of Northern Finland. The data were analysed using content analysis. Afterwards, the analysis combining the category participatory involvement with environment was found, and this consisted of three main categories: adaptation to seasonal changes, restorative nature, and empowering interactivity with animals. Seasonal changes had an effect on girls' wellbeing; in the summertime, they felt happy and vivacious, active, and outgoing. Instead, during the winter months, girls' mood and activity seemed to be lower and they felt lazier and depressed. Nature brought mainly positive feelings to girls; being in nature was experienced as liberating and relaxing, and it offered opportunities to relax and have sensory perceptions. Interaction with animals was perceived as empowering. They were experienced as altruistic and comforting companions. Animals were important to girls, and they contributed to girls' lives through positive effects towards their mental and physical wellbeing. Based on the results of this study, we can recommend that being in nature and interacting with animals should be supported because they seem to have benefits towards adolescent girls' health and wellbeing. In order to facilitate the negative effects of winter, the school days should be arranged in such a way that it would be possible for girls to have outdoor activities during the daytime. The challenge for the future is perhaps the purposeful utilisation of nature's and the animals' positive effects towards their wellbeing.

  3. Effect of acupressure vs reflexology on pre-menstrual syndrome among adolescent girls--a pilot study. (United States)

    Padmavathi, P


    Premenstrual syndrome is the most common of gynaecologic complaints. It affects half of all female adolescents today and represents the leading cause of college/school absenteeism among that population. It was sought to assess the effectiveness of acupressure Vs reflexology on premenstrual syndrome among adolescents. Two-group pre-test and post-test true experimental design was adopted for the study. Forty adolescent girls from Government Girls Secondary School, Erode with pre- menstrual syndrome fulfilling the inclusion criteria were selected by simple random sampling. A pre-test was conducted by using premenstrual symptoms assessment scale. Immediately after pre-test acupressure Vs reflexology was given once a week for 6 weeks and again post-test was conducted to assess the effectiveness of treatment. Collected data was analysed by using descriptive and inferential statistics. In post-test, the mean score of the experimental group I sample was 97.3 (SD = 2.5) and the group II mean score was 70:8 (SD = 10.71) with paired 't' value of 19.2 and 31.9. This showed that the reflexology was more effective than acupressure in enhancing the practice of the sample regarding pre-menstrual syndrome. Statistically no significant association was found between the post-test scores of the sample with their demographic variables. The findings imply the need for educating adolescent girls on effective management of pre-menstrual syndrome.

  4. Neck/shoulder pain is more strongly related to depressed mood in adolescent girls than in boys. (United States)

    Pollock, C M; Harries, R L; Smith, A J; Straker, L M; Kendall, G E; O'Sullivan, P B


    A cross-sectional study of 1258, 14 year old girls and boys used self-report and physical examination measures to assess neck/shoulder pain in the last month, depressed mood, physical fitness, body composition, self-efficacy, global self-worth, family functioning and social advantage. The data was used to compare the relationship between depressed mood and neck/shoulder pain (NSP) in adolescent girls and boys. The prevalence of NSP in girls (34%, 211/621) was significantly greater than in boys (21%, 134/637; p < .001). After controlling for covariates, girls with medium (OR = 4.28; CI = 2.31-7.92; p < .001) and high depressed mood (OR = 8.63; CI = 4.39-16.98; p < .001) were significantly more likely to report NSP than girls with low depressed mood. Depressed mood was also a significant correlate of NSP in boys after controlling for covariates, although the association was substantially weaker (OR = 2.44; CI = 1.29-4.61; p < .001). After controlling for relevant biological, psychological and social covariates, depressed mood was a significant correlate of NSP in both sexes; but the association between depressed mood and NSP was significantly stronger for girls than for boys.

  5. Twelve weeks of dance exergaming in overweight and obese adolescent girls: Transfer effects on physical activity, screen time, and self-efficacy

    Directory of Open Access Journals (Sweden)

    Amanda E. Staiano


    Conclusion: Exergaming for 12 weeks was associated with positive impacts on adolescent girls' self-reported PA, television viewing, self-efficacy, and intrinsic motivation. Future research is warranted to leverage exergames as an enjoyable, motivating, and effective PA tool.

  6. Improving the Confidence of Pre-Adolescent Girls by Focusing on the Development of Positive Self-Esteem, Body Image, and Assertiveness Skills. (United States)

    Combes, Alice S.

    This practicum was designed to focus on: (1) the improvement of the confidence of pre-adolescent girls; (2) the establishment of a positive body image; and (3) the strengthening of assertiveness skills. The writer worked in a group of 20 girls over a period of 8 months using exercises designed to facilitate their growth. A curriculum was developed…

  7. LIBER8 design and methods: an integrative intervention for loss of control eating among African American and White adolescent girls. (United States)

    Mazzeo, Suzanne E; Kelly, Nichole R; Stern, Marilyn; Palmberg, Allison A; Belgrave, Faye Z; Tanofsky-Kraff, Marian; Latzer, Yael; Bulik, Cynthia M


    Loss of control (LOC) eating affects a significant number of adolescents of all racial and ethnic backgrounds and is associated with numerous psychosocial problems, including depression, anxiety, low self-esteem, body dissatisfaction, and weight concerns. However, empirically validated, culturally sensitive treatments for adolescents with these disordered eating behaviors are not available. This pilot project involved designing a developmentally and culturally appropriate treatment for LOC eating for adolescent girls. We intend to conduct multiple focus groups with adolescent girls who engage in LOC eating, and their primary caregivers. Data from these groups will inform the subsequent creation of a manualized treatment protocol. We will then evaluate the efficacy of this intervention (LIBER8-Linking Individuals Being Emotionally Real) to reduce LOC eating. This intervention will integrate components of dialectical behavior therapy, such as mindfulness and distress tolerance skills training, and cognitive-behavioral therapy. We will also integrate text-messaging, a key adolescent communication strategy, as a means of self-monitoring. Participants meeting study criteria will be offered participation in this 12-week randomized controlled trial comparing LIBER8 to a weight management control condition (2BFit). We hypothesize that this intervention will serve to reduce LOC eating, as well as improve psychosocial functioning as evidenced by decreased depression, anxiety, eating disorder cognitions, emotional eating, impulsivity, and improved quality of life. The feasibility and acceptability of this intervention will be extensively evaluated with the explicit intent of informing a subsequent larger randomized controlled trial.

  8. Involvement of the BDNF gene in loneliness in adolescence: a report of opposite gene effects in boys and girls.

    Directory of Open Access Journals (Sweden)

    Maaike Verhagen

    Full Text Available Previous research has shown that loneliness has a heritable component and that genes within the serotonin-, dopamine-, and oxytocin systems are related to loneliness in adolescence. In the present study, the relation between the BDNF Val66Met polymorphism and loneliness in adolescent boys and girls was examined in a longitudinal study spanning five annual waves (N = 305. Latent growth curve modeling (LGCM was used to examine the baseline level and the change in loneliness over time. The main finding was that the BDNF gene was not related to loneliness in the total sample. A BDNF by sex interaction was found, in that Met carrying girls had the highest levels of loneliness at baseline, whereas in boys the ValVal genotype was related to higher levels of loneliness. Our results underline the importance of sex-stratified analyses when examining effects of the BDNF genotype and the necessity of conducting gene studies to intermediate phenotypes of loneliness.

  9. Disordered eating behaviors and body image in a longitudinal pilot study of adolescent girls: what happens 2 years later? (United States)

    Espinoza, Paola; Penelo, Eva; Raich, Rosa M


    We assessed the prospective association of risk factors for eating and body image disturbances after a 2-year follow-up in a community sample of Spanish adolescent girls. The participants included 128 Spanish girls aged 12-14, who took part in a 28-month prospective study. Aspects assessed were eating attitudes (Eating Attitudes Test), influence of the body shape model (questionnaire on influences of the aesthetic body shape model), extreme weight-control behaviors (Eating Disorder Examination-Questionnaire), body image (Body Image Questionnaire) and Body Mass Index (BMI). BMI, extreme weight-control behaviors and body image problems emerged as potential predictors of an increase in eating disturbances. An increased influence of the thinness model was significantly associated with reduced body satisfaction and body image problems. Preventive programs are needed to contribute reducing the impact of sociocultural influences with regard to thinness, the use of extreme weight-control behaviors and overweight in adolescents.

  10. The impact of menstrual cycle-related physical symptoms on daily activities and psychological wellness among adolescent girls. (United States)

    van Iersel, Kirsten C; Kiesner, Jeff; Pastore, Massimiliano; Scholte, Ron H J


    Associations between perimenstrual physical and psychological symptoms have not been adequately studied among adolescent girls. The purpose of the present study was to test a mediation hypothesis postulating that perimenstrual disengagement from daily activities would mediate the association between physical symptoms and psychological symptoms. A non-clinical sample of N = 208 Italian adolescent girls (age M = 16.68 years) completed a 95-item online retrospective questionnaire regarding perimenstrual symptoms, and how these symptoms affect their daily activities. Structural Equation Modeling was used to test the mediation hypothesis. Results showed that physical and psychological symptoms were strongly associated. More importantly, results supported the hypothesis that perimenstrual disengagement from daily activities mediates the association between physical symptoms and psychological symptoms, but only for depressed mood and cognitive symptoms. This study provides support for a novel theoretical framework linking diverse aspects of menstrual cycle change. Longitudinal research is needed to replicate these findings.

  11. Adolescent girls in Denmark use oral contraceptives at an increasingly young age, and with more pauses and shifts

    DEFF Research Database (Denmark)

    Løkkegaard, Ellen; Nielsen, Anne Kristine


    , adolescent girls have more pauses and shifts between types of hormonal contraceptives. Since 2010 there has been a shift toward use of second generation oral contraceptives away from third and fourth generation contraceptives. CONCLUSION: Adolescent girls tend to initiate their use of oral contraceptives...... at a younger age than the older cohorts do. Furthermore, they have more pauses and shift between products more frequently than older cohorts. The type of oral contraceptive used has shifted since 2010 towards older products with second generation progestins. FUNDING: The study was funded by salaries from North......INTRODUCTION: Use of hormonal contraceptives for birth control is commonplace in the Western World. In Europe, there is considerable variety in the frequency of use of hormonal contraceptives and in the age at which these contraceptives are initiated. The purpose of the present study...

  12. A Study on the effect of iron folic acid supplementation and deworming among college going adolescent girls in urban Agra.

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    Ratandeep Lamba


    Full Text Available Background: Spaced IFA Supplementation is recognized as an efficacious public health program and effective preventive approach in combating anemia in adolescent girls, is cost effective and results in fewer side effects. Aim: To study the effect of: bi-weekly supplementation of IFA with and without Albendazole administration on the status of hemoglobin level in college going adolescent girls. Material and methods:  An interventional study was conducted among college going girls in Agra in the age group of 16-19 years (n=300 who were randomly selected. Their Hemoglobin levels were estimated before and after intervention by the Cynmeth-hemoglobin method using Drabkin’s solution. Three groups [two study A and B and one control] of hundred girls each were randomly constituted. To the study groups, supervised bi-weekly IFA with and without Albendazole were administered respectively for three months. Data collected was analyzed using suitable statistical tools. Results &Discussion: The overall prevalence of anemia was 65.3%.The initial prevalence in study group  reduced significantly from 80.7% to 35.5% whereas in study group B it reduced from 73.5% to 58.8% and in control it remained almost same 84.3% and 81.2% pre and post intervention respectively. The mean Hemoglobin rise observed in the study group A and B was 2.5gm/dl and 2.3 gm/dl respectively while in control group fall in the mean Hb was observed (0.1gm/dl. Conclusion: The prevalence of anemia in adolescent girls is high. Supervised IFA therapy twice a week is an effective strategy to lower the prevalence of anemia either combined or uncombined with Albendazole.

  13. Community Reintegration Outcomes for Formerly Incarcerated Adolescent Fathers and Nonfathers. (United States)

    Unruh, Deanne; Bullis, Michael; Yovanoff, Paul


    Data from the study, Transition Research on Adjudicated Youth in Community Settings, were used to examine community integration outcomes for the subgroup of adolescent fathers. Juvenile offenders who were fathers were found to return to the correctional system at a higher rate than nonfathers, but fathers who remained in the community were…

  14. Effect of breakfast glycemic index on metabolic responses during rest and exercise in overweight and non-overweight adolescent girls


    Tolfrey, Keith; Zakrzewski, Julia Kirstey; Stevenson, Emma


    Abstract Background/Objectives: The metabolic responses to mixed breakfast meals with different glycemic indexes (GI) and their effects on substrate metabolism during exercise in adolescent girls have not been examined. The interaction with weight status also warrants investigation. The present study investigated the effect of mixed breakfast meals containing high GI (HGI) or low GI (LGI) carbohydrates on metabolic responses and fat oxidation during rest and exercise in overweight ...

  15. Young Adult Follow-up of Adolescent Girls in Juvenile Justice Using the Columbia Suicide Severity Rating Scale


    Kerr, David C. R.; Gibson, Brandon; Leve, Leslie D.; DeGarmo, David S.


    We studied the reliability and validity of the Columbia Suicide Severity Scale (C-SSRS). Severely delinquent adolescent girls (n = 166) participated in a treatment trial and repeated assessments over time. Lifetime suicide attempt history was measured using the C-SSRS in early adulthood (n = 144; 7–12 years post-baseline). Nonclinician raters showed strong interrater reliability using the C-SSRS. Self-, caseworker-, and caregiver-reports of girls’ suicide attempt histories collected at baseli...

  16. Family mealtimes and eating psychopathology : the role of anxiety and depression among adolescent girls and boys\\ud



    Characteristics of family mealtimes are associated with disordered eating behaviours. However, little is known about the relationships between characteristics of family mealtimes and disordered eating attitudes, or how symptoms of anxiety or depression may contribute to these relationships. This study therefore aimed to examine differences between adolescent girls and boys in the relationship between family mealtime characteristics and eating psychopathology, and to explore the influence of a...

  17. The Effect of Education-Based Intervention Using Small Group Discussion in Empowering Adolescent Girls to Prevent Iron Deficiency Anemia

    Directory of Open Access Journals (Sweden)

    Fatemehsadat Seyed Nematollah Roshan


    Results: At baseline, independent T-test showed no significant difference between the two groups in the perceived susceptibility, perceived severity, and self efficacy, all of which could be regarded as empowerment process components (P>0.05. However, significant differences were observed after intervention. Also, the paired T-test showed a significant difference before and after the intervention in the test group in means of the perceived susceptibility, perceived severity, self efficacy and, in the grand scheme, adolescent girls' empowerment (P

  18. Adolescent girls' experiences of underlying social processes triggering stress in their everyday life: a grounded theory study. (United States)

    Haraldsson, Katarina; Lindgren, Eva-Carin; Mattsson, Bengt; Fridlund, Bengt; Marklund, Bertil


    The aim of this study was to generate a theoretical model of underlying social processes that trigger stress in adolescent girls' everyday life. In-depth interviews regarding the experiences of stress at home, school and during leisure time were conducted with 14 17-year-old schoolgirls. Data were analysed by means of the grounded theory method. Stress was triggered in the interaction between responsibility and the way in which the girls were encountered. Triggered emotional reactions took the form of four dimensions of stress included ambivalence, frustration, despair and downheartedness. These reactions were dependent on whether the girls voluntary assumed responsibility for various situations or whether they were forced, or felt they were being forced, to assume responsibility in interaction with an encounter characterized by closeness or distance. These forms of stress reactions could appear in one dimension and subsequently shift to another. From the public health perspective, the generated stress model can be used in the planning and implementation of future actions to prevent stress and promote well-being related to stress in adolescent girls.

  19. Effectiveness of solution-focused brief therapy for an adolescent girl with moderate depression

    Directory of Open Access Journals (Sweden)

    Pashapu Dharma Reddy


    Full Text Available Globally, the solution-focused brief therapy is practiced in persons with depression. In India, fewer studies have documented about the treatment outcome of solution-focused therapy among persons with depression. The current study was carried out with a 19-year-old girl, studying SSLC (10 th Standard was diagnosed with moderate depression. She had difficulty in attention, concentration, memory, irritability and sad mood, poor academic performance, guilt feelings, lethargic, anhedonia, decreased sleep, and decreased appetite. The case worker has chosen provided 6 sessions of solution focused therapy for depression. There was considerable improvement in her symptoms and in scholastic performance. The current study supports the effectiveness of solution-focused therapy in persons with depression.

  20. Parent–Adolescent Discrepancies in Perceived Parenting Characteristics and Adolescent Developmental Outcomes in Poor Chinese Families


    Leung, Janet T. Y.; Daniel T. L. Shek


    We examined the relationships between parent–adolescent discrepancies in perceived parenting characteristics (indexed by parental responsiveness, parental demandingness, and parental control) and adolescent developmental outcomes (indexed by achievement motivation and psychological competence) in poor families in Hong Kong. A sample of 275 intact families having at least one child aged 11–16 experiencing economic disadvantage were invited to participate in the study. Fathers and mothers compl...

  1. Adolescent girls' experiences and gender-related beliefs in relation to their motivation in math/science and english. (United States)

    Leaper, Campbell; Farkas, Timea; Brown, Christia Spears


    Although the gender gap has dramatically narrowed in recent decades, women remain underrepresented in many science, technology, engineering, and mathematics (STEM) fields. This study examined social and personal factors in relation to adolescent girls' motivation in STEM (math/science) versus non-STEM (English) subjects. An ethnically diverse sample of 579 girls ages 13-18 years (M = 15) in the U.S. completed questionnaires measuring their academic achievement, ability beliefs, values, and experiences. Social and personal factors were hypothesized to predict motivation (expectancy-value) differently in math/science (M/S) and English. Social factors included perceived M/S and English support from parents and peers. Personal factors included facets of gender identity (felt conformity pressure, gender typicality, gender-role contentedness), gender-related attitudes, and exposure to feminism. In addition, grades, age, parents' education, and ethnicity were controlled. Girls' M/S motivation was positively associated with mother M/S support, peer M/S support, gender-egalitarian beliefs, and exposure to feminism; it was negatively related to peer English support. Girls' English motivation was positively associated with peer English support as well as felt pressure from parents; it was negatively related to peer M/S support and felt peer pressure. The findings suggest that social and personal factors may influence girls' motivation in domain-specific ways.

  2. Social physique anxiety and physical activity in early adolescent girls: the influence of maturation and physical activity motives. (United States)

    Niven, Ailsa; Fawkner, Samantha; Knowles, Ann-Marie; Henretty, Joan; Stephenson, Claire


    In this study, we examined the influence of maturation on social physique anxiety, the relationship between social physique anxiety and current and future physical activity levels, and the influence of motives for physical activity on this relationship in early adolescent girls (n=162; mean age = 11.8 +/- 0.3 years). Participants completed the Pubertal Development Scale, the modified Social Physique Anxiety Scale, and the Motives for Physical Activity Scale at baseline and the Physical Activity Questionnaire for Older Children at baseline and 6 months later. The girls became less active across the 6 months and girls in the early stages of maturation had significantly lower social physique anxiety than the girls in the middle and late stages of maturation. Social physique anxiety was not related to current or future physical activity in the sample as a whole. Cluster analysis identified four groups with different motive profiles and the High Appearance and Fitness group demonstrated a moderate negative relationship between social physique anxiety and physical activity at phase 1, whereas the other groups did not. These findings indicate that social physique anxiety may increase with maturation and the relationship between social physique anxiety and physical activity is dependent on reasons for being active. For girls who are motivated to be active primarily by body-related reasons, social physique anxiety is likely to lead to lower levels of physical activity.

