Making a Shared Decision on Meningococcal B Vaccine: Provider Feedback on an Educational Tool Developed for Use With Patients.

Background: In 2015, the Advisory Committee on Immunization Practices recommended Meningococcal B vaccination for healthy 16- to 23-year-olds based on shared clinical decision-making between the patient and the provider. There has been some confusion regarding how to implement this recommendation.

Methods: Through discussions among the authors, a review of relevant literature, and consultation with vaccine experts, we developed educational materials for providers that included a patient handout to help initiate and guide conversations leading to shared clinical decision-making for the Meningococcal B vaccine.

A qualitative analysis of the vaccine intention-behaviour relationship: parents' descriptions of their intentions, decision-making behaviour and planning processes towards HPV vaccination.

Objective: The objective of this study is to identify factors influencing the vaccine intention-behaviour relationship.

Design: A total of 445 parents who received a brief intervention to promote HPV vaccination were categorized based on their intentions post-intervention (yes/unsure/eventually/never) and subsequent adolescents' vaccine status (yes/no). Fifty-one of these parents participated in qualitative interviews.

Trust and a school-located immunization program.

Purpose: To determine variables associated with parental trust in a school-located immunization program (SLIP) and the effect of trust-building interventions on trust and participation in SLIPs.

Methods: Parents among eight schools randomized to a trust-building intervention or a control condition (four schools each) completed a five-item trust survey before SLIP implementation both in year 1 (fall 2012) and in year 2 (fall 2013). Mean trust scores were calculated.

School-based HPV immunization of young adolescents: effects of two brief health interventions.

Adolescent immunization rates for human papillomavirus (HPV) are low and interventions within school-based health centers (SBHCs) may increase HPV uptake and series completion. We examined the effect of a parent health message intervention on HPV vaccination intent, first dose uptake and series completion among adolescents who received care at SBHCs. Via computer-assisted telephone interviews (CATI), 445 parents of young adolescents were randomly assigned to 2 two-level interventions using a 2 × 2 design (rhetorical question (RQ) or no-RQ and one-sided or two-sided message).

Disasters and Depressive Symptoms in Children: A Review.

Background: Disasters are destructive, potentially traumatic events that affect millions of youth each year.

Objective: The purpose of this paper was to review the literature on depressive symptoms among youth after disasters. Specifically, we examined the prevalence of depression, risk factors associated with depressive symptoms, and theories utilized in this research area.

Dissonance-based prevention of eating disorder risk factors in middle school girls: results from two pilot trials.

Objective: Although several eating disorder prevention programs reduce eating disorder risk factors and symptoms for female high school and college students, few efficacious prevention programs exist for female middle school students, despite the fact that body image and eating disturbances often emerge then. Two pilot trials evaluated a new dissonance-based eating disorder prevention program for middle school girls with body image concerns.

Method: Female middle school students with body dissatisfaction from two sites [Study 1: N = 81, M age = 12.

School-based vaccination of young US males: impact of health beliefs on intent and first dose acceptance.

Little is known about adolescent males and their parents with respect to intent and first dose uptake of the human papillomavirus (HPV) vaccine outside of primay care settings. The purpose of this study was to evaluate potential predictors of parental intent to vaccinate (study was conducted in November 2010-December 2012) and of first dose uptake of HPV vaccine among a sample of young adolescent males, 11-15 years of age, who received care at a school-based health center (SBHC). We also examined intent as a potential mediator of the relationships between predictors (health beliefs and perceived spousal agreement) and vaccination.

Adolescents' and young women's use of a microbicide surrogate product when receiving oral sex.

Study Objective: Genital herpes, which can be spread through oral sex, is an important target for microbicides. We examined episode-specific predictors of young women's receptive oral sex and of microbicide surrogate use.

Design: Longitudinal study.

Children's symptoms of posttraumatic stress and depression after a natural disaster: comorbidity and risk factors.

Background: The current study examined rates of comorbidity among children's symptoms of posttraumatic stress (PTS) and depression after a natural disaster, Hurricane Ike. We also compared children with comorbid symptoms to children without comorbid symptoms, examining recovery, severity of symptoms, and risk factors.

