Journal of Adolescent Health Launches New Webpage “For Parents & Teens”
The Journal of Adolescent Health (JAH), the Official Publication of the Society for Adolescent Health and Medicine, has added an important new online resource, “For Parents & Teens,” to directly connect adolescents, young adults, and their families to practical information and insights from trusted healthcare professionals in the field. The resource is designed to improve the lives of adolescents and young adults. (PR Newswire, 4/8)
SAHM referenced in EHR and adolescent privacy discussion
In January, SAHM Past President Dr. John Santelli published a commentary in JAMA with Dr. Ron Bayer and Dr. Robert Klitzman on new challenges for EHR and adolescent confidentiality and sensitive health information.  Two replies were published this week, one of which references the SAHM’s position paper as a source of guidance regarding adolescent confidential care and the design of EHR systems. (JAMA, 4/7)




Excess Weight Early in Life Linked to Colon Cancer Risk in Women
Women who were overweight as children and teens may have a greater risk of colon cancer, no matter what their current weight, a new study cautions. Researchers analyzed data from more than 75,000 American women and more than 34,000 American men. Women who were overweight in their teens had a 27 percent higher risk of colon cancer than women who were lean during their teen years, the findings showed. (HealthDay News, 4/2)
Texting Bans Tied to Drop in Car Crash Injuries
Most U.S. states now have bans on texting while driving, and those laws may be preventing some serious traffic accidents, a new study suggests. Researchers found that car-crash hospitalizations dipped in states that instituted relatively strict bans on texting and driving between 2003 and 2010. Overall, the hospitalization rate in those states declined by 7 percent versus states with no bans, the researchers reported. (HealthDay News, 4/3)

Violent Video Games Don’t Influence Kids’ Behavior: Study
A small study offers a mixed view on whether video games may make kids more aggressive. Those children who spend more time playing games might be slightly likelier to be hyperactive and to get into fights. But violent video games seem to have no effect on behavior, according to researchers. Researchers looked at 217 teens and examined both their video game-playing habits and their personalities as judged by their teachers. (HealthDay News, 4/3)
Key Disordered Eating Info Not Reaching Overweight Youth
Eating disorder education needs to reach overweight youth, according to a new study. The study found that the prevalence of disordered eating behaviors and markers of psychosocial well-being among overweight girls and boys remained the same from 1999 to 2010. But, among non-overweight girls over the same time period, chronic dieting, unhealthy weight control behaviors, and extreme weight control behaviors decreased. (Physician’s Briefing, 4/3)
Pediatric Discoid Lupus Carries Significant Progression Risk
Pediatric discoid lupus erythematosus (DLE) carries a significant risk of progression to systemic lupus erythematosus (SLE), according to a recent review published. Researchers retrospectively reviewed 40 patients with DLE to assess the risk of progression. The researchers found that 15 percent (six patients) of 40 patients presented with DLE as a manifestation of concurrent SLE. (Physician’s Briefing, 4/3)
Faster, Taller Youth League Pitchers May Face Greater Risk of Injury
Faster pitching, being taller and playing on multiple baseball teams are linked to a higher risk of pitching-related injuries in youth baseball players, a new study found. “Playing for multiple teams increases the number of pitches that a player throws and the likelihood that a pitcher is throwing through fatigue,” said study author Dr. Peter Chalmers. “Multiple studies have shown fatigue to be a major risk factor for injury.” (HealthDay News, 4/3)
Childhood ADHD linked to secondhand smoking
Children exposed to tobacco smoke at home are up to three times more likely to have ADHD as unexposed kids, according to a new study from Spain. The association was stronger for kids with one or more hours of secondhand smoke exposure every day, the authors found. And the results held when researchers accounted for parents’ mental health and other factors. (Reuters, 4/3)
Childhood Trauma May Raise Odds of Asthma
Children who experience trauma such as divorce, death of a parent or domestic violence are more likely to develop asthma than other kids, new research suggests. Researchers surveyed parents of more than 92,000 children under the age of 18. They found that about one-third of the children had experienced at least one traumatic event. (HealthDay News, 4/3)
Teens Seen in ERs for Assault at Risk for Later Gun Violence: Study
New research suggests that the emergency room might be a good place to try to end the vicious cycle of gun violence among young adults. Among teens and young adults seeking ED care for assault at an urban ED, 60 percent reported involvement with firearm violence over the next two years. The researchers said the findings should encourage doctors and social services agencies to focus their prevention strategies on the “teachable moment” following a first assault or fight. (HealthDay News, 4/6)
New Guidelines Would Greatly Boost Number of Young People on Statins
 If all doctors followed new cholesterol guidelines aimed at children, almost half a million Americans aged 17 to 21 would be prescribed a cholesterol-lowering statin drug, a new study predicts. The study found that 2.5 percent of those with elevated levels of LDL cholesterol would qualify for statin treatment under the NHLBI guidelines for children, compared with only 0.4 percent under the ACC/AHA adult guidelines. (HealthDay News, 4/6)
Measuring treatment response is essential to guiding leukemia treatment
Measuring the concentration of leukemia cells in patient bone marrow during the first 46 days of chemotherapy should help boost survival of young patients with leukemia, who can be better matched to the optimal intensity of chemotherapy.  These findings are based on a study of children and adolescents with acute lymphoblastic leukemia enrolled in a St. Jude-led protocol between 2000 and 2007. (Oncology Nurse Advisor, 4/6)
Teen Use of Long-Term Contraception Rising, But Remains Low
The use of long-acting, reversible forms of contraception remains low among sexually active teen girls, though that trend seems to be changing, according to a U.S. government report. Among teens aged 15 to 19, the use of long-acting reversible contraception rose from less than 1 percent in 2005 to about 7 percent in 2013, according to the federal CDC. (HealthDay News, 4/7)
Kids may be more likely to use customized playgrounds
Specially tailored playgrounds met their goals of increasing kids’ use and physical activity, in a new study from the Netherlands. The Richard Krajicek Foundation creates public playgrounds in deprived neighborhoods. Given the findings, researchers say that in underprivileged neighborhoods, adding supervised activities and equipment could increase use of regular playgrounds that are underused and often left deserted. (Reuters, 4/7)
Injury prevention programs unpopular with high school coaches
Although injury prevention programs have been shown to help reduce leg and foot injuries in sports, less than 10% of high school coaches implement the programs as designed, according to a new survey. Half of coaches are aware of the programs, but many believe they’re too complex or do not offer an advantage over existing practices, researchers found. (Reuters, 4/8)
Family Stress Linked to Teen Obesity in Study
Family stress may put teens at increased risk for being overweight or obese, a new study finds. Researchers analyzed data from more than 4,700 American teens to assess the effects of specific sources of family stress: financial problems, a mother’s poor health, and family disruption. A mother’s poor health was associated with overweight or obesity in boys by the time they turned 18, according to the study. (HealthDay News, 4/8)
Teens Use Variety of Social Media, But Facebook Still Supreme: Pew
A Pew Research study of teenagers’ online habits shows that while just about all teens go online daily, what they do and what apps they use vary widely. The survey, conducted online, shows that teens’ habits and haunts depend on a number of factors, from family income to race and gender. Facebook was by far the most popular single platform, with 71 percent of all teens reporting using it. (NBC News, 4/9)
Women with eating disorders earn less, study says
A new study has associated the conditions with long-term negative economic consequences, including lower earnings. Women diagnosed with eating disorders or who engaged in disordered eating “were at a distinct disadvantage when trying to achieve socioeconomic independence in early adulthood,” according to the study published in the International Journal of Eating Disorders. (Washington Post, 4/9)     