  3. Incidence and outcomes of emergency self-harm among adolescents: a descriptive epidemiological study in Osaka City, Japan (United States)

    Matsuyama, Tasuku; Kitamura, Tetsuhisa; Kiyohara, Kosuke; Hayashida, Sumito; Nitta, Masahiko; Kawamura, Takashi; Iwami, Taku; Ohta, Bon


    Objectives To evaluate the incidence and outcomes of self-harm from ambulance records. Design A retrospective, observational study. Setting Osaka City, Japan. Participants A total of 365 adolescents aged 10–19 years with emergency self-harm such as poisoning by drugs or gas, cutting skin, jumping from heights, hanging and drowning and treated by emergency medical service personnel from January 2010 through December 2012. Primary outcome measurements Incidence per 100 000 persons and outcome at the scene or hospital arrival by age and gender. Poisson regression models for incidence evaluation were used; reporting relative risks (RRs) and their 95% CIs. Results During the study period, a total of 425 self-harm events were documented in 365 adolescents. The incidence of self-harm increased significantly between the ages of 11 and 19 years, from 6.3 to 81.0 among boys and the ages of 12 and 19 years from 6.3 to 228.3 among girls, respectively (both p<0.001). Although there was no incidence difference between girls and boys in the group aged 11–14 years (RR 1.20; 95% CI 0.59 to 2.47), the incidence was significantly higher among girls than boys in the group aged 15–19 years (RR 4.18; 95% CI 3.20 to 5.45). The overall proportion of death by self-harm was 4.9%. The proportion of hospital admission and death by self-harm was higher among boys than among girls (38.6% vs 25.2%, p=0.016 and 14.8% vs 2.4%, p<0.001). Conclusions The incidence of emergency treatment for self-harm by adolescents increased with age and our findings also demonstrated the gender paradox. It would be necessary to establish active, gender-specific and comprehensive prevention strategies for adolescent self-harm, based on our findings showing the age and gender differences of self-harm among adolescents. PMID:27381208

  4. Antiretroviral therapy outcomes among adolescents and youth in rural Zimbabwe.

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    Helen Bygrave

    Full Text Available Around 2 million adolescents and 3 million youth are estimated to be living with HIV worldwide. Antiretroviral outcomes for this group appear to be worse compared to adults. We report antiretroviral therapy outcomes from a rural setting in Zimbabwe among patients aged 10-30 years who were initiated on ART between 2005 and 2008. The cohort was stratified into four age groups: 10-15 (young adolescents 15.1-19 years (adolescents, 19.1-24 years (young adults and 24.1-29.9 years (older adults. Survival analysis was used to estimate rates of deaths and loss to follow-up stratified by age group. Endpoints were time from ART initiation to death or loss to follow-up. Follow-up of patients on continuous therapy was censored at date of transfer, or study end (31 December 2008. Sex-adjusted Cox proportional hazards models were used to estimate hazard ratios for different age groups. 898 patients were included in the analysis; median duration on ART was 468 days. The risk of death were highest in adults compared to young adolescents (aHR 2.25, 95%CI 1.17-4.35. Young adults and adolescents had a 2-3 times higher risk of loss to follow-up compared to young adolescents. When estimating the risk of attrition combining loss to follow-up and death, young adults had the highest risk (aHR 2.70, 95%CI 1.62-4.52. This study highlights the need for adapted adherence support and service delivery models for both adolescents and young adults.

  5. Psychosis in an adolescent girl: a common manifestation in Niemann-Pick Type C disease (United States)


    Niemann-Pick disease type C (NP-C) is a rare autosomal-recessively inherited lysosomal storage disorder. It is caused by mutations in the NPC1 (95%) or NPC2 gene. It is a progressive and highly heterogeneous disease, characterized by the presentation of visceral, neurological, and psychiatric symptoms. Apart from the patients that die early from organic failure, most of the patients with juvenile and adolescent/adult onset of the disease, develop neurological and psychiatric symptoms. In some cases psychiatric signs, mostly psychosis, can be the first sign of the disease. A delay in diagnosis is often seen. By describing the case of a 16-year old girl, we would like to highlight current opinion about NP-C disease and resume recent findings on the clinical presentation, diagnosis and treatment. We focus on the psychiatric signs, and most important the specific combinations that are typical for the disease. There is no curative treatment for NP-C. Miglustat is used to modify neurological signs in NP-C. PMID:25071864

  6. Gene receptor polymorphism as a risk factor for BMD deterioration in adolescent girls with anorexia nervosa. (United States)

    Stergioti, E; Deligeoroglou, E; Economou, E; Tsitsika, A; Dimopoulos, K D; Daponte, A; Katsioulis, A; Creatsas, G


    Anorexia nervosa is a serious eating disorder that is associated with decreased bone mineral density and greater lifetime risk for fractures. This case-controlled study, analyzed single nucleotide polymorphisms of genes encoding vitamin D receptor, estrogen receptor alpha (ESR1), collagen type I and calcitonin receptor (CTR). Relationships between genotype and body mass index, cycling status and lumbar spine bone mineral density (LBMD) were determined in 40 adolescent girls with anorexia nervosa and 10 age-matched controls. The distribution of CTR-AluI genotypes differed between groups, but this polymorphism was not associated with LBMD Z-score. Distribution of ESR1-XbaI genotypes did not differ between groups, but the AA genotype was associated with decreased LBMD Z-score (≤-1) (OR = 24.79, 95% CI, 1.01-606.08). Carriers of the A allele were more likely to have decreased LBMD Z-scores compared with carriers of the G allele (OR = 4.12, 95% CI, 1.23-13.85, p = 0.022). In conclusion, our study shows that anorexic patients with wild-type genotype ESR-XbaI receptor are in greater risk for decreased BMD in relation to those with the mutated gene. Prompt recognition of these patients is crucial because early administration of the proper therapeutic treatment may contribute to the prevention of adverse sequelae on bone metabolism.

  7. Is Tadpole Pupil in an Adolescent Girl Caused by Denervation Hypersensitivity? (United States)

    Hansen, Jonas Kjeldbjerg; Møller, Hans Ulrik


    Tadpole pupil is a rarely encountered phenomenon caused by episodic, segmental iris dilator muscle spasm of short duration (2-15 minutes), occurring in clusters without a known precipitating factor. It has most commonly been described in women aged 28 to 48 years. A few hypotheses on pathogenesis have been discussed but none has been proved. Here, we present an adolescent girl with bilateral tadpole pupil that appeared during physical exercise. This is the first pediatric case of tadpole pupil, not caused by preceding surgery, to be published. Based on (1) this case in which tadpole pupil developed when the norepinephrine level rose during exercise, (2) the high ratio of patients with tadpole pupil who concurrently have or later develop Horner syndrome, in which denervation hypersensitivity is well described, (3) a previous report of a patient with both tadpole pupil and Horner syndrome who had denervation hypersensitivity on pharmacological testing, (4) a 29-year-old man with unilateral tadpole pupil induced by exercise, and (5) a 19-year-old man with bilateral tadpole pupil and possible autonomic neuropathy, we suggest denervation hypersensitivity as a probable pathogenic mechanism causing tadpole pupil. In addition, a suggestion for investigations to be performed in future pediatric cases is provided.

  8. Girls' schooling and the perceived threat of adolescent sexual activity in rural Malawi. (United States)

    Grant, Monica J


    Despite its relative infrequency, pregnancy is perceived by parents in rural Malawi as a leading cause of school dropout among female students. This paper explores parents' beliefs about adolescent sexual activity and schoolgirl pregnancy and how these perceptions frame parents' aspirations and expectations about girls' schooling. In-depth interviews were collected in rural Malawi from 60 adults aged 25-50 who were the parent of at least one school-aged child. Four themes emerged from the data: how expectations about sexual activity frame parental expectations about schooling duration and dropout, the loss of parental control, the negative influence of classmates and schools as unsafe environments. These concerns frame how parents consider a daughter's schooling prospects and are active even for parents whose daughters are not sexually active or who are not yet old enough to have gone through puberty. Although all parents aspire for their children to attend secondary school, these perceptions of daughters' relative risk weaken parents' motivation to encourage daughters to remain in school.

  9. Impact of Childhood Trauma on Treatment Outcome in the Treatment for Adolescents with Depression Study (TADS) (United States)

    Lewis, Cara C.; Simons, Anne D.; Nguyen, Lananh J.; Murakami, Jessica L.; Reid, Mark W.; Silva, Susan G.; March, John S.


    Objective: The impact of childhood trauma was examined in 427 adolescents (54% girls, 74% Caucasian, mean = 14.6, SD = 1.5) with major depressive disorder participating in the Treatment for Adolescents with Depression Study (TADS). Method: TADS compared the efficacy of cognitive behavioral therapy (CBT), fluoxetine (FLX), their combination (COMB),…

  10. Non-suicidal self-injury prospectively predicts interpersonal stressful life events and depressive symptoms among adolescent girls. (United States)

    Burke, Taylor A; Hamilton, Jessica L; Abramson, Lyn Y; Alloy, Lauren B


    Non-suicidal self-injury (NSSI) is the deliberate self-harm of one's tissue, engaged in without lethal intent, and occurs frequently among late adolescents. Although research has indicated that NSSI predicts depression, the potential psychosocial mechanisms through which engagement in NSSI makes one susceptible to future depressive symptoms remain unclear. The present study examined whether NSSI increases the risk of experiencing stressful life events, which, in turn, heightens the risk for subsequent depressive symptoms. Drawn from a sample specifically selected for adolescents at high and low risk for developing bipolar spectrum disorders, a total of 110 late-adolescents (mean age=18.74, SD=.69; 73% female) were administered measures of lifetime and past year engagement in NSSI and current depressive symptomatology. Approximately 6 months later, they completed a measure of depressive symptoms and a questionnaire and interview assessing life events that occurred over the 6-month interval. Results suggest that the frequency of lifetime and past year NSSI predicted the occurrence of interpersonal stressful life events beyond the effects of initial depressive symptoms, but only for late adolescent girls. Results further suggest that higher levels of interpersonal stressful life events mediated the relationship between NSSI frequency and prospective increases in depressive symptoms among girls.

  11. Proton density fat-fraction is an accurate biomarker of hepatic steatosis in adolescent girls and young women

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    Rehm, Jennifer L.; Allen, David B. [University of Wisconsin School of Medicine and Public Health, Department of Pediatrics, Madison, WI (United States); Wolfgram, Peter M. [Medical College of Wisconsin, Department of Pediatrics, Milwaukee, WI (United States); Hernando, Diego [University of Wisconsin School of Medicine and Public Health, Department of Radiology, Madison, WI (United States); Eickhoff, Jens C. [University of Wisconsin School of Medicine and Public Health, Department of Biostatistics and Medical Informatics, Madison, WI (United States); Reeder, Scott B. [University of Wisconsin School of Medicine and Public Health, Department of Radiology, Madison, WI (United States); University of Wisconsin School of Medicine and Public Health, Department of Medical Physics, Madison, WI (United States); University of Wisconsin School of Medicine and Public Health, Department of Biomedical Engineering, Madison, WI (United States); University of Wisconsin School of Medicine and Public Health, Department of Medicine, Madison, WI (United States); University of Wisconsin School of Medicine and Public Health, Department of Emergency Medicine, Madison, WI (United States)


    To compare complex quantitative magnetic resonance imaging (MRI) with MR spectroscopy (MRS) for quantification of hepatic steatosis (HS) and determine clinically significant MRI-based thresholds of HS in female youths. This prospective, cross-sectional study was conducted in 132 healthy females (11-22 years, mean 13.3 ± 2). Proton density fat-fraction (PDFF) was measured using complex quantitative MRI and MRS. Body mass index (BMI), fasting labs [glucose, insulin, alanine aminotransferase (ALT), and other metabolic markers] were obtained. Outcomes were measured using regression analysis, Spearman-rank correlation, and receiver operator characteristics (ROC) analysis. HS was defined as MRI-PDFF >5.6 %. HS was detected by MRI-PDFF in 15 % of all subjects. Linear regression demonstrated excellent correlation and agreement [r{sup 2} = 0.96, slope = 0.97 (95 %CI: 0.94-1.00), intercept = 0.78 % (95 %CI: 0.58-0.98 %)] between MRI-PDFF and MRS-PDFF. MRI-PDFF had a sensitivity of 100 % (95 %CI: 0.79-1.00), specificity of 96.6 % (95 %CI: 0.91-0.99), and a kappa index of 87 % (95 %CI: 0.75-0.99) for identifying HS. In overweight subjects with HS, MRI-PDFF correlated with ALT (r = 0.84, p < 0.0001) and insulin (r = 0.833, p < 0.001), but not with BMI or WC. ROC analysis ascertained an optimal MRI-PDFF threshold of 3.5 % for predicting metabolic syndrome (sensitivity = 76 %, specificity = 83 %). Complex quantitative MRI demonstrates strong correlation and agreement with MRS to quantify hepatic triglyceride content in adolescent girls and young women. A low PDFF threshold is predictive of metabolic syndrome in this population. (orig.)

  12. Eating Behaviors among Early Adolescent African American Girls and Their Mothers (United States)

    Reed, Monique; Dancy, Barbara; Holm, Karyn; Wilbur, JoEllen; Fogg, Louis


    African American (AA) girls aged 10-12 living in urban communities designated as food deserts have a significantly greater prevalence of overweight and obesity than girls that age in the general population. The purpose of our study was (a) to examine the agreement in nutritional intake between AA girls aged 10-12 and their mothers and (b) to…

  13. Ethnicity, Perceived Pubertal Timing, Externalizing Behaviors, and Depressive Symptoms among Black Adolescent Girls (United States)

    Carter, Rona; Caldwell, Cleopatra Howard; Matusko, Niki; Antonucci, Toni; Jackson, James S.


    An accumulation of research evidence suggests that early pubertal timing plays a significant role in girls' behavioral and emotional problems. If early pubertal timing is a problematic event, then early developing Black girls should manifest evidence of this crisis because they tend to be the earliest to develop compared to other girls from…

  14. Engaging adolescent girls from linguistically diverse and low income backgrounds in school sport: a pilot randomised controlled trial. (United States)

    Dudley, Dean A; Okely, Anthony D; Pearson, Philip; Peat, Jennifer


    The purpose of this study was to determine the feasibility, acceptability, and potential efficacy of a school-based physical activity program delivered during school sport time among adolescent girls from low income predominately linguistically diverse backgrounds in New South Wales, Australia. Using a 3-month, 2-arm, parallel-group pilot RCT design, 38 adolescent girls (Year 11) were recruited to participate in the program and randomised into intervention (n=17) or control groups (n=21). The intervention program aimed to increase physical activity by improving enjoyment, physical self-perception and perceived competence. Baseline and follow-up (12 weeks) assessments included enjoyment of physical activity, physical self-perception, and objectively measured physical activity during school sport sessions. Process data were collected through observations of lessons, attendance records, and interviews with participants and staff. Recruitment (63%) and retention (68%) goals were less than anticipated but similar to other studies. Participation was higher for the intervention (72%) than the control (60%) group and the intervention group reported high levels of satisfaction with the program. At follow-up, girls in the intervention group, compared with the control group, showed greater improvement in their enjoyment of physical activity during school sport (adjusted mean difference=3.8, 95% Confidence Interval [CI] -2.4, 10.1; Cohen's d=0.42 standard deviation units) and body image (adjusted difference mean=1.0, 95% CI -0.4, 2.3; d=0.50). There was a smaller decline in participation in physical activity during school sport (adjusted mean=13.6, 95% CI -21.8, 48.9; d=0.24). This study highlights major barriers confronting adolescent girls' participation in school sport. Some of these include teacher attitudes and support, activities and programming, purpose and distinction, and student input. Negotiating these barriers and overcoming them in a school setting appears


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    Full Text Available INTRODUCTION: Exercise is an important part of keeping adolescents healthy . The prevalence of obesity - related hypertension , in children and adolescents is on the rise . Exercise regimen can reverse or retard the rate of progression from prehypertension to hypertension in adolescents . The incidence of lung diseases including bronchial asthma is high in adolescent age group . There are gender differences in cardiopulmonary changes with exercise . The pulmonary function testing during exercise is often used for further assessme nt and determ in ing the degree of airway impairment and response to treatment . The present study was performed t o study the effect of various intensity of exercise on cardiopulmonary variables and to evaluate quantitative relationship between the variables . MATERIALS AND METHODS: The present study is carried out in a group of 100 healthy First year medical students of both sexes , who were not regular athletes . The subjects being medical students presented an added advantage of belonging to matching age groups of between 18 - 21 years of comparable physical standards and also medically screened at the time of admission . Before undertaking the exercise regimen blood hemoglobin concentration , RMV , MVV , FVC , FEV1 , PEFR , RR , HR and Blood Pressure ( BP were determined in all the subjects . Then the subject exercised on a bicycle ergometer with incremental loads . The Pulse Rate of the subject is noted and mentioned as the heart rate per minute . During the exercise the pulse was monitored by a pulse Oximeter . Blood Pressure was manually measured using standard mercury sphygmomanometer . The recordings before exercise , during exercise and 30 minutes after end of exercise of FVC , FEV - 1 and PEFR were measured using a digital spirometer . RESULTS: All the observations recorded in Group - A ( Boys subjects and of Group - B ( Girls subjects were noted . The arithmetical mean , standard deviation and standard

  16. Problem Solving in the Natural Sciences and Early Adolescent Girls' Gender Roles and Self-Esteem a Qualitative and Quantitative Analysis from AN Ecological Perspective (United States)

    Slavkin, Michael

    What impact do gender roles and self-esteem have on early adolescent girls' abilities to solve problems when participating in natural science-related activities? Bronfenbrenner's human ecology model and Barker's behavior setting theory were used to assess how environmental contexts relate to problem solving in scientific contexts. These models also provided improved methodology and increased understanding of these constructs when compared with prior research. Early adolescent girls gender roles and self-esteem were found to relate to differences in problem solving in science-related groups. Specifically, early adolescent girls' gender roles were associated with levels of verbal expression, expression of positive affect, dominance, and supportive behavior during science experiments. Also, levels of early adolescent girls self-esteem were related to verbal expression and dominance in peer groups. Girls with high self-esteem also were more verbally expressive and had higher levels of dominance during science experiments. The dominant model of a masculine-typed and feminine-typed dichotomy of problem solving based on previous literature was not effective in Identifying differences within girls' problem solving. Such differences in the results of these studies may be the result of this study's use of observational measures and analysis of the behavior settings in which group members participated. Group behavior and problem-solving approaches of early adolescent girls seemed most likely to be defined by environmental contexts, not governed solely by the personalities of participants. A discussion for the examination of environmental factors when assessing early adolescent girls' gender roles and self-esteem follows this discussion.

