Search Results (895)

School dropouts remain a complex challenge for educational systems globally, with economic, social and psychological consequences for the individual and society at large. Evidence from the literature supports the high prevalence of school dropouts in rural communities, resulting in teenage pregnancy, exposure to drugs, and early marriage, among others. The study employed an exploratory approach to contribute to existing knowledge on the challenges of school disengagement through the lenses of community and peer-influence among high school students in rural South Africa. A qualitative research design employing semi-structured interviews was used, with a total of 20 interviews conducted (3 parents, 2 community leaders, 5 teachers, and 10 students, including dropouts). A thematic analysis procedure was employed for theme identification and analysis. There was evidence of a lack of community support in ensuring learners remain in school. Peer pressure was prevalent, given the influences and attachments students form with peers. This condition influences students to resort to drug abuse, teenage pregnancies, and early marriages as coping mechanisms for school dropouts. The overarching effect is a decline in academic comprehension, leading to school dropout rates. Parents and guardians play an active and collaborative role in discouraging practices that contribute to school dropout. Parent and community members must also be sensitised regarding the long-term negative effects of peer pressure and early marriage on education and future opportunities, especially for girls. Full article

The extensive production and use of per- and polyfluoroalkyl substances (PFAS) over recent decades have resulted in their pervasive distribution in environmental compartments worldwide. PFAS concentrations in soil and biota near fluorochemical manufacturing facilities tend to be typically higher near hotspots, which suggests that the consumption of home-produced foods near such hotspots most likely results in higher human exposure. One prominent European hotspot is located near the 3M fluorochemical production facility in Zwijndrecht (Belgium), where the relative contributions of different exposure pathways remain insufficiently characterised. This study therefore aimed to assess the PFAS concentrations and compositional profiles in serum, dwellings and gardens of teenagers residing near this hotspot. Serum samples from teenagers, along with multiple environmental matrices (i.e., soil, compost, vegetables/fruits/nuts, chicken eggs, rainwater and indoor house dust) were analysed for 21 selected PFAS. Additionally, potential determinants of PFAS occurrence and distribution across matrices were investigated using detailed questionnaire data. We found perfluorooctane sulfonic acid (PFOS) to be the predominant compound in both soil and serum, while perfluorobutanoic acid (PFBA) was most dominant in rainwater, compost, house dust and pods. Perfluorobutane sulfonic acid (PFBS) was most abundant in fruits and chicken eggs, while perfluorododecanoic acid (PFDoDA) was predominant in rooting vegetables and nuts. N-methylperfluorooctane sulfonamidoacetic acid (MePFOSAA) was the dominant compound in fruiting, stem, and leafy vegetables. These results indicate differences in accumulation pathways among the different media and/or differences in affinities of different PFAS in the matrices. Additionally, several environmental and behavioural factors were identified as determinants for PFAS in soil, compost, tree fruits, fruiting vegetables, chicken eggs and house dust, providing insight into potential drivers of exposure variability. The most important factors were related to the soil characteristics, the composting of grass and weeds, the chicken feed (i.e., bread, commercial feed), the type and frequency of ventilation and the frequency of cleaning. Full article

Objective: To determine the publication bias of the reported prevalence of malocclusions in Mexican children and adolescents. Background: Publication bias determination is crucial in a systematic review, helping to ensure the conclusions’ validity and reliability. Nevertheless, without accurate knowledge of disease prevalence and patterns, the health system risks inefficiency, inequity, and failure to meet the population’s needs. On the other hand, malocclusions can impair proper chewing efficiency, contributing to digestive alterations, and nutritional deficiencies among other functional, psychological, and social problems. The data of the prevalence of malocclusion is imperative to implement early interventions in health services that prevent more severe skeletal discrepancies and reduce the need for invasive treatments in adolescence or adulthood. Methods: Studies were collected from five databases, following the PRISMA and Cochrane guidelines for systematic reviews. Eligibility criteria were full-text research in which the prevalence of malocclusions was reported. The risk of bias (Hoy tool), publication bias (the Doi plot and the Luis Furuya-Kanamori (LFK) index), and quality assessments (GRADE tool) were performed. The data were combined using a random-effects meta-analysis. Results: The result of the meta-analysis suggests a high prevalence of malocclusions in mixed dentition was 50.2% (95% confidence interval [CI]: 38.9–61.5%). However, the studies showed a risk of bias and publication bias. Conclusions: In Mexico, there is a high prevalence of malocclusions among children and adolescents. However, these results are not robust enough to draw solid conclusions, due to the low certainty of the evidence. Full article

