Justice System Involvement Among Adolescents in the Emergency Department
To assess justice system involvement among adolescents in the pediatric emergency department and identify associations with risk and protective factors. We conducted a cross-sectional, computerized survey of adolescents to assess for personal, justice system involvement, and nonhousehold justice sys...
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| Veröffentlicht in: | The Journal of pediatrics 2021-09, Vol.236, p.284-290 |
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| container_title | The Journal of pediatrics |
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| creator | Dubey, Vivek P. Randell, Kimberly A. Masonbrink, Abbey R. Pickett, Michelle L. Sherman, Ashley K. Ramaswamy, Megha Miller, Melissa K. |
| description | To assess justice system involvement among adolescents in the pediatric emergency department and identify associations with risk and protective factors.
We conducted a cross-sectional, computerized survey of adolescents to assess for personal, justice system involvement, and nonhousehold justice system involvement (ie, important people outside of household). We assessed sexual behaviors, violent behaviors, substance use, school suspension/expulsion, parental supportiveness, and participant mood (score |
| doi_str_mv | 10.1016/j.jpeds.2021.03.048 |
| format | Article |
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We conducted a cross-sectional, computerized survey of adolescents to assess for personal, justice system involvement, and nonhousehold justice system involvement (ie, important people outside of household). We assessed sexual behaviors, violent behaviors, substance use, school suspension/expulsion, parental supportiveness, and participant mood (score <70 indicates psychological distress). We compared differences between groups using the χ2 tests, Fisher exact tests, t tests, and performed multivariable logistic regression analyses.
We enrolled 191 adolescents (mean age 16.1 years, 61% female). Most (68%) reported justice system involvement: personal (13%), household (42%), and nonhousehold (40%). Nearly one-half (47%) were sexually active and 50% reported school suspension/expulsion. The mean score for mood was 70.1 (SD 18); adolescents with justice system involvement had had lower mood scores (68 vs 74, P = .03) compared with those without justice system involvement. In a multivariable model, school expulsion/suspension was significantly associated with reporting any justice system involvement (OR 10.4; 95% CI 4.8-22.4).
We identified the pediatric emergency department as a novel location to reach adolescents at risk for poor health outcomes associated with justice system involvement. Future work should assess which health promotion interventions and supports are desired among these adolescents and families.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2021.03.048</identifier><identifier>PMID: 33811870</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>adolescent ; emergency department ; health behaviors ; justice system</subject><ispartof>The Journal of pediatrics, 2021-09, Vol.236, p.284-290</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-2b05c18eee3fb620ba7379f7eddd2416af491614d8770f9e58664426a296e0053</citedby><cites>FETCH-LOGICAL-c459t-2b05c18eee3fb620ba7379f7eddd2416af491614d8770f9e58664426a296e0053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022347621002924$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33811870$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dubey, Vivek P.</creatorcontrib><creatorcontrib>Randell, Kimberly A.</creatorcontrib><creatorcontrib>Masonbrink, Abbey R.</creatorcontrib><creatorcontrib>Pickett, Michelle L.</creatorcontrib><creatorcontrib>Sherman, Ashley K.</creatorcontrib><creatorcontrib>Ramaswamy, Megha</creatorcontrib><creatorcontrib>Miller, Melissa K.</creatorcontrib><title>Justice System Involvement Among Adolescents in the Emergency Department</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>To assess justice system involvement among adolescents in the pediatric emergency department and identify associations with risk and protective factors.
We conducted a cross-sectional, computerized survey of adolescents to assess for personal, justice system involvement, and nonhousehold justice system involvement (ie, important people outside of household). We assessed sexual behaviors, violent behaviors, substance use, school suspension/expulsion, parental supportiveness, and participant mood (score <70 indicates psychological distress). We compared differences between groups using the χ2 tests, Fisher exact tests, t tests, and performed multivariable logistic regression analyses.
We enrolled 191 adolescents (mean age 16.1 years, 61% female). Most (68%) reported justice system involvement: personal (13%), household (42%), and nonhousehold (40%). Nearly one-half (47%) were sexually active and 50% reported school suspension/expulsion. The mean score for mood was 70.1 (SD 18); adolescents with justice system involvement had had lower mood scores (68 vs 74, P = .03) compared with those without justice system involvement. In a multivariable model, school expulsion/suspension was significantly associated with reporting any justice system involvement (OR 10.4; 95% CI 4.8-22.4).