White House’s New Claim: Obamacare Helps U.S. Economy Grow
Obamacare is a boon to the U.S. economy, President Barack Obama’s top economic adviser said in a speech aimed at changing the tone of debate over the ACA’s effects, though he offered little direct evidence. By expanding insurance coverage, providing subsidies for premiums and helping slow the growth of health-care costs, the president’s signature legislative achievement has put money in Americans’ pockets, Furman said. (Bloomberg, 4/2)
Dem offers bill to reauthorize underage drinking prevention programs
Rep. Lucille Roybal-Allard (D-Calif.) has introduced a measure to reauthorize programs to prevent underage drinking. Roybal-Allard is the author of the original 2006 law, which expired in 2010, that established federal research programs on the effects of underage drinking on adolescents’ health. The law also authorized national media campaigns to discourage adolescents from drinking under the legal age. (The Hill, 4/2)
Schools becoming the ‘last frontier’ for hungry kids
America’s schools are no longer just a place for students to learn their ABCs. They are also increasingly where children eat their three squares. The classroom has become a dining room as more children attending public schools live in poverty. More than half of students in public schools — 51% — were in low-income families in 2013, according to a study by the Southern Education Foundation. (USA Today, 4/5)
CMS proposes mental health parity for Medicaid managed care
Draft regulations issued would extend federal mental health parity protections to Medicaid beneficiaries enrolled in managed-care plans.  The proposed rule applies provisions of the Mental Health Parity and Addiction Equity Act of 2008 to managed-care plans contracting with Medicaid and CHIP. It would ensure beneficiaries have access to mental health and substance abuse benefits. (Modern Healthcare, 4/6)
Fatal crashes involving teen drivers decline sharply in U.S
The number of teen drivers involved in fatal crashes dropped by more than half over the past decade as safer vehicles hit the road and more young people received restricted licenses, a U.S. report finds. “Many factors are probably at play, but there is wide agreement the graduated licensing programs are an important contributor to the decline in fatal crashes,” lead study author Ruth Shults. (Reuters, 4/8)
Our Push for ‘Passion,’ and Why It Harms Kid
At some point in the last 20 years the notion of passion, as applied to children and teenagers, took hold. By the time a child rounds the corner into high school and certainly before he sets up an account with the Common App, the conventional wisdom is that he needs to have a passion that is deep, easy to articulate, well documented and makes him stand out from the crowd. (The New York Times, 4/8)
California bill banning child vaccine exemptions moves ahead
California lawmakers pushed forward a bill that would ban parents from citing their personal beliefs as a reason to let their school-going children remain unvaccinated. The measure passed the state Senate health committee, the bill’s co-author, Democrat Richard Pan, said. “I’ve personally witnessed the suffering caused by vaccine-preventable diseases, and all children deserve to be safe at school,” said Pan, a pediatrician. (Reuters, 4/9)                         