  17. Adolescent HIV disclosure in Zambia: barriers, facilitators and outcomes

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    Gitau Mburu


    Full Text Available Introduction: As adolescents living with HIV gain autonomy over their self-care and begin to engage in sexual relationships, their experiences of being informed about their HIV status and of telling others about their HIV status may affect their ability to cope with having the disease. Methods: In 2010, we conducted a qualitative study among adolescents aged 10–19 living with HIV in Zambia, and with their parents and health care providers. Through interviews and focus group discussions, we explored the disclosure of HIV status to adolescents living with HIV; adolescents’ disclosure of their status to others; and the impact of both forms of disclosure on adolescents. Results: Our study identified three main barriers to disclosure of HIV status: local norms that deter parents from communicating with their children about sexuality; fear of HIV stigma; and an underlying presumption that adolescents would not understand the consequences of a HIV diagnosis on their lives and relationships. With regard to adolescents’ disclosure of their HIV status to their sexual partners, our study identified fear of rejection as a common barrier. In rare cases, open family conversations about HIV helped adolescents come to terms with a HIV diagnosis. Findings indicated that disclosure had various outcomes at the individual and interpersonal levels. At the individual level, some adolescents described being anxious, depressed and blaming themselves after being told they had HIV. At the interpersonal level, disclosure created opportunities for adolescents to access adherence support and other forms of psychosocial support from family members and peers. At the same time, it occasionally strained adolescents’ sexual relationships, although it did not always lead to rejection. Conclusions: There is a need for public health interventions that guide adolescents living with HIV, their parents and families through the disclosure process. Such interventions should help

  18. Socio-demographic profile and compliance to Weekly Iron Folic Acid supplementation among adolescent girls in Central Delhi

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    Anuradha Chauhan


    Full Text Available Background: Adolescence is a vulnerable period in the human life cycle for the development of nutritional anemia, particularly among girls.Objective:1. To find out the prevalence of iron deficiency anemia in the study group.2. To study the various socio-demographic factors associated with anemia.3. To study the compliance of weekly Iron Folic acid Supplementation (WIFS.Material and Methods: A cross-sectional survey was conducted in an Urban Health Center, in New Delhi. A total of 60 adolescent females (10–19 years old were included in this study. The study was undertaken from Nov 2013 – Dec 2013 (2 months using a pre-tested questionnaire containing items to assess the socio-demographic profile, their medical history and past history. After taking their assent, hemoglobin (Hb was estimated using HemoCue method.Results: The prevalence of anemia was found to be 71.1%. A significant association of presence of anemia was found with lower socio-economic status and non-intake of WIFS. Mean height and weight of subjects with anemia was significantly less in anemic girls than participants without anemia. Significant association of anemia was found with non-consumption of Iron Folic Acid (IFA tablets (χ2 value – 5.3, p value 0.02.Conclusions: A high prevalence of anemia among adolescent females was found, which was higher in the lower socio-economic strata and those not consuming WIFS. Thus there is a need to strengthen the programs for the prevention of anemia among adolescent girls through nutrition education and anemia prophylaxis.

  19. Dimensions of impulsive behavior and treatment outcomes for adolescent smokers. (United States)

    Harris, Millie; Penfold, Robert B; Hawkins, Ariane; Maccombs, Jared; Wallace, Bryan; Reynolds, Brady


    Adolescent cigarette smoking rates remain a significant public health concern, and as a result there is a continued need to understand factors that contribute to an adolescent's ability to reduce or quit smoking. Previous research suggests that impulsive behavior may be associated with treatment outcomes for smoking. The current research (N = 81) explored 3 dimensions of impulsive behavior as predictors of treatment response from a social-cognitive type program for adolescent smokers (i.e., Not On Tobacco; N-O-T). Measures included laboratory assessments of delay discounting, sustained attention, and behavioral disinhibition. A self-report measure of impulsivity was also included. Adolescent smokers who had better sustained attention were more likely to reduce or quit smoking by the end of treatment. No other measures of impulsivity were significantly associated with treatment response. From these findings, an adolescent smoker's ability to sustain attention appears to be an important behavioral attribute to consider when implementing smoking cessation programs such as N-O-T.

  20. Patient Characteristics and Treatment Outcomes for African American, Hispanic, and White Adolescents in DATOS-A. (United States)

    Rounds-Bryant, Jennifer L.; Staab, Jennifer


    Compared background, pre-treatment characteristics, and post-treatment outcomes of African American, Hispanic, and white adolescent substance abusers participating in the Drug Abuse Treatment Outcome Studies for Adolescents (DATOS-A). Found that patients were similar with respect to basic pre-treatment demographics. Compared to white adolescents,…

  1. The Effect of a Summer Camp Intervention on the Nutrition Knowledge and Dietary Behavior of Adolescent Girls. (United States)

    Jennings, Leah; Nepocatych, Svetlana; Ketcham, Caroline; Duffy, Diane


    The purpose of this study was to design a rewards-based nutrition intervention program to improve knowledge and dietary behaviors of adolescent girls. Our participants consisted of eight girls ages 11 to 13 years. Nutritional knowledge was assessed before and after intervention program through a "Jeopardy" style quiz game and posttest questionnaires. Participants were also interviewed throughout the week about typical dietary behaviors, daily physical activity, and self-esteem. Educational activities took place for 2 to 3 hours each day and included a grocery store scavenger hunt, healthy baking demonstrations, and relay races. Participants received bracelets and charms as rewards for participation in activities. Nutritional knowledge increased for six out of eight participants, although the overall increase was not found to be statistically significant (p = .20). Significant correlations were found between measures including dietary behavior (soda consumption per week and perceived importance of body weight: r = -.827, p = .01), self-esteem (weight and endurance: r = .801, p = .03), and fitness levels (weight and curl-ups completed in 30 seconds: r = -.729, p = .04). This study shows promising evidence that this nutrition education intervention could be effective at increasing nutrition knowledge, thus potentially affecting future dietary behaviors of adolescent girls.

  2. Sexually transmitted diseases and risk factors in adolescent and young girls: data from a youth attendance center

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    Maria Isabel Sá


    Full Text Available Introduction: Sexually transmitted diseases (STDs have a high prevalence during adolescents and young adults, being associated with significant morbidity. Aim: To determine the prevalence of STDs in a group of young girls and to evaluate which factors are associated with higher risk of STDs. Material and Methods: Cross-sectional study including 100 young girls under 27 years, divided in two subgroups: asymptomatic and with gynecologic symptoms. We collected demographic and clinical variables, vaginal and cervical swabs for Trichomonas vaginalis, Chlamydia trachomatis and Neisseria gonorrhoeae and collected blood samples for Hepatitis B and C, Human Immunodeficiency Virus, Syphilis and Herpes simplex type 2virus serologic tests. Significant associations between variables (p<0.05 were identified by chi-square test. Results: We found evidence of at least one STD in 16% of the sample. The results were: Trichomonas 1%, Chlamydia 7%, Neisseria 1%, Syphilis 1% and Herpes simplex type 2 12%. More than 5 sexual partners and cervical ectopy were associated with increased risk of laboratorial evidence of at least one STD (p=0.009 and p=0.006 respectively. Conclusions: Prevalence of STDs justifies the continued investment in young girls education towards the delay of onset of sexual intercourse and the consistent use of condom. Physicians taking care of adolescents must be aware of the importance of STD screening and treatmen,t so its late complications might be avoided.

  3. A prospective study on the impact of peer and parental pressure on body dissatisfaction in adolescent girls and boys. (United States)

    Helfert, Susanne; Warschburger, Petra


    The current study explores the role of appearance-related social pressure regarding changes in body image in adolescent girls (n=236) and boys (n=193) over a 1-year-period. High school students aged 11-16 completed measures of body dissatisfaction (i.e., weight and muscle concerns) and appearance-related social pressure from peers and parents. Three aspects proved to be particularly crucial: Parental encouragement to control weight and shape was a strong predictor of weight concerns in boys and girls alike; influences of friends affected gender-specific body image concerns by leading to weight concerns in girls and muscle concerns in boys; finally appearance-based exclusion was a predictor of weight concerns in boys. The findings provide longitudinal evidence for the crucial impact of appearance-related social pressure and suggest that a detailed assessment of different types of social impacts can identify concrete targets for effective prevention and therapy for weight-related problems among adolescents.

  4. Preliminary Findings on the Health of the Nation Outcome Scales for Children and Adolescents in an Inpatient Secure Adolescent Unit (United States)

    Hunt, Jenny; Wheatley, Malcolm


    To date there is limited research examining the use of the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) with adolescents in secure care. The aim of this article is to examine the inter-rater reliability, concurrent validity and clinical utility of HoNOSCA in an adolescent secure psychiatric unit. Twenty-four…

  5. Familism as a Predictor of Parent-Adolescent Relationships and Developmental Outcomes for Adolescents in Armenian American Immigrant Families (United States)

    Ghazarian, Sharon R.; Supple, Andrew J.; Plunkett, Scott W.


    We investigated associations between familism, parent-adolescent relationships, and developmental outcomes for a sample of 97 Armenian adolescents in immigrant families. Our results suggested that adolescents emphasizing family needs over their own were more likely to report conformity to parents' wishes, respect for parental authority, and…

  6. Creating Own Histories: Adolescent Girls In Mumbai’s Bastis Use Photography As A Tool Of Documentation And Advocacy

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    Amrita De


    Full Text Available Expressing oneself is a fundamental right as enunciated in many international conventions and national constitutions. Expressing oneself, however, is subject to other factors, namely, one’s access to language, and means and platforms of expression. Marginalised groups have historically been kept away from gaining, as well as creating, knowledge and language. Breaking out of deprivation for marginalised groups requires having a reference framework of their own stories that are accessible to their own people, as well as visible to the rest of the world as legitimate history. As Sheila Rowbotham (1973 says, “in order to create an alternative, an oppressed group must at once shatter the self-reflecting world which encircles it and, at the same time, project its own image onto history.... All revolutionary movements create their own ways of seeing.” (p. 27 This paper seeks to show Vacha’s work with adolescent girls who purport to express themselves and document their perspectives through photography. Girls form one of the most marginalised sections of society, due to age and gender. Girls from deprived backgrounds contend with further disabilities of caste and class. Their perspectives are seldom part of the collective consciousness of their own communities, let alone enter mainstream discourses. Vacha uses photography as a useful tool for deprived girls to express and document their stories. Public exhibitions are used to take these images to a wider audience.

  7. Factorial validity and invariance of the Physical Self-Description Questionnaire among black and white adolescent girls. (United States)

    Dishman, Rod K; Hales, Derek P; Almeida, Maria Joao; Pfeiffer, Karin A; Dowda, Marsha; Pate, Russell R


    Meaningful comparison of physical self-concept among racial or ethnic groups requires that the measurement instruments used have equivalent measurement properties. We tested the factorial validity and invariance of the Physical Self-Description Questionnaire (PSDQ) among Black (n = 658) and White (n = 479) adolescent girls in the 12th grade. Construct validity was examined by estimating correlations between PSDQ subscales and external criteria (physical activity, physical fitness, body mass index [BMI], and participation in sports). The hypothesized 11-factor model demonstrated adequate overall fit in both groups. Comparison of nested models supported the between-group invariance of the overall factor structure. Convergent and discriminant evidence for construct validity was supported by the pattern of correlations with the external criteria. The results indicate that a meaningful comparison of PSDQ scores can be made between Black and White girls in the 12th grade and that valid inferences from PSDQ scores can be made about specific aspects of physical self-concept. Despite lower levels of physical activity, sport participation, and fitness and higher BMI, Black girls had similar self-esteem and higher physical self-concept and perceived appearance compared to White girls.

  8. A clinic-based youth development program to reduce sexual risk behaviors among adolescent girls: prime time pilot study. (United States)

    Sieving, Renee E; Bernat, Debra H; Resnick, Michael D; Oliphant, Jennifer; Pettingell, Sandra; Plowman, Shari; Skay, Carol


    Multifaceted, sustained efforts are needed to reduce early pregnancy and sexually transmitted diseases among high-risk adolescents. An important area for research is testing youth development interventions offered through clinic settings, where access to high-risk adolescents is plentiful and few efforts have rigorously evaluated a dual approach of building protective factors while addressing risk. This article presents findings from a pilot study of Prime Time, a clinic-based youth development intervention to reduce sexual risk behaviors among girls at risk for early pregnancy. Girls aged 13 to 17 years meeting specified risk criteria were assigned to Prime Time treatment groups. The Prime Time intervention included a combination of case management services and peer leadership groups. Participants completed self-report surveys at baseline, 12 and 18 months following enrollment. At 12 months, the intervention group reported significantly fewer sexual partners than the control group. At 18 months, the intervention group reported significantly more consistent condom use with trends toward more consistent hormonal and dual method use. Dose-response analyses suggested that relatively high levels of exposure to a youth development intervention were needed to change contraceptive use behaviors among adolescents at risk for early pregnancy. Given promising findings, further testing of the Prime Time intervention is warranted.

  9. Human Papillomavirus (HPV Vaccination and Adolescent Girls' Knowledge and Sexuality in Western Uganda: A Comparative Cross-Sectional Study.

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    Andrew Kampikaho Turiho

    Full Text Available The purpose of the study was to investigate the influence of human papillomavirus (HPV vaccination on adolescent girls' knowledge of HPV and HPV vaccine, perception of sexual risk and intentions for sexual debut. This cross-sectional comparative study was conducted in Ibanda and Mbarara districts. Data was collected using a standardized self-administered questionnaire and analyzed using the Statistical Package for the Social Sciences computer software. Univariate, bivariate, and logistic regression analyses were conducted with significance level set at p < .05. Results showed that HPV vaccination was associated with being knowledgeable (Crude OR: 5.26, CI: 2.32-11.93; p = 0.000. Vaccination against HPV did not predict perception of sexual risk. Knowledge was low (only 87/385 or 22.6% of vaccinated girls were knowledgeable, but predicted perception of a high sexual risk (Adjusted OR: 3.12, CI: 1.37-3.63; p = 0.008. HPV vaccination, knowledge and perceived sexual risk did not predict sexual behaviour intentions. High parental communication was associated with adolescent attitudes that support postponement of sexual debut in both bivariate and multiple regression analyses. In conclusion, findings of this study suggest that HPV vaccination is not likely to encourage adolescent sexual activity. Influence of knowledge on sexual behaviour intentions was not definitively explained. Prospective cohort studies were proposed to address the emerging questions.

  10. Human Papillomavirus (HPV) Vaccination and Adolescent Girls' Knowledge and Sexuality in Western Uganda: A Comparative Cross-Sectional Study. (United States)

    Turiho, Andrew Kampikaho; Muhwezi, Wilson Winston; Okello, Elialilia Sarikiaeli; Tumwesigye, Nazarius Mbona; Banura, Cecil; Katahoire, Anne Ruhweza


    The purpose of the study was to investigate the influence of human papillomavirus (HPV) vaccination on adolescent girls' knowledge of HPV and HPV vaccine, perception of sexual risk and intentions for sexual debut. This cross-sectional comparative study was conducted in Ibanda and Mbarara districts. Data was collected using a standardized self-administered questionnaire and analyzed using the Statistical Package for the Social Sciences computer software. Univariate, bivariate, and logistic regression analyses were conducted with significance level set at p sexual risk. Knowledge was low (only 87/385 or 22.6% of vaccinated girls were knowledgeable), but predicted perception of a high sexual risk (Adjusted OR: 3.12, CI: 1.37-3.63; p = 0.008). HPV vaccination, knowledge and perceived sexual risk did not predict sexual behaviour intentions. High parental communication was associated with adolescent attitudes that support postponement of sexual debut in both bivariate and multiple regression analyses. In conclusion, findings of this study suggest that HPV vaccination is not likely to encourage adolescent sexual activity. Influence of knowledge on sexual behaviour intentions was not definitively explained. Prospective cohort studies were proposed to address the emerging questions.

  11. Maternal anxiety predicts favourable treatment outcomes in anxiety-disordered adolescents

    NARCIS (Netherlands)

    Legerstee, J.S.; Huizink, A.C.; Gastel, W. van; Liber, J.M.; Treffers, P.D.A.; Verhulst, F.C.; Utens, E.M.W.J.


    Objective: To determine the differential impact of maternal and paternal internalizing psychopathology on cognitive-behavioural treatment (CBT) outcome of anxiety-disordered children and adolescents. Method: Participants consisted of 127 children and 51 adolescents with a primary anxiety diagnosis.

  12. Effectiveness and Feasibility of Weekly Iron and Folic Acid Supplementation to Adolescent Girls and Boys through Peer Educators at Community Level in the Tribal Area of Gujarat (United States)

    Shah, Shobha P; Shah, Pankaj; Desai, Shrey; Modi, Dhiren; Desai, Gaytri; Arora, Honey


    Background: Anemia during adolescence affects growth and development of girls and boys increasing their vulnerability to dropping out-of-school. Hence investing in preventing anemia during adolescence is critical for their survival, growth and development. Objective: To find out the burden of anemia on adolescent age group in the tribal area of Jhagadia block and to assess the change in the hemoglobin level through the weekly Iron and Folic Acid IFA (DOTS) directly observed treatment supplementation under Supervision by Peer Educators at Community level among adolescents. Methods: Community based intervention study conducted with adolescents (117 girls and 127 boys) aged 10-19 years, through supplementation of IFA (DOTS) by trained Peer Educators for 52 weeks in 5 tribal villages of Jhagadia. Hemoglobin level was determined by HemoCue method before and after intervention and sickle cell anemia by Electrophoresis method. Primary data on hemoglobin and number of tablets consumed was collected and statistically analyzed in SPSS 16.0 software by applying paired t-test. Results: The overall findings suggest that the prevalence of anemia reduced from 79.5% to 58% among adolescent girls and from 64% to 39% among boys. Mean rise of hemoglobin seen was 1.5 g/dl among adolescent boys and 1.3 g/dl among girls. A significant association was found in change in hemoglobin before and after intervention (P = 0.000) Conclusion: Prevalence of anemia among girls and boys can be reduced in their adolescent phase of life, through weekly supplementation of iron folic acid tablets under direct supervision and Nutrition Education by Peer Educator at community level. PMID:27051093

  13. Transitions to adulthood: examining the influence of initiation rites on the HIV risk of adolescent girls in Mangochi and Thyolo districts of Malawi. (United States)

    Skinner, Joanna; Underwood, Carol; Schwandt, Hilary; Magombo, Assana


    Although some cultural practices have been identified as a determinant of HIV transmission, research investigating how specific practices affect HIV risk is lacking. In Malawi, initiation rites, in which young people attend ceremonies around the time of puberty, have received little attention. In this qualitative study, we explored whether communities in southern Malawi perceive initiation rites to be an HIV risk factor for girls. Twelve focus group discussions were held with adolescents and adults in a rural community of Thyolo district and a peri-urban community of Mangochi district. Community members observed that certain aspects of traditional initiation rites propel girls into sexual roles expected of adulthood, without facilitating their adaption to the emerging landscape of HIV, thereby increasing HIV risk. HIV prevention programming needs to address the role of initiation rites in adolescent girls' vulnerability to HIV and help young girls navigate the conflicting messages they receive from a wide range of channels about expected sexual behavior.

  14. Newcomer Immigrant Adolescents: A Mixed-Methods Examination of Family Stressors and School Outcomes (United States)

    Patel, Sita G.; Clarke, Annette V.; Eltareb, Fazia; Macciomei, Erynn E.; Wickham, Robert E.


    Family stressors predict negative psychological outcomes for immigrant adolescents, yet little is known about how such stressors interact to predict school outcomes. The purpose of this study was to explore the interactive role of family stressors on school outcomes for newcomer adolescent immigrants. Using a convergent parallel mixed-methods…

  15. Vitamin D intake and status in Irish elderly women and adolescent girls

    DEFF Research Database (Denmark)

    McCarthy, D.; Collins, A.; O’Brien, M.;


    Aim To assess vitamin D status during summer and winter in Irish girls and elderly women, and to estimate vitamin D intake in these two age-groups. Methods Ambulatory free-living, elderly Irish women (aged 70-76 years; n = 43) and girls (aged 11-13 years; n = 17) were recruited. Fasting serums were...

  16. Effective STEM Programs for Adolescent Girls: Three Approaches and Many Lessons Learned (United States)

    Mosatche, Harriet S.; Matloff-Nieves, Susan; Kekelis, Linda; Lawner, Elizabeth K.