We identified the pediatric emergency department as a novel location to reach adolescents at risk for poor health outcomes associated with justice system involvement. Future work should assess which health promotion interventions and supports are desired among these adolescents and families.</description><subject>adolescent</subject><subject>emergency department</subject><subject>health behaviors</subject><subject>justice system</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kN1Kw0AQhRdRbK0-gSB5gcTZn242FwpFq60UvFCvlzQ7aTfkj9200Lc3tVr0xquBmXPOzHyEXFOIKFB5W0RFi8ZHDBiNgEcg1AkZUkjiUCrOT8kQgLGQi1gOyIX3BQAkAuCcDDhXlKoYhmT2svGdzTB42_kOq2Beb5tyixXWXTCpmnoVTExTos_6hg9sHXRrDKYVuhXW2S54xDZ13V59Sc7ytPR49V1H5ONp-v4wCxevz_OHySLMxDjpQraEcUYVIvJ8KRks05jHSR6jMYYJKtNcJFRSYVQcQ57gWEkpBJMpSyQCjPmI3B9y282yQrO_y6Wlbp2tUrfTTWr130lt13rVbLUSwHs4fQA_BGSu8d5hfvRS0HuwutBfYPUerAaue7C96-b32qPnh2QvuDsIsH9-a9Fpn9meERrrMOu0aey_Cz4BsOeMHA</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Dubey, Vivek P.</creator><creator>Randell, Kimberly A.</creator><creator>Masonbrink, Abbey R.</creator><creator>Pickett, Michelle L.</creator><creator>Sherman, Ashley K.</creator><creator>Ramaswamy, Megha</creator><creator>Miller, Melissa K.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20210901</creationdate><title>Justice System Involvement Among Adolescents in the Emergency Department</title><author>Dubey, Vivek P. ; Randell, Kimberly A. ; Masonbrink, Abbey R. ; Pickett, Michelle L. ; Sherman, Ashley K. ; Ramaswamy, Megha ; Miller, Melissa K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-2b05c18eee3fb620ba7379f7eddd2416af491614d8770f9e58664426a296e0053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>adolescent</topic><topic>emergency department</topic><topic>health behaviors</topic><topic>justice system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dubey, Vivek P.</creatorcontrib><creatorcontrib>Randell, Kimberly A.</creatorcontrib><creatorcontrib>Masonbrink, Abbey R.</creatorcontrib><creatorcontrib>Pickett, Michelle L.</creatorcontrib><creatorcontrib>Sherman, Ashley K.</creatorcontrib><creatorcontrib>Ramaswamy, Megha</creatorcontrib><creatorcontrib>Miller, Melissa K.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dubey, Vivek P.</au><au>Randell, Kimberly A.</au><au>Masonbrink, Abbey R.</au><au>Pickett, Michelle L.</au><au>Sherman, Ashley K.</au><au>Ramaswamy, Megha</au><au>Miller, Melissa K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Justice System Involvement Among Adolescents in the Emergency Department</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>236</volume><spage>284</spage><epage>290</epage><pages>284-290</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><abstract>To assess justice system involvement among adolescents in the pediatric emergency department and identify associations with risk and protective factors.
We conducted a cross-sectional, computerized survey of adolescents to assess for personal, justice system involvement, and nonhousehold justice system involvement (ie, important people outside of household). We assessed sexual behaviors, violent behaviors, substance use, school suspension/expulsion, parental supportiveness, and participant mood (score <70 indicates psychological distress). We compared differences between groups using the χ2 tests, Fisher exact tests, t tests, and performed multivariable logistic regression analyses.
We enrolled 191 adolescents (mean age 16.1 years, 61% female). Most (68%) reported justice system involvement: personal (13%), household (42%), and nonhousehold (40%). Nearly one-half (47%) were sexually active and 50% reported school suspension/expulsion. The mean score for mood was 70.1 (SD 18); adolescents with justice system involvement had had lower mood scores (68 vs 74, P = .03) compared with those without justice system involvement. In a multivariable model, school expulsion/suspension was significantly associated with reporting any justice system involvement (OR 10.4; 95% CI 4.8-22.4).
We identified the pediatric emergency department as a novel location to reach adolescents at risk for poor health outcomes associated with justice system involvement. Future work should assess which health promotion interventions and supports are desired among these adolescents and families.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33811870</pmid><doi>10.1016/j.jpeds.2021.03.048</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Journal of pediatrics, 2021-09, Vol.236, p.284-290 |
| issn | 0022-3476 1097-6833 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8403109 |
| source | Elsevier ScienceDirect Journals |
| subjects | adolescent emergency department health behaviors justice system |
| title | Justice System Involvement Among Adolescents in the Emergency Department |
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