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Article ; Online: Advocating for Children During the COVID-19 School Closures.

Masonbrink, Abbey R / Hurley, Emily

2020 Volume 146, Issue 3

MeSH term(s)	COVID-19 ; Child ; Child Advocacy/legislation & jurisprudence ; Child Advocacy/statistics & numerical data ; Child Nutrition Disorders/prevention & control ; Child Welfare ; Child, Preschool ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Female ; Humans ; Male ; Needs Assessment ; Pandemics/prevention & control ; Pandemics/statistics & numerical data ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Risk Factors ; School Health Services/organization & administration ; Schools/organization & administration ; Socioeconomic Factors ; United States
Keywords	covid19
Language	English
Publishing date	2020-06-17
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	207677-9
ISSN	1098-4275 ; 0031-4005
ISSN (online)	1098-4275
ISSN	0031-4005
DOI	10.1542/peds.2020-1440
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Article ; Online: Caring for Hospitalized Adolescents: Opportunities to Identify and Address Unmet Reproductive Health Needs.

Masonbrink, Abbey R / Miller, Melissa K

The Journal of adolescent health : official publication of the Society for Adolescent Medicine

2019 Volume 64, Issue 6, Page(s) 689–690

MeSH term(s)	Adolescent ; Adolescent, Hospitalized ; Empathy ; Health Services Needs and Demand ; Humans ; Needs Assessment ; Reproductive Health
Language	English
Publishing date	2019-05-22
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	1063374-1
ISSN	1879-1972 ; 1054-139X
ISSN (online)	1879-1972
ISSN	1054-139X
DOI	10.1016/j.jadohealth.2019.03.014
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Article: Advocating for Children During the COVID-19 School Closures

Masonbrink, Abbey R / Hurley, Emily

Pediatrics

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #607310
Database	COVID19

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Article ; Online: Sexually Transmitted Infection Diagnoses at Children's Hospitals During COVID-19.

Masonbrink, Abbey R / Abella, Margarita / Hall, Matt / Gooding, Holly C / Burger, Rebecca K / Goyal, Monika K

Hospital pediatrics

2023 Volume 14, Issue 1, Page(s) e1–e5

Abstract: Objectives: COVID-19 mitigation strategies resulted in changes in health care access and utilization, which could negatively impact adolescents at risk for sexually transmitted infections (STIs). We evaluated changes in STI diagnoses during adolescent ... ...

Abstract	Objectives: COVID-19 mitigation strategies resulted in changes in health care access and utilization, which could negatively impact adolescents at risk for sexually transmitted infections (STIs). We evaluated changes in STI diagnoses during adolescent visits at children's hospitals during COVID-19. Methods: We conducted a retrospective cohort study using the Pediatric Health Information System database comparing adolescent (11-18 years) hospital visits with an STI diagnosis by International Classification of Diseases, 10th revision, code during COVID-19 (2020) to pre-COVID-19 (2017-2019). Data were divided into spring (March 15-May 31), summer (June 1-August 31), and fall (September 1-December 31). Median weekly visits and patient characteristics were compared using median regression. Results: Of 2 747 135 adolescent encounters, there were 10 941 encounters with an STI diagnosis from 44 children's hospitals in 2020. There was a decrease in overall median weekly visits for STIs in spring during COVID-19 (n = -18.6%, P = .001) and an increase in overall visits in summer (11%, P = .002) during COVID-19. There were significant increases in inpatient median weekly visits for STIs in summer (30%, P = .001) and fall (27%, P = .003) during COVID-19. We found increases in Neisseria gonorrhoeae (50%, P < .001) and other STI diagnoses (defined as other or unspecified STI by International Classification of Diseases, 10th revision, code; 38%, P = .040) in fall COVID-19 (2020), and a decrease in pelvic inflammatory disease (-28%, P = .032) in spring COVID-19 (2020). Conclusions: We found increases in median weekly adolescent inpatient visits with an STI diagnosis in summer and fall COVID-19 (2020). These findings were likely partially driven by changes in behaviors or health care access. Further work is needed to improve STI care and thus potentially improve related health outcomes.
MeSH term(s)	Adolescent ; Humans ; Child ; Retrospective Studies ; COVID-19/diagnosis ; COVID-19/epidemiology ; Sexually Transmitted Diseases/diagnosis ; Sexually Transmitted Diseases/epidemiology ; Hospitals, Pediatric ; HIV Infections
Language	English
Publishing date	2023-12-21
Publishing country	United States
Document type	Journal Article
ISSN	2154-1671
ISSN (online)	2154-1671
DOI	10.1542/hpeds.2022-006750
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Article ; Online: Understanding the Sexual and Reproductive Health Needs of Hospitalized Adolescent Males.