‘Visibly Pregnant’ Girls Are Banned From School In Sierra Leone
Across Sierra Leone, students are preparing to return to school April 14, after nine months off because of the Ebola epidemic. But one group has been banned from returning, according to a new decree by the minister of education: “visibly pregnant” girls. Minister of Education Minkailu Bah announced the ban last week, explaining that “innocent girls” could be negatively affected by their pregnant peers. (NPR, 4/6)
Mental health workers say Australia knew of refugee child abuse
A group of psychiatrists and social workers formerly employed at an Australian offshore immigration detention center publicly accused the government of failing to act over systemic child sexual abuse at the controversial facility. More than two dozen people who worked at the camp in the island nation of Nauru said in an open letter that the government knew of a string of allegations as early as 2013 but did nothing. (Reuters, 4/7)
Liberia: YMCA Targets Adolescent Girls
The Liberia branch of the Young Men Christian Association (YMCA), in partnership with the YMCA of Greater Toronto, has begun a number of interventions to help reduce the spread of Ebola through community awareness and engagements with adolescent girls and women. The intervention targets girls for safe behavioural practices and personal hygiene in two districts and communities in Bong and Lofa Counties. (All Africa, 4/8)
Vancouver teens waiting longer to have sex: Survey
Youth having sex are waiting longer to do so now compared to their peers from a decade ago, according to new research from the McCreary Centre Society. The study took data from 30,000 B.C. youth surveyed in 2013. The survey found 5% fewer students between Grade 7 and 12 reported having sex in 2013 compared to 2003, when 24% of students reported that they had intercourse before. (Toronto Sun, 4/8)
Zambia: Increased Teenage Smoking Worrying
The increase in smoking amongst Zambian teenagers has raised concern within society and people are wondering how this problem can be fought off. Home Affairs Minister Davies Mwila has challenged the Drug Enforcement Commission to come up with effective mechanisms that will help combat the flow of illicit drugs and controlled substances to the young people. (All Africa, 4/8)
50% of India’s pregnant women anaemic: Study
Half of India’s pregnant women are anaemic enhancing the risk of maternal mortality as well as chances of delivering babies with low birth weight, according to a study. The study by Global Alliance for Improved Nutrition shows rising incidence of malnutrition-related diseases among women, as compared to men and children. The report says the dietary intake of adolescent girls is very low despite the increased iron needs. (The Times of India, 4/9) 


