[ { "key": "G3PKJPDN", "version": 188, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/G3PKJPDN", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/G3PKJPDN", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "Olson et al.", "parsedDate": "2001-03-01", "numChildren": 0 }, "data": { "key": "G3PKJPDN", "version": 188, "itemType": "journalArticle", "title": "Primary Care Pediatricians' Roles and Perceived Responsibilities in the Identification and Management of Depression in Children and Adolescents", "creators": [ { "creatorType": "author", "firstName": "Ardis L.", "lastName": "Olson" }, { "creatorType": "author", "firstName": "Kelly J.", "lastName": "Kelleher" }, { "creatorType": "author", "firstName": "Kathi J.", "lastName": "Kemper" }, { "creatorType": "author", "firstName": "Barry S.", "lastName": "Zuckerman" }, { "creatorType": "author", "firstName": "Cristina S.", "lastName": "Hammond" }, { "creatorType": "author", "firstName": "Allen J.", "lastName": "Dietrich" } ], "abstractNote": "Objective.—To describe primary care pediatricians' 1) approach to the identification and management of childhood and adolescent depression and 2) perception of their skills, responsibilities, and barriers in recognizing and managing depression in children and adolescents. Design and Methods.—National cross-sectional survey of randomly selected primary care pediatricians that assessed the management of recalled last case of child or adolescent depression, attitudes, limitations to care from barriers and skills, and willingness to implement new educational or intervention strategies to improve care. Results.—There were 280 completed surveys about child and adolescent depression (63% response rate). Pediatricians overwhelmingly reported it was their responsibility to recognize depression in both children and adolescents (90%) but were unlikely to feel responsible for treating children or adolescents (26%–27%). Those with most of their practice in capitated managed care were less likely to feel responsible for recognizing depression in either children or adolescents. Forty-six percent of pediatricians lacked confidence in their skills to recognize depression in children, and few of them (10%–14%) had confidence in their skills in different aspects of treatment with children or adolescents. Diagnostic, assessment, and management details for their last recalled case of depression in a child or adolescent were provided by 248 of these pediatricians. In addition to referring 78%–79% of the cases to mental health care professionals, 77% of pediatricians provided a wide range of brief interventions. Only 19%–20% prescribed medication. Major factors cited that limited their diagnosis or management were time (56%–68%) and training or knowledge of issues (38%–56%). Fewer pediatricians noted limitations due to insurer or financial issues (8%–39%) or patient issues (19%–31%). The 35% of pediatricians who were motivated to change their recognition and management of suspected depression were significantly more interested in implementing in the future a variety of new strategies to improve care. Conclusion.—Primary care pediatricians felt responsible for recognizing but not for treating child and adolescent depression. Although the lack of confidence and lack of knowledge and/or skills and time issues are major barriers that limit pediatricians in their treatment of childhood and adolescent depression, pediatricians varied in their readiness to change, with some being more willing to implement new strategies to care for depression. Educational and practice interventions need to focus on how to assist all pediatricians in diagnosis and to prepare these motivated pediatricians to manage depression in primary care settings.", "publicationTitle": "Ambulatory Pediatrics", "publisher": "", "place": "", "date": "March 1, 2001", "volume": "1", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "91-98", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Ambulatory Pediatrics", "DOI": "10.1367/1539-4409(2001)001<0091:PCPRAP>2.0.CO;2", "citationKey": "", "url": "http://www.sciencedirect.com/science/article/pii/S153015670560024X", "accessDate": "2020-01-29T19:21:34Z", "PMID": "", "PMCID": "", "ISSN": "1530-1567", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "en", "libraryCatalog": "ScienceDirect", "callNumber": "", "rights": "", "extra": "00207", "tags": [ { "tag": "adolescents", "type": 1 }, { "tag": "children", "type": 1 }, { "tag": "continuing medical education", "type": 1 }, { "tag": "depression", "type": 1 }, { "tag": "family", "type": 1 }, { "tag": "mental health care services", "type": 1 }, { "tag": "primary care", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2020-01-29T19:21:34Z", "dateModified": "2020-01-29T19:21:35Z" } }, { "key": "XC8KEL42", "version": 187, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/XC8KEL42", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/XC8KEL42", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "Weitzman et al.", "parsedDate": "2015-02-01", "numChildren": 1 }, "data": { "key": "XC8KEL42", "version": 187, "itemType": "journalArticle", "title": "Promoting Optimal Development: Screening for Behavioral and Emotional Problems", "creators": [ { "creatorType": "author", "firstName": "Carol", "lastName": "Weitzman" }, { "creatorType": "author", "firstName": "Lynn", "lastName": "Wegner" }, { "creatorType": "author", "firstName": "Committee on Psychosocial Aspects of Child and Family Health", "lastName": "the SECTION ON DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS" } ], "abstractNote": "By current estimates, at any given time, approximately 11% to 20% of children in the United States have a behavioral or emotional disorder, as defined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Between 37% and 39% of children will have a behavioral or emotional disorder diagnosed by 16 years of age, regardless of geographic location in the United States. Behavioral and emotional problems and concerns in children and adolescents are not being reliably identified or treated in the US health system. This clinical report focuses on the need to increase behavioral screening and offers potential changes in practice and the health system, as well as the research needed to accomplish this. This report also (1) reviews the prevalence of behavioral and emotional disorders, (2) describes factors affecting the emergence of behavioral and emotional problems, (3) articulates the current state of detection of these problems in pediatric primary care, (4) describes barriers to screening and means to overcome those barriers, and (5) discusses potential changes at a practice and systems level that are needed to facilitate successful behavioral and emotional screening. Highlighted and discussed are the many factors at the level of the pediatric practice, health system, and society contributing to these behavioral and emotional problems.", "publicationTitle": "Pediatrics", "publisher": "", "place": "", "date": "2015/02/01", "volume": "135", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "384-395", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1542/peds.2014-3716", "citationKey": "", "url": "https://pediatrics.aappublications.org/content/135/2/384", "accessDate": "2020-01-29T19:21:08Z", "PMID": "", "PMCID": "", "ISSN": "0031-4005, 