Hunt, Jane Alyce / Randell, Kimberly A / Mermelstein, Sarah / Miller, Melissa K / Masonbrink, Abbey R

Hospital pediatrics

2022 Volume 12, Issue 11, Page(s) e387–e392

Abstract: Objectives: To describe sexual behaviors and acceptability of receiving sexual and reproductive health (SRH) services among hospitalized adolescent males.: Methods: We performed a cross-sectional survey of hospitalized adolescents. Eligible ... ...

Abstract	Objectives: To describe sexual behaviors and acceptability of receiving sexual and reproductive health (SRH) services among hospitalized adolescent males. Methods: We performed a cross-sectional survey of hospitalized adolescents. Eligible participants were males aged 14 to 20 years admitted at 2 academic medical centers. Outcome measures included reported healthcare utilization, sexual health behaviors (eg, sexual activity), contraception use, and acceptability of SRH discussions during a hospitalization. Results: Among 145 participants, 42% reported a history of vaginal sex, 27% current sexual activity, 12% early sexual debut, and 22% 4 or more prior sexual partners. At last sex, condom use was reported by 63% and use of reversible contraception by 36%. Nearly half (45%) agreed that hospital-based SRH discussions were acceptable, particularly among those with history of sexual activity (P < .01). Some (12%) reported they had not accessed care in the past year when they felt they should. Conclusions: Hospitalized males in our study had similar rates of sexual activity as compared with the general population but had higher rates of early sexual debut and number of prior partners, which are independently linked with negative sexual health outcomes (eg, sexually transmitted infections). Our participants found SRH discussions to be generally acceptable. These findings reveal opportunities to screen for unmet SRH needs and provide SRH education and services for adolescent males in the hospital.
MeSH term(s)	Adolescent ; Male ; Female ; Humans ; Reproductive Health/education ; Adolescent, Hospitalized ; Cross-Sectional Studies ; Sexual Behavior ; Hospitalization
Language	English
Publishing date	2022-10-26
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ISSN	2154-1671
ISSN (online)	2154-1671
DOI	10.1542/hpeds.2021-006489
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Article ; Online: Feasibility of a Contraception Intervention for Hospitalized Adolescents and Young Adults.

Masonbrink, Abbey R / Noel-MacDonnell, Janelle / Staggs, Vincent S / Stancil, Stephani / Goggin, Kathy / Miller, Melissa K

Hospital pediatrics

2023 Volume 13, Issue 4, Page(s) 337–344

Abstract: Objectives: Unintended pregnancy in adolescents and young adults (AYAs) is linked with negative outcomes. We sought to evaluate the feasibility, acceptability, and preliminary efficacy of a contraception intervention in the pediatric hospital.: ... ...