    While women's participation in math and physical science continues to lag to some degree behind that of men, the disparity is much greater in engineering and computer science. Though boys may outperform girls at the highest levels on math and science standardized tests, girls tend to get better course grades in math and science than boys do.…

  17. "You Can Feel Them Looking at You": The Experiences of Adolescent Girls at Swimming Pools. (United States)

    James, Kandy


    Explored constraints experienced by Australian high school girls when using public swimming pools, noting strategies they developed to negotiate these constraints. Data from focus groups and individual interviews indicated that embarrassment affected frequency and quality of participation. To reduce self-consciousness, some girls developed…

  18. The Effect of Menstrual Health Education Conducted with Peer Education Method to Adolescent Girls in 6-8 Classes on Information and Behaviors


    Zehra Golbasi; Gulbahtiyar Doganer; Nuriye Erbas


    Aim: Research was conducted as a experimental study in order to determine the effect of menstrual health education conducted with peer education to adolescent girls in 6-8 classes on information and behaviors. Method: The study was made in Primary School of Regional Girl Boarding. Working group consisted of 202 students responded completely pre-test and post-test from 214 female students studying in this school in 2008-2009 academic year. Data were collected by Personal Information Form, Mens...

  19. Predictors of level of voice in adolescent girls: ethnicity, attachment, and gender role socialization. (United States)

    Theran, Sally A


    The current study empirically examined predictors of level of voice (ethnicity, attachment, and gender role socialization) in a diverse sample of 108 14-year-old girls. Structural equation modeling results indicated that parental attachment predicted level of voice with authority figures, and gender role socialization predicted level of voice with authority figures and peers. Both masculinity and femininity were salient for higher levels of voice with authority figures whereas higher scores on masculinity contributed to higher levels of voice with peers. These findings suggest that, contrary to previous theoretical work, femininity itself is not a risk factor for low levels of voice. In addition, African-American girls had higher levels of voice with teachers and classmates than did Caucasian girls, and girls who were in a school with a greater concentration of ethnic minorities had higher levels of voice with peers than did girls at a school with fewer minority students.

  20. A cross sectional study to assess nutritional status of adolescent girls at a government senior secondary girls’ school at Bikaner, Rajasthan

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    Kavita Choudhary


    Full Text Available Introduction: Even after introduction of Kishori Shakti Yojana and SABLA with existing ICDS still we are far lagging behind the goal to achieve optimum nutritional status of adolescent girls in our country, therefore an insightful study is needed to look into its causes. Aim: To evaluate the nutritional status of school going adolescent girls of 11-16 yrs of age group. Objectives: 1. To perform anthropometric assessment of adolescent girls by recording weight, height and BMI. 2. To assess the prevalence of anemia by Hb measurement. 3. To study dietary pattern among adolescent girls. 4. To assess mean age of onset of menarche 5. To find out association of independent variables with anthropometric measurements if there is any. Materials and method: Study design: cross-sectional school based study. Study Place: Govt. Sr. Sec. Girls’ school, Bikaner, Study population: school going girls of 11-16 years age. Study Duration: 3 Months (July 2014-Sept 2014. Sampling method: Stratified random sampling, Study tool: pre-tested semi structured questionnaire Data analysis: SPSS16 software. Results: Among 240 adolescent girls studied, their age ranged from 11-16 years, including 40 participants from each year age. Mean age of onset of menarche was 12.68±0.917 years. Mean height & Mean weight were 136.8 cm & 28.64 kg respectively whereas mean BMI was 15.244. Presence of anemia was statistically significantly associated with age (p<0.05 and BMI (p<0.001. A positive correlation was observed between level of Hb and BMI (r=0.87. Daily calorie intake was observed to be positively correlated as well as significantly associated with BMI of participants. Conclusion: Adolescent girls’ nutrition still remains our major public health problem; there should be more vigorous efforts to its control as well as prevention.

  1. Seeds of prevention: the impact on health behaviors of young adolescent girls in Uttar Pradesh, India, a cluster randomized control trial. (United States)

    Kapadia-Kundu, Nandita; Storey, Douglas; Safi, Basil; Trivedi, Geetali; Tupe, Rama; Narayana, G


    Of the world's 1.2 billion adolescents (10-19 years), India is home to the largest number globally, about 243 million. However not much is known about the health of young adolescent girls (11-14 years) in India who enter puberty with substantial nutritional and health deficits. Identifying early adolescence as a "gateway" moment, the Saloni pilot study is arandomized control trial (RCT) to improve nutrition, hygiene and reproductive health behaviors in 30 schools in rural Uttar Pradesh (UP), India. A prevention model that includes Sadharanikaran, an ancient Indian theory of communication, guided the development of the intervention. The Saloni strategy includes a 10 session in-school intervention based on compassion, self efficacy, emotional well being, peer and parental support, packaged in the form of short, easy-to-use instructional modules. A diary designed to engage adolescent girls is provided to each girl. The cluster RCT was conducted from January 2010 to October 2011 with adolescent girls (11-14 years of age) in Hardoi district. The trial is a two-level, nested RCT with the unit of randomization being the block with 15 schools in the intervention arm and 15 schools in the control arm. A sample of 1200 girls was randomly selected. The intervention had a significant impact on more than 13 preventive health behaviors. About 65 percent girls in the intervention group had adopted 13 or more health behaviors at end line compared 4.5 percent in the control group at end line and 5 percent at baseline. Behavioral impact was demonstrated in all three areas of nutrition, hygiene and reproductive health. The study provides evidence that early adolescence is indeed a "gateway moment" to build nutritional and health reserves.

  2. Social Skills and Depressive Symptoms across Adolescence: Social Support as a Mediator in Girls versus Boys (United States)

    Nilsen, Wendy; Karevold, Evalill; Roysamb, Espen; Gustavson, Kristin; Mathiesen, Kristin S.


    The current population-based study of Norwegian adolescents examined gender-specific patterns in the prospective association between social skills in early adolescence (age 12.5; n = 566) and changes in depressive symptoms from early to late adolescence (age 16.5; n = 375). Further, a potential mediation effect of social support (from peers,…

  3. Attitudes toward menstruation, menstrual-related symptoms, and premenstrual syndrome among adolescent girls: a rural school-based survey. (United States)

    Wong, Li Ping


    Folk culture surrounding menstrual-related matters has considerable implications for symptom expression and treatment-seeking behavior. A cross-sectional survey of 1,295 rural adolescent girls aged 13 to 19 years was conducted between February 4 and April 16, 2009 to examine these associations. With a higher score indicating a more positive attitude toward menstruation, the mean attitude score was 3.84 (SD ± 1.62) out of a maximum of six. No significant association was observed between the severity of menstrual symptoms and attitudes. Most (63.1%) of the participants identified themselves as having premenstrual symptoms, and 61.1% viewed premenstrual symptoms as a normal part of menstrual cycle. Participants with a higher severity of symptoms in the premenstrual (OR 1.05, 95% CI 1.01-1.10) and menstrual phase (OR 1.04, 95% CI 1.01-1.07), were more likely to consult a physician for premenstrual symptoms, and having a divorced/separated parents was associated with a reduced odds of consulting a physician compared to those having parents that were married (OR 0.19, 95% CI 0.05-0.83). The findings imply the need for education to help adolescent girls manage menstrual symptoms and increase awareness of the benefit of treating them. Given that menstrual-related information was widely available from mothers, family, and social culture are potentially important in shaping good menstrual attitudes.

  4. A cross-sectional survey of upper and lower limb strength in boys and girls during childhood and adolescence. (United States)

    Parker, D F; Round, J M; Sacco, P; Jones, D A


    Changes in height and weight during childhood and adolescence are well documented, yet there is comparatively little comprehensive information about muscular development during this time. In a cross-sectional survey standing height, body weight and isometric strength of the elbow flexor and quadriceps muscles have been measured in 267 boys and 284 girls aged from 5 to 17 years. All the children were from private London schools. The mean heights and weights for each age group were between the 50th and 75th centiles for British children. The strength of both muscle groups in the boys and girls rose steadily in each age group from 8 to 12 years, after which there was a rapid increase in strength of both the quadriceps and elbow flexors in boys which continued even when growth in height and body weight had virtually ceased. In the pre-adolescent phase of growth, muscle strength of the elbow flexors and quadriceps increased as a function of height squared and cubed respectively, suggesting that stretch as a result of elongation of the long bones, and for the quadriceps, loading, may be the primary stimuli during this phase. In the postpubertal phase some other stimulus, such as a direct action of hormones on the muscle, must be responsible for the continued increase in strength in the boys.

  5. Mid-upper arm circumference is associated with biochemically determined nutritional status indicators among adolescent girls in Central Mozambique. (United States)

    Kulathinal, Sangita; Freese, Riitta; Korkalo, Liisa; Ismael, Carina; Mutanen, Marja


    Biochemically determined nutritional status measurements in low-income countries are often too expensive. Therefore, we hypothesized that some anthropometrical or functional measurements (handgrip) could reflect nutritional status measured by specific biochemical indicators. We did a population-based study from 1 urban area and 2 rural districts in Zambézia Province of Mozambique. The participants (n=386) were non-pregnant adolescent girls between 15 and 18 years of age. 96% had a normal BMI-for-age score. Weight and mid-upper arm circumference (MUAC) were highly correlated (r>0.8) with each other and with total body muscle mass, body mass index (BMI), and with waist circumference, as well as with skinfolds (r>0.6). Upper and total arm lengths were correlated (r>0.7) with height and with each other, and right and left handgrip were correlated only with each other, as were triceps and subscapular skinfolds (r>0.7). Serum albumin correlated negatively with waist circumference (Pnutritional status indicators in the models using hemoglobin, serum albumin, ferritin, zinc, and plasma retinol concentrations as dependent variables. MUAC could be a valuable anthropometric marker of the overall nutritional status of adolescent girls in low-income countries. When nutrition transition proceeds, waist circumference together with MUAC could form tools for the prediction of worsening of nutritional status.

  6. Risk and protective factors for disturbed eating in adolescent girls - aspects of perfectionism and attitudes to eating and weight. (United States)

    Aila Gustafsson, Sanna; Edlund, Birgitta; Kjellin, Lars; Norring, Claes


    The aim of this study was to longitudinally examine the role of personal standards, self-evaluation, perceived benefits of thinness and attitudes to eating and weight in the development of healthy versus disturbed eating in adolescent girls. In a longitudinal study, girls who participated in two assessments, four to five years apart, were divided into three groups according to the attitudes to eating that they manifested at the second evaluation: those with disturbed eating patterns (DE-group, n = 49), those with intermediate concerns about eating (IE-group, n = 260) and those with healthy eating attitudes (HE-group, n = 120). Variables concerning attitudes to eating and weight and physical self-evaluation emerged as risk factors, whereas personal standards or self-evaluation in general did not. Protective factors were a low BMI, healthy eating attitudes, an accepting attitude towards body size and a positive self-evaluation, particularly with regard to physical and psychological characteristics. The results of this study contribute to the understanding of early risk and protective factors for eating disturbances in girls.

  7. Understanding the effects of MTV's 16 and Pregnant on adolescent girls' beliefs, attitudes, and behavioral intentions toward teen pregnancy. (United States)

    Aubrey, Jennifer Stevens; Behm-Morawitz, Elizabeth; Kim, Kyungbo


    This article examines the impact of a popular documentary series about teen pregnancy, MTV's 16 and Pregnant, on adolescent girls' pregnancy-related attitudes, beliefs, and behavioral intentions. The results suggest that girls who watched 16 and Pregnant, compared with a control group, reported a lower perception of their own risk for pregnancy and a greater perception that the benefits of teen pregnancy outweigh the risks. The authors also examined the relationships between homophily and parasocial interaction with the teen moms featured in 16 and Pregnant and attitudes, beliefs, and behavioral intentions, finding that homophily predicted lower risk perceptions, greater acceptance of myths about teen pregnancy, and more favorable attitudes about teen pregnancy. Parasocial interaction demonstrated the same pattern of results, with the addition of also predicting fewer behavioral intentions to avoid teen pregnancy. Last, results revealed that teen girls' perceptions that the message of 16 and Pregnant was encouraging of teen pregnancy predicted homophily and parasocial interaction with the teen moms. Theoretical and practical implications are discussed.

  8. Neuropsychological Functioning of Girls with Attention-deficit/Hyperactivity Disorder Followed Prospectively into Adolescence: Evidence for Continuing Deficits? (United States)

    Hinshaw, Stephen P.; Carte, Estol T.; Fan, Catherine; Jassy, Jonathan S.; Owens, Elizabeth B.


    Prospectively followed girls with attention-deficit/hyperactivity disorder (ADHD), along with a matched comparison sample, five years after childhood neuropsychological assessments. Follow-up neuropsychological measures emphasized attentional skills, executive functions, and language abilities. Paralleling childhood findings, the childhood-diagnosed ADHD group displayed moderate to large deficits in executive/attentional performance as well as rapid naming, relative to the comparison group, at follow-up (M age = 14.2 years). ADHD-Inattentive vs. ADHD-Combined contrasts were nonsignificant and of negligible effect size, even when a refined, “sluggish cognitive tempo” subgroup of the Inattentive type was examined. Although ADHD vs. comparison differences largely withstood statistical control of baseline demographics and comorbidities, control of childhood IQ reduced EF differences to nonsignificance. Yet when the subset of girls meeting diagnostic criteria for ADHD in adolescence were compared to the remainder of the participants, neuropsychological deficits emerged even with full statistical control. Overall, childhood ADHD in girls portends neuropsychological and executive deficits that persist for at least 5 years. PMID:17402826

  9. The effect of social network site use on appearance investment and desire for cosmetic surgery among adolescent boys and girls

    NARCIS (Netherlands)

    de Vries, D.A.; Peter, J.; Nikken, P.; de Graaf, H.


    Although adolescents frequently use social network sites, little is known about whether the highly visual and self-presentation-centered character of such sites affects body-related outcomes such as investment in appearance and appearance-changing strategies. Due to gender differences in appearance

  10. Adolescent boys and girls with behavioral disorders in residential homes: A camera-glasses study

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    Alexander Wettstein


    Full Text Available Children and adolescents with behavioral disorders are often referred to residential homes. These homes cater and treat socially disadvantaged adolescents with a history of deviant behavior. This study investigated the environment of eight adolescents in these residential homes and four non-aggressive adolescents living with their families. The daily activities were recorded by using camera-glasses attached to the subject. These activities took place in school, leisure time, family and residential homes. Other additional methods were used to investigate the perception and experience of these adolescents. The results of this study indicate that the adolescents in residential homes have a smaller living space in contrast to the non-aggressive adolescents. They also have less close relationships and fewer interactions with their peers. Moreover they have more conflicts and show more often aggressive behavior and they are more often victims of aggression.

  11. Parent-child math anxiety and math-gender stereotypes predict adolescents' math education outcomes. (United States)

    Casad, Bettina J; Hale, Patricia; Wachs, Faye L


    Two studies examined social determinants of adolescents' math anxiety including parents' own math anxiety and children's endorsement of math-gender stereotypes. In Study 1, parent-child dyads were surveyed and the interaction between parent and child math anxiety was examined, with an eye to same- and other-gender dyads. Results indicate that parent's math anxiety interacts with daughters' and sons' anxiety to predict math self-efficacy, GPA, behavioral intentions, math attitudes, and math devaluing. Parents with lower math anxiety showed a positive relationship to children's math outcomes when children also had lower anxiety. The strongest relationships were found with same-gender dyads, particularly Mother-Daughter dyads. Study 2 showed that endorsement of math-gender stereotypes predicts math anxiety (and not vice versa) for performance beliefs and outcomes (self-efficacy and GPA). Further, math anxiety fully mediated the relationship between gender stereotypes and math self-efficacy for girls and boys, and for boys with GPA. These findings address gaps in the literature on the role of parents' math anxiety in the effects of children's math anxiety and math anxiety as a mechanism affecting performance. Results have implications for interventions on parents' math anxiety and dispelling gender stereotypes in math classrooms.

  12. Thinness and eating expectancies predict subsequent binge-eating and purging behavior among adolescent girls. (United States)

    Smith, Gregory T; Simmons, Jean R; Flory, Kate; Annus, Agnes M; Hill, Kelly K


    One's expectancies for reinforcement from eating or from thinness are thought to represent summaries of one's eating-related learning history and to thus influence the development of binge-eating and purging behavior. In a 3-year longitudinal study, the authors tested this hypothesis and the hypothesis that binge eating also influences subsequent expectancy development. The authors used trajectory analysis to identify groups of middle school girls who followed different trajectories of binge eating, purging, eating expectancies, and thinness expectancies. Initial eating and thinness reinforcement expectancies identified girls whose binge eating and purging increased during middle school, and expectancies differentiated girls who began these problem behaviors from girls who did not. Initial binge-eating scores differentiated among eating expectancy developmental trajectories. The onset of most behaviors can be understood in terms of learned expectancies for reinforcement from these behaviors. The same model can be applied to the risk for eating disorders.

  13. Associations between family support, family intimacy, and neighborhood violence and physical activity in urban adolescent girls. (United States)

    Kuo, JoAnn; Voorhees, Carolyn C; Haythornthwaite, Jennifer A; Young, Deborah Rohm


    We examined the association between various dimensions of the family environment, including family intimacy and involvement in activities, family support for physical activity, and neighborhood violence (perceived and objective) and physical activity among urban, predominantly African American, ninth-grade girls in Baltimore, Md. Greater family intimacy (P = .05) and support (P = .01), but not neighborhood violence, was associated with physical activity. Family factors, including family intimacy and support, are potential targets in physical activity interventions for urban high-school girls.

  14. Good/Bad Girls Read Together: Pre-Adolescent Girls' Co-Authorship of Feminine Subject Positions during a Shared Reading Event. (United States)

    Enciso, Patricia E.


    Discusses reading with pre-teens Francine Pascal's "Sweet Valley Twins: Best Friends," one of a series of pre-romance novels featuring identical twin sisters. Interviews six girls using the Symbolic Representation Interview (SRI) about the good girl/bad girl dichotomy in novels and other media. Provides comments by Tom Romano and Diana Mitchell.…

  15. Prevalence of thinness among the adolescent girls (age group 13yrs-18yrs of Garhkhal Village of Himachal Pradesh, India.

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    Priyanka Rani Garg


    Full Text Available Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Normal Tablo"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Calibri","sans-serif"; mso-bidi-font-family:"Times New Roman";} Malnutrition has now been redefined in terms of “under nutrition” and conceptualized in terms of thinness which is an important problem among children and adolescents in rural areas of developing countries like India. Therefore, present study was carried out to assess the prevalence of thinness among the adolescent girls (age group 13yrs-18yrs of Garhkhal Village of Himachal Pradesh, India. The study design was cross-sectional. Height and weight were measured and Body Mass Index (BMI was carried out. Identification of thinness was done according to the new International BMI-based classification cut offs as given by Cole et al., 2007. In general the mean BMI increased with increasing age. Overall age-combined prevalence was 79.5%. Present study indicated the poor health status of the adolescent girls of the selected area which indicates the high nutritional stress among them as evident from the thinness prevalent among them.