1098-4275", "archive": "", "archiveLocation": "", "shortTitle": "Promoting Optimal Development", "language": "en", "libraryCatalog": "pediatrics.aappublications.org", "callNumber": "", "rights": "Copyright © 2015 by the American Academy of Pediatrics", "extra": "00119 \nPMID: 25624375", "tags": [ { "tag": "attention-deficit/hyperactivity disorder", "type": 1 }, { "tag": "behavioral screening", "type": 1 }, { "tag": "emotional problems", "type": 1 }, { "tag": "pediatrics", "type": 1 }, { "tag": "primary care", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2020-01-29T19:21:08Z", "dateModified": "2020-01-29T19:21:09Z" } }, { "key": "32JNLGCX", "version": 187, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/32JNLGCX", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/32JNLGCX", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/79288/items/XC8KEL42", "type": "application/json" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } } }, "data": { "key": "32JNLGCX", "version": 187, "parentItem": "XC8KEL42", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2020-01-29T19:21:09Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/25624375", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2020-01-29T19:21:09Z", "dateModified": "2020-01-29T19:21:09Z" } }, { "key": "EV79E5HG", "version": 186, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/EV79E5HG", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/EV79E5HG", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "Boekeloo et al.", "parsedDate": "1996-11-01", "numChildren": 0 }, "data": { "key": "EV79E5HG", "version": 186, "itemType": "journalArticle", "title": "YOung adolescents' comfort with discussion about sexual problems with their physician", "creators": [ { "creatorType": "author", "firstName": "BO", "lastName": "Boekeloo" }, { "creatorType": "author", "firstName": "L", "lastName": "Schamus" }, { "creatorType": "author", "firstName": "TL", "lastName": "Cheng" }, { "creatorType": "author", "firstName": "SJ", "lastName": "Simmens" } ], "abstractNote": "Objective: \nTo identify factors associated with young adolescents' sense of comfort about discussing sexual problems with their physician.Design:\nConfidential, assisted self-report questionnaires on physician-adolescent communication developed by the investigators and completed by participants at visits for general health examinations.Setting:\nFive primary care pediatric practices at health maintenance organizations in Washington, DC.Patients:\nA consecutive sample of all adolescents 12 to 15 years old who received a general health examination. Of 412 eligible patients, 221 received parental consent and participated.Main Outcome Measure:\nAdolescents' sense of comfort about talking to their physician about a sexually transmitted disease or some other sexual problem. This outcome was chosen for a substudy of a larger longitudinal prevention trial.Results:\nMost adolescents valued their physicians' opinions about sex (89%) and said it was easy to talk to the physician during their visit (99%), but about half said they would be uncomfortable talking to the physician if they had a sexually transmitted disease or some other sexual problem (57%). Adolescents' sense of comfort was greater when physicians discussed sexual issues in the general health examination, adolescents perceived their personal risk of sexually transmitted disease to be high, adolescents had high selfesteem, and physicians were adolescents' usual physicians.Conclusions:\nThis study emphasizes the need for physicians to discuss sexual risks with young adolescents and suggests ways physicians can help young adolescents feel more comfortable talking with them about sexual concerns.Arch Pediatr Adolesc Med. 1996;150:1146-1152", "publicationTitle": "Archives of Pediatrics & Adolescent Medicine", "publisher": "", "place": "", "date": "November 1, 1996", "volume": "150", "issue": "11", "section": "", "partNumber": "", "partTitle": "", "pages": "1146-1152", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Arch Pediatr Adolesc Med", "DOI": "10.1001/archpedi.1996.02170360036005", "citationKey": "", "url": "http://dx.doi.org/10.1001/archpedi.1996.02170360036005", "accessDate": "2015-12-01T19:25:18Z", "PMID": "", "PMCID": "", "ISSN": "1072-4710", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "Silverchair", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-12-01T19:25:18Z", "dateModified": "2015-12-01T19:27:17Z" } }, { "key": "VFWVDHFW", "version": 177, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/VFWVDHFW", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/VFWVDHFW", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/79288/items/6MKF2FME", "type": "application/json" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } } }, "data": { "key": "VFWVDHFW", "version": 177, "parentItem": "6MKF2FME", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2015-07-03T14:49:41Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/24951042", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-07-03T14:49:41Z", "dateModified": "2015-07-03T14:49:41Z" } }, { "key": "V9FQBECK", "version": 176, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/V9FQBECK", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/V9FQBECK", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/79288/items/XFQP45KB", "type": "application/json" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } } }, "data": { "key": "V9FQBECK", "version": 176, "parentItem": "XFQP45KB", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed Central Link", "accessDate": "2015-07-03T14:46:39Z", "url": "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3037124/", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-07-03T14:46:39Z", "dateModified": "2015-07-03T14:46:39Z" } }, { "key": "XFQP45KB", "version": 176, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/XFQP45KB", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/XFQP45KB", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "Reznik and Tebb", "parsedDate": "2008", "numChildren": 1 }, "data": { "key": "XFQP45KB", "version": 176, "itemType": "journalArticle", "title": "Where Do Teens Go to Get the 411 on Sexual Health? A Teen Intern in Clinical Research with Teens", "creators": [ { "creatorType": "author", "firstName": "Yana", "lastName": "Reznik" }, { "creatorType": "author", "firstName": "Kathleen", "lastName": "Tebb" } ], "abstractNote": "Research Setting: The research for the study reported here was conducted in conjunction with the Biomedical and Health Sciences Internship for High School Students at the University of California, San Francisco, Department of Pediatrics. The eight-week intensive summer program promotes interest in science, medicine, and health among young people by introducing students to the professional world of science, broadly defined. Interns are expected to assist in a specific research project that addresses a scientific question. They participate in a variety of lectures and are exposed to faculty members, medical students, and college graduates working as research assistants in a rich academic and clinical research setting. This study was conducted within Kaiser Permanente (KP) of Northern California as part of a larger study aimed at increasing