Abstract	Objectives: Unintended pregnancy in adolescents and young adults (AYAs) is linked with negative outcomes. We sought to evaluate the feasibility, acceptability, and preliminary efficacy of a contraception intervention in the pediatric hospital. Methods: We conducted a pilot study of hospitalized AYA females aged 14 to 21 years who reported past or anticipated sexual activity. A health educator offered a tablet-based intervention to provide contraception education and medications, if desired. We assessed feasibility (ie, intervention completion, duration, disruption to care), acceptability (ie, proportion rating as acceptable or satisfactory) among AYAs, parents or guardians, and healthcare providers, as well as preliminary efficacy (eg, contraception uptake) at enrollment and 3-month follow up. Results: We enrolled 25 AYA participants; mean age was 16.4 ± 1.5 years. The intervention demonstrated high feasibility as all enrolled participants (n = 25, 100%) completed the intervention and median intervention duration was 32 (interquartile range 25-45) minutes. Among 11 nurses, 82% (n = 9) reported the intervention was not at all or minimally disruptive to their workflow. All AYAs were very or somewhat satisfied with the intervention and 88% (n = 7) of 8 parents and guardians surveyed felt it was acceptable for the educator to meet privately with their child. Eleven participants (44%) started hormonal contraception, most commonly the subdermal implant (n = 7, 64%), and 23 (92%) received condoms. Conclusions: Our findings support the feasibility and acceptability of our contraception intervention in the pediatric hospital resulting in contraception uptake among AYAs. Efforts to expand access to contraception are important to reduce unintended pregnancy, especially as restrictions to abortion are increasing in some states.
MeSH term(s)	Feasibility Studies ; Humans ; Female ; Adolescent ; Young Adult ; Contraception ; Pilot Projects ; Pregnancy in Adolescence/prevention & control ; Pregnancy, Unplanned ; Health Education ; Program Evaluation
Language	English
Publishing date	2023-03-09
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ISSN	2154-1671
ISSN (online)	2154-1671
DOI	10.1542/hpeds.2022-006996
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Article ; Online: Sexual behaviors, contraception use and barriers among adolescents and young adults in rural Haiti.

Masonbrink, Abbey R / Hurley, Emily A / Schuetz, Nikolaus / Rodean, Jonathan / Rupe, Emily / Lewis, Kemi / Boncoeur, Marie Daphnée / Miller, Melissa K

BMC women's health

2023 Volume 23, Issue 1, Page(s) 137

Abstract: Background: Adolescents and young adults (AYAs) in Haiti experience a high unintended pregnancy rate, in part due to unmet contraception needs. Little is known about AYA opinions of and experiences with contraception that may explain remaining gaps in ... ...

Abstract	Background: Adolescents and young adults (AYAs) in Haiti experience a high unintended pregnancy rate, in part due to unmet contraception needs. Little is known about AYA opinions of and experiences with contraception that may explain remaining gaps in coverage. We aimed to describe barriers and facilitators to contraception use among AYAs in Haiti. Methods: We conducted a cross-sectional survey and semi-structured qualitative interviews with a convenience sample of AYA females aged 14-24 in two rural communities in Haiti. The survey and semi-structured interviews assessed demographics, sexual health and pregnancy prevention behaviors and explored contraception opinions and experiences according to Theory of Planned Behavior constructs: attitudes, subjective norms, and perceived behavioral control. We used descriptive statistics to report means and responses to Likert scale and multiple-choice questions. Guided by content analysis, we analyzed interview transcripts through inductive coding and team debriefing. Results: Among 200 survey respondents, 94% reported any past vaginal sexual activity, and 43% reported ever being pregnant. A large majority were trying to avoid pregnancy (75%). At last sexual activity, 127 (64%) reported use of any contraceptive method; Among them, condoms were the most common method (80%). Among those with previous condom use, most reported use less than half the time (55%). AYAs were concerned about parental approval of birth control use (42%) and that their friends might think they are looking for sex (29%). About one-third felt uncomfortable going to a clinic to ask for birth control. In interviews, AYAs desired pregnancy prevention but frequently noted concerns about privacy and parental, community and healthcare provider judgement for seeking care for reproductive health needs. AYAs also noted a lack of contraception knowledge, evident by frequent misconceptions and associated fears. Conclusion: Among AYAs in rural Haiti, a large majority were sexually active and desire pregnancy avoidance, but few were using effective contraception due to numerous concerns, including privacy and fear of judgement. Future efforts should address these identified concerns to prevent unintended pregnancy and improve maternal and reproductive health outcomes in this population.
MeSH term(s)	Adolescent ; Female ; Humans ; Pregnancy ; Young Adult ; Contraception ; Contraception Behavior ; Cross-Sectional Studies ; Haiti ; Health Knowledge, Attitudes, Practice ; Rural Population ; Sexual Behavior
Language	English
Publishing date	2023-03-27
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	2050444-5
ISSN	1472-6874 ; 1472-6874
ISSN (online)	1472-6874
ISSN	1472-6874
DOI	10.1186/s12905-023-02268-5
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Article ; Online: Sexual behaviors, contraception use and barriers among adolescents and young adults in rural Haiti