  16. Social protection: potential for improving HIV outcomes among adolescents

    Directory of Open Access Journals (Sweden)

    Lucie D Cluver


    Full Text Available Introduction: Advances in biomedical technologies provide potential for adolescent HIV prevention and HIV-positive survival. The UNAIDS 90–90–90 treatment targets provide a new roadmap for ending the HIV epidemic, principally through antiretroviral treatment, HIV testing and viral suppression among people with HIV. However, while imperative, HIV treatment and testing will not be sufficient to address the epidemic among adolescents in Southern and Eastern Africa. In particular, use of condoms and adherence to antiretroviral therapy (ART remain haphazard, with evidence that social and structural deprivation is negatively impacting adolescents’ capacity to protect themselves and others. This paper examines the evidence for and potential of interventions addressing these structural deprivations. Discussion: New evidence is emerging around social protection interventions, including cash transfers, parenting support and educational support (“cash, care and classroom”. These interventions have the potential to reduce the social and economic drivers of HIV risk, improve utilization of prevention technologies and improve adherence to ART for adolescent populations in the hyper-endemic settings of Southern and Eastern Africa. Studies show that the integration of social and economic interventions has high acceptability and reach and that it holds powerful potential for improved HIV, health and development outcomes. Conclusions: Social protection is a largely untapped means of reducing HIV-risk behaviours and increasing uptake of and adherence to biomedical prevention and treatment technologies. There is now sufficient evidence to include social protection programming as a key strategy not only to mitigate the negative impacts of the HIV epidemic among families, but also to contribute to HIV prevention among adolescents and potentially to remove social and economic barriers to accessing treatment. We urge a further research and programming agenda

  17. Continuity in sex-typed behavior from preschool to adolescence: a longitudinal population study of boys and girls aged 3-13 years. (United States)

    Golombok, Susan; Rust, John; Zervoulis, Karyofyllis; Golding, Jean; Hines, Melissa


    Sex-typed behavior was assessed at age 3 using the Pre-School Activities Inventory, and at age 13 using the Multidimensional Gender Identity Scale, in 54 masculine boys, 57 masculine girls, 75 feminine boys, 65 feminine girls, 61 control boys, and 65 control girls. At age 13, girls who had been masculine at age 3 felt less similar to other girls, were less content being a girl, and had greater self-efficacy for male-typed activities than control girls, and girls who had been feminine at age 3 had greater self-efficacy for female-typed activities. Boys who had been feminine at age 3 felt less similar to other boys and had lower self-efficacy for male-typed activities than control boys at age 13, and boys who had been masculine at age 3 felt more competent in agentic roles. Thus, sex-typed behavior at age 3 predicted sex-typed behavior at age 13. It was concluded that the degree of sex-typed behavior shown by preschool children is a good indicator of their degree of sex-typed behavior following the transition to adolescence.

  18. Differences in Human Papillomavirus Vaccination Among Adolescent Girls in Metropolitan Versus Non-metropolitan Areas: Considering the Moderating Roles of Maternal Socioeconomic Status and Health Care Access (United States)

    Rhubart, Danielle C.; Wallington, Sherrie Flynt


    Objectives This study is among the first to examine metropolitan status differences in human papillomavirus (HPV) vaccine initiation and completion among United States adolescent girls and is unique in its focus on how maternal socioeconomic status and health care access moderate metropolitan status differences in HPV vaccination. Methods Using cross-sectional data from 3573 girls aged 12–17 in the U.S. from the 2008–2010 Behavioral Risk Factor Surveillance System, we estimate main and interaction effects from binary logistic regression models to identify subgroups of girls for which there are metropolitan versus non-metropolitan differences in HPV vaccination. Results Overall 34 % of girls initiated vaccination, and 19 % completed all three shots. On average, there were no metropolitan status differences in vaccination odds. However, there were important subgroup differences. Among low-income girls and girls whose mothers did not complete high school, those in non-metropolitan areas had significantly higher probability of vaccine initiation than those in metropolitan areas. Among high-income girls and girls whose mothers completed college, those in metropolitan areas had significantly higher odds of vaccine initiation than those in non-metropolitan areas. Moreover, among girls whose mothers experienced a medical cost barrier, non-metropolitan girls were less likely to initiate vaccination compared to metropolitan girls. Conclusions Mothers remain essential targets for public health efforts to increase HPV vaccination and combat cervical cancer. Public health experts who study barriers to HPV vaccination and physicians who come into contact with mothers should be aware of group-specific barriers to vaccination and employ more tailored efforts to increase vaccination. PMID:26511129

  19. Non-suicidal self-injury and suicidal ideation as predictors of suicide attempts in adolescent girls: a multi-wave prospective study. (United States)

    Scott, Lori N; Pilkonis, Paul A; Hipwell, Alison E; Keenan, Kate; Stepp, Stephanie D


    Although both suicide ideation (SI) and non-suicidal self-injury (NSSI) are known risk factors for suicidal behavior, few longitudinal studies have examined whether having a history of one or both of these factors prospectively predicts increased risk for suicide attempts. According to the theory of acquired capability for suicide, engagement in NSSI may reduce inhibitions around self-inflicted violence, imparting greater risk for suicide attempts among those with SI than would be observed in those with SI who do not have a history of NSSI. We used prospective data from the Pittsburgh Girls Study, a large community sample, to compare groups of girls reporting no SI or NSSI, SI only, or both NSSI and SI between early to late adolescence on any lifetime or recent suicide attempts in late adolescence and early adulthood. As compared to girls with no SI or NSSI history and those with only an SI history, girls with a history of both NSSI and SI were significantly more likely to subsequently report both lifetime and recent suicide attempts. Results are consistent with the acquired capability theory for suicide and suggest that adolescent girls who have engaged in NSSI and also report SI represent a particularly high-risk group in need of prevention and intervention efforts.

  20. Using Ecological Momentary Assessment to Examine Interpersonal and Affective Predictors of Loss of Control Eating in Adolescent Girls (United States)

    Ranzenhofer, Lisa M.; Engel, Scott G.; Crosby, Ross D.; Anderson, Micheline; Vannucci, Anna; Cohen, L. Adelyn; Cassidy, Omni; Tanofsky-Kraff, Marian


    Objective Pediatric loss of control (LOC) eating is predictive of partial- and full-syndrome binge eating disorder. The interpersonal model proposes that LOC eating is used to cope with negative mood states resulting from interpersonal distress, possibly on a momentary level. We therefore examined temporal associations between interpersonal problems, negative affect, and LOC eating among overweight adolescent girls using ecological momentary assessment (EMA). Method Thirty overweight and obese (≥85th body mass index (BMI) percentile; BMI: M = 36.13, SD = 7.49 kg/m2) adolescent females (Age: M = 14.92, SD = 1.54 y; 60.0% African American) who reported at least two LOC episodes in the past month completed self-report momentary ratings of interpersonal problems, state affect, and LOC eating for 2 weeks. A series of 2-level multilevel models with centering within subjects was conducted. Results Between- and within-subjects interpersonal problems (p’s < .05), but not between- (p = .12) or within- (p = .32) subjects negative affect predicted momentary LOC eating. At the between-subjects level, interpersonal problems significantly predicted increases in negative affect (p < 001). Discussion Naturalistic data lend support to the predictive value of interpersonal problems for LOC eating among adolescents. Interventions targeting interpersonal factors on a momentary basis may be useful during this developmental stage. PMID:25046850

  1. Psychopathy as predictor and moderator of Multisystemic Therapy outcomes among adolescents treated for antisocial behavior

    NARCIS (Netherlands)

    Manders, W.A.; Deković, M.; Asscher, J.J.; van der Laan, P.H.; Prins, P.J.M.


    Objective: The aim of the present study was to determine whether psychopathic traits act as a predictor and/or moderator of the effectiveness of Multisystemic Therapy (MST). Method: The sample included N = 256 adolescents (188 boys and 68 girls) referred for conduct problems, randomized to MST or Tr

  2. Parenting, Community, and Religious Predictors of Positive and Negative Developmental Outcomes among Muslim Adolescents (United States)

    Krauss, Steven Eric; Hamzah, Azimi; Ismail, Ismi Arif; Suandi, Turiman; Hamzah, Siti Raba'ah; Dahalan, Dzuhailmi; Idris, Fazilah


    Despite existing research on the contribution of social context and religiosity to adolescent behavioral outcomes, few studies have attempted to explore this topic among Muslim adolescents in non-Western settings, looking at both positive and negative outcomes. In response to this gap, the current study explored the effects of three dimensions of…

  3. A Longitudinal Examination of the Influence of Maturation on Physical Self-Perceptions and the Relationship with Physical Activity in Early Adolescent Girls (United States)

    Knowles, Ann-Marie; Niven, Ailsa G.; Fawkner, Samantha G.; Henretty, Joan M.


    This longitudinal study investigated the influence of maturation on physical self-perceptions and the relationship with physical activity in early adolescent girls (N = 150; mean age = 12.79 plus or minus 0.31). Physical characteristics were measured and participants completed the Physical Activity Questionnaire for Children, the Children and…

  4. Long-term persistence of systemic and mucosal immune response to HPV-16/18 AS04-adjuvanted vaccine in preteen/adolescent girls and young women

    DEFF Research Database (Denmark)

    Petäjä, T; Pedersen, Court; Poder, A;


    of transudation or exudation of serum IgG antibodies through the cervical epithelium. The HPV-16/18 AS04-adjuvanted vaccine had a clinically acceptable safety profile. In conclusion, this follow-up study shows that the HPV-16/18 AS04-adjuvanted vaccine administered to preteen/adolescents girls and young women...

  5. Long-term persistence of systemic and mucosal immune response to HPV-16/18 AS04-adjuvanted vaccine in preteen/adolescent girls and young women

    DEFF Research Database (Denmark)

    Petäjä, T; Pedersen, C; Andersen, Anne Poder;


    of transudation or exudation of serum IgG antibodies through the cervical epithelium. The HPV-16/18 AS04-adjuvanted vaccine had a clinically acceptable safety profile. In conclusion, this follow-up study shows that the HPV-16/18 AS04-adjuvanted vaccine administered to preteen/adolescents girls and young women...

  6. Exploring Gender-Specific Trends in Underage Drinking across Adolescent Age Groups and Measures of Drinking: Is Girls' Drinking Catching up with Boys'? (United States)

    Zhong, Hua; Schwartz, Jennifer


    Underage drinking is among the most serious of public health problems facing adolescents in the United States. Recent concerns have centered on young women, reflected in media reports and arrest statistics on their increasing problematic alcohol use. This study rigorously examined whether girls' alcohol use rose by applying time series methods to…

  7. Links between Alcohol and Other Drug Problems and Maltreatment among Adolescent Girls: Perceived Discrimination, Ethnic Identity, and Ethnic Orientation as Moderators (United States)

    Gray, Calonie M. K.; Montgomery, Marilyn J.


    Objectives: This study examined the links between maltreatment, posttraumatic stress symptoms, ethnicity-specific factors (i.e., perceived discrimination, ethnic identity, and ethnic orientation), and alcohol and/or other drug (AOD) problems among adolescent girls. Methods: These relations were examined using archived data from a community sample…

  8. Body dissatisfaction and body mass in girls and boys transitioning from early to mid-adolescence: additional role of self-esteem and eating habits

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    Mäkinen Mauno


    Full Text Available Abstract Background In the transition from early to mid-adolescence, gender differences in pubertal development become significant. Body dissatisfaction is often associated with body mass, low self-esteem and abnormal eating habits. The majority of studies investigating body dissatisfaction and its associations have been conducted on female populations. However, some evidence suggests that males also suffer from these problems and that gender differences might already be observed in adolescence. Aims To examine body dissatisfaction and its relationship with body mass, as well as self-esteem and eating habits, in girls and boys in transition from early to mid-adolescence. Methods School nurses recorded the heights and weights of 659 girls and 711 boys with a mean age of 14.5 years. The Rosenberg Self-Esteem Scale and the Body Dissatisfaction subscale of the Eating Disorder Inventory were used as self-appraisal scales. Eating data were self-reported. Results The girls were less satisfied with their bodies than boys were with theirs (mean score (SD: 30.6 (SD 12.2 vs. 18.9 (SD 9.5; p  Conclusions Body mass, self-esteem and eating habits revealed a significant relationship with body dissatisfaction in the transitional phase from early to mid-adolescence in girls and boys, but significant gender differences were also found.

  9. Adolescent pregnancies and girls' sexual and reproductive rights in the amazon basin of Ecuador: an analysis of providers' and policy makers' discourses

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    Sebastian Miguel


    Full Text Available Abstract Background Adolescent pregnancies are a common phenomenon that can have both positive and negative consequences. The rights framework allows us to explore adolescent pregnancies not just as isolated events, but in relation to girls' sexual and reproductive freedom and their entitlement to a system of health protection that includes both health services and the so called social determinants of health. The aim of this study was to explore policy makers' and service providers' discourses concerning adolescent pregnancies, and discuss the consequences that those discourses have for the exercise of girls' sexual and reproductive rights' in the province of Orellana, located in the amazon basin of Ecuador. Methods We held six focus-group discussions and eleven in-depth interviews with 41 Orellana's service providers and policy makers. Interviews were transcribed and analyzed using discourse analysis, specifically looking for interpretative repertoires. Results Four interpretative repertoires emerged from the interviews. The first repertoire identified was "sex is not for fun" and reflected a moralistic construction of girls' sexual and reproductive health that emphasized abstinence, and sent contradictory messages regarding contraceptive use. The second repertoire -"gendered sexuality and parenthood"-constructed women as sexually uninterested and responsible mothers, while men were constructed as sexually driven and unreliable. The third repertoire was "professionalizing adolescent pregnancies" and lead to patronizing attitudes towards adolescents and disregard of the importance of non-medical expertise. The final repertoire -"idealization of traditional family"-constructed family as the proper space for the raising of adolescents while at the same time acknowledging that sexual abuse and violence within families was common. Conclusions Providers' and policy makers' repertoires determined the areas that the array of sexual and reproductive

  10. Exploring a model linking social physique anxiety, drive for muscularity, drive for thinness and self-esteem among adolescent boys and girls. (United States)

    Brunet, Jennifer; Sabiston, Catherine M; Dorsch, Kim D; McCreary, Donald R


    This study examined gender differences on body image measures, and tested a model where self-esteem influences social physique anxiety (SPA), which in turn influences drive for muscularity and drive for thinness in a sample of adolescents (N=329; 58% boys). Multi-group invariance analyses indicated that the measurement and structural models were partially invariant for boys and girls, allowing for gender comparisons. Results indicated that boys reported significantly lower drive for thinness and SPA, and higher drive for muscularity and self-esteem compared to girls. The measurement and structural models were an adequate fit for the total sample. Findings supported the proposed sequence in which self-esteem significantly influenced SPA, and SPA significantly influenced the drives for muscularity and thinness. Interventions aimed at decreasing SPA, by promoting self-esteem, may be helpful in decreasing adolescent boys' and girls' drive for muscularity and thinness.

  11. In the face of war: examining sexual vulnerabilities of Acholi adolescent girls living in displacement camps in conflict-affected Northern Uganda

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    Patel Sheetal H


    Full Text Available Abstract Background Adolescent girls are an overlooked group within conflict-affected populations and their sexual health needs are often neglected. Girls are disproportionately at risk of HIV and other STIs in times of conflict, however the lack of recognition of their unique sexual health needs has resulted in a dearth of distinctive HIV protection and prevention responses. Departing from the recognition of a paucity of literature on the distinct vulnerabilities of girls in time of conflict, this study sought to deepen the knowledge base on this issue by qualitatively exploring the sexual vulnerabilities of adolescent girls surviving abduction and displacement in Northern Uganda. Methods Over a ten-month period between 2004–2005, at the height of the Lord’s Resistance Army insurgency in Northern Uganda, 116 in-depth interviews and 16 focus group discussions were held with adolescent girls and adult women living in three displacement camps in Gulu district, Northern Uganda. The data was transcribed and key themes and common issues were identified. Once all data was coded the ethnographic software programme ATLAS was used to compare and contrast themes and categories generated in the in-depth interviews and focus group discussions. Results Our results demonstrated the erosion of traditional Acholi mentoring and belief systems that had previously served to protect adolescent girls’ sexuality. This disintegration combined with: the collapse of livelihoods; being left in camps unsupervised and idle during the day; commuting within camp perimeters at night away from the family hut to sleep in more central locations due to privacy and insecurity issues, and; inadequate access to appropriate sexual health information and services, all contribute to adolescent girls’ heightened sexual vulnerability and subsequent enhanced risk for HIV/AIDS in times of conflict. Conclusions Conflict prevention planners, resettlement programme developers, and

  12. An assessment of interventional strategies for control of anemia among adolescent girls in an urban slum of Karad, Dist. Satara, Maharashtra

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    Sujata Vijaysinh Patil


    Full Text Available Objectives: To find the prevalence of anemia among adolescent girls and to assess the impact of nutritional education, therapeutic intervention and supplementary intervention for the control of anemia amongst these girls. Materials & Methods: A longitudinal study was carried out in an urban field practice area of Department of Community Medicine in a teaching institute in Western Maharashtra. All the adolescent girls in the age group of 11-18 years were contacted by a house-to-house survey during which data regarding social and personal factors was collected along with hemoglobin (Hb estimation. Out of the total 103 adolescent girls 88 (85.4% were anemic of which 52 (50.48% had mild anemia, 34 (33% moderate anemia and 2 (1.9% had severe anemia. Age match distribution was done of the 52 mildly anemic girls in Group 1, Group 2 and Group 3 in the size of 17, 17 and 18 respectively. Interventions of nutritional education, distribution of iron and folic acid tablets and supplementary nutrition by giving iron rich preparations was done in the above three groups for a period of one month and Hb was rechecked. Statistical Analysis: was done by applying one way ANOVA, Chi-square test and logistic regression analysis. Results: One way ANOVA revealed homogeneity in age matched distribution of girls in 3 groups. There was significant rise in the Hb level in group 2 who received iron and folic acid tablets. No change in Hb level was seen in group 1and 3. But in some girls there was improvement in Hb levels however in some there was reduction in Hb level belonging to group 1 and 3. By applying backward logistic regression model it was found that increasing age, mixed diet and supplementation of iron and folic acid were associated with improved Hb level irrespective of intervention in group 1 and 3.

  13. Evaluating the Effectiveness of Pubertal Preparedness Program in Terms of Knowledge and Attitude Regarding Pubertal Changes Among Pre-Adolescent Girls

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    Manisha Rani RN


    Full Text Available Objective: To compare the knowledge and attitude regarding pubertal changes among pre – adolescent girls before and after the pubertal preparedness program (PPP in experimental and comparison group.Materials and methods: A Quasi experimental (non- equivalent comparison group pretest posttest design was adopted with 104pre-adolescentgirls (52 in each experimental and comparison group of age 12-14years, selected by purposive sampling from two different Government schools of Ambala District. Knowledge and attitude was assessed using structured knowledge questionnaire (KR-20 = 0.74 and 5 point likert scale (Cronbach’s alpha = 0.79 respectively. On the same day of pretest, PPP was administered and on 12th day FAQs reinforcement session was held only for experimental group. After 28 days, posttest was taken.Results: The computed t value of pretest of knowledge and attitude scores of pre-adolescent girls (1.97, (1.95 respectively in experimental and comparison group was found non-significant at 0.05 level of significance which shows that both group didn’t differ significantly in their knowledge and attitude before the administration of intervention. Findings of unpaired ‘t’ value of posttest knowledge and attitude scores of pre-adolescent girls (19.77, (17.17 respectively in experimental and comparison group were found significant at 0.05 level of significance, Thus knowledge and attitude of pre-adolescent girls were improved with PPP and FAQs session.Conclusion: Pubertal preparedness program and FAQs reinforcement session are effective in enhancing knowledge and developing favorable attitude among pre-adolescent girls.

