Teenagers and Adolescence

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      Moving In Childhood Contributes to Depression, Study Finds

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      A study of more than a million Danes found that frequent moves in childhood had a bigger effect than poverty on adult mental health risk.In recent decades, mental health providers began screening for “adverse childhood experiences” — generally defined as abuse, neglect, violence, family dissolution and poverty — as risk factors for later disorders.But what if other things are just as damaging?Researchers who conducted a large study of adults in Denmark, published on Wednesday in the journal JAMA Psychiatry, found something they had not expected: Adults who moved frequently in childhood have significantly more risk of suffering from depression than their counterparts who stayed put in a community.In fact, the risk of moving frequently in childhood was significantly greater than the risk of living in a poor neighborhood, said Clive Sabel, a professor at the University of Plymouth and the paper’s lead author.“Even if you came from the most income-deprived communities, not moving — being a ‘stayer’ — was protective for your health,” said Dr. Sabel, a geographer who studies the effect of environment on disease.“I’ll flip it around by saying, even if you come from a rich neighborhood, but you moved more than once, that your chances of depression were higher than if you hadn’t moved and come from the poorest quantile neighborhoods,” he added.The study, a collaboration by Aarhus University, the University of Manchester and the University of Plymouth, included all Danes born between 1982 and 2003, more than a million people. Of those, 35,098, or around 2.3 percent, received diagnoses of depression from a psychiatric hospital.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Smellmaxxing, Explained

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      Some teenage boys have grown obsessed with designer fragrances that cost hundreds of dollars.There’s something going on with the way teenage boys smell.It’s become a cliché for adolescents to douse themselves in Axe body spray at the first sign of puberty. But lately, teen and even tween boys with money to spare are growing obsessed with designer fragrances that cost hundreds of dollars.Ask a teenager why he wants a $200 bottle of cologne, and he might tell you he’s “smellmaxxing,” a term for enhancing one’s musk that is spreading on social media. “I started seeing a lot of videos on TikTok and thought, I don’t want to miss out,” said Logan, a 14-year-old in Chicago who has been putting his bar mitzvah money toward a collection of high-end colognes.He displays bottles from Valentino and Emporio Armani proudly, in front of his lava lamp, and considers his nearly $300 bottle of Tom Ford’s Tobacco Vanille to be his signature scent. “I don’t think I’ve ever smelled Axe,” he said.Some teens are buying fragrances with their allowance money, while others request them as birthday or holiday gifts from their parents (with varying levels of success). But they’re moving the needle: Teenage boys’ annual spending on fragrance rose 26 percent since last spring, according to a recent survey by an investment bank.For a story in The Times’s Style section, which was published this morning, I talked to adolescents and their parents about the rise of young scent hounds, and why the cosmetic products of adulthood seem to be catching on earlier than ever.Notes of honeyI spent a few months speaking to teenagers at fragrance counters around New York and in online cologne forums. What struck me most was the language they used, which sounded more like the stuff of sommeliers than middle schoolers.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Hilary Cass Says U.S. Doctors Are ‘Out of Date’ on Youth Gender Medicine

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      Dr. Hilary Cass published a landmark report that led to restrictions on youth gender care in Britain. U.S. health groups said it did not change their support of the care.After 30 years as one of England’s top pediatricians, Dr. Hilary Cass was hoping to begin her retirement by learning to play the saxophone.Instead, she took on a project that would throw her into an international fire: reviewing England’s treatment guidelines for the rapidly rising number of children with gender distress, known as dysphoria.At the time, in 2020, England’s sole youth gender clinic was in disarray. The waiting list had swelled, leaving many young patients waiting years for an appointment. Staff members who said they felt pressure to approve children for puberty-blocking drugs had filed whistle-blower complaints that had spilled into public view. And a former patient had sued the clinic, claiming that she had transitioned as a teenager “after a series of superficial conversations with social workers.”The National Health Service asked Dr. Cass, who had never treated children with gender dysphoria but had served as the president of the Royal College of Pediatrics and Child Health, to independently evaluate how the agency should proceed.Over the next four years, Dr. Cass commissioned systematic reviews of scientific studies on youth gender treatments and international guidelines of care. She also met with young patients and their families, transgender adults, people who had detransitioned, advocacy groups and clinicians.Her final report, published last month, concluded that the evidence supporting the use of puberty-blocking drugs and other hormonal medications in adolescents was “remarkably weak.” On her recommendation, the N.H.S. will no longer prescribe puberty blockers outside of clinical trials. Dr. Cass also recommended that testosterone and estrogen, which allow young people to develop the physical characteristics of the opposite sex, be prescribed with “extreme caution.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Widening Racial Disparities Underlie Rise in Child Deaths in the U.S.