Abbey R. Masonbrink / Emily A. Hurley / Nikolaus Schuetz / Jonathan Rodean / Emily Rupe / Kemi Lewis / Marie Daphnée Boncoeur / Melissa K. Miller

BMC Women's Health, Vol 23, Iss 1, Pp 1-

2023 Volume 10

Abstract: Abstract Background Adolescents and young adults (AYAs) in Haiti experience a high unintended pregnancy rate, in part due to unmet contraception needs. Little is known about AYA opinions of and experiences with contraception that may explain remaining ... ...

Abstract	Abstract Background Adolescents and young adults (AYAs) in Haiti experience a high unintended pregnancy rate, in part due to unmet contraception needs. Little is known about AYA opinions of and experiences with contraception that may explain remaining gaps in coverage. We aimed to describe barriers and facilitators to contraception use among AYAs in Haiti. Methods We conducted a cross-sectional survey and semi-structured qualitative interviews with a convenience sample of AYA females aged 14–24 in two rural communities in Haiti. The survey and semi-structured interviews assessed demographics, sexual health and pregnancy prevention behaviors and explored contraception opinions and experiences according to Theory of Planned Behavior constructs: attitudes, subjective norms, and perceived behavioral control. We used descriptive statistics to report means and responses to Likert scale and multiple-choice questions. Guided by content analysis, we analyzed interview transcripts through inductive coding and team debriefing. Results Among 200 survey respondents, 94% reported any past vaginal sexual activity, and 43% reported ever being pregnant. A large majority were trying to avoid pregnancy (75%). At last sexual activity, 127 (64%) reported use of any contraceptive method; Among them, condoms were the most common method (80%). Among those with previous condom use, most reported use less than half the time (55%). AYAs were concerned about parental approval of birth control use (42%) and that their friends might think they are looking for sex (29%). About one-third felt uncomfortable going to a clinic to ask for birth control. In interviews, AYAs desired pregnancy prevention but frequently noted concerns about privacy and parental, community and healthcare provider judgement for seeking care for reproductive health needs. AYAs also noted a lack of contraception knowledge, evident by frequent misconceptions and associated fears. Conclusion Among AYAs in rural Haiti, a large majority were sexually active and desire ...
Keywords	Contraception ; Pregnancy prevention ; Adolescents and young adults ; Haiti ; Gynecology and obstetrics ; RG1-991 ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2023-03-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Trends in Adolescent Cannabis-Related Hospitalizations by State Legalization Laws, 2008-2019.

Masonbrink, Abbey R / Richardson, Troy / Hall, Matt / Catley, Delwyn / Wilson, Karen

The Journal of adolescent health : official publication of the Society for Adolescent Medicine

2021 Volume 69, Issue 6, Page(s) 999–1005

Abstract: Purpose: Adolescent cannabis use is associated with adverse health outcomes. The impact of cannabis legalization on adolescent cannabis-related hospitalizations remains unknown. We sought to assess whether state cannabis legalization is associated with ... ...