Chlamydia screening among sexually active adolescents. It was approved by Committee on Human Research, the institutional review board (IRB) for the University of California, San Francisco and the IRB for KP Northern California., Objective: There were two primary objectives of this study: first, we sought to identify where teenagers obtain information about sexual health; second, we examined whether aspects of a clinician's communication style with a teen during a health care visit were associated with the teen choosing that clinician as a primary source of sexual health information (as compared with parents, peers, teachers, the news media, and other sources)., Results: Teens who perceived that their clinician communicated with respect and explained information in ways that they could understand were more likely to cite their clinician as a source of sexual health information. Having time alone (confidentiality) with a physician was also associated with teens' selection of a clinician as a primary information source. Whether the clinician asked about sex during the health care visit was significantly associated with males selecting the clinician as a primary source of sexual health information. An important finding, at least for males, because teens do not always bring up the topic.", "publicationTitle": "The Permanente Journal", "publisher": "", "place": "", "date": "2008", "volume": "12", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "47-51", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Perm J", "DOI": "", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3037124/", "accessDate": "2015-07-03T14:46:39Z", "PMID": "", "PMCID": "", "ISSN": "1552-5767", "archive": "", "archiveLocation": "", "shortTitle": "Where Do Teens Go to Get the 411 on Sexual Health?", "language": "", "libraryCatalog": "PubMed Central", "callNumber": "", "rights": "", "extra": "PMID: 21331209\nPMCID: PMC3037124", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-07-03T14:46:39Z", "dateModified": "2015-07-03T14:46:39Z" } }, { "key": "TIZKQM3A", "version": 175, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/TIZKQM3A", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/TIZKQM3A", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "Austin et al.", "parsedDate": "2013-02", "numChildren": 1 }, "data": { "key": "TIZKQM3A", "version": 175, "itemType": "journalArticle", "title": "Eating Disorder Symptoms and Obesity at the Intersections of Gender, Ethnicity, and Sexual Orientation in US High School Students", "creators": [ { "creatorType": "author", "firstName": "S. Bryn", "lastName": "Austin" }, { "creatorType": "author", "firstName": "Lauren A.", "lastName": "Nelson" }, { "creatorType": "author", "firstName": "Michelle A.", "lastName": "Birkett" }, { "creatorType": "author", "firstName": "Jerel P.", "lastName": "Calzo" }, { "creatorType": "author", "firstName": "Bethany", "lastName": "Everett" } ], "abstractNote": "Objectives. We examined purging for weight control, diet pill use, and obesity across sexual orientation identity and ethnicity groups., Methods. Anonymous survey data were analyzed from 24 591 high school students of diverse ethnicities in the federal Youth Risk Behavioral Surveillance System Survey in 2005 and 2007. Self-reported data were gathered on gender, ethnicity, sexual orientation identity, height, weight, and purging and diet pill use in the past 30 days. We used multivariable logistic regression to estimate odds of purging, diet pill use, and obesity associated with sexual orientation identity in gender-stratified models and examined for the presence of interactions between ethnicity and sexual orientation., Results. Lesbian, gay, and bisexual (LGB) identity was associated with substantially elevated odds of purging and diet pill use in both girls and boys (odds ratios [OR] range =  1.9–6.8). Bisexual girls and boys were also at elevated odds of obesity compared to same-gender heterosexuals (OR = 2.3 and 2.1, respectively)., Conclusions. Interventions to reduce eating disorders and obesity that are appropriate for LGB youths of diverse ethnicities are urgently needed.", "publicationTitle": "American Journal of Public Health", "publisher": "", "place": "", "date": "2013-2", "volume": "103", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "e16-e22", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Am J Public Health", "DOI": "10.2105/AJPH.2012.301150", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3558764/", "accessDate": "2015-06-30T13:01:47Z", "PMID": "", "PMCID": "", "ISSN": "0090-0036", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "PubMed Central", "callNumber": "", "rights": "", "extra": "PMID: 23237207\nPMCID: PMC3558764", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-06-30T13:01:47Z", "dateModified": "2015-06-30T13:01:47Z" } }, { "key": "DC96EB3M", "version": 175, "library": 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"charset": "", "tags": [], "relations": {}, "dateAdded": "2015-06-30T13:01:47Z", "dateModified": "2015-06-30T13:01:47Z" } }, { "key": "ZPXVRJXH", "version": 174, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/ZPXVRJXH", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/ZPXVRJXH", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/79288/items/W4NN46RB", "type": "application/json" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } } }, "data": { "key": "ZPXVRJXH", "version": 174, "parentItem": "W4NN46RB", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed Central Link", "accessDate": "2015-06-30T12:10:40Z", "url": "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3081184/", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-06-30T12:10:40Z", "dateModified": "2015-06-30T12:10:40Z" } }, { "key": "W4NN46RB", "version": 174, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/W4NN46RB", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/W4NN46RB", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "Ratcliff et al.", "parsedDate": "2011-05", "numChildren": 1 }, "data": { "key": "W4NN46RB", "version": 174, "itemType": "journalArticle", "title": "Risk-Taking Behaviors of Adolescents With Extreme Obesity: Normative or Not?", "creators": [ { "creatorType": "author", "firstName": "Megan Benoit", "lastName": "Ratcliff" }, { "creatorType": "author", "firstName": "Todd M.", "lastName": "Jenkins" }, { "creatorType": "author", "firstName": "Jennifer", "lastName": "Reiter-Purtill" }, { "creatorType": "author", "firstName": "Jennie G.", "lastName": "Noll" }, { "creatorType": "author", "firstName": "Meg H.", "lastName": "Zeller" } ], "abstractNote": "OBJECTIVE:\nPresent first published data detailing high-risk behaviors of adolescent high school students (HSS) with extreme obesity (BMI ≥ 99th percentile for age and gender) compared with healthy weight peers (5th–84th percentile).\n\nMETHODS:\nThe 2007 Youth Risk Behavior Survey was used to compare HSS with extreme obesity (N = 410) and healthy weight peers (N = 8669) in their engagement in (1) tobacco use, (2) alcohol/other drug use, (3) high-risk sexual behaviors, and (4) suicidal behaviors. Logistic regression was used to calculate gender-stratified odds ratios (OR) and 95% confidence intervals (CI), controlling for age and race.