In Norway, children are entitled to all individual and collective rights under the UN Convention on the Rights of the Child (CRC), while parents play an important role in facilitating access to these rights. However, conflicts may arise when a teenager’s right to freedom of association clashes with their parents’ religious beliefs and identity. This article studies the ontological (in)security challenge faced by Muslim parents in Norway when their teenage children choose to participate in confirmation rites. The article explores how Muslim parents navigate the tension between their responsibility to pass on religious beliefs and identity to their children and their children’s assertion of the right to freedom of association with peer groups. The study is based on a pilot survey of Muslim parents whose children participated in confirmation rites at the Norwegian Humanist Association (NHA). Full article

Background: Healthcare policy in the United Kingdom recognizes that teenagers and young adults (TYAs: 16–24 years at diagnosis) require specialist care. In England, Principal Treatment Centers (PTCs) exist, delivering enhanced care exclusively within the PTC or as ‘joint care’ with designated hospitals (DHs). Central to this is the TYA multidisciplinary team (MDT) and an outreach model coordinating care between hospitals. We previously reported similar outcomes regardless of care location. Aims: To compare TYA experiences of care with healthcare professionals’ perspectives of the service they deliver. Methods: Mixed methods across England and Wales were used. The TYA-MDT identified TYAs who then received a postal invite to a cross-sectional survey capturing experiences of places of care, treatment, healthcare professional support (HCP), mental health, sexuality/fertility, clinical trials and care coordination. Comparisons were made based on exposure to care in a specialist TYA environment within 6 months of diagnosis: all-TYA-PTC (all care in the TYA-PTC, n = 70, 28%), no-TYA-PTC (no care in the TYA-PTC (n = 87, 35%): care delivered in a children/adult unit only), and joint care (care in a TYA-PTC and in a children’s/adult unit, n = 91, 36%). HCP perspectives were captured by rapid ethnography. Results: A total of 250/1056 (24%) TYAs participated. Overall, 200 (80%) rated their teams as excellent/good for helping them prepare for treatment. No evidence of significant differences existed between categories of care for proportions receiving support from key TYA-related professionals: TYA cancer nurse specialists (all-TYA-PTC n = 58, 91%; joint care n = 71, 88%; no-TYA-PTC n = 64, 82%) and social workers (all-TYA-PTC n = 30, 55%; joint care n = 36, 48%; no-TYA-PTC n = 28, 38%). A trend of diminishing support from youth support co-coordinators existed (all-TYA-PTC 63%; joint care 49%; no-TYA-PTC 40%, p = 0.069). This may explain why few differences in patient experiences existed across categories of care. Forty-nine HCPs participated. They were more critical in their interpretation of care, highlighting inequity in resources and challenges in some pathways and coordination. Conclusions: Similar access to age-appropriate support across care settings is likely to reflect recruitment methods. When TYAs are known to the MDT, age-appropriate care can be mobilized beyond TYA units, which could explain the equitable outcomes observed across different care locations in young people who responded to the survey. Nevertheless, gaps persist in communication and coordination, particularly within joint care models, and in the involvement of allied health professionals such as dieticians and physiotherapists, whose input is essential for rehabilitation and return to normal life. Strengthening these areas will require continued investment in workforce capacity and digital infrastructure to support genuinely coordinated, developmentally appropriate TYA cancer care. Full article