Abstract	Purpose: Adolescent cannabis use is associated with adverse health outcomes. The impact of cannabis legalization on adolescent cannabis-related hospitalizations remains unknown. We sought to assess whether state cannabis legalization is associated with adolescent cannabis-related hospitalizations. Methods: We conducted a retrospective cohort study of adolescent (11-17 years) hospitalizations at children's hospitals between January 1, 2008 and December 31, 2019 using the Inpatient Essentials database. We investigated differences in adolescent cannabis-related diagnosis during a hospitalization by state cannabis legalization status, including states with no legal use to medical cannabis laws (MCLs) and states with MCLs to nonmedical (>21 years old) cannabis laws (NMCLs). Results: Of 1,898,432 adolescent hospitalizations in 18 states and Washington, DC, there were 37,562 (2%) hospitalizations with a cannabis-related diagnosis, with 8,457 (23%) in states with no legal use, 20,444 (54%) in MCL states, and 8,661 (23%) in NMCL states. There was an increase in adjusted odds of a cannabis-related hospitalization in MCL (odds ratio 1.05, 95% confidence interval 1.04-1.06) and NMCL states (odds ratio 1.03, 95% confidence interval 1.02-1.03) between 2008 and 2019. Characteristics associated with the greatest increase in adjusted odds of a cannabis-related hospitalization postpolicy change included adolescents without an underlying mental health or other substance use disorder in MCL and NMCL states (p < .001) and younger age in NMCL states (13 vs. 16 and 17 years old, p = .02 and p = .02). Conclusions: Cannabis-related adolescent hospitalizations at children's hospitals are increasing, with a disproportionate increase postlegalization in states with NMCLs. Interventions are warranted to increase cannabis use identification and treatment among at-risk adolescents in the hospital-based setting.
MeSH term(s)	Adolescent ; Adult ; Cannabis ; Child ; Hospitalization ; Humans ; Legislation, Drug ; Medical Marijuana ; Retrospective Studies ; United States/epidemiology ; Young Adult
Chemical Substances	Medical Marijuana
Language	English
Publishing date	2021-09-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	1063374-1
ISSN	1879-1972 ; 1054-139X
ISSN (online)	1879-1972
ISSN	1054-139X
DOI	10.1016/j.jadohealth.2021.07.028
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Article ; Online: Menstrual health among adolescents and young adults in rural Haiti.

Rupe, Emily R / Rodean, Jonathan / Hurley, Emily A / Miller, Melissa K / Boncoeur, Marie Daphnee / Masonbrink, Abbey R

Reproductive health

2022 Volume 19, Issue 1, Page(s) 227

Abstract: Background: Adolescent and young adult (AYA) females in low- and middle-income countries often face disparities in menstrual health (MH). Poor MH and lack of sexual and reproductive health education leads to school absenteeism, increasing risk for ... ...

Abstract	Background: Adolescent and young adult (AYA) females in low- and middle-income countries often face disparities in menstrual health (MH). Poor MH and lack of sexual and reproductive health education leads to school absenteeism, increasing risk for adverse psychosocial and educational outcomes. Further, disasters (e.g., earthquakes) are linked with unsafe living environments and sanitation facilities for women. We sought to describe MH perspectives and practices among AYAs in rural Haiti. Methods: We conducted a cross-sectional survey in two rural communities in Haiti. AYA females aged 14-24 years completed questions on demographics, the Menstrual Practice Needs Scale (36 items; MPNS-36) and the Menstrual Practices Questionnaire (4 items). We performed descriptive statistics and Chi square or Fisher's Exact tests to compare responses among sub-groups. Results: Among 200 respondents, the median age was 20 years (IQR 17-22). 51% (95% CI 44%, 58%; 102/200) were currently attending school at least 3 days/week and 97% (94%, 99%; 193/200) were not married. According to the MPNS-36, 68% (62%, 74%; 136/200) of participants had unmet MH needs. Seventy-one (77%) reused some of their menstrual materials during their last menstruation. During their last menstruation, 44% (37%, 50%; 87/200) reported they often or always skipped school because they had their menses, and 31% (25%, 37%; 62/200) sometimes skipped. Many felt always or often worried that someone or something would harm them while they were changing their menstrual materials at home and at school. Conclusions: Among AYAs in rural Haiti, three-quarters reported menses-related school absenteeism and two-thirds had unmet MH needs. AYA females often lacked a safe environment to change their menstrual materials. Given recent disasters in Haiti, (August 2021 earthquake), safe environments for MH are critically needed to offset risk for poor psychosocial and health outcomes. Future efforts to improve MH among AYAs in Haiti are needed to ensure access to MH resources and school attendance.
MeSH term(s)	Humans ; Female ; Adolescent ; Young Adult ; Adult ; Menstruation/psychology ; Rural Population ; Cross-Sectional Studies ; Haiti ; Health Knowledge, Attitudes, Practice ; Hygiene ; Menstrual Hygiene Products
Language	English
Publishing date	2022-12-20
Publishing country	England
Document type	Journal Article
ZDB-ID	2149029-6
ISSN	1742-4755 ; 1742-4755
ISSN (online)	1742-4755
ISSN	1742-4755
DOI	10.1186/s12978-022-01533-4
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