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Psychosocial alterations during the COVID-19 pandemic and the global burden of anxiety and major depressive disorders in adolescents,1990-2021:challenges in mental health amid socioeconomic disparities

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World Journal of Pediatrics 2024年第10期20卷 1003-1016页

作者： Soeun Kim Jiyoung Hwang Jun Hyuk Lee Jaeyu Park Hyeon Jin Kim Yejun Son Hans Oh Lee Smith Jiseung Kang Guillaume Fond Laurent Boyer Masoud Rahmati Mark ATully Damiano Pizzol Raphael Udeh Jinseok Lee Hayeon Lee Sooji Lee Dong Keon Yon Center for Digital Health Medical Science Research InstituteKyung Hee University College of MedicineSeoulSouth Korea(Center for Digital HealthMedical Science Research InstituteKyung Hee University College of MedicineSeoulSouth Korea Department of Precision Medicine Kyung Hee University College of MedicineSeoulSouth Korea Health and Human Science University of Southern CaliforniaLos AngelesCAUSA Department of Regulatory Science Kyung Hee UniversitySeoulSouth Korea suzanne dworak peck school of social work University of Southern CaliforniaLos AngelesCAUSA Centre for Health Performance and WellbeingAnglia Ruskin UniversityCambridgeUK Division of Sleep Medicine Harvard Medical SchoolBostonMAUSA Department of Anesthesia Critical Care and Pain MedicineMassachusetts General HospitalBostonMAUSA Research Centre on Health Services and Quality of Life Assistance Publique-Hopitaux de MarseilleAix Marseille UniversityMarseilleFrance Department of Physical Education and Sport Sciences Faculty of Literature and Human SciencesLorestan UniversityKhoramabadIran Department of Physical Education and Sport Sciences Faculty of Literature and HumanitiesVali-E-Asr University of RafsanjanRafsanjanIran school of Medicine Ulster UniversityLondonderryNorthern IrelandUK Health Unit Eni MaputoMozambique Health Unit EniSan Donato MilaneseItaly school of Life Sciences Faculty of ScienceUniversity of Technology SydneyUltimoAustralia Department of Biomedical Engineering Kyung Hee University College of Electronics and InformationYonginSouth Korea Department of Medicine Kyung Hee University College of Medicine23 Kyungheedae-roDongdaemun-guSeoul 02447South Korea Department of Pediatrics Kyung Hee University College of Medicine23 Kyungheedae-roDongdaemun-guSeoul 02447South Korea

Background The coronavirus disease 2019(COVID-19)pandemic,a global health crisis,profoundly impacted all aspects of daily ***,a pivotal stage of psychological and social development,is heavily influenced by the psychosocial and socio-cultural ***,it is imperative to thoroughly understand the psychosocial changes adolescents experienced during the pandemic and implement effective management *** sources We examined the incidence rates of depressive and anxiety disorders among adolescents aged 10–19 years globally and *** utilized data from the Global Burden of Diseases,Injuries,and Risk Factors Study(GBD)2021 to compare pre-pandemic(2018–2019)and pandemic(2020–2021)*** investigation covered 204 countries and territories across the six World Health Organization *** conducted a comprehensive literature search using databases including PubMed/MEDLINE,Scopus,and Google Scholar,employing search terms such as“psychosocial”,“adolescent”,“youth”,“risk factors”,“COVID-19 pandemic”,“prevention”,and“intervention”.Results During the pandemic,the mental health outcomes of adolescents deteriorated,particularly in terms of depressive and anxiety *** to GBD 2021,the incidence rate of anxiety disorders increased from 720.26[95%uncertainty intervals(UI)=548.90–929.19]before the COVID-19 pandemic(2018–2019)to 880.87 per 100,000 people(95%UI=670.43–1132.58)during the COVID-19 pandemic(2020–2021).Similarly,the incidence rate of major depressive disorder increased from 2333.91(95%UI=1626.92–3138.55)before the COVID-19 pandemic to 3030.49 per 100,000 people(95%UI=2096.73–4077.73)during the COVID-19 *** worsening was notably pronounced in high-income countries(HICs).Rapid environmental changes,including heightened social anxiety,school closures,economic crises,and exacerbated racism,have been shown to adversely affect the mental well-being of *** The abrupt shift to remote learning and