Responding to the lack of academic research on how young people are impacted by deepfake sexual abuse or how schools should address these issues, this paper explores levels of awareness of AI technology and sexualized deepfakes in UK schools and how schools are responding to these newly emergent harms. Drawing on interviews with students and teachers from eight schools across the UK, we found that teachers and students express uncertainty about how AI deepfake technology works. Some teachers underestimated how easy the technology is to use, and they lacked uniform comprehension that sexualized deepfakes should be treated the same way as non-consensual nudes, leading to inconsistency and variations in school responses. Students similarly lacked basic literacy about AI, equating AI with LLMs like ChatGPT, and even though sexualized deepfakes were occurring in their school contexts, students reported having received no explicit education on the topic. Educators and students connected sexualized deepfakes to a rise in misogyny via social media influencers, with some of the students and teachers calling for more education on AI, sexual violence, and consent at earlier ages. We advance the concept of AI-generated image-based sexual abuse, arguing that these harms should be understood as elements of technology-facilitated gender-based violence (TFGBV). We argue this framing is necessary to support systematic understandings of this issue and develop appropriate school responses. Our discussion offers recommendations for improving AI literacy, including preventative AI education that engages critically with AI harms and supports victims. Full article

The aim of this scoping review is to categorize and examine the relationships between school neighbourhood built environment categories and the physical health of children and adolescents worldwide. The search strategy initially found 8837 studies in four databases (Web of Science, PubMed, SportDiscus and Transportation Research Board) and after applying the inclusion and exclusion criteria 55 articles were included. The findings report on seven school neighbourhood built environment categories: building, connectivity and network, food environment, greenness, land use, safety and other variables. Interestingly, the connectivity and network category comprises 32 variables. Likewise, this category, together with the food environment, shows a clear predominance, with both categories accounting for 71.04% of all significant associations. The greenness category stands out due to its association density similarly to the predominant categories. The physical health categories were body composition, mode of commuting, physical activity, sedentary behaviour and weight status. Complementary weighted cross-tabulation analyses showed that when associations were weighted by participant sample size and school sample size, the food environment–weight status relationship became the most prominent, whereas connectivity-related associations became less dominant. The findings indicate preferential links between school neighbourhood built environment and physical health domains, with the connectivity and network category mainly associated with commuting mode and physical activity, and the food environment was primarily linked to weight status and dietary intake. Consequently, special attention must be given to urban planning and policies in the school neighbourhood built environment. Full article

Although sexuality education is delivered in schools, Chinese adolescents’ preferred sources may still be inconsistent with where they currently receive sex education. Based on two theories (Objectivism and Sex-Positivity) that emphasize the use of information and rational choice in seeking information with a desire to learn more, this explanatory study analyses survey data on sexual health topics, the sources Chinese adolescents used and preferred, and the gender differences in how they seek information on sexual topics. From 17 secondary schools, Chinese adolescents in Hong Kong, aged 14–18 (n = 4869), took a 51-question survey on sexual risks and sex education sources conducted by a local agency. Using the secondary dataset, a discrepancy score was computed by matching 15 actually used and 15 preferred sources for getting sexual knowledge listed in the survey. The discrepancy scores were shifted along the X-axis to eliminate negative values and create the dependent variable, ‘Discrepancy-S’, which ranged from 1 to 11, where 1 = no discrepancy, and 11 = wide discrepancy (Cronbach Alpha = 0.750). The higher the score, the higher the discrepancy. Regression results indicated that the youth’s prior coitus and different information sources (except school) could explain the “use–prefer” discrepancy. Although these adolescents regarded parents as the primary sex educators, most did not consult with their families. They preferred electronic media and peers as their top “go-to” choices. Sex education should come from sources that teenagers rely on and choose to access. Personal responsibility must be explicitly discussed in various sexual health sources as teens prepare for transitions to adulthood. Full article