Health IT Underused by Primary Care Practices for Quality Improvement
The Agency for Healthcare Research and Quality has issued a new white paper on health IT best practices for primary care practices to bolster adoption of the technology and to improve quality of care. “Revitalizing the primary care system in the United States is critically important to achieving high quality, accessible, and efficient healthcare for all Americans,” states the paper. (HealthData Management, 4/3)
2014 Bronchiolitis Guidelines Focus on Avoiding Interventions
The 2014 new and updated guidelines for management of bronchiolitis largely focus on tests or treatments to avoid, according to a perspective piece published in Pediatrics. The authors note that 10 of the 14 recommendations in the updated 2014 guidelines focus on tests or treatments to avoid. The emphasis seems to be on avoiding interventions that lack a favorable risk-benefit ratio. (Physician’s Briefing, 4/6)
International Lymphoma Radiation Oncology Group (ILROG) issues treatment guidelines for pediatric Hodgkin lymphoma that incorporate advanced imaging techniques to minimize radiation dose
The International Lymphoma Radiation Oncology Group (ILROG) has issued a guideline that outlines the use of 3-D computed tomography-based radiation therapy planning and volumetric image guidance to more effectively treat pediatric Hodgkin lymphoma and to reduce the radiation dose to normal tissue, thus decreasing the risk of late side effects. The guideline will be published in Practical Radiation Oncology. (Health Canal, 4/7)
How providers can use risk-benefit assessments to improve patient outcomes
The healthcare industry must move toward a collaborative, risk-benefit approach that focuses on improving outcomes, according to a new report from Deloitte. The firm’s report examines the industry’s need for multi-stakeholder collaboration, noting that some organizations have already developed tools to support risk-benefit discussions in healthcare. (Fierce Healthcare, 4/7)
California’s Confidential Health Information Act (SB 138):  Implementation Readiness Among Health Insurers and Health Plans
This brief describes a study of insurers and health plans to assess their readiness to implement the requirements of SB 138. Health care reform expanded health insurance coverage to many individuals who qualify as dependents on someone else’s plan. When the primary policyholder is the main contact for all communications related to private insurance benefits, confidential health information about the dependent may be disclosed inadvertently. California’s SB 138 closes legal loopholes in privacy protections by requiring insurers and health plans to comply with confidential communications requests from dependents.
Sensitive Health Care Services in the Era of Electronic Health Records: Challenges and Opportunities in Protecting Confidentiality for Adolescents and Young Adults
This brief identifies key issues affecting access to sensitive services for young people in California under health reform, summarizes current federal and state confidentiality guidelines with special attention to the role of EHR, and highlights EHR challenges and opportunities to protect confidentiality while providing sensitive services.


Addressing the bigger picture: Adverse childhood experiences 
The AAP collaborated with Futures Without Violence to develop this free, online module to describe predictable effects of adverse childhood experiences (ACEs) on children’s physical, mental and behavioral health. Strategies for a trauma-informed approach in the pediatric setting are described. The impact of ACEs on parenting is examined and educational resources are demonstrated. (AAP, 4/6)
National Youth HIV & AIDS Awareness Day (NYHAAD) - April 10th
National Youth HIV & AIDS Awareness Day (NYHAAD) highlights the exceptional work young people are doing across the country to strengthen the fight against the HIV/AIDS epidemic. The day serves as a reminder that investing in young people’s health and education is a critical step to achieving an AIDS-free generation. (CDC, 4/7)
New video series helps implement mental health priorities in practice 
Pediatricians are, and will continue to be, an important first resource for parents who are worried about their child’s health concerns. Engaging families to uncover and clarify mental health needs requires skill and practice. The “Implementing Mental Health Priorities in Practice: Strategies to Engage Patients and Families” program consists of six videos demonstrating examples of patient/family encounters. They encompass the most difficult conversation areas in the area of mental health, including the following topics: depression, disruptive behavior, inattention/impulsivity, social-emotional health, substance use and suicide/self-harm. (AAP, 4/9)


Clinical Symposium: Providing Comprehensive Health Care to Men Who Have Sex with Men (MSM)
The New York City Department of Health and Mental Hygiene, in partnership with the NYC STD Prevention Training Center, will offer a free one-day training course about MSM health for clinical providers. The symposium will be held on Thursday, June 18, 2015 from 9:00 AM – 4:00 PM. The symposium will feature sessions on sexual health, mental health, and strategies to provide comprehensive care to MSM patients, including sexual history taking, biomedical HIV prevention, vaccinations, and welcoming clinic environments. (NYPATH, 4/2)


Vital Signs Town Hall Teleconference: Preventing Teen Pregnancy: A Key Role for Health Care Providers
Join CDC subject matter experts and other public health professionals for a town hall teleconference on Tuesday, April 14, 2015 2:00–3:00 pm (EDT).  Dial in information is provided online.  Each month’s teleconference provides a forum for state, tribal, local and territorial health, policy, and communication officials to broaden the conversation, build momentum, and ensure active implementation of evidence-based, effective programs within the public health areas covered by Vital Signs. (CDC, 4/8)

Register Now: Research Methods Webinar on Determining the Pragmatic Characteristics of Research
The Agency for Healthcare Research and Quality is hosting a free webinar on Friday, May 1st from 1:30pm-3:00pm ET. This presentation, based on the Implementation Science article “How pragmatic is it? Lessons learned using PRECIS and RE-AIM for determining pragmatic characteristics of research”, will provide an in-depth overview of two methodologies used to rigorously evaluate and identify pragmatic trials. (AHRQ, 4/8)


Request for response to survey on adolescent substance use 
A coalition of medical organizations, including the AAP, is planning to develop a CME course on adolescent substance use with funding from the National Institute on Drug Abuse. To guide the development, the group is administering a needs assessment. Consider helping by taking this 7-minute survey. (AAP, 4/8)

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