关键词： Adolescents Global Mental health Pandemic Psychosocial

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National trends in sexual intercourse and usage of contraception among Korean adolescents

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World Journal of Pediatrics 2024年第9期20卷 935-948页

作者： Jun Hyuk Lee Myeongcheol Lee Hojae Lee Jaeyu Park Sunyoung Kim Ai Koyanagi Lee Smith Min Seo Kim Guillermo F.López Sánchez Elena Dragioti Masoud Rahmati Jiseung Kang Hans Oh Dong Keon Yon Center for Digital Health Medical Science Research InstituteKyung Hee University College of MedicineSeoulSouth Korea Health and Human Science University of Southern CaliforniaLos AngelesCAUSA Department of Regulatory Science Kyung Hee UniversitySeoulSouth Korea Department of Family Medicine Kyung Hee University Medical CenterKyung Hee University College of MedicineSeoulSouth Korea Research and Development Unit Parc Sanitari Sant Joan de DeuBarcelonaSpain Centre for Health Performance and WellbeingAnglia Ruskin UniversityCambridgeUK Cardiovascular Disease Initiative Broad Institute of MIT and HarvardCambridgeMAUSA Division of Preventive Medicine and Public Health Department of Public Health SciencesSchool of MedicineUniversity of MurciaMurciaSpain Pain and Rehabilitation Centre Department of Medical and Health SciencesLinköping UniversityLinköpingSweden Research Laboratory Psychology of Patients Department of NursingSchool of Health SciencesFamiliesand Health ProfessionalsUniversity of IoanninaIoanninaGreece Department of Physical Education and Sport Sciences Faculty of Literature and Human SciencesLorestan UniversityKhoramabadIran Department of Physical Education and Sport Sciences Faculty of Literature and HumanitiesVali-E-Asr University of RafsanjanRafsanjanIran Department of Anesthesia Critical Care and Pain MedicineMassachusetts GeneralHospitalBostonMAUSA Division of Sleep Medicine Harvard Medical SchoolBostonMAUSA suzanne dworak peck school of social work University of Southern CaliforniaLos AngelesCAUSA Department of Pediatrics Kyung Hee University College of Medicine23 Kyungheedae-RoDongdaemun-guSeoul02447South Korea Present Address:CEReSS-Health Service Research and Quality of Life Center Aix-Marseille UniversityMarseilleFrance

Background The exact influence of the COVID-19 pandemic on sexual intercourse and usage of contraception remains largely uncharted *** bridge this gap in knowledge,we conducted a comprehensive,cross-sectional examination of long-term trends in the prevalence of sexual intercourse and usage of contraception among South Korean adolescents from 2006 to *** In our research,we drew upon data encompassing 1,138,799 South Korean adolescents aged 12 to 18 years,derived from the Korean Youth Risk Behavior Web-based Survey(KYRBS)over a period spanning from 2006 to *** focused on the prevalence of sexual intercourse,contraception utilization,and the underlying associated factors among this *** KYRBS data was collected using a complex sampling strategy to determine the national prevalence estimates and shifts in prevalence before(2006-2019)and during(2020-2022)the COVID-19 pandemic *** During the pre-pandemic period,a decrease in adolescent sexual intercourse was observed(6.34%in 2006,5.53%in 2012,and 5.87%in 2019).However,in the post-pandemic period(2020-2022),there was a surge in sexual intercourse(4.55%in 2020 and 6.20%in 2022).This evident alteration in sexual intercourse trajectory between pre-and post-pandemic periods was statistically significant[βdiff,0.950;95%confidence interval(CI),0.756-1.144].Regarding contraceptive use among South Korean adolescents,there was an increase in the pre-COVID-19 pandemic phase across all demographic segments(14.61%in 2006,22.30%in 2012,and 47.69%in 2022)but a notable decline when compared with the pre-and post-pandemic periods(βdiff,-0.319;95%CI,-0.454 to-0.184).Additionally,during the study period,a decrease in sexual intercourse was observed in the pre-pandemic period(β,-0.129;95%CI,-0.148 to-0.110),followed by an increase in the post-pandemic period(β,0.821;95%CI,0.627 to 1.014).This shift is highlighted by an effect size of 0.96[weighted odds ratio(wOR);95%CI,0.92 to 1.00],indicating a subst

关键词： Adolescent Contraception COVID-19 Pandemic Risky sexual behavior

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