Many different kinds of love: A story of life, death and the NHS by Michael Rosen

BOOK REVIEW Many different kinds of love: A story of life, death and the NHS by Michael Rosen Elma Burger Netcare Rehab Hospital, Auckland Park, Johannesburg, South Africa http://orcid.org/0000-0003-1062-5576 AUTHOR: The Review The National Health Service (NHS) is the publicly funded healthcare system in England. The author begins by describing the battle to access health care due to the extreme pressure on the NHS during the peak of the virus. Elma Burger Netcare Rehab Hospital, Auckland Park, Johannesburg, South Africa http://orcid.org/0000-0003-1062-5576 AUTHOR: The Review The National Health Service (NHS) is the publicly funded healthcare system in England. The author begins by describing the battle to access health care due to the extreme pressure on the NHS during the peak of the virus.

How gender is socially constructed in policy making processes: a case study of the Adolescent and Youth Health Policy in South Africa.

BACKGROUND: Gender equality remains an outstanding global priority, more than 25 years after the landmark Beijing Platform for Action. The disconnect between global health policy intentions and implementation is shaped by several conceptual, pragmatic and political factors, both globally and in South Africa. Actor narratives and different framings of gender and gender equality are one part of the contested nature of gender policy processes and their implementation challenges. The main aim of this paper is to foreground the range of policy actors, describe their narratives and different framings of gender, as part exploring the social construction of gender in policy processes, using the Adolescent Youth Health Policy (AYHP) as a case study. METHODS: A case study design was undertaken, with conceptual underpinnings combined from gender studies, sociology and health policy analysis. Through purposive sampling, a range of actors were selected, including AYHP authors from government and academia, members of the AYHP Advisory Panel, youth representatives from the National Department of Health Adolescent and Youth Advisory Panel, as well as adolescent and youth health and gender policy actors, in government, academia and civil society. Qualitative data was collected via in-depth, semi-structured interviews with 30 policy actors between 2019 and 2021. Thematic data analysis was used, as well as triangulation across both respondents, and the document analysis of the AYHP. RESULTS: Despite gender power relations and more gender-transformative approaches being discussed during the policy making process, these were not reflected in the final policy. Interviews revealed an interrelated constellation of diverse and juxtaposed actor gender narratives, ranging from framing gender as equating girls and women, gender as inclusion, gender as instrumental, gender as women's rights and empowerment and gender as power relations. Some of these narrative framings were dominant in the policy making process and were consequently included in the final policy document, unlike other narratives. The way gender is framed in policy processes is shaped by actor narratives, and these diverse and contested discursive constructions were shaped by the dynamic interactions with the South Africa context, and processes of the Adolescent Youth Health Policy. These varied actor narratives were further contextualised in terms of reflections of what is needed going forward to advance gender equality in adolescent and youth health policy and programming. This includes prioritising gender and intersectionality on the national agenda, implementing more gender-transformative programmes, as well as having the commitments and capabilities to take the work forward. CONCLUSIONS: The constellation of actors' gender narratives reveals overlapping and contested framings of gender and what is required to advance gender equality. Understanding actor narratives in policy processes contributes to bridging the disconnect between policy commitments and reality in advancing the gender equality agenda.

Adolescent Feelings on COVID-19 Distance Learning Support: Associations With Mental Health, Social-Emotional Health, Substance Use, and Delinquency.

PURPOSE: School social support is associated with improved adolescent wellbeing. However, positive school relationships were potentially disrupted when schools transitioned to distance learning in 2020 to mitigate the spread of COVID-19. This study investigated associations among perceived distance learning school support, mental health, social-emotional wellbeing, substance use, and delinquency among low-income, public high school students. METHODS: We analyzed longitudinal survey data, collected between June 2020 and June 2021, from 372 students attending five large urban public high schools. Mixed-effects regression models examined associations among changes in distance learning support and changes in mental health, social-emotional wellbeing, substance use, and delinquency, controlling for time, social-demographics, and baseline health. RESULTS: In this predominantly Latinx (83%) sample, within-person increases in perceived distance learning support were associated with improved mental health, increased grit, increased self-efficacy, and decreased stress. Between-person differences in distance learning support indicated that students reporting greater support had improved mental and social-emotional outcomes. Although there were no within-person associations among distance learning support and hopelessness or delinquency, students with greater distance learning support (between-person) had lower levels of hopelessness and lower odds of engaging in any delinquent behavior. There were no associations between distance learning support and 30-day substance use. DISCUSSION: School social support, even without students physically on campus, may be critical to adolescent health behaviors and social-emotional outcomes.