\n\nRESULTS:\nHSS with extreme obesity were similar to healthy weight peers in the prevalence of most behaviors related to alcohol/drug use, high-risk sexual activities, and suicide, with the following exceptions: relative to healthy weight HSS, both male and female students with extreme obesity more frequently reported ever trying cigarettes (female students, adjusted OR: 2.0 [95% CI: 1.3–3.2]; male students, OR: 1.5 [CI: 1.2–2.0]). Compared with healthy weight female students, female students with extreme obesity had lower odds of ever having sex (OR: 0.5 [CI: 0.3–0.9]), but greater odds of drinking alcohol/using drugs before their last sexual encounter (OR: 4.6 [CI: 1.2–17.6]), currently smoking (OR: 2.3 [CI: 1.2–4.4]), and using smokeless tobacco (OR: 4.6 [CI: 1.2–17.2]). Compared with healthy weight male students, male students with extreme obesity had greater odds of smoking before age 13 (OR: 1.4 [CI: 1.0–2.0]).\n\nCONCLUSIONS:\nWith few exceptions, HSS with extreme obesity engage in high-risk behaviors at rates comparable with healthy weight peers, sometimes in even more dangerous ways. Health care providers should assess risk-taking behaviors in this cohort.", "publicationTitle": "Pediatrics", "publisher": "", "place": "", "date": "2011-5", "volume": "127", "issue": "5", "section": "", "partNumber": "", "partTitle": "", "pages": "827-834", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Pediatrics", "DOI": "10.1542/peds.2010-2742", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3081184/", "accessDate": "2015-06-30T12:10:40Z", "PMID": "", "PMCID": "", "ISSN": "0031-4005", "archive": "", "archiveLocation": "", "shortTitle": "Risk-Taking Behaviors of Adolescents With Extreme Obesity", "language": "", "libraryCatalog": "PubMed Central", "callNumber": "", "rights": "", "extra": "PMID: 21518723\nPMCID: PMC3081184", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-06-30T12:10:40Z", "dateModified": "2015-06-30T12:10:40Z" } }, { "key": "WPJI642I", "version": 173, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/WPJI642I", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/WPJI642I", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "Leech and Dias", "parsedDate": "2011-05-04", "numChildren": 0 }, "data": { "key": "WPJI642I", "version": 173, "itemType": "journalArticle", "title": "Risky Sexual Behavior: A Race-specific Social Consequence of Obesity", "creators": [ { "creatorType": "author", "firstName": "Tamara G. J.", "lastName": "Leech" }, { "creatorType": "author", "firstName": "Janice Johnson", "lastName": "Dias" } ], "abstractNote": "Scant attention has been given to the consequence of actual weight status for adolescents’ sexual wellbeing. In this article, we investigate the race-specific connection between obesity and risky sexual behavior among adolescent girls. Propensity scores and radius matching are used to analyze a sample of 340 adolescents aged 16–17 who participated in the National Longitudinal Survey of Youth Young Adult Survey in 2000 or 2002. Nearly even numbers of these participants identified as white and black (183 and 157, respectively). We find that compared to their non-obese white peers, obese white adolescent girls exhibit higher rates of multiple sex partners and sex with older partners, and are also less likely to use condoms. None of these factors are significantly related to high BMI within the black sample. These findings indicate that the negative social consequences of obesity extend beyond future economic and marriage outcomes to adolescent white women’s sexual outcomes. They also highlight the importance of context: the implications of being obese during adolescence depend on cultural meanings of obesity.", "publicationTitle": "Journal of Youth and Adolescence", "publisher": "", "place": "", "date": "2011/05/04", "volume": "41", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "41-52", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Youth Adolescence", "DOI": "10.1007/s10964-011-9670-6", "citationKey": "", "url": "http://link.springer.com/article/10.1007/s10964-011-9670-6", "accessDate": "2015-06-30T12:10:20Z", "PMID": "", "PMCID": "", "ISSN": "0047-2891, 1573-6601", "archive": "", "archiveLocation": "", "shortTitle": "Risky Sexual Behavior", "language": "en", "libraryCatalog": "link.springer.com", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-06-30T12:10:20Z", "dateModified": "2015-06-30T12:10:20Z" } }, { "key": "QBNZNU6X", "version": 172, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/QBNZNU6X", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/QBNZNU6X", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "Pollak et al.", "parsedDate": "2014-09", "numChildren": 0 }, "data": { "key": "QBNZNU6X", "version": 172, "itemType": "journalArticle", "title": "Weight's up? Predictors of weight-related communication during primary care visits with overweight adolescents", "creators": [ { "creatorType": "author", "firstName": "Kathryn I.", "lastName": "Pollak" }, { "creatorType": "author", "firstName": "Cynthia J.", "lastName": "Coffman" }, { "creatorType": "author", "firstName": "Stewart C.", "lastName": "Alexander" }, { "creatorType": "author", "firstName": "Truls", "lastName": "Østbye" }, { "creatorType": "author", "firstName": "Pauline", "lastName": "Lyna" }, { "creatorType": "author", "firstName": "James A.", "lastName": "Tulsky" }, { "creatorType": "author", "firstName": "Alicia", "lastName": "Bilheimer" }, { "creatorType": "author", "firstName": "Rowena J.", "lastName": "Dolor" }, { "creatorType": "author", "firstName": "Pao-Hwa", "lastName": "Lin" }, { "creatorType": "author", "firstName": "Michael E.", "lastName": "Bodner" }, { "creatorType": "author", "firstName": "Terrill", "lastName": "Bravender" } ], "abstractNote": "AbstractObjective\nPhysicians’ use of Motivational Interviewing (MI) techniques when discussing weight with adolescent patients is unknown.\nMethods\nWe coded audio-recorded encounters between 49 primary care physicians and 180 overweight adolescent patients. During weight discussions, we used the MITI 3.0 to assess: Empathy, MI Spirit, open-ended questions, reflections, MI consistent behaviors (e.g., praising) and MI inconsistent behaviors (e.g., confronting). We examined associations of patient and physician characteristics with (1) MI techniques, (2) time discussing weight, and (3) encounter time.\nResults\nPhysicians used more MI consistent techniques with female patients (p = 0.06) and with heavier patients (p = 0.02). Physicians with prior MI training also used more MI consistent techniques (p = 0.04) and asked more open-ended questions (p = 0.05). Pediatricians had a higher MI Spirit score than family physicians (p = 0.03). Older patient age was associated with physicians spending less time discussing weight-related topics (p = 0.04) and higher BMI percentile was associated with physicians spending more time discussing weight-related topics (p = 0.01). Increased use of MI inconsistent techniques was associated with longer encounters (p = 0.02).\nConclusion\nPhysicians’ weight discussions vary based on adolescent and physician characteristics. Importantly, not using MI lengthened encounter time.