Background: In the year 2022 more than 390 million kids and teenagers aged between 5 and 19 years old were overweight, including 160 million individuals who were suffering from obesity. It is commonly known that, in order to have a possitive change in physical and mental health, physical activity is needed. The aim of this study was to determine whether the type of physical activity undertaken influenced changes in body mass and physical fitness scores in children aged 7–10 years who practice taekwondo, swimming, and team sports, using tag rugby as an example. Material and Methods: A total of 200 children were eligible to participate in the research project and the analysis was conducted on 150 subjects (49% girls and 51% boys). Group IA (n = 20) trained in taekwondo, group IB (n = 42) trained in swimming, and group IC (n = 20) trained in rugby tag. Group II control subjects (n = 68) did not participate in any additional sports activities. Children’s body height was determined with a SECA 213 heightometer and body mass and body composition using Tanita’s MC-780 eight-electrode body composition analyser. Selected Eurofit tests were used to assess physical fitness. Results: A peripheral distribution of fat mass was found in all subjects, with the highest levels determined in the upper limbs. The highest values, apart from arm muscle strength, were found in the swimming group. Significant changes were observed in the subjects training in taekwondo. Conclusions: Results suggest that physical activity targeting the development of different motor skills should be part of preventive health care for children. Full article

Background/Objectives: Social intelligence refers to a person’s ability to understand and navigate social situations effectively. Teenagers who possess strong social intelligence are better equipped to build positive relationships, resolve conflicts, and make healthy decisions. Despite the importance of social intelligence, there are limited ways to measure this skill, especially during the teenage years. Thus, the aim of the present study was to develop and validate a scale that focuses on the following two aspects: social awareness and social perception. Methods: The reliability and validity of the Social Intelligence Test for Teenagers (SITT) was tested in teenagers aged between 14 and 18 years. Convergent validity was determined by the relationship between the SITT and the Tromsø Social Intelligence Scale (TSIS). Criterion validity was established by looking at the predictive relationship between the SITT and measures of social connectedness, empathy, and friendship. Results: The 19-item scale showed good internal reliability as measured by Cronbach’s alpha. The SITT mean score was significantly related to the TSIS Information Processing mean and the SITT Facial Expressions was significantly related to the TSIS Social Skills, even with age partialled out. Conclusions: The findings suggest that the SITT is a psychometrically sound tool to measure social intelligence in teenagers. Full article

The intensive use of social media has transformed the processes of accessing, consuming, and circulating information, positioning adolescents as one of the groups most exposed to digital misinformation. Despite their high connectivity, numerous studies show limitations in their ability to critically evaluate the content they consume and share in digital environments. In this context, this article aims to analyze, through a systematic review of the scientific literature, the role of educational institutions in the media literacy of adolescents in the face of the impact of misinformation on social media. The research was conducted following the PRISMA 2020 guidelines, and the protocol was registered in PROSPERO. An exhaustive search was conducted in the Scopus, Web of Science, and PubMed databases, considering studies published between 2019 and 2025 in English and Spanish. Following the selection process, 46 studies were included in the qualitative synthesis and 18 in the meta-analysis. Methodological quality was assessed using the PEDro and AMSTAR 2 scales. The results show that educational interventions in media literacy generate significant improvements in adolescents’ ability to identify misinformation and reduce their intention to share misleading content, especially those based on skimming, source verification, and cognitive inoculation. It is concluded that media literacy, integrated in a cross-cutting and sustained manner into the school curriculum, is a key strategy for mitigating the impact of misinformation and strengthening critical thinking in adolescents. Full article

Background/Objectives: The proportion of teenagers with access to a smartphone has reached 89 percent, marking a large increase in access to technology. Adolescence is a period of neuroplasticity where functional, structural, and systemic changes occur. Teenagers have experienced more persistent feelings of sadness and suicidality in recent years than ever before. Given the changes in this generation of adolescents and because adolescence is a period of neuroplasticity, this study seeks to understand the effects of smartphone use in adolescence. Methods: This scoping review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A total of 104 articles met the criteria for inclusion. Results: Analysis of results revealed five key themes: Psychological Disturbances (n = 52), Sleep (n = 43), Socioemotional Function (n = 23), Executive Function (n = 14), and Sensory Processing (n = 1). Conclusions: Results suggest that smartphones have a variety of effects on adolescent brain function that are primarily negative. The results of this study can inform the general population about the ways in which smartphone usage affects adolescent brain functioning. Further research is warranted to determine a causal relationship between smartphone use and adolescent brain functioning. Full article