Method: Children (n=277; 52% girls; 38% Hispanic, 28% White, 19% Black; grades 2-4) were assessed at 8 and 15 months postdisaster.

The connection between young women's body esteem and sexual assertiveness.

Study Objective: Healthy sexuality includes having positive feelings about one's body and developing positive romantic relationships. Previous research predicts that women dissatisfied with their bodies may be less likely to enforce their rights of sexual autonomy (i.e.

Adolescent intimate heterosexual relationships: measurement issues.

During adolescence, individuals develop increased ability to have emotionally and physically intimate relationships. The type of intimate relationship will make a difference as to whether the adolescent engages in protective behaviors or avoids risky behaviors. However, in reviewing the literature on the association of relationship type and sexual risk and protective behaviors, four methodological challenges were noted.

Relationship context associated with microbicide-like product use.

Study Objective: Topical microbicides are being developed to provide an alternative method of prevention of HIV and sexually transmitted infections. Although topical microbicides would be a female-controlled method of prevention, their use is likely to be disclosed to partners. Thus, the characteristics of the partner relationship may play a role in their use.

Associations between parenting behaviors and adolescent romantic relationships.

We examined associations between parenting behaviors and romantic relationship qualities in 102 adolescent girls 14-21 years of age who lived with their parent/parental figure and had current boyfriends. Adolescent girls' perceptions that parents were accepting/involved and provided appropriate strictness and supervision were significantly related to adolescent girls' perceptions of mutuality (i.e.

Male partners of young women: assessing their attitudes toward topical microbicides.

Male partners' attitudes toward microbicide use are important to understand; however, there are challenges in conducting research with adolescent couples. We describe the experience of recruiting male partners of adolescent females enrolled in a microbicide acceptability study. Creative solutions to enrolling partners of young women in studies need to be explored.

Understanding sexual behaviors of adolescents within a biopsychosocial framework.

In this article, adolescent sexual behavior is discussed within a biopsychosocial framework. Prevalence rates for both coital and noncoital behaviors are presented, and trends in coital behaviors are noted over time. Special attention is paid to the role culture plays in the development of sexual behaviors.

Microbicides: information, beliefs, and preferences for insertion.

Objectives: Microbicides are products in development to prevent sexually transmitted infection and HIV acquisition; they are not yet available to the public. We evaluated (1) where women would expect to seek information about microbicides, (2) factors that women think might affect microbicide effectiveness, and (3) women's anticipated preferences for timing and place of insertion and partner involvement.

Methods: A cross-sectional face-to-face interview was administered to women aged 18-35 years (n=126) recruited from a gynecology clinic in Galveston, Texas.

Perceptions of sexual assertiveness among adolescent girls: initiation, refusal, and use of protective behaviors.

Study Objective: We describe adolescent girls' perceptions of sexual assertiveness and examine the relationship of these perceptions with developmental and interpersonal variables.

Design: Cross-sectional analysis.

Setting: Participants were recruited from a school-based health clinic and local colleges, and through snowballing to participate in a 6-month study examining microbicide acceptability.

Predictors of sexual satisfaction in an adolescent and college population.

Study Objective: To assess the degree to which adolescents/young adults are satisfied in their current sexual relationships and to evaluate intrapersonal and interpersonal predictors of sexual satisfaction among that population.

Design: Cross-sectional analysis.

Setting: Participants were recruited from an adolescent medicine clinic and a college in Cincinnati, Ohio.

Measurement of microbicide acceptability among U.S. adolescent girls.

Background And Objective: Topical microbicides will only be effective if they are acceptable to potential users. The purpose of this study is to develop a scale to evaluate characteristics and aspects of topical microbicides that are important to adolescent girls.

Study Design: Girls (n = 207) completed a questionnaire on perceptions of microbicide-like products.

Genital herpes in adolescents.

Herpes simplex virus (HSV) infections occur commonly among adolescents. Most HSV-2 infections are genital, but genital herpes can be caused by either HSV-1 or HSV-2. Weighted means were calculated based on published seroprevalence data on adolescents from the United States and found HSV-1 rates of 53.