\nPractice implications\nPhysicians might consider using MI techniques more and attempt to use these equally with all adolescents.", "publicationTitle": "Patient Education and Counseling", "publisher": "", "place": "", "date": "September 2014", "volume": "96", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "327-332", "series": "Communication in Healthcare: Lessons from Diversity Best papers from the International Conference on Communication in Healthcare, Montreal, Canada, 29 September - 2 October 2013", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Patient Education and Counseling", "DOI": "10.1016/j.pec.2014.07.025", "citationKey": "", "url": "http://www.sciencedirect.com/science/article/pii/S0738399114002997", "accessDate": "2015-06-29T14:46:31Z", "PMID": "", "PMCID": "", "ISSN": "0738-3991", "archive": "", "archiveLocation": "", "shortTitle": "Weight's up?", "language": "", "libraryCatalog": "ScienceDirect", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-06-29T14:46:31Z", "dateModified": "2015-06-29T14:46:31Z" } }, { "key": "BFECWS6E", "version": 170, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/BFECWS6E", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/BFECWS6E", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "Greene et al.", "parsedDate": "2015", "numChildren": 0 }, "data": { "key": "BFECWS6E", "version": 170, "itemType": "journalArticle", "title": "“Is This Normal? Is This Not Normal? There Is No Set Example”: Sexual Health Intervention Preferences of LGBT Youth in Romantic Relationships", "creators": [ { "creatorType": "author", "firstName": "George J.", "lastName": "Greene" }, { "creatorType": "author", "firstName": "Kimberly A.", "lastName": "Fisher" }, { "creatorType": "author", "firstName": "Laura", "lastName": "Kuper" }, { "creatorType": "author", "firstName": "Rebecca", "lastName": "Andrews" }, { "creatorType": "author", "firstName": "Brian", "lastName": "Mustanski" } ], "abstractNote": "Limited research has examined the romantic relationships of lesbian, gay, bisexual, and transgender (LGBT) youth despite evidence of relationship-oriented risks, including STI/HIV infection, unplanned pregnancy, and interpersonal violence. In efforts to inform future dyadic sexual health interventions for LGBT youth, this couple-based study aimed to identify the most salient sexual and relationship concerns of young same-sex couples and to assess their preferences for intervention content and format. Participants were a subset 36 young, racially and ethnically diverse, same-sex couples (N = 72 individuals) recruited from two ongoing longitudinal studies. Interviews were coded using a constant comparison method, and a process of inductive and deductive thematic analysis was used to interpret the data. The analysis yielded the following intervention themes: addressing sexual risk and protective behaviors, improving communication, coping with family and relationship violence, and identifying role models and sources of support. The couples reported a clear preference for small group interventions, and many recommended a mixed format approach for intervention delivery (i.e., including dyadic and online sessions). Additionally, recommendations for participant recruitment included a combination of Internet-based and social network referrals.", "publicationTitle": "Sexuality Research & Social Policy", "publisher": "", "place": "", "date": "2015", "volume": "12", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "1-14", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1007/s13178-014-0169-2", "citationKey": "", "url": "http://link.springer.com/article/10.1007/s13178-014-0169-2/fulltext.html", "accessDate": "2015-06-26T16:02:59Z", "PMID": "", "PMCID": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "“Is This Normal?", "language": "", "libraryCatalog": "link.springer.com", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-06-26T16:02:59Z", "dateModified": "2015-06-26T16:06:21Z" } }, { "key": "MI25WZGS", "version": 165, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/MI25WZGS", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/MI25WZGS", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "Kann et al.", "parsedDate": "2011-06-06", "numChildren": 0 }, "data": { "key": "MI25WZGS", "version": 165, "itemType": "book", "title": "Sexual Identity, Sex of Sexual Contacts, and Health-Risk Behaviors among Students in Grades 9-12--Youth Risk Behavior Surveillance, Selected Sites, United States, 2001-2009. Morbidity and Mortality Weekly Report. Early Release. Volume 60", "creators": [ { "creatorType": "author", "firstName": "Laura", "lastName": "Kann" }, { "creatorType": "author", "firstName": "Emily", "lastName": "O'Malley Olsen" }, { "creatorType": "author", "firstName": "Tim", "lastName": "McManus" }, { "creatorType": "author", "firstName": "Steve", "lastName": "Kinchen" }, { "creatorType": "author", "firstName": "David", "lastName": "Chyen" }, { "creatorType": "author", "firstName": "William A.", "lastName": "Harris" }, { "creatorType": "author", "firstName": "Howell", "lastName": "Wechsler" } ], "abstractNote": "Problem: Sexual minority youths are youths who identify themselves as gay or lesbian, bisexual, or unsure of their sexual identity or youths who have only had sexual contact with persons of the same sex or with both sexes. Population-based data on the health-risk behaviors practiced by sexual minority youths are needed at the state and local levels to most effectively monitor and ensure the effectiveness of public health interventions designed to address the needs of this population. Reporting Period Covered: January 2001-June 2009. Description of the System: The Youth Risk Behavior Surveillance System (YRBSS) monitors priority health-risk behaviors (behaviors that contribute to unintentional injuries, behaviors that contribute to violence, behaviors related to attempted suicide, tobacco use, alcohol use, other drug use, sexual behaviors, dietary behaviors, physical activity and sedentary behaviors, and weight management) and the prevalence of obesity and asthma among youths and young adults. YRBSS includes state and local school-based Youth Risk Behavior Surveys (YRBSs) conducted by state and local education and health agencies. This report summarizes results from YRBSs conducted during 2001-2009 in seven states and six large urban school districts that included questions on sexual identity (i.e., heterosexual, gay or lesbian, bisexual, or unsure), sex of sexual contacts (i.e., same sex only, opposite sex only, or both sexes), or both of these variables. The surveys were conducted among large population-based samples of public school students in grades 9-12. Results: Across the nine sites that assessed sexual identity, the prevalence among gay or lesbian students was higher than the prevalence among heterosexual students for a median of 63.8% of all the risk behaviors measured, and the prevalence among bisexual students was higher than the prevalence among heterosexual students for a median of 76.0% of all the risk behaviors measured. In addition, the prevalence among gay or lesbian students was more likely to be higher than (rather than equal to or lower than) the prevalence among heterosexual students for behaviors in seven of the 10 risk behavior categories (behaviors that contribute to violence, behaviors related to attempted suicide, tobacco use, alcohol use, other drug use, sexual behaviors, and weight management). Similarly, the prevalence among