  14. Adolescent prolapsed lumbar intervertebral disc: Management strategies and outcome

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    Pragyan Sarma


    Full Text Available Objective: Lumbar intervertebral disc herniation (LIVDH is rare in children and adolescents when compared to adults. In literature, children generally constitute around 0.5–3% of surgically treated LIVDH. Though much rarer, they are less likely to respond to conservative treatment than adults. In this study, we analyze our experience in the management of adolescent LIVDH (ALIVDH (age group 12–18 years including the demographic, clinico-radiological features; surgical management strategies and outcome. Materials and Methods: This retrospective analysis constituted all patients between 12 and 18 years, who underwent surgery for LIVDH at our institute over a period of 15 years from January 1999 to June 2014. The records of these patients were retrieved, and demographic features, clinical picture, radiological features, operative findings, and postoperative events were evaluated. Follow-up data were obtained either through direct clinical evaluation or mailed self-report questionnaire and telephone conversations. The long-term outcome was analyzed by using standardized and condition specific outcome scales in addition to routine clinical follow-up evaluation. The long-term outcome was analyzed by using the short form-36 (SF-36.Results: There were a total of 32 patients (26 males, eight females with an average age of 15.64 years. Trauma was a significant etiological factor 57.14% (n = 16/28. Vertebral anomalies were present in 35.7% (n = 10/28 cases. Majority had a neurological deficit at presentation (n = 20/28. The most commonly involved level was the L4–L5 level (n = 18/128 in this series. Multiple level disc degeneration was present in eight patients (28.6%. Immediate postoperative relief was achieved in all but one patient. At long-term follow-up twenty patients were pain-free (71.4%. At follow-up, the physical functioning scale of SF-36 was significantly lower in patients with gross motor deficit prior to surgery. Conclusions: Early

  15. Associations between sociocultural pressures to be thin, body distress, and eating disorder symptomatology among Chilean adolescent girls. (United States)

    Caqueo-Urízar, Alejandra; Ferrer-García, Marta; Toro, José; Gutiérrez-Maldonado, José; Peñaloza, Claudia; Cuadros-Sosa, Yasna; Gálvez-Madrid, Ma José


    This study explored the relationships between perceived sociocultural pressure to fulfill the thin beauty ideal, body distress, and the presence of eating disorder symptoms. Participants were 437 Chilean adolescent girls from Arica, northern Chile, aged 13-18. Results showed significant associations between perceived pressure from social agents to be thin and the presence of disrupted eating attitudes and behavior. The perceived influence of advertising, verbal messages and social situations related to eating and dieting emerged as the strongest predictors of eating disorders symptoms. Influence of advertising was also the strongest predictor of body image distress. Age differences emerged in perceived sociocultural pressure to be thin, with older participants reporting higher sociocultural pressure to fulfill the slender beauty ideal. This paper provides information about body distress and associated disturbances, a phenomenon which has seldom been studied in non-Western countries, but which has important health implications.

  16. Biofeedback Treatment of Paradoxical Vocal Fold Motion and Respiratory Distress in an Adolescent Girl (United States)

    Warnes, Emily; Allen, Keith D.


    In this investigation, we evaluated the effectiveness of surface electromyography (EMG) biofeedback to treat paradoxical vocal fold motion in a 16-year-old girl. EMG biofeedback training occurred once per week over the course of 10 weeks. In a changing criterion design, muscle tension showed systematic changes that corresponded with changes in the…

  17. Relationships among Adolescent Girls' Eating Behaviors and Their Parents' Weight-Related Attitudes and Behaviors. (United States)

    Wertheim, Eleanor H.; Mee, Virginia; Paxton, Susan J.


    Studied the weight-loss behaviors of 369 Australian tenth-grade girls and possible parental influences related to weight and shape. Parental encouragement to lose weight was a more significant predictor of daughter's dietary restraint than parents' own dietary-restraint levels. (SLD)

  18. Asking mom: formative research for an HPV vaccine campaign targeting mothers of adolescent girls. (United States)

    Shafer, Autumn; Cates, Joan R; Diehl, Sandra J; Hartmann, Miriam


    Vaccination against the types of human papillomavirus (HPV) that cause about 70% of cervical cancers is approved for use in girls and women between 9 and 26 years of age and recommended routinely in 11-12-year-old girls. This article reports on the systematic theory-based formative research conducted to develop HPV vaccine messages for a campaign targeting racially diverse mothers of nonvaccinated 11-12-year-old girls in rural Southeastern United States. A consortium of 13 county health departments concerned about high rates of cervical cancer in their region relative to state and national averages initiated the campaign. The research examined behavioral determinants for vaccination decisions as well as mothers' reactions to message frames and emotional appeals. On the basis of focus groups and intercept interviews (n = 79), the authors demonstrated how preproduction message research and production message testing were used to develop messages that would motivate mothers of preteen girls. Core emotional truths that emerged were a mother's instinct to protect her daughter from harm and to embrace aspirations for her daughter's future. Mothers also reacted more positively to text about preventing cervical cancer than about preventing HPV, a sexually transmitted disease. Mothers preferred message concepts with photos of minorities and Caucasian mothers and daughters.

  19. Brief Report: Pregnant by Age 15 Years and Substance Use Initiation among US Adolescent Girls (United States)

    Cavazos-Rehg, Patricia A.; Krauss, Melissa J.; Spitznagel, Edward L.; Schootman, Mario; Cottler, Linda B.; Bierut, Laura Jean


    We examined substance use onset and associations with pregnancy by age 15 years. Participants were girls ages 15 years or younger (weighted n = 8319) from the 1999-2003 Youth Risk Behavior Surveillance System (YRBS). Multivariable logistic regression examined pregnancy as a function of substance use onset (i.e., age 10 years or younger, 11-12,…

  20. 5-HTTLPR Moderates the Effect of Relational Peer Victimization on Depressive Symptoms in Adolescent Girls (United States)

    Benjet, Corina; Thompson, Renee J.; Gotlib, Ian H.


    Background: Relational peer victimization is associated with internalizing symptoms. Compared to boys, girls are more likely to be both relationally victimized by peers and distressed by the victimization. While previous studies have reported that a functional polymorphism in the promoter region of the serotonin transporter gene (5-HTTLPR)…

  1. Interventions to Promote Physical Activity among Young and Adolescent Girls: A Systematic Review (United States)

    Camacho-Minano, Maria J.; LaVoi, Nicole M.; Barr-Anderson, Daheia J.


    A narrative systematic review was conducted to describe the available evidence from physical activity (PA) interventions that targeted girls aged 5-18 years and to determine their effectiveness and key characteristics of success. Systematic literature searches were conducted using four databases: PubMed, Web of Science, PsychInfo and SPORTDiscus…

  2. "Power, Regulation and Physically Active Identities": The Experiences of Rural and Regional Living Adolescent Girls (United States)

    Casey, M.; Mooney, A.; Smyth, J.; Payne, W.


    Drawing on interpretations of Foucault's techniques of power, we explored the discourses and power relations operative between groups of girls that appeared to influence their participation in Physical Education (PE) and outside of school in sport and physical activity (PA) in rural and regional communities. Interviews and focus groups were…

  3. Adolescent Girls' Cognitive Appraisals of Coping Responses to Sexual Harassment (United States)

    Leaper, Campbell; Brown, Christia Spears; Ayres, Melanie M.


    Peer sexual harassment is a stressor for many girls in middle and high school. Prior research indicates that approach strategies (seeking support or confronting) are generally more effective than avoidance strategies in alleviating stress. However, the deployment of effective coping behaviors depends partly on how individuals evaluate different…

  4. Late Adolescent Girls' Relationships with Parents and Romantic Partner: The Distinct Role of Mothers and Fathers (United States)

    Scharf, Miri; Mayseless, Ofra


    The distinct role of mothers and fathers in shaping the quality of relationships with romantic partner was explored. One hundred and twenty 17-year old girls were observed during their senior year in high school with each of their parents during a Revealed differences task [Allen, J. P., Hauser, S. T., Bell, K. L., Boykin, K. A., & Tate, D. C.…

  5. Resilient Adolescent Adjustment among Girls: Buffers of Childhood Peer Rejection and Attention-Deficit/Hyperactivity Disorder (United States)

    Mikami, Amori Yee; Hinshaw, Stephen P.


    Examined a risk-resilience model of peer rejection and attention-deficit/hyperactivity disorder (ADHD) in a 5-year longitudinal study of 209 ethnically and socioeconomically diverse girls aged 6-13 at baseline and 11-18 at follow-up. Risk factors were childhood ADHD diagnosis and peer rejection; hypothesized protective factors were childhood…

  6. Predictors of Level of Voice in Adolescent Girls: Ethnicity, Attachment, and Gender Role Socialization (United States)

    Theran, Sally A.


    The current study empirically examined predictors of level of voice (ethnicity, attachment, and gender role socialization) in a diverse sample of 108 14-year-old girls. Structural equation modeling results indicated that parental attachment predicted level of voice with authority figures, and gender role socialization predicted level of voice with…

  7. Evaluation and Treatment of Swimming Pool Avoidance Exhibited by an Adolescent Girl with Autism (United States)

    Rapp, John T.; Vollmer, Timothy R.; Hovanetz, Alyson N.


    We evaluated and treated swimming pool avoidance that was exhibited by a 14-year-old girl diagnosed with autism. In part, treatment involved blocking for flopping (dropping to the ground) and elopement (running away from the pool) and access to food for movements toward a swimming pool. Treatment also involved reinforcement for exposure to various…

  8. Design vs. Content: A Study of Adolescent Girls' Website Design Preferences (United States)

    Agosto, Denise E.


    This study considered the utility of gender schema theory in examining girls' website design preferences. It built on a previous study which identified eight website evaluation criteria related to biological sex: collaboration, social connectivity, flexibility, motility, contextuality, personal identification, inclusion, and graphic/multimedia…

  9. El Apoyo a las Ninas en la Temprana Adolescencia (Supporting Girls in Early Adolescence). ERIC Digest. (United States)

    Rothenberg, Dianne

    Results of national studies suggest that for girls, the middle grades can be a time of significant decline in self-esteem and academic achievement. Reasons for this decline are not clearly indicated by research, but it is likely that multiple factors are involved. One factor is the preferential treatment boys receive in the classroom.…

  10. Application of Theory of Planned Behavior in Predicting of effective Factors on heterosexual relationship in girls Adolescence of Birjand city

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    Narges Sarzehi


    Full Text Available Background and Aim: Puberty is one of the most critical periods in life that makes individual to feel and behave in a different way. One of the major issues faced young people is the conflict between spiritual values, customary and familiar to the freedom or non-freedom of heterosexual relationships and how to deal with it. Therefore, this study aimed to determine Predicting Factors heterosexual relationship in girls Adolescence of Birjand city. Materials and Methods: In this descriptive analytical study, samples were collected from   girl students in high schools in different regions of Birjand in 2015. The survey was carried out via simple random sampling of 395 students. Data were collected by the validated and reliable questionnaire based on theory of planned behavior. The gathered data were analyzed using SPSS20 and descriptive statistical tests and , Pearson correlation, logistic regression , t- test and ANOVA tests in significant level less than 0.05... Results: Among the adolescents participating in this study 43.9% with an average duration was about 15±7 months. Logistic regression analysis showed that attitudes (P≤0.001, intention (P≤0.001, mother's occupation (p=0.03, family size (p=0.01, birth (p=0.03 and the satellite programs watching (p=0.01 strong predictor for the heterosexual relationship individuals were studied. Conclusion: According to the results of this study showed that the attitude and intention for the relationship with the opposite sex were strong predictors. So the theory of planned behavior can be used as an effective method for planning and intervention to prevent heterosexual relationship.

  11. A study of calcium intake and sources of calcium in adolescent boys and girls from two socioeconomic strata, in Pune, India. (United States)

    Sanwalka, Neha J; Khadilkar, Anuradha V; Mughal, M Zulf; Sayyad, Mehmood G; Khadilkar, Vaman V; Shirole, Shilpa C; Divate, Uma P; Bhandari, Dhanshari R


    Adequate intake of calcium is important for skeletal growth. Low calcium intake during childhood and adolescence may lead to decreased bone mass accrual thereby increasing the risk of osteoporotic fractures. Our aim was to study dietary calcium intake and sources of calcium in adolescents from lower and upper economic strata in Pune, India. We hypothesized that children from lower economic strata would have lower intakes of calcium, which would predominantly be derived from non-dairy sources. Two hundred male and female adolescents, from lower and upper economic stratum were studied. Semiquantitative food frequency questionnaire was used to evaluate intakes of calcium, phosphorus, oxalic acid, phytin, energy and protein. The median calcium intake was significantly different in all four groups, with maximum intake in the upper economic strata boys (893 mg, 689-1295) and lowest intake in lower economic strata girls (506 mg, 380-674). The median calcium intake in lower economic strata boys was 767 mg (585-1043) and that in upper economic strata girls was 764 mg (541-959). The main source of calcium was dairy products in upper economic strata adolescents while it was dark green leafy vegetables in lower economic strata adolescents. The median calcium intake was much lower in lower economic strata than in the upper economic strata both in boys and girls. Girls from both groups had less access to dairy products as compared to boys. Measures need to be taken to rectify low calcium intake in lower economic strata adolescents and to address gender inequality in distribution of dairy products in India.

  12. The value of different Risser grading systems in determining growth maturity of girls with adolescent idiopathic scoliosis. (United States)

    Wang, Weijun; Zhen, Xin; Sun, Xu; Zhu, Zezhang; Zhu, Feng; Lam, T P; Cheng, Jack C Y; Qiu, Yong


    A grading system for ossification of the iliac apophysis (Risser sign) was developed for skeletal maturity assessment in the United States (US) then adopted with modifications in France (Fr) and other countries. Despite the same name, these systems have important differences. With the aim to analyzing the difference between US and Fr Risser grading systems in determining the growth maturity of girls with adolescent idiopathic scoliosis (AIS), Fifty-three AIS girls undergoing posterior spinal correction with autogenous bone graft were recruited. The Risser grades were recorded for the non-dominant side iliac crest apophysis according to the US and Fr grading systems. Growth activity was determined by standard histologic grades (HGs) on iliac crest cartilage. As a result, Kappa statistics showed poor agreement between two grading systems. The US system showed higher correlation with HGs compared to Fr system by Spearman correlation analysis. It was also found that growth cessation could be determined by Risser grade 5 of US system or Risser grade 4 of Fr system. Furthermore, by employing Receiver Operating Characteristic (ROC) curve analysis, it was found that the Risser grade 4-5 of US system with two years after menarche could be used in determining growth cessation with the highest sensitivity, specificity and accuracy. Hence it was concluded that the US Risser grading system was better in determining maturity of girls with AIS than Fr Risser grading system. By combining years since menarche, the accuracy of Risser grades in determining growth cessation could be enhanced, and the time of weaning from a brace could be advanced.

  13. Breakfast skipping as a risk correlate of overweight and obesity in school-going ethnic Fijian adolescent girls. (United States)

    Thompson-McCormick, Jonas J; Thomas, Jennifer J; Bainivualiku, Asenaca; Khan, A Nisha; Becker, Anne E


    The prevalence of overweight and obesity has increased globally, and population data suggest that it is also increasing among ethnic Fijian youth. Among numerous behavioural changes contributing to overweight in youth residing in nations undergoing rapid economic and social change, meal skipping has not been examined as a potential risk factor. The study objectives were to assess the prevalence of overweight, obesity, and breakfast skipping and examine their cross-sectional association in a community sample of school-going ethnic Fijian adolescent girls (N=523). We measured height and weight, and assessed dietary patterns, eating pathology, dimensions of acculturation, and other socio-demographic and cultural data by self-report. We observed a high prevalence of both overweight (41%, including 15% who were obese) and breakfast skipping (68%). In addition, in multivariable analyses unadjusted for eating pathology, we found that more frequent breakfast skipping was associated with greater odds of overweight (odds ratio (OR)=1.15, confidence interval (CI)=1.06, 1.26, pbreakfast skipping, eating pathology, and overweight in ethnic Fijian girls, and to identify whether breakfast skipping may be a modifiable risk factor for overweight in this population.

  14. Teenage Turning Point. Does Adolescence Herald the Twilight of Girls' Self-Esteem? (United States)

    Bower, Bruce


    Discussed is research related to the self-esteem of adolescents in the United States. Studies conducted by the American Association of University Women (AAUW), Carol Gilligan, and others are highlighted. (CW)

  15. Homeschooled adolescents in the United States: developmental outcomes. (United States)

    Green-Hennessy, Sharon


    The mission of schools has broadened beyond academics to address risk behaviors such as substance use, delinquency, and socialization problems. With an estimated 3.4% of all U.S. youth being homeschooled, this study examines how U.S. homeschoolers fare on these outcomes given their lack of access to these school services. Adolescents (ages 12-17) from the 2002 through 2011 National Surveys of Drug Use and Health (NSDUH) were divided based on school status (home vs. traditional schooling) and religious affiliation (stronger vs. weaker). Controlling for demographic differences, homeschoolers with weaker religious ties were three times more likely to report being behind their expected grade level and two and a half times more likely to report no extracurricular activities in the prior year than their traditionally schooled counterparts. This group was also more likely to report lax parental attitudes toward substance use. Findings suggest homeschoolers with weaker religious ties represent an at-risk group.

  16. Pediatric and adolescent obesity: management, options for surgery, and outcomes. (United States)

    Zitsman, Jeffrey L; Inge, Thomas H; Reichard, Kirk W; Browne, Allen F; Harmon, Carroll M; Michalsky, Marc P


    The past four decades have witnessed a marked rise in the number of children and adolescents with obesity. Severe obesity has also become increasingly prevalent. More young patients who have obesity are being referred for weight management and weight loss surgery, thus posing new challenges to both the medical personnel who care for them as well as the institutions in which that care is provided. This manuscript is generated from the material presented at the Education Day symposium entitled "Surgical Care of the Obese Child" held at the 42nd Annual Meeting of the American Pediatric Surgical Association in Palm Desert, CA, on May 22, 2011. Herein the presenters at the symposium update the material addressing evaluation of a young person for weight loss surgery (including the team approach to patient evaluation and institutional infrastructure and responsibilities). The procedures most frequently available to young patients with obesity are identified, and current outcomes, trends, and future direction are also discussed.