Longer-term psychiatric inpatient care for adolescents: A multidisciplinary treatment approach

This open access book describes the theoretical underpinnings and operational aspects of delivering longer-term inpatient psychiatric care to adolescents experiencing severe, unremitting mental illness. The authorship is drawn from the multidisciplinary team that supports the Walker Adolescent Unit, located in Sydney, Australia. The book begins with an account of the planning and development of the unit, an examination of the physical environment, and the adaptations that have been made to ensure its functionality. There follows a consideration of the therapeutic milieu. The book describes clinical processes such as admission and discharge planning, formulation and case review. There is information about the specific roles of professionals and the therapies that they provide. The book describes the steps taken to maintain and enhance the physical wellbeing of patients. There are chapters dedicated to governance, and to training and education. The final chapter describes how the unit responded to challenges created by the COVID-19 pandemic. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Exploring the Major Factors Affecting Generalized Anxiety Disorder in Korean Adolescents: Based on the 2021 Korea Youth Health Behavior Survey.

(1) Background: Recently, the prevalence of generalized anxiety disorder (GAD) among adolescents has been higher than in adults. Early detection is important for treatment. Accordingly, although various factors affecting adolescents' GAD have been studied, the body of research is fragmented, and an integrated analysis of the influencing factors is needed. Therefore, in this study, we intended to analyze various factors affecting GAD. (2) Methods: Using data from the Korea Youth Health Behavior Survey (2021), sociodemographic factors, negative emotion, and physical activity factors were selected. Correlation analysis, t-test, ANOVA, and multiple regression analysis were performed using SPSS 26.0. (3) Results: Perceived stress was found to be the factor that had the greatest influence on GAD. (4) Conclusions: The risk of GAD in Korean adolescents was found to increase in female students who had higher levels of perceived stress, and participated in less high-intensity or muscle-strengthening exercise.

Cultivating a Healthy Living Environment for Adolescents in the Post-COVID Era in Hong Kong: Exploring Youth Health Needs.

Studies have shown that adolescents now have a higher exposure to health risks than those in the past, and Hong Kong adolescents are no exception, particularly with the social crisis in 2019 and then the COVID-19 pandemic in 2020. Data from health care services for children and adolescents only represent the tip of the clinical iceberg, and health profiles, including living habits, lifestyles, data on health status, and health service utilization, are not always readily available for effective planning to cultivate a healthy living environment. In this paper, an exploratory study on secondary school students was conducted in one district of Hong Kong that has the potential and resources to become a healthy city. Students were found to have a high prevalence of poor sleep quality and quantity; excess screen time; physical inactivity; an insufficient intake of healthy food; emotional disturbance, including symptoms of post-traumatic stress disorders (PTSDs); and irregular attendance to student health services. A multivariate analysis showed that excessive time on social media websites, short sleeping hours, symptoms of PTSD, and a lack of regular exercise were independently associated with emotional distress. Youth service providers should re-orientate student health services, moving away from routine services to be more outreaching in order to cultivate a supportive living and learning environment, promoting better health for adolescents.

Internal and External Motivations and Risk Perception toward COVID-19 Vaccination in Adolescents in the U.S.