Background/Objectives: Adolescence is a critical period for executive function (EF) maturation. While sleep and physical activity (PA) are key lifestyle factors, their longitudinal impact on EF in ecologically valid settings is insufficiently characterised. This study examined the associations between objectively measured sleep duration, daily steps, and EF performance across one academic year (~9 months). Methods: A longitudinal study was conducted with 168 Spanish adolescents (13–16 years). Sleep duration and daily steps were monitored using Fitbit Charge 6 wearables for 7-day periods at baseline (M1; September 2024) and follow-up (M2; June 2025). EFs were assessed using three validated tasks: Stroop (inhibitory control), Psychomotor Vigilance Task-Brief (PVT-B; sustained attention), and Paced Auditory Serial Addition Test (PASAT; working memory). Linear Mixed Models (LMM) were employed to analyse the effects of the fixed factors (i.e., Group and Time), and their interactions. Results: PA, but not sleep duration, significantly predicted executive performance. The High_PA group demonstrated faster reaction times in inhibitory control (p = 0.007) and significantly fewer attentional lapses in sustained attention (p = 0.014). In contrast, sleep duration showed no significant main effects on EF domains (p > 0.05). Regression analyses confirmed that higher daily steps predicted faster reaction times in inhibitory control in the total sample (r = −0.173, p = 0.002), although an unexpected positive association was observed in the Low_PA group for inhibitory control, warranting cautious interpretation. Conclusions: These findings suggest that habitual PA is associated with better EF performance in adolescents, whereas sleep duration alone (without considering timing or variability) showed no significant associations with cognitive outcomes. Sensitivity analyses using clinically informed thresholds and continuous standardised predictors confirmed the robustness of these findings. Full article

Background: Despite a decline observed in smoking rates amongst adults in many high-income countries, tobacco usage among adolescents remains a significant concern, particularly in Central and Eastern Europe, Romania being no exception. This cross-sectional study aims to assess the prevalence of smoking among teenagers enrolled in several public schools in Bucharest and the surrounding county, Ilfov, while also exploring their attitudes, perceptions, and experiences regarding tobacco. Methods: A public health campaign, conducted in collaboration with multiple institutions between September 2023 and March 2024, sought to provide secondary school students with updated information on smoking and its implications through presentations at schools. Following these presentations, students voluntarily completed anonymous on-paper questionnaires consisting of 10 multiple-choice questions designed to gauge their knowledge and attitudes towards smoking, conceptually inspired by internationally validated instruments such as the Global Youth Tobacco Survey. Results: A total of 945 teenagers participated in our study, with a median age of 13.04 years (standard deviation of ±1.08). Results indicate that 22.85% (n = 216) of teenagers had attempted smoking at the time of the investigation. Additionally, 57.88% (n = 547) of respondents reported exposure to second-hand smoke at home, and 40.42% (n = 382) had been invited to smoke previously. Conclusions: Various factors influence smoking behaviors among teenagers, with peer pressure and familial background playing significant roles in shaping their attitudes toward smoking. Our study highlights the vulnerability of the young Romanian population to these influences, emphasizing the need for initiatives aimed at mitigating tobacco use and fostering a healthier future environment. Nonetheless, these findings shall serve as an instrument for the development of school-based prevention programs and stricter tobacco usage policies. Full article

The X-Men are a superhero team published by Marvel Comics. Initially marketed as a team of teenage superheroes, the franchise eventually began emphasizing the “mutant metaphor” as a narrative device that differentiated it from other comic books. This pivot towards highlighting the empathy displayed by the X-Men towards others and the intolerance their foes have for anyone who is different became defining characteristics of the franchise that have carried forward for decades. As the X-Men moved from a somewhat generic franchise to one that framed its heroes as symbolic outsiders, a wider and deeper fanbase embraced the series. Through complex storylines, symbolic metaphors, and nuanced character development, the series implicitly and often explicitly encourages empathy. With a thematic focus on concepts such as marginalization and otherness, the X-Men franchise promotes tolerance as heroic and condemns prejudice as villainous. The message for readers is that empathy, not optic blasts or the ability to control the weather, is what makes the X-Men heroic. Full article