Background: Tobacco use is known to worsen asthma management. No studies have investigated how trends in youth tobacco use and related harm perceptions vary by asthma status and sex. This study examined these trends among Florida high school students during 2012-2018. Methods: Data from the 2012, 2014, 2016, and 2018 Florida Youth Tobacco Survey…

Background: As rates of depression and anxiety continue to rise, prevention, and treatment of poor mental health in adolescents is a major challenge for population health. Within the US context, a growing body of literature is examining the relationship between school climate and student mental health. Methods: We extend the notion of school…

Background: Our research examined the scientific literature to determine the influence of the playground environment (size, type of surface, playground marking, and access to equipment) on physical activity (PA) by gender across different educational stages (early childhood, primary, and secondary education). Methods: The review process followed…

Background: Data missingness can bias interpretation and outcomes resulting from data use. We describe data missingness in the longest-standing US-based youth fitness surveillance system (2006/07-2019/20). Methods: This observational study uses the New York City FITNESSGRAM (NYCFG) database from 1,983,629 unique 4th-12th grade students (9,147,873…

Background: Mental health care is critical to improving mental health but factors associated with student utilization are poorly understood. Methods: Data were from high school students (N = 2933; mean age = 15.7 ± 0.6) enrolled in a California cohort. We examined associations of sociodemographic factors, substance use, and mental health symptoms…

Background: School assets--such as connectedness, caring relationships with adults, high behavioral expectations from adults, and meaningful participation--are associated with positive outcomes for adolescents. However, little is known about how school assets differ among adolescents with intersecting marginalized identities. Methods: We used the…

Background: In order to better understand some of the barriers to athletic opportunities for girls, we examined school-level characteristics to assess how they are associated with both the provision and participation in athletic opportunities for girls across US public high schools. Methods: Cross-sectional data for this study comes from the…

Background: Weight stigma is prevalent among adolescents and can negatively impact physical and mental health. This study examined the effects of a combined physical activity and attitude education intervention on weight stigma and related outcomes among high school students. Methods: A randomized controlled trial was conducted with 524 high…

Background: The study examined whether school connectedness mediates the association between Adverse Childhood Experiences (ACEs) and mental health conditions among Indigenous adolescents, and if this mediation varies by school type--Public versus Private/Catholic Methods: Using data from 13 waves of the Longitudinal Study of Indigenous Children…

Background: This study examines the consequences of COVID-19 pandemic on academic and career concerns of high school students; relationship between attendance and grades with educational concerns; and association between student perception of the pandemic and decision to attend school virtually or in-person. Methods: Diverse students in grades…

Background: Among adolescents, the pathway from being offered drugs to engaging in drug use has been established. The prevalence of drug transactions specifically in schools is less understood. The purpose of this study was to identify the prevalence of adolescents who have reported drug transaction experiences (being offered, sold, or given an…

Background: Eating patterns such as breakfast consumption and fruit and vegetable intake have been associated with academic achievement and cognitive function. Method: The purpose of this study was to learn more about psychological (emotion-driven eating) and behavioral (over-eating) eating patterns and motives, and the roles of body image,…

Background: Childhood obesity is a public health concern that disproportionately affects populations from low socioeconomic status (SES) and minority groups. Evaluation of social and health risk factors of preschool children living along the Texas-Mexico border provides feedback to design health interventions. Methods: South Texas Early Prevention…

Background: Being bullied online is associated with being bullied in school. However, links between online bullying and violence-related experiences are minimally understood. We evaluated potential disparities in these associations to illuminate opportunities to reduce school-based violence. Methods: We used five cohorts of Youth Risk Behavior…

Background: Sexting is common among adolescents and is associated with numerous health risk behaviors and negative psychosocial constructs. This study examined the relationships between high school students' experiences with sexual violence victimization, dating violence victimization, and engagement in risky sexual behaviors with experiences of…