The COVID-19 vaccine is widely available to adolescents in the U.S.; however, vaccine hesitancy poses a threat to full coverage. The literature shows that perceived risks and the presence or lack of motivators are determinants for vaccination decisions, yet research evidence from minors is scant. This study adopted the Protection Motivation framework to identify differences in these facilitators and compare the influence of internal and external motivators among American adolescents in COVID-19 vaccine uptake. A nationwide online survey analyzed 13-17-year-old teenagers' COVID-19 beliefs as well as present or potential reasons for accepting the vaccine. Of the 439 participants, 21.18% were not and did not plan to get vaccinated. Another 52.39% had at least one dosage, of which over three-quarters were internally motivated (whereas those unvaccinated were more likely to be externally motivated, X2 = 4.117, p = 0.042). In unvaccinated individuals, older adolescents reported slightly more internal motivators than younger adolescents (t = -2.023, p = 0.046). Internal motivation was associated with higher risk perception (r2 = 0.06651, p = 0.001), but risk perception had a stronger relationship with vaccination status (r2 = 0.1816, p < 0.001), with vaccinated individuals showing higher risk perception than those unvaccinated (mean difference = 0.42 on a scale of 1-4; t = -3.603, p < 0.001); the risk perception difference was even greater between hesitant and non-hesitant participants (mean difference = 0.63; t = -0.892, p < 0.001). The relationship was moderated by perceived knowledge, where the difference in risk perception between vaccination status was only significant for those with low perceived knowledge (f = 10.59, p = 0.001). Increasing awareness of disease risks and stressing internal motivators may be key to improving uptake in young people. Future research could delve deeper into risk perception formation of adolescents and why and how it differs across populations.

[Children's daycare and schools-a challenge for local health services in the pandemic]. / Lebenswelten Kitas und Schulen ­ Herausforderungen für die Gesundheitsämter in der Pandemie.

Local public health services in Germany usually include a local organizational unit that is in charge of the healthcare of children, youths, and families (KJGD). Major tasks are defined in the federal laws for the public health service emphasizing different types of activities in daycare units, schools, and community living environments. Since the beginning of the COVID-19 pandemic, the activities of the KJGD have clearly changed. This article will provide a review of these tasks during the pandemic on the basis of interviews with KJGD administrations in 11 communities of the federal state North Rhine-Westphalia in October 2020.Typically, the KJGD is deeply involved in infection prevention in daycare facilities and schools by providing contact tracing, swab collection, guidance, crisis committee participation, quarantine survey, and data capture. The classic tasks had to be entirely discontinued in some areas, or at least strongly limited. The affected areas include occupational medicine, medical reports, school entry examinations for children, assessment of special education needs, health reporting, cooperation with child protection and early intervention, outbreak management for other infectious diseases, and the closing of immunization gaps.The consequences of discontinuing the original tasks, e.g., missing school entry examinations, cannot be predicted; resumption of these activities is essential. On behalf of municipal services of general interest in the sense of public health (in all policies), the KJGD makes a remarkable contribution to ensuring that children and youths not only stay physically healthy and far from infections but are also promoted in their individual development and participation.

Impact of COVID-19 on the Hong Kong Youth Quitline Service and Quitting Behaviors of Its Users.

Tobacco use is a possible risk factor for contracting and spreading COVID-19. We aimed to describe the impact of the COVID-19 pandemic on the Youth Quitline service and quitting behaviors of its users in Hong Kong. We conducted a telephone survey involving 201 participants of the Youth Quitline service, and retrospectively analyzed the operation and use of Quitline since the COVID-19 outbreak in Hong Kong. The number of incoming calls to the Youth Quitline and the participants' quit rate has increased since the COVID-19 outbreak in Hong Kong. Many participants (68%) did not realize that tobacco use potentially increased their risk for developing and spreading COVID-19; however, 43% agreed that the pandemic motivated their intention to quit, and 83% changed their smoking habits during the pandemic. These changes were mainly due to wearing masks (30%), closure of bars/pubs (25%), suspension of classes (14%), and being unable to socialize with friends (24%). Overall, 58% reduced their tobacco use; of these participants, 66% reported a ≥50% reduction in daily cigarette consumption. The participants reduced their smoking during the COVID-19 pandemic despite lacking knowledge about the potentially increased risk for contracting COVID-19 from continued smoking. The pandemic could create new opportunities to motivate young smokers to quit smoking, especially those seeking support for smoking cessation, and may further contribute to reducing the risks posed by COVID-19.