bisexual students was more likely to be higher than (rather than equal to or lower than) the prevalence among heterosexual students for behaviors in eight of the 10 risk behavior categories (behaviors that contribute to unintentional injuries, behaviors that contribute to violence, behaviors related to attempted suicide, tobacco use, alcohol use, other drug use, sexual behaviors, and weight management). Across the 12 sites that assessed sex of sexual contacts, the prevalence among students who had sexual contact with both sexes was higher than the prevalence among students who only had sexual contact with the opposite sex for a median of 71.1% of all the risk behaviors measured, and the prevalence among students who only had sexual contact with the same sex was higher than the prevalence among students who only had sexual contact with the opposite sex for a median of 29.7% of all the risk behaviors measured. Furthermore, the prevalence among students who had sexual contact with both sexes was more likely to be higher than (rather than equal to or lower than) the prevalence among students who only had sexual contact with the opposite sex for behaviors in six of the 10 risk behavior categories (behaviors that contribute to violence, behaviors related to attempted suicide, tobacco use, alcohol use, other drug use, and weight management). The prevalence among students who only had sexual contact with the same sex was more likely to be higher than (rather than equal to or lower than) the prevalence among students who only had sexual contact with the opposite sex for behaviors in two risk behavior categories (behaviors related to attempted suicide and weight management). Interpretation: Sexual minority students, particularly gay, lesbian, and bisexual students and students who had sexual contact with both sexes, are more likely to engage in health-risk behaviors than other students. Public Health Action: Effective state and local public health and school health policies and practices should be developed to help reduce the prevalence of health-risk behaviors and improve health outcomes among sexual minority youths. In addition, more state and local surveys designed to monitor health-risk behaviors and selected health outcomes among population-based samples of students in grades 9-12 should include questions on sexual identity and sex of sexual contacts. (Contains 84 tables.)", "series": "", "seriesNumber": "", "volume": "", "numberOfVolumes": "", "edition": "", "date": "2011/06/06", "publisher": "Centers for Disease Control and Prevention", "place": "", "originalDate": "", "originalPublisher": "", "originalPlace": "", "format": "", "numPages": "", "ISBN": "", "DOI": "", "citationKey": "", "url": "http://eric.ed.gov/?id=ED520413", "accessDate": "2015-06-08T20:37:41Z", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "en", "libraryCatalog": "ERIC", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-06-08T20:37:41Z", "dateModified": "2015-06-08T20:37:41Z" } }, { "key": "WZBKRGJC", "version": 164, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/WZBKRGJC", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/WZBKRGJC", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/79288/items/RB6HKUKX", "type": "application/json" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } } }, "data": { "key": "WZBKRGJC", "version": 164, "parentItem": "RB6HKUKX", "itemType": "attachment", "linkMode": "linked_url", "title": "Google Books Link", "accessDate": "2015-06-08T20:36:17Z", "url": "https://books.google.com/books?id=UHYPtzSypKAC", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-06-08T20:36:17Z", "dateModified": "2015-06-08T20:36:17Z" } }, { "key": "2SEDCZ4N", "version": 162, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/2SEDCZ4N", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/2SEDCZ4N", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/79288/items/I79VT3J4", "type": "application/json" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } } }, "data": { "key": "2SEDCZ4N", "version": 162, "parentItem": "I79VT3J4", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2015-06-08T20:34:00Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/21659985", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-06-08T20:34:00Z", "dateModified": "2015-06-08T20:34:00Z" } }, { "key": "UZZTVEWR", "version": 161, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/UZZTVEWR", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/UZZTVEWR", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/79288/items/FQFT7AZ4", "type": "application/json" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } } }, "data": { "key": "UZZTVEWR", "version": 161, "parentItem": "FQFT7AZ4", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2015-06-08T20:33:26Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/21659985", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-06-08T20:33:26Z", "dateModified": "2015-06-08T20:33:26Z" } }, { "key": "2SAFEB6E", "version": 160, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/2SAFEB6E", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/2SAFEB6E", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "PhD et al.", "parsedDate": "2012-10-01", "numChildren": 0 }, "data": { "key": "2SAFEB6E", "version": 160, "itemType": "journalArticle", "title": "It's Supposed to Be Personal: Personal and Educational Factors Associated with Sexual Health Attitudes, Knowledge, Comfort and Skill in Health Profession Students", "creators": [ { "creatorType": "author", "firstName": "Lindsey M. West", "lastName": "PhD" }, { "creatorType": "author", "firstName": "Lara M. Stepleman", "lastName": "PhD" }, { "creatorType": "author", "firstName": "Christina K. Wilson", "lastName": "PhD" }, { "creatorType": "author", "firstName": "Jeff Campbell", "lastName": "MS" }, { "creatorType": "author", "firstName": "Margo Villarosa", "lastName": "MS" }, { "creatorType": "author", "firstName": "Brittany Bodie", "lastName": "MS" }, { "creatorType": "author", "firstName": "Matthew Decker", "lastName": "MS" } ], "abstractNote": "The health professional and the patient are cultural beings with beliefs and attitudes that are shaped by family traditions, social development, and exposure to novel experiences. As such, it is especially important for health profession students to gain awareness about the personal and educational factors that likely inform their practice and educational experiences and, as a result, impact their attitudes, knowledge, comfort, and skill in the area of sexual health. The current study sought to understand personal factors in health profession students associated with these sexual health competencies. Several early personal factors (gender, social class, and family sexuality communication), current personal factors (religion, spirituality, and relationship history), and educational factors (perceived quality of education and experience) were significantly related with sexual health competency. Results suggest that there is potential value to tailored interventions, student self-reflection, and interprofessional education among health profession students’ for the promotion of sexual health competency.", "publicationTitle": "American Journal of Sexuality Education", "publisher": "", "place": "", "date": "October 1, 