  17. Study of knowledge, perception and attitude of adolescent girls towards STIs/HIV, safer sex and sex education: (A cross sectional survey of urban adolescent school girls in South Delhi, India

    Directory of Open Access Journals (Sweden)

    Dhar Lipi


    Full Text Available Abstract Background Sexually Transmitted Infections (STI's, including HIV (Human Immunodeficiency Virus mainly affects sexually active young people. Young adults aged 15–29 years, account for 32% of AIDS (Acquired Immunodeficiency Syndrome cases reported in India and the number of young women living with HIV/AIDS is twice that of young men. The aim of the study was to evaluate adolescent school girls' knowledge, perceptions and attitudes towards STIs/HIV and safer sex practice and sex education and to explore their current sexual behaviour in India. Methods A cross sectional study was carried out in 2007 in South Delhi, India to investigate the perception, knowledge and attitude of adolescent urban schoolgirls towards sexually transmitted Infections (STIs, HIV/AIDS, safer sex practice and sex education. the self-administered questionnaire was completed by 251 female students from two senior secondary schools. Results More than one third of students in this study had no accurate understanding about the signs and symptoms of STIs other than HIV/AIDS. About 30% of respondents considered HIV/AIDS could be cured, 49% felt that condoms should not be available to youth, 41% were confused about whether the contraceptive pill could protect against HIV infection and 32% thought it should only be taken by married women. Conclusion Though controversial, there is an immense need to implement gender-based sex education regarding STIs, safe sex options and contraceptives in schools in India

  18. Cost-effectiveness of quadrivalent human papillomavirus vaccination in adolescent girls

    Directory of Open Access Journals (Sweden)

    A. V. Rudakova


    Full Text Available The human papillomavirus (HPV infection is one of the major risk factor of development of genital warts, a cervical dysplasia, a cervical cancer, and also some other oncologic diseases. The usage of quadrivalent HPV vaccine in girls reduces the corresponding case rate and the mortality significantly.The objective of this study is to analyze the cost-effectiveness of quadrivalent HPV vaccination cases of 12-yearold girls in Russian Federation.Materials and methods. A Markov model is used on the basis of epidemiological data in Russian Federation. The cost-effectiveness was estimated from societal perspective. We assumed that the effect of vaccination remains throughout all life. The analysis is performed for survival of 12-year-old girls. We considered only effect in the vaccinated population. Costs for therapy of the diseases associated with HPV infection corresponded to compulsory health insurance rates across St. Petersburg for 2016. Costs and life expectancy have been discounted for 3,5% a year.Results. Quadrivalent HPV vaccination of 12-year-old girls in Russian Federation will allow to prevent counting on 10000 the vaccinated persons 293 cases of genital warts, 15 cases of pre invasive cervical cancer, 81 cases of invasive cervical cancer, 6 cases of vulvar cancer, 2 cases of vaginal cancer, 2 cases of anal cancer, 1 case of oropharyngeal cancer. In general, 49 cases of death caused by HPV infection on 10000 vaccinated girls would be prevented. The vaccination will provide cost reduction, caused by HPV-associated diseases, for 68% (58,38 million rubles on 10000 vaccinated, and 96% of the predicted prevented costs will be caused by decrease in incidence of cervical cancer. The quadrivalent HPV vaccination is associated with an incremental cost-effectiveness ratio (ICER of 172 000 rubles per quality adjusted life-year (QALY and 411 300 rubles per death caused by HPV-associated diseases.Conclusions. Quadrivalent

  19. Impact of Mentors During Adolescence on Outcomes Among Gay Young Adults. (United States)

    Drevon, Daniel D; Almazan, Elbert P; Jacob, Susan; Rhymer, Katrina N


    Using the National Longitudinal Study of Adolescent Health and the Adolescent Health and Academic Achievement study datasets, this study examined whether natural mentoring relationships during adolescence were associated with young adult outcomes among lesbian, gay, and bisexual (LGB) persons. Outcomes in three domains were investigated: education and employment, psychological wellbeing, and substance use and abuse. Results indicated that LGB persons reporting natural mentors during adolescence were about three times as likely to graduate from high school as those without. Discussion surrounds strategies to foster mentoring relationships within the school environment or community.

  20. Reducing Phthalate, Paraben, and Phenol Exposure from Personal Care Products in Adolescent Girls: Findings from the HERMOSA Intervention Study (United States)

    Harley, Kim G.; Kogut, Katherine; Madrigal, Daniel S.; Cardenas, Maritza; Vera, Irene A.; Meza-Alfaro, Gonzalo; She, Jianwen; Gavin, Qi; Zahedi, Rana; Bradman, Asa; Eskenazi, Brenda; Parra, Kimberly L.


    Background: Personal care products are a source of exposure to potentially endocrine-disrupting chemicals such as phthalates, parabens, triclosan, and benzophenone-3 (BP-3) for adolescent girls. Methods: We enrolled 100 Latina girls in a youth-led, community-based participatory research intervention study to determine whether using personal care products whose labels stated they did not contain these chemicals for 3 days could lower urinary concentrations. Pre- and postintervention urine samples were analyzed for phthalate metabolites, parabens, triclosan, and BP-3 using high-performance liquid chromatography/tandem mass spectrometry. Results: Urinary concentrations of mono-ethyl phthalate (MEP) decreased by 27.4% (95% CI: –39.3, –13.2) on average over the 3-day intervention; no significant changes were seen in urinary concentrations of mono-n-butyl phthalate (MnBP) and mono-isobutyl phthalate (MiBP). Methyl and propyl paraben concentrations decreased by 43.9% (95% CI: –61.3, –18.8) and 45.4% (95% CI: –63.7, –17.9), respectively. Unexpectedly, concentrations of ethyl and butyl paraben concentrations increased, although concentrations were low overall and not detected in almost half the samples. Triclosan concentrations decreased by 35.7% (95% CI: –53.3, –11.6), and BP-3 concentrations decreased by 36.0% (95% CI: –51.0, –16.4). Discussion: This study demonstrates that techniques available to consumers, such as choosing personal care products that are labeled to be free of phthalates, parabens, triclosan, and BP-3, can reduce personal exposure to possible endocrine-disrupting chemicals. Involving youth in the design and implementation of the study was key to recruitment, retention, compliance, and acceptability of the intervention. Citation: Harley KG, Kogut K, Madrigal DS, Cardenas M, Vera IA, Meza-Alfaro G, She J, Gavin Q, Zahedi R, Bradman A, Eskenazi B, Parra KL. 2016. Reducing phthalate, paraben, and phenol exposure from personal care

  1. Tendency toward Weight Loss among Iranian Adolescent Girls: Study on Perceived Weight, Ideal Body Mass Index and Attitude toward Eating Disorders

    Directory of Open Access Journals (Sweden)

    Malihe Farid


    Full Text Available Background Adolescents’ perception of their weight is a strong factor in shaping dietary habits and weight control and management. Among non-overweight and overweight adolescents, both overestimation and underestimation of weight status are associated with harmful effects. This study aimed to examine the relationship between perceived weight and attitude toward eating disorders among adolescent girls living in Karaj, Iran. Materials and Methods Involving a two-stage random sampling, this cross-sectional study was conducted on a total of 537 high school girls 14-18 years of age living in Karaj. The Eating Attitudes Test (EAT-26 was employed to screen for attitude toward eating disorders. Also, anthropometric measurements (weight and height, perceived and the ideal weights of the participants were assessed.  Results The average age of girls participating in the study was 16.12±1.20. According to the results, 70% of girls had normal body mass index. It was found that the ideal weight of 55% of the girls in the normal body mass index group fell under the lower than normal boundary. Moreover, the prevalence of eating disorders was estimated to be 23.6%. The attitude toward eating disorder was significantly correlated with body mass index of participants and their self-concept (P

  2. Peer victimization during middle childhood as a lead indicator of internalizing problems and diagnostic outcomes in late adolescence. (United States)

    Schwartz, David; Lansford, Jennifer E; Dodge, Kenneth A; Pettit, Gregory S; Bates, John E


    We examined evidence that peer victimization in middle childhood is a lead indicator of internalizing behavior problems and diagnostic outcomes during adolescence. This research was conducted as part of an ongoing multisite longitudinal investigation. The participants were 388 children (198 boys, 190 girls). Peer victimization was assessed with a peer nomination inventory that was administered when the average age of the participants was approximately 8.5 years. Internalizing problems were assessed using a behavior problem checklist completed by mothers in 9 consecutive years, and a structured clinical interview was administered to the participants in the summer following high school graduation (10-11 years after the victimization assessment). Peer victimization in middle childhood was correlated with internalizing problems on a bivariate basis through the late years of adolescence. Multilevel analyses also revealed associations between peer victimization and increases in internalizing problems over time. In addition, peer victimization had a modest link to unipolar depressive disorders in late adolescence. Victimization in the peer group during middle childhood appears to be a marker of long-term risk for internalizing behavior problems and unipolar depression.

  3. J-pouch Ileoanal Anastomosis in Children and Adolescents with Ulcerative Colitis: Functional Outcome, Satisfaction and Impact on Social Life

    DEFF Research Database (Denmark)

    Wewer, V; Hesselfeldt, Peter; Qvist, N


    OBJECTIVES: The aim of this study was to evaluate, over a 10-year period, severe surgical complications, functional outcome, patient satisfaction and impact on social life after colectomy and J-pouch ileoanal anastomosis for children and adolescents ... were extracted retrospectively from medical records and obtained by mailed questionnaire. RESULTS: Thirty patients (18 girls) with a median age of 15 years (range, 7-17 years) were identified. Two patients (7%) had the J-pouch removed because of intractable diarrhea. Twenty-seven of 28 patients...... with preserved J-pouch answered the questionnaire. The median follow-up was 3.7 years (range, 0.3-9.2 years). Surgical complications included eight of 30 patients (27%) with small bowel obstruction, one of 30 (4%) with intra-abdominal abscess and two of 30 (7%) with perforation of the small intestine. The median...


    Levenets, S A; Nachotova, T A; Kashkalda, D A


    In order to understand the role of leptin in the formation of secondary amenorrhea (SA) during puberty, 78 girls aged from 13 to 17 years with SA and 74 girls of the same age with regular menstrual cycle have been examined with the estimation of body mass index (BMI) and hormonal/metabolic state. The obtained data show a strong connection between leptin level, BMI and parameters of energetic metabolic state (insulin; HOMA index); regression analysis results indicated the participation of leptin in steroidogenesis. Odds ratio (OR) values indicated an important role of leptin in the formation of SA during body weight deficit and normal BMI. It has been found that various clinical types of SA have different patterns of leptin influence.

  5. Fatal non-accidental alpha-lipoic acid intoxication in an adolescent girl. (United States)

    Hadzik, B; Grass, H; Mayatepek, E; Daldrup, T; Hoehn, T


    The aim of our report is to increase awareness that the antioxidant alpha-lipoic acid, which is marketed primarily as weight loss and energy supplement, has potentially lethal effects. A 14-year-old girl ingested in suicidal intention a large amount of alpha-lipoic acid, which led to multiorgan failure and subsequent death within 24 h. Multiorgan failure consisted of decreased myocardial contractility, seizures, anuria, thrombocytopenia, and coagulopathy. Therapy consisted of ventilation, anticonvulsive treatment and circulatory support with high-dose catecholamines. According to alpha-lipoic acid serum levels following ingestion the girl must have ingested a minimum of 10 alpha-lipoic acid tablets of 600 mg each. This is the first report on a fatal case of alpha-lipoic acid ingestion, which is intended to inform physicians, pharmacists and patients about critical side effects of this allegedly innocuous drug.

  6. What's culture got to do with it? Prevention programs for African American adolescent girls. (United States)

    Corneille, Maya A; Ashcroft, Amie M; Belgrave, Faye Z


    This paper examines prevention programming for African American girls by placing the prevention process within the larger African and African American cultural context. We provide an overview of the theories and issues we consider most relevant to African American culture, including Africentric theory, ethnic identity, gender identity and relational theory, developmental issues, the community context, and historical considerations. Drawing from our own drug prevention work, we provide examples of how to incorporate culture into prevention programs to make them most relevant for the target population. We also summarize our own efforts to create culturally appropriate prevention interventions and their impact on the girls in our programs. We conclude with suggested directions for future research into culture-specific prevention programs.

  7. Impact of the Kenya Cash Transfer for Orphans and Vulnerable Children on early pregnancy and marriage of adolescent girls. (United States)

    Handa, Sudhanshu; Peterman, Amber; Huang, Carolyn; Halpern, Carolyn; Pettifor, Audrey; Thirumurthy, Harsha


    There is promising evidence that poverty-targeted cash transfer programs can have positive impacts on adolescent transitions to adulthood in resource poor settings, however existing research is typically from small scale programs in diverse geographic and cultural settings. We provide estimates of the impact of a national unconditional cash transfer program, the Kenya Cash Transfer for Orphans and Vulnerable Children, on pregnancy and early marriage among females aged 12 to 24, four years after program initiation. The evaluation was designed as a clustered randomized controlled trial and ran from 2007 to 2011, capitalizing on the existence of a control group, which was delayed entry to the program due to budget constraints. Findings indicate that, among 1549 females included in the study, while the program reduced the likelihood of pregnancy by five percentage points, there was no significant impact on likelihood of early marriage. Program impacts on pregnancy appear to work through increasing the enrollment of young women in school, financial stability of the household and delayed age at first sex. The Kenyan program is similar in design to most other major national cash transfer programs in Eastern and Southern Africa, suggesting a degree of generalizability of the results reported here. Although the objective of the program is primarily poverty alleviation, it appears to have an important impact on facilitating the successful transition of adolescent girls into adulthood.

  8. Impact of a youth-friendly HIV clinic: 10 years of adolescent outcomes in Port-au-Prince, Haiti


    Reif, Lindsey K; Rachel Bertrand; Charles Benedict; Lamb, Matthew R.; Vanessa Rouzier; Rose Verdier; Johnson, Warren D; Jean W Pape; Fitzgerald, Daniel W; Louise Kuhn; McNairy, Margaret L.


    Introduction: Adolescents account for over 40% of new HIV infections in Haiti. This analysis compares outcomes among HIV-positive adolescents before and after implementation of an adolescent HIV clinic in Port-au-Prince, Haiti. Methods: We conducted a cohort study using programmatic data among HIV-positive adolescents aged 13 to 19. Data from 41,218 adolescents who were HIV tested from January 2003 to December 2012 were included. Outcomes across the HIV care cascade were assessed before and a...

  9. Do mental health and behavioural problems of early menarche persist into late adolescence? A three year follow-up study among adolescent girls in Oslo, Norway. (United States)

    Lien, Lars; Haavet, Ole Rikard; Dalgard, Florence


    Early menarche has been linked to mental health and behavioural problems in several studies. Most of these studies are cross-sectional, the data gathered during puberty. Thus, there is a lack of research on the long-term effect of early menarche on mental health. The main aim of this study was to explore whether the differences in mental health problems between girls with early and late menarche persist into late adolescence. The data consisted of responses from a large school-based survey of all 10th grade girls (15 years of age) in Oslo, Norway. Of the 1860 participating girls in the 2001 survey, 1377 were included in the three year follow-up study in 2004, giving a response rate of 74%. Mental distress was measured with the Hopkins Symptom Check list 10-version. Additional items assessed were number of sexual partners, weight and body satisfaction. All information was self-reported, including age of menarche. We found a clear gradient in the cross sectional analyses at baseline of higher odds for mental distress at lower age of menarche even after adjustment for socio demographic and other factors. In the analysis of the follow-up data there was no statistically significant difference in mental distress across age of menarche, even though the differences in body and weight satisfaction and average body mass index remained at the same level between baseline and follow-up. We therefore conclude that the effects of age of menarche on mental health problems are a transitory problem during puberty.

  10. Adolescent girls with illegally induced abortion in Dar es Salaam: the discrepancy between sexual behaviour and lack of access to contraception

    DEFF Research Database (Denmark)

    Rasch, V; Silberschmidt, M; Mchumvu, Y;


    This article reports on a study of induced abortion among adolescent girls in Dar es Salaam, Tanzania, who were admitted to a district hospital in Dar es Salaam because of an illegally induced abortion in 1997. In the quantitative part of the study, 197 teenage girls (aged 14-19) were asked...... that gave them the right to seek family planning services and in practice these services are not being provided. There is a need for youth-friendly family planning services and to make abortion safe and legal, in order to reduce unwanted pregnancies and abortion-related complications and deaths among...

  11. Is Working Risky or Protective for Married Adolescent Girls in Urban Slums in Kenya? Understanding the Association between Working Status, Savings and Intimate-Partner Violence.

    Directory of Open Access Journals (Sweden)

    Eunice Muthengi

    Full Text Available Previous studies have shown that women's empowerment, though beneficial in many aspects, can also increase the risk of intimate-partner violence (IPV. This study seeks to examine the association between work and experience of physical violence among married adolescents, and to understand the impact of access to independent financial resources on this risk. Authors draw on the asset-building framework and the ecological model.The data is from a baseline survey of girls aged 15-19 residing in urban slums in four cities and towns in Kenya (Nairobi, Thika, Nakuru and Kisumu. The analytic sample is 452 married girls. Logistic regression is used to examine associations between working status, savings and experience of IPV in the previous six months, controlling for other factors. This is complemented by content analysis of in-depth interviews with 32 adolescent girls and 16 young men.Compared to girls who did not work, working with no regular savings was significantly associated with greater odds (OR = 1.96, p<0.01 of experiencing IPV. There was no difference between girls who did not work and those who worked but had regular savings. Qualitative findings indicate savings decrease girls' dependency on men and allow them to leave abusive partners.Findings imply that in these communities with patriarchal gender norms and high levels of poverty, female employment and financial conflicts can be triggers of violence in marriages. On the other hand, girls' management of and access to independent financial resources through savings can potentially help to reduce this risk.

  12. Pubertal timing and health-related behaviours in adolescence - socio- economic outcomes in a follow-up study from Finland

    Directory of Open Access Journals (Sweden)

    Leena K Koivusilta


    Full Text Available

    Background. Pubertal timing is connected with health-related lifestyle in adulthood. We studied whether early or late pubertal timing is predictive of socio-economic outcomes in early adulthood and whether the associations are mediated by health behaviours.

    Methods. Survey data (1981, 1983, 1985, 1987 from samples of 14-year-old Finns (N=4246, response rate 85% were linked with respondents’ attained educational level, socio-economic and labour market position in 2001 (ages 28-34. Ages of menarche and first ejaculation indicated pubertal timing.

    Results. As compared to adolescents with average age pubertal timing, boys and girls maturing at an early age more often participated in health-compromising behaviours, while those maturing at a later age participated less frequently. Pubertal timing was not associated with attained educational level or socioeconomic position in girls and not with labour market position at the time of follow-up in either sex. In boys, independently of health behaviours, early or late onset of puberty predicted low educational level, while late onset predicted low socio-economic position.

    Conclusion. Timing of puberty has a stronger connection with socio-economic outcomes in boys than in girls. Deviance from the normative pace of physical development, especially late maturation, is among boys slightly depicted in the hierarchy of socio-economic positions of the society. As pubertal timing is connected with health-related behaviours – especially with smoking – the pacing of developmental transitions should be considered in planning programmes preventing unhealthy behavioural patterns often linked with negative attitudes towards schooling.

  13. An educational intervention study on adolescent reproductive health among pre-university girls in Davangere district, South India

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    Rangappa Manjula


    Full Text Available Background: Sex education should be an integral part of the learning process, beginning in childhood and continuing into the adult life. The 1994 international conference on population and 1995 fourth world conference on women held in Beijing recommended educational services for adolescents in a friendly environment. Objectives: 1. To know about the reproductive health awareness, like adolescent reproductive health by a pre-test, among pre-university girls (XI and XII standard. 2. To study the change in knowledge after the educational intervention by post-test. Materials and Methods: The study was conducted in pre-university colleges present in Davangere city. A pre-structured proforma was used to assess the existing knowledge, which consists of both open-ended and close-ended questions on growth and development during adolescence, pregnancy, and Sexually Transmitted Infections (STI including HIV/AIDS. Educational intervention was done on the second day with the help of posters, printed materials, flip charts, Overhead Projectors (OHPs, and black board. One week after the educational intervention, post-test was conducted to know the change in the knowledge. Results: For a majority of them, the source of information about the above-mentioned aspects was television, followed by magazines. About 98% of them preferred doctors for getting sex education. There was overall significant change in knowledge (P<0.001, HS after educational intervention. Conclusion: There were substantial lacunae in the knowledge about reproductive health among the study group. After educational intervention, there was significant change in the knowledge. Students felt that sex education is necessary in school and should be introduced in the school syllabus.