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      New research finds that the death rate among Black youths soared by 37 percent, and among Native American youths by 22 percent, between 2014 and 2020, compared with less than 5 percent for white youths.The NewsThanks to advancements in medicine and insurance, mortality rates for children in the United States had been shrinking for decades. But last year, researchers uncovered a worrisome reversal: The child death rate was rising.Now, they have taken their analysis a step further. A new study, published Saturday in The Journal of the American Medical Association, revealed growing disparities in child death rates across racial and ethnic groups. Black and Native American youths ages 1 to 19 died at significantly higher rates than white youths — predominantly from injuries such as car accidents, homicides and suicides.Dr. Coleen Cunningham, chair of pediatrics at the University of California, Irvine, and the pediatrician in chief at Children’s Hospital of Orange County, who was not involved in the study, said the detailed analysis of the disparities documented “a sad and growing American tragedy.”“Almost all are preventable,” she said, “if we make it a priority.”Flowers for Karon Blake, 13, who was shot and killed in Washington, D.C., in January 2023. Gun-related deaths were two to four times higher among Black and Native American youth than among white youth.Carolyn Kaster/Associated PressSome Context: A frightening trend examined more closely.Researchers at Virginia Commonwealth University and Children’s Hospital of Richmond had previously revealed that mortality rates among children and adolescents had risen by 18 percent between 2019 and 2021. Deaths related to injuries had grown so dramatically that they eclipsed all public health gains.The group, seeking to drill deeper into the worrying trend, obtained death certificate data from the Centers for Disease Control and Prevention’s public WONDER database and stratified it by race, ethnicity and cause for children ages 1 to 19. They found that Black and American Indian/Alaska Native children were not only dying at significantly higher rates than white children but that the disparities — which had been improving until 2013 — were widening.The data also revealed that while the mortality rates for children overall took a turn for the worse around 2020, the rates for Black, Native American and Hispanic children had begun increasing much earlier, around 2014.Between 2014 and 2020, the death rates for Black children and teenagers rose by about 37 percent, and for Native American youths by about by about 22 percent — compared with less than 5 percent for white youths.“We knew we would find disparities, but certainly not this large,” said Dr. Steven Woolf, a professor of family medicine at the V.C.U. School of Medicine, who worked on the research. “We were shocked.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Millions of Girls in Africa Will Miss HPV Shots After Merck Production Problem

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      The company has told countries that it can supply only 18.8 million of the 29.6 million doses it was contracted to deliver this year.Nearly 1.5 million teenage girls in some of the world’s poorest countries will miss the chance to be protected from cervical cancer because the drugmaker Merck has said it will not be able to deliver millions of promised doses of the HPV vaccine this year.Merck has notified Gavi, the international organization that helps low- and middle-income countries deliver lifesaving immunizations, and UNICEF, which procures the vaccines, that it will deliver only 18.8 million of the 29.6 million doses it was contracted to deliver in 2024, Gavi said.That means that more than 10 million girls will not receive their expected HPV shots this year — and 1.5 million of them most likely will never get them because they will be too old to qualify for the vaccine in subsequent years.Patrick Ryan, a spokesman for Merck, said the company “experienced a manufacturing disruption” that required it to hold and reinspect many doses by hand. He declined to give further details about the cause of the delay.“We are acting with urgency and rigor to deploy additional personnel and resources to resolve this matter as soon as possible,” he said.Mr. Ryan said that Merck would deliver the delayed doses in 2025. He also said the company would ship 30 million doses of the vaccine to Gavi-supported countries this year. However, about a third of these are doses that were supposed to have been sent in 2023, leaving Gavi with the 10.7 million dose shortfall.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Who Needs Paper? Many Students Embrace the All-Digital SAT.