2012", "volume": "7", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "329-354", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1080/15546128.2012.740945", "citationKey": "", "url": "http://dx.doi.org/10.1080/15546128.2012.740945", "accessDate": "2015-06-08T18:00:06Z", "PMID": "", "PMCID": "", "ISSN": "1554-6128", "archive": "", "archiveLocation": "", "shortTitle": "It's Supposed to Be Personal", "language": "", "libraryCatalog": "Taylor and Francis+NEJM", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-06-08T18:00:06Z", "dateModified": "2015-06-08T18:00:06Z" } }, { "key": "DE3GFI4V", "version": 159, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/DE3GFI4V", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/DE3GFI4V", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "Cénat et al.", "numChildren": 1 }, "data": { "key": "DE3GFI4V", "version": 159, "itemType": "journalArticle", "title": "Correlates of bullying in Quebec High school students: The vulnerability of sexual-minority youth", "creators": [ { "creatorType": "author", "firstName": "Jude Mary", "lastName": "Cénat" }, { "creatorType": "author", "firstName": "Martin", "lastName": "Blais" }, { "creatorType": "author", "firstName": "Martine", "lastName": "Hébert" }, { "creatorType": "author", "firstName": "Francine", "lastName": "Lavoie" }, { "creatorType": "author", "firstName": "Mireille", "lastName": "Guerrier" } ], "abstractNote": "AbstractPurpose\nBullying has become a significant public health issue, particularly among youth. This study documents cyberbullying, homophobic bullying and bullying at school or elsewhere and their correlates among both heterosexual and sexual-minority high school students in Quebec (Canada).\nMethod\nA representative sample of 8,194 students aged 14–20 years was recruited in Quebec (Canada) high schools. We assessed cyberbullying, homophobic bullying and bullying at school or elsewhere in the past 12 months and their association with current self-esteem and psychological distress as well as suicidal ideations.\nResults\nBullying at school or elsewhere was the most common form of bullying (26.1%), followed by cyberbullying (22.9%) and homophobic bullying (3.6%). Overall, girls and sexual-minority youth were more likely to experienced cyberbullying and other form of bullying as well as psychological distress, low self-esteem and suicidal ideations. The three forms of bullying were significantly and independently associated with all mental health outcomes.\nConclusions\nThe results underscore the relevance of taking into account gender and sexual orientation variations in efforts to prevent bullying experience and its consequences.", "publicationTitle": "Journal of Affective Disorders", "publisher": "", "place": "", "date": "", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Journal of Affective Disorders", "DOI": "10.1016/j.jad.2015.05.011", "citationKey": "", "url": "http://www.sciencedirect.com/science/article/pii/S0165032715003110", "accessDate": "2015-05-18T18:52:19Z", "PMID": "", "PMCID": "", "ISSN": "0165-0327", "archive": "", "archiveLocation": "", "shortTitle": "Correlates of bullying in Quebec High school students", "language": "", "libraryCatalog": "ScienceDirect", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-05-18T18:52:19Z", "dateModified": "2015-05-18T18:52:19Z" } }, { "key": "UZJ7D4X5", "version": 159, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/UZJ7D4X5", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/UZJ7D4X5", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/79288/items/DE3GFI4V", "type": "application/json" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } } }, "data": { "key": "UZJ7D4X5", "version": 159, "parentItem": "DE3GFI4V", "itemType": "attachment", "linkMode": "linked_url", "title": "ScienceDirect Snapshot", "accessDate": "2015-05-18T18:52:19Z", "url": "http://www.sciencedirect.com/science/article/pii/S0165032715003110", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-05-18T18:52:19Z", "dateModified": "2015-05-18T18:52:19Z" } }, { "key": "FAZCA394", "version": 158, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/FAZCA394", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/FAZCA394", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "Russell and Consolacion", "parsedDate": "2003-11-01", "numChildren": 0 }, "data": { "key": "FAZCA394", "version": 158, "itemType": "journalArticle", "title": "Adolescent Romance and Emotional Health in the United States: Beyond Binaries", "creators": [ { "creatorType": "author", "firstName": "Stephen T.", "lastName": "Russell" }, { "creatorType": "author", "firstName": "Theodora B.", "lastName": "Consolacion" } ], "abstractNote": "Research on adolescent same-sex sexuality has focused almost exclusively on risk in the lives of self-identified lesbians, gays, and bisexuals. The attention to same-sex self identity may obscure heterogeneity in same-sex romance (attractions and relationships) and thus may inaccurately characterize sexual-minority youth as more different than heterosexual youth in terms of emotional health risk. Using data from the National Longitudinal Study of Adolescent Health, we examine the nexus of romantic attractions and relationships among contemporary U.S. adolescents, linking experiences of romance to indicators of emotional health. We conclude that broadening the scope of inquiry beyond binaries of identity (that is, gay vs. straight) provides the opportunity to more fully understand the health and well-being of all adolescents.", "publicationTitle": "Journal of Clinical Child & Adolescent Psychology", "publisher": "", "place": "", "date": "November 1, 2003", "volume": "32", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "499-508", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1207/S15374424JCCP3204_2", "citationKey": "", "url": "http://dx.doi.org/10.1207/S15374424JCCP3204_2", "accessDate": "2015-04-24T18:35:26Z", "PMID": "", "PMCID": "", "ISSN": "1537-4416", "archive": "", "archiveLocation": "", "shortTitle": "Adolescent Romance and Emotional Health in the United States", "language": "", "libraryCatalog": "Taylor and Francis+NEJM", "callNumber": "", "rights": "", "extra": "PMID: 14710458", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-04-24T18:35:26Z", "dateModified": "2015-04-24T18:35:26Z" } }, { "key": "IER7MC4H", "version": 157, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/IER7MC4H", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/IER7MC4H", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "Savin-Williams and Diamond", "parsedDate": "2000-12-01", "numChildren": 0 }, "data": { "key": "IER7MC4H", "version": 157, "itemType": "journalArticle", "title": "Sexual Identity Trajectories Among Sexual-Minority Youths: Gender Comparisons", "creators": [ { "creatorType": "author", "firstName": "Ritch C.", "lastName": "Savin-Williams" }, { "creatorType": "author", "firstName": "Lisa M.", "lastName": "Diamond" } ], "abstractNote": "The present investigation explored gender differences in sexual identity development—first same-sex attractions, self-labeling, same-sex sexual contact, and disclosure—among 164 sexual-minority young adults. Based on interviews, results indicated the value of assessing gender differences in the context, timing, spacing, and sequencing of