  14. Drug facilitated sexual assault with lethal outcome: GHB intoxication in a six-year-old girl. (United States)

    Mehling, Lena-Maria; Johansen, Sys Stybe; Wang, Xin; Doberentz, Elke; Madea, Burkhard; Hess, Cornelius


    A very serious case of DFSA (drug facilitated sexual assault) is presented, in which a six-year-old girl died following sedation with γ-hydroxybutyric acid (GHB). She had been sexually abused by a relative. Samples of cardiac blood, bile, vitreous humour, liver, kidney, brain tissues and hair were analysed by a LC-MS/MS method. The following GHB concentrations were determined: cardiac blood: 150 mg/l; bile: 292mg/l; vitreous humour: 58mg/l; liver: 100 mg/kg; kidney: 124.5 mg/kg, brain: 110 mg/kg. Very high GHB levels were found in the proximal part of the hair sample (about 40.9 ng/mg). In distal segments of hair - up to 12 cm distant from the hair scalp - GHB concentrations were higher than the overall found endogenous range of 2-3 ng/mg. Police investigations revealed that the uncle had also administered GHB to the older half-sister. Therefore, a sample of her hair was analysed accordingly, but unremarkable results were obtained. Comparing our toxicological results with police investigations and the offender's statements it can be assumed that the 6-year-old girl had ingested GHB. By exclusion of other causes of death a lethal intoxication with GHB could be confirmed.

  15. The Relationship between Parent Expectations and Postschool Outcomes of Adolescents with Disabilities (United States)

    Doren, Bonnie; Gau, Jeff M.; Lindstrom, Lauren E.


    A secondary analysis was conducted of the National Longitudinal Transition Study-2 to examine (a) main effects of parents' school and postschool outcome expectations on the actual outcomes achieved, (b) demographic moderators, and (c) adolescent autonomy as a mediator of parent expectations and outcomes. Parent expectations were found to…

  16. The Effects of Single versus Mixed Gender Treatment for Adolescent Girls with ADHD (United States)

    Babinski, Dara E.; Sibley, Margaret H.; Ross, J. Megan; Pelham, William E.


    This study evaluated the social behavior of adolescents with attention deficit hyperactivity disorder (ADHD) in single and mixed gender treatment settings. We collected ratings of social behavior (i.e., prosocial peer interactions, assertiveness, self-management, compliance, physical aggression, relational aggression) during single and mixed…

  17. Longitudinal Associations Between Depressive Problems, Academic Performance, and Social Functioning in Adolescent Boys and Girls

    NARCIS (Netherlands)

    Verboom, Charlotte E.; Sijtsema, Jelle J.; Verhulst, Frank C.; Penninx, Brenda W. J. H.; Ormel, Johan


    Depressive problems and academic performance, social well-being, and social problems in adolescents are strongly associated. However, longitudinal and bidirectional relations between the two remain unclear, as well as the role of gender. Consequently, this study focuses on the relation between depre

  18. Bravest Girl in the World: Exploring Social Justice through Adolescents' Lens (United States)

    McCarther, Shirley Marie; Davis, Donna M.


    As professors of education in an urban community, we wanted to identify mechanisms that would allow young people in the urban core the opportunity to share their unique voices with the world and for us to better understand their views on social justice and social change. The purpose of this paper is to discuss adolescent student perspectives on…

  19. Longitudinal associations between depressive problems, academic performance, and social functioning in adolescent boys and girls

    NARCIS (Netherlands)

    Verboom, C.E.; Sijtsema, J.J.; Verhulst, F.C.; Penninx, B.W.J.H.; Ormel, J.


    Depressive problems and academic performance, social well-being, and social problems in adolescents are strongly associated. However, longitudinal and bidirectional relations between the two remain unclear, as well as the role of gender. Consequently, this study focuses on the relation between depre

  20. Enhancing Adolescent Girls' Argument Skills in Reasoning about Personal and Non-Personal Decisions (United States)

    Udell, Wadiya


    The present study sought to evaluate (a) the effectiveness of an intervention in developing adolescents' argument skills regarding a decision on a topic of high potential personal relevance (teen pregnancy) or one of general social relevance (capital punishment), and (b) differential effects of the two topics in promoting the generalization of…

  1. The Mediating Role of Engagement in Mentoring Relationships and Self-Esteem among Affluent Adolescent Girls (United States)

    Liang, Belle; Lund, Terese Jean; Mousseau, Angela M. Desilva; Spencer, Renée


    This study examined the influence of growth-fostering mentoring relationships on the self-esteem of adolescent female students from affluent communities. Studies have demonstrated that this population of students is susceptible to psychological distress and self-esteem problems, due to perfectionistic strivings and achievement pressures.…

  2. Concurrent and prospective analyses of peer, television and social media influences on body dissatisfaction, eating disorder symptoms and life satisfaction in adolescent girls. (United States)

    Ferguson, Christopher J; Muñoz, Mónica E; Garza, Adolfo; Galindo, Mariza


    The degree to which media contributes to body dissatisfaction, life satisfaction and eating disorder symptoms in teenage girls continues to be debated. The current study examines television, social media and peer competition influences on body dissatisfaction, eating disorder symptoms and life satisfaction in a sample of 237 mostly Hispanic girls. 101 of these girls were reassessed in a later 6-month follow-up. Neither television exposure to thin ideal media nor social media predicted negative outcomes either concurrently nor prospectively with the exception of a small concurrent correlation between social media use and life satisfaction. Social media use was found to contribute to later peer competition in prospective analysis, however, suggesting potential indirect but not direct effects on body related outcomes. Peer competition proved to be a moderate strong predictor of negative outcomes both concurrently and prospectively. It is concluded that the negative influences of social comparison are focused on peers rather than television or social media exposure.

  3. Risk of ovarian failure and fertility preserving methods in girls and adolescents with a malignant disease

    DEFF Research Database (Denmark)

    Schmidt, K T; Larsen, E C; Andersen, C Y;


    Girls and young women suffering from a malignant disease that requires treatment with chemo- and/or radiotherapy are at risk of losing fertility. The most significant risk factors are age and type of treatment given. Preserving fertility is of high priority to both the young patient and her parents....... This article reviews the effect of chemo- and radiotherapy on gonadal function, and thus fertility, and offers different fertility preserving methods based on the literature. Cryopreservation of ovarian tissue is a possible way of preserving fertility in this group of patients in the future....

  4. Barriers and Facilitators to Health Behaviour Change and Economic Activity among Slum-Dwelling Adolescent Girls and Young Women in Nairobi, Kenya: The Role of Social, Health and Economic Assets (United States)

    Austrian, Karen; Anderson, Althea D.


    Adolescent girls and young women in urban slum areas in developing countries face a myriad of challenges regarding education, sexual health, livelihoods and gender-based violence. One way of understanding how these challenges interact with each other is through the Asset Building Framework, which posits that girls need a combination of social,…

  5. Antisocial Propensity, Adolescent School Outcomes, and the Risk of Criminal Conviction (United States)

    Savolainen, Jukka; Hughes, Lorine A.; Mason, W. Alex; Hurtig, Tuula M.; Ebeling, Hanna; Moilanen, Irma K.; Kivivuori, Janne; Taanila, Anja M.


    Data from the 1986 Northern Finland Birth Cohort Study (n = 4,645) were used to examine the influence of mid-adolescent (age 15) school outcomes on late-adolescent (ages 17-19) risk of criminal conviction. Consistent with social-developmental theories of offending, we found that poor academic performance and reduced school attachment increase the…

  6. Adult Arrests Records and Court Outcomes of Adolescents with Serious Emotional Disturbance. (United States)

    Davis, Maryann; Cooper, Deborah K.

    This study used archival data to examine adult charges and court outcomes for 82 individuals who had been treated in public mental health programs as adolescents. Subjects' clinical records from their adolescent day treatment (18 percent), residential (23 percent) or hospital program (58 percent) were reviewed for sociodemographics, clinical…

  7. Functional Outcomes of Child and Adolescent Oppositional Defiant Disorder Symptoms in Young Adult Men (United States)

    Burke, Jeffrey D.; Rowe, Richard; Boylan, Khrista


    Background: Oppositional defiant disorder (ODD) is considered to be a disorder of childhood, yet evidence suggests that prevalence rates of the disorder are stable into late adolescence and trajectories of symptoms persist into young adulthood. Functional outcomes associated with ODD through childhood and adolescence include conflict within…

  8. Alliance and Outcome in Cognitive-Behavioral Therapy for Adolescent Depression (United States)

    Shirk, Stephen R.; Gudmundsen, Gretchen; Kaplinski, Heather Crisp; McMakin, Dana L.


    This study examined predictive relations between therapeutic alliance and treatment outcomes in manual-guided, cognitive-behavioral therapy for adolescent depression. Fifty-four adolescents met criteria for a depressive disorder and were treated in school-based clinics. Alliance was measured after the third session from both therapist and…

  9. Comparison of Long-Term Outcomes in Adolescents with Anorexia Nervosa Treated with Family Therapy (United States)

    Lock, James; Couturier, Jennifer; Agras, W. Stewart


    Objective: To describe the relative effectiveness of a short versus long course of family-based therapy (FBT) for adolescent anorexia nervosa at long-term follow-up. Method: This study used clinical and structured interviews to assess psychological and psychosocial outcomes of adolescents (ages 12-18 years at baseline) who were previously treated…

  10. Examining Relationships between Ethnic Identity, Family Environment, and Psychological Outcomes for African American Adolescents (United States)

    Street, Jalika; Harris-Britt, April; Walker-Barnes, Chanequa


    Ethnic identity has been linked to a number of healthy psychological outcomes for African American adolescents. The levels of conflict and cohesion in the family environment have also been found to be predictive of adolescent mental health. This study examined whether the ethnic identity and levels of conflict and cohesion in the family…

  11. Treatment Adherence, Competence, and Outcome in Individual and Family Therapy for Adolescent Behavior Problems (United States)

    Hogue, Aaron; Henderson, Craig E.; Dauber, Sarah; Barajas, Priscilla C.; Fried, Adam; Liddle, Howard A.


    This study examined the impact of treatment adherence and therapist competence on treatment outcome in a controlled trial of individual cognitive-behavioral therapy (CBT) and multidimensional family therapy (MDFT) for adolescent substance use and related behavior problems. Participants included 136 adolescents (62 CBT, 74 MDFT) assessed at intake,…

  12. Are family factors universally related to metabolic outcomes in adolescents with Type 1 diabetes?

    NARCIS (Netherlands)

    Cameron, F. J.; Skinner, T. C.; de Beaufort, C. E.; Hoey, H.; Swift, P. G. F.; Aanstoot, H.; Aman, J.; Martul, P.; Chiarelli, F.; Daneman, D.; Danne, T.; Dorchy, H.; Kaprio, E. A.; Kaufman, F.; Kocova, M.; Mortensen, H. B.; Njolstad, P. R.; Phillip, M.; Robertson, K. J.; Schoenle, E. J.; Urakami, T.; Vanelli, M.; Ackermann, R. W.; Skovlund, S. E.


    Aims To assess the importance of family factors in determining metabolic outcomes in adolescents with Type 1 diabetes in 19 countries. Methods Adolescents with Type 1 diabetes aged 11-18 years, from 21 paediatric diabetes care centres, in 19 countries, and their parents were invited to participate.

  13. Predicting Unprotected Sex and Unplanned Pregnancy among Urban African-American Adolescent Girls Using the Theory of Gender and Power. (United States)

    Rosenbaum, Janet E; Zenilman, Jonathan; Rose, Eve; Wingood, Gina; DiClemente, Ralph


    Reproductive coercion has been hypothesized as a cause of unprotected sex and unplanned pregnancies, but research has focused on a narrow set of potential sources of reproductive coercion. We identified and evaluated eight potential sources of reproductive coercion from the Theory of Gender and Power including economic inequality between adolescent girls and their boyfriends, cohabitation, and age differences. The sample comprised sexually active African-American female adolescents, ages 15-21. At baseline (n = 715), 6 months (n = 607), and 12 months (n = 605), participants completed a 40-min interview and were tested for semen Y-chromosome with polymerase chain reaction from a self-administered vaginal swab. We predicted unprotected sex and pregnancy using multivariate regression controlling for demographics, economic factors, relationship attributes, and intervention status using a Poisson working model. Factors associated with unprotected sex included cohabitation (incidence risk ratio (IRR) 1.48, 95 % confidence interval (1.22, 1.81)), physical abuse (IRR 1.55 (1.21, 2.00)), emotional abuse (IRR 1.31 (1.06, 1.63)), and having a boyfriend as a primary source of spending money (IRR 1.18 (1.00, 1.39)). Factors associated with unplanned pregnancy 6 months later included being at least 4 years younger than the boyfriend (IRR 1.68 (1.14, 2.49)) and cohabitation (2.19 (1.35, 3.56)). Among minors, cohabitation predicted even larger risks of unprotected sex (IRR 1.93 (1.23, 3.03)) and unplanned pregnancy (3.84 (1.47, 10.0)). Adolescent cohabitation is a marker for unprotected sex and unplanned pregnancy, especially among minors. Cohabitation may have stemmed from greater commitment, but the shortage of affordable housing in urban areas could induce women to stay in relationships for housing. Pregnancy prevention interventions should attempt to delay cohabitation until adulthood and help cohabiting adolescents to find affordable housing.

  14. Primary intracranial malignant melanoma in an adolescent girl: A case report


    Sajeeb Mondal; Rajashree Pradhan; Subrata Pal; Supratik Bhattacharya; Arindam Banerjee; Debosmita Bhattacharyya


    Primary intracranial malignant melanoma is a very rare tumor, and most of the central nervous system melanomas are metastatic diseases. Diagnosis needs extensive dermatological, opthalmological, and radiological workup to exclude metastatic melanoma. Histologically, it should be differentiate from benign melanocytic lesions, pigmented choroid plexus carcinoma, and pigmented papillary medulloblastoma. Here, we are reporting a case of primary malignant melanoma of posterior fossa in an adolesce...

  15. Endocrine evaluation of reproductive function in girls during infancy, childhood and adolescence

    DEFF Research Database (Denmark)

    Juul, Anders; Hagen, Casper P; Aksglaede, Lise


    a spectrum of disorders such as premature thelarche, premature adrenarche, central and peripheral precocious puberty, adolescent polycystic ovarian syndrome, functional ovarian hyperandrogenism, late-onset congenital adrenal hyperplasia, primary and secondary amenorrhea, and premature ovarian insufficiency....... Diagnosis of these reproductive disorders includes biochemical as well as clinical evaluation. The biochemical evaluation of reproductive function includes measurement of basal reproductive hormone levels and dynamic pituitary or adrenal hormone testing. Correct interpretation of such test results requires...

  16. Who’s that girl? A qualitative analysis of adolescent girls’ views on factors associated with teenage pregnancies in Bolgatanga, Ghana



    Background Adolescent pregnancy remains a public health concern, with diverse serious consequences, including increased health risk for mother and child, lost opportunities for personal development, social exclusion, and low socioeconomic attainments. Especially in Africa, teenage pregnancy rates are high. It is important to find out how girls without pregnancy experience differ in their contraceptive decision-making processes as compared with their previously studied peers with pregnancy exp...

  17. Perceptions regarding menstruation and Practices during menstrual cycles among high school going adolescent girls in resource limited settings around Bangalore city, Karnataka, India


    Shanbhag D; Shilpa R; D’Souza N; Josephine P; Singh J; Goud BR


    Introduction: Hygiene-related practices of adolescents during menstruation are of importance, as it has a health impact in terms of increased vulnerability to reproductive tract infections (RTI). Therefore, increased knowledge about menstruation right from childhood may escalate safe practices and may help in mitigating the suffering of women.Objectives: To assess the perceptions and practices regarding menstrual hygiene among selected high school girls in a resource limited settings in area ...

  18. The effect of an energy restricted low glycemic index diet on blood lipids, apolipoproteins and lipoprotein (a) among adolescent girls with excess weight: a randomized clinical trial. (United States)

    Rouhani, Mohammad Hossein; Kelishadi, Roya; Hashemipour, Mahin; Esmaillzadeh, Ahmad; Azadbakht, Leila


    Some studies focused on the effect of the dietary glycemic index on lipoproteins and apolipoproteins in adults; however, little evidence exists among adolescents regarding the effect of a low glycemic index (LGI) diet on apolipoproteins and lipoprotein (a) (Lpa). This study was conducted to evaluate the effect of an LGI diet on the lipid profile, apolipoproteins and Lpa among overweight and obese adolescent girls. For this parallel designed randomized clinical trial, 50 healthy overweight/obese girls at pubertal ages were randomly allocated to an LGI or a healthy nutritional recommendations (HNR) based diet. Equal macronutrient distributed diets were prescribed to both groups. Biochemical measurements included lipid profile, apolipoprotein A, apolipoprotein B and Lpa were conducted before and after 10 weeks of intervention. Forty one adolescent girls completed the study. The dietary glycemic index in the LGI group was 42.67 ± 0.067. There were no differences in the mean of blood lipid indices baseline and after intervention between two groups. There were no significant differences between the two groups regarding lipid profiles, apolipoproteins and Lpa. There were no significant differences in lipid profiles, apolipoproteins and Lpa between the LGI diet and the HNR-based diet and the impact of these two diets on lipid profile was equal in this trial.

  19. A self-categorization theory perspective on adolescent boys' sexual bullying of girls. (United States)

    Page, Elysia; Shute, Rosalyn; McLachlan, Angus


    This preliminary study applied Self-Categorization Theory (SCT) to the sexual bullying of high school girls by boys. Seventy-five Year 9 boys responded to vignettes portraying sexual bullying in which gender was a more or a less salient feature of the social context described. As predicted, boys were more likely to engage in sexual bullying when gender was more salient. Masculine sex role was not correlated with engagement in sexual bullying. Controlling for social desirability, pro-bullying attitude was predictive of such engagement, but only when the social context rendered gender less salient. This suggests the power of the perceived social context for determining which individual characteristics will gain expression. It is concluded that SCT is a promising avenue for advancing understanding of bullying, a field of research that has previously largely lacked a theoretical focus.

  20. Anaemia, its determinants and effect of different interventions amongst tea tribe adolescent girls living in Dibrugarh district of Assam

    Directory of Open Access Journals (Sweden)

    Tulika Goswami Mahanta


    Full Text Available Background: Nutritional anaemia, one of the major public health problems in India is associated with lower productivity, higher sickness rate and absenteeism having inter-generational effect. Morbidity during adolescent has implication on future safe motherhood, optimum growth and development of foetus and children. Aims and Objective: To assess, prevalence and determinants of anaemia and effect of different interventions amongst tea tribe adolescent girls. Materials & Methods: A community based intervention study was conducted covering 16 tea estates of Dibrugarh District, Assam. Variables includes socio-demographic, environmental, anthropometry, history of present and past illness, clinical examination and laboratory investigation including haemoglobin, serum ferritin, haemoglobin typing and routine stool examination. Interventions given were weekly IFA supplementation, dietary diversification, health promotion by monthly NHED, cooking demonstration, cooking competition and kitchen garden promotion and counselling to improve IFA compliance and remove barriers was done. SPSS and EpiInfo software, used to calculate of rates, ratios, chi-square test, Fisher Exact test and multiple logistic regression analysis. Results: Enrolments were 802, with mean age, 14.8 years. Anaemia prevalence was 96.3% with median serum ferritin, 22.9 ng/ml. Prevalence of Sickle cell anaemia was,12% and helminthiasis 84.20%.  History of passage of worms (9.1%, night blindness (5.6%, weakness (62.1%, loss of appetite (37.5%, gum bleeding (23.6%, loose motion (13%, loss of weight (9.9%, menstrual problem (19.3% was common. Following intervention mean haemoglobin difference was 1.48 gm/dl with 13.5% difference in prevalence. Associated morbidities showed significant reduction following active intervention. Conclusions: High anaemia prevalence requires urgent attention to avoid preventable morbidities. Implementation of different intervention in an integrated manner was