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      Several test takers across the country found themselves in favor of the new format of the college admissions exam — even with some technical glitches.The Scantron bubbles were gone. So were the page-long passages and the pressure to speed-read them. No. 2 pencils? Optional, and only for taking notes.On Saturday, students in America took the newest version of the SAT, which was shorter, faster — and most notably, all online. Some exams were briefly mired by technical glitches, but even so, many test takers had positive views about the new format. They were especially relieved with the brevity of the exam — which dropped from three hours to a little over two hours — as well as the ability to set their own pace as they worked through the questions. “It’s here to stay,” said Harvey Joiner, 17, a junior at Maynard H. Jackson High School in Atlanta, referring to the digital format. “Computers are what we’re more comfortable with.”Given on paper for 98 years, the SAT was updated to reflect the experience of a generation raised in an era of higher anxiety, challenged attention spans and remote learning. The change comes as the College Board, which administers the test, and proponents of standardizing testing say that the exams still have a place in determining college acceptance and aptitude.Disrupted by the pandemic and rocked by concerns that the tests favor high-income students, the SAT has had a shaky few years, with many colleges removing standardized tests as a requirement for admission. Some selective universities, including Brown, Yale, Dartmouth and M.I.T., have since reinstated the test, but at most schools, it has remained optional. We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Texas Judge Blocks Paxton’s Request for Transgender Minors’ Records

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      An L.G.B.T.Q. organization had sued after the state’s attorney general asked for documents on children receiving gender-affirming care.A judge on Friday temporarily blocked the Texas attorney general from forcing an L.G.B.T.Q. organization to turn over documents on transgender minors and the gender-affirming care they may be receiving.In Texas, medical care for gender transition is prohibited for minors under a law passed last year. As part of an investigation into violations of the ban, the office of Attorney General Ken Paxton demanded early last month that the nonprofit PFLAG National, which supports families in accessing gender-affirming care for children, provide information on minors in the state who may have received such treatments. But on Friday, Judge Maria Cantú Hexsel of Travis County District Court issued an injunction against Mr. Paxton, just days after PFLAG sued to block the request, saying turning over the documents would cause “irreparable injury, loss or damage” to the group. The judge added that such an ask would infringe on the group’s constitutional rights and that its members would be subject to “gross invasions” of privacy.In a statement, PFLAG’s lawyers, including the American Civil Liberties Union, said they were “grateful that the court saw the harm the attorney general’s office’s intrusive demands posed.”Mr. Paxton’s office did not immediately respond to requests for comment on Friday’s order. But he has previously argued that the information from PFLAG is “highly relevant” to his investigation into medical providers who he says are trying to work around the ban on gender-affirming care for minors. “Any organization seeking to violate this law, commit fraud or weaponize science and medicine against children will be held accountable,” he said in a statement. The judge scheduled a hearing for March 25 to give the attorney general a chance to argue against the injunction. We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      A.I. Is Making the Sexual Exploitation of Girls Even Worse

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      On Tuesday, Kat Tenbarge and Liz Kreutz of NBC News reported that several middle schoolers in Beverly Hills, Calif., were caught making and distributing fake naked photos of their peers: “School officials at Beverly Vista Middle School were made aware of the ‘A.I.-generated nude photos’ of students last week, the district superintendent said in a letter to parents. The superintendent told NBC News the photos included students’ faces superimposed onto nude bodies.”I had heard about this kind of thing happening to high school girls, which is horrible enough. But the idea of such young children being dehumanized by their classmates, humiliated and sexualized in one of the places they’re supposed to feel safe, and knowing those images could be indelible and worldwide, turned my stomach.I’m not a technophobe and have, in the past, been somewhat skeptical about the outsize negative impact of social media on teen girls. And while I still think the subject is complicated, and that the research doesn’t always conclude that there are unfavorable mental health effects of social media use on all groups of young people, the increasing reach of artificial intelligence adds a new wrinkle that has the potential to cause all sorts of damage. The possibilities are especially frightening when the technology is used by teens and tweens, groups with notoriously iffy judgment about the permanence of their actions.I have to admit that my gut reaction to the Beverly Hills story was rage — I wanted the book thrown at the kids who made those fakes. But I wanted to hear from someone with more experience talking to teens and thinking deeply about the adolescent relationship with privacy and technology. So I called Devorah Heitner, the author of “Growing Up in Public: Coming of Age in a Digital World,” to help me step back a bit from my punitive fury.Heitner pointed out that although artificial intelligence adds a new dimension, kids have been passing around digital sexual images without consent for years. According to a 2018 meta-analysis from JAMA Pediatrics, among children in the 12 to 17 age range, “The prevalence of forwarding a sext without consent was 12.0 percent,” and “and the prevalence of having a sext forwarded without consent was 8.4 percent.”In her book, Heitner offers an example in which an eighth-grade girl sends a topless photo to her boyfriend, who circulates it to his friends without her permission. After they broke up, but without her knowledge, “her picture kept circulating, passing from classmate to classmate throughout their middle school,” and then “one afternoon, she opened her school email to find a video with her image with sound effects from a porn video playing with it.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More