sexual identity milestones. Adolescent males had an earlier onset of all milestones except disclosure. The context for sexual identity milestones were likely to be emotionally oriented for young women and sexually oriented for young men. The gap from first same-sex attractions (8–9 years of age) to first disclosure (around 18 years) averaged 10 years for both sexes. Young women followed label-first developmental trajectories; men were more likely to pursue sex before identifying themselves as gay. In terms of achieving sexual identity milestones, gender mattered, but it was not everything.", "publicationTitle": "Archives of Sexual Behavior", "publisher": "", "place": "", "date": "2000-12-01", "volume": "29", "issue": "6", "section": "", "partNumber": "", "partTitle": "", "pages": "607-627", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Arch Sex Behav", "DOI": "10.1023/A:1002058505138", "citationKey": "", "url": "http://link.springer.com/article/10.1023/A%3A1002058505138", "accessDate": "2015-04-24T15:19:34Z", "PMID": "", "PMCID": "", "ISSN": "0004-0002, 1573-2800", "archive": "", "archiveLocation": "", "shortTitle": "Sexual Identity Trajectories Among Sexual-Minority Youths", "language": "en", "libraryCatalog": "link.springer.com", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-04-24T15:19:34Z", "dateModified": "2015-04-24T15:19:34Z" } }, { "key": "XG9KRP43", "version": 156, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/XG9KRP43", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/XG9KRP43", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "Blair and Holmberg", "parsedDate": "2008-10-01", "numChildren": 0 }, "data": { "key": "XG9KRP43", "version": 156, "itemType": "journalArticle", "title": "Perceived social network support and well-being in same-sex versus mixed-sex romantic relationships", "creators": [ { "creatorType": "author", "firstName": "Karen L.", "lastName": "Blair" }, { "creatorType": "author", "firstName": "Diane", "lastName": "Holmberg" } ], "abstractNote": "A theoretical model was tested, in which better perceived social network support specifically for a romantic relationship was hypothesized to predict higher relationship well-being which, in turn, would predict more positive mental and physical health outcomes for relationship partners. Furthermore, the model was tested on participants in both same-sex (i.e., homosexual, n = 183) and mixed-sex (i.e., heterosexual, n = 275) relationships. Structural equation modelling indicated that the hypothesized model did fit the data very well; furthermore, no differences in model fit were found between the two relationship groups. Support specifically for the relationship remained a highly significant predictor of the outcome variables, even when general social support and support for one's sexual orientation were controlled.", "publicationTitle": "Journal of Social and Personal Relationships", "publisher": "", "place": "", "date": "10/01/2008", "volume": "25", "issue": "5", "section": "", "partNumber": "", "partTitle": "", "pages": "769-791", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Journal of Social and Personal Relationships", "DOI": "10.1177/0265407508096695", "citationKey": "", "url": "http://spr.sagepub.com/content/25/5/769", "accessDate": "2015-04-24T14:47:24Z", "PMID": "", "PMCID": "", "ISSN": "0265-4075, 1460-3608", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "en", "libraryCatalog": "spr.sagepub.com", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-04-24T14:47:24Z", "dateModified": "2015-04-24T14:47:24Z" } }, { "key": "WMES22H2", "version": 155, "library": { "type": "group", "id": 79288, "name": "MD PT Comm Adol", "links": { "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/79288/items/WMES22H2", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/md_pt_comm_adol/items/WMES22H2", "type": "text/html" } }, "meta": { "createdByUser": { "id": 128154, "username": "cgshields1953", "name": "Cleveland G Shields", "links": { "alternate": { "href": "https://www.zotero.org/cgshields1953", "type": "text/html" } } }, "creatorSummary": "Alexander et al.", "parsedDate": "2014-09-18", "numChildren": 0 }, "data": { "key": "WMES22H2", "version": 155, "itemType": "journalArticle", "title": "Physicians Use of Inclusive Sexual Orientation Language During Teenage Annual Visits", "creators": [ { "creatorType": "author", "firstName": "Stewart C.", "lastName": "Alexander" }, { "creatorType": "author", "firstName": "J. Dennis", "lastName": "Fortenberry" }, { "creatorType": "author", "firstName": "Kathryn I.", "lastName": "Pollak" }, { "creatorType": "author", "firstName": "Terrill", "lastName": "Bravender" }, { "creatorType": "author", "firstName": "Truls", "lastName": "Østbye" }, { "creatorType": "author", "firstName": "Cleveland G.", "lastName": "Shields" } ], "abstractNote": "Purpose: Physicians are encouraged to use inclusive language regarding sexuality in order to help all adolescent patients feel accepted. Non-inclusive language by physicians may influence relationships with adolescent patients, especially those with still-developing sexual identities. The aim of this study was to identify patterns of physicians' use of inclusive and non-inclusive language when discussing sexuality. Method: A total of 393 conversations between 393 adolescents and 49 physicians from 11 clinics located throughout the Raleigh-Durham, North Carolina, area were audio recorded. Conversations were coded for the use of inclusive talk (language use that avoids the use of specific gender, sex, or sexual orientation language), direct non-inclusive talk (language use that assumes the teenager is heterosexual or exclusively engages in heterosexual sexual activity), and indirect non-inclusive talk (language use that frames talk heterosexually but does not pre-identify the adolescent as heterosexual). Results: Nearly two-thirds (63%, 245) of the visits contained some sexuality talk. Inclusive talk rarely occurred (3.3%) while non-inclusive language was predominant (48.1% direct and 48.6% indirect). There were no significant differences in language use by gender, age, adolescent race, or visit length. These non-significant findings suggest that all adolescents regardless of race, gender, or age are receiving non-inclusive sexuality talk from their providers. Conclusion: Physicians are missing opportunities to create safe environments for teenagers to discuss sexuality. The examples of inclusive talk from this study may provide potentially useful ways to teach providers how to begin sexuality discussions, focusing on sexual attraction or asking about friends' sexual behavior, and maintain these discussions.", "publicationTitle": "LGBT Health", "publisher": "", "place": "", "date": "September 18, 2014", "volume": "1", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "283-291", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "LGBT Health", "DOI": "10.1089/lgbt.2014.0035", "citationKey": "", "url": "http://online.liebertpub.com/doi/abs/10.1089/lgbt.2014.0035", "accessDate": "2015-04-20T16:51:15Z", "PMID": "", "PMCID": "", "ISSN": "2325-8292", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "online.liebertpub.com (Atypon)", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2015-04-20T16:51:15Z", "dateModified": "2015-04-20T16:51:15Z" } } ]