Explore the vast range of titles available.

Improving engagement along the HIV care continuum and reducing racial/ethnic disparities are necessary to end the HIV epidemic. Research on African American/Black and Latine (AABL) younger people living with HIV (LWH) is essential to this goal. However, a number of key subgroups are challenging to locate and engage, and are therefore under-represented in research. Primary among these are persons with non-suppressed HIV viral load, severe socioeconomic disadvantage, transgender/gender expansive identities, and refugee/migrant/immigrant populations. Research in community settings is needed to complement studies conducted in medical institutions. The present study describes the efficiency of recruitment strategies used in the community to enroll AABL young and emerging adults LWH ages 19–28 years. Strategies were designed to be culturally responsive and structurally salient. They were: peer-to-peer, social media, classified advertisements (newspaper, craigslist), subway ads, dating apps (Jack’d, Positive Singles), and direct recruitment in community-based organizations. Data were analyzed using mainly descriptive statistics and interpreted using a consensus building approach. We screened 575 individuals in a first step, 409 were eligible (71%), of these 297 presented to the second screening step (73%), but 112 were lost. Almost all presenting at the second step were eligible (98%, 291/297) and 94% enrolled (274/291). Peer-to-peer, dating app (Jack’d), direct recruitment, and craigslist were the most efficient strategies. Recruitment on dating apps was superior to the peer-to-peer approach in yielding eligible participants (OR = 1.5; 95% CI: 0.98–2.3; p  = 0.06). The sample enrolled was diverse with respect to HIV viral suppression, gender identify, sexual orientation, immigration status, and barriers to HIV care engagement. We discuss the advantages and disadvantages of each strategy. Recruitment is a vital aspect of research and warrants attention in the empirical literature.

Introduction There are limited data on young people who inject drugs (PWID) from low‐ and middle‐income countries where injection drug use remains a key driver of new HIV infections. India has a diverse injection drug use epidemic and estimates suggest that at least half of PWID are ≤30 years of age. We compared injection and sexual risk behaviours and HIV incidence between younger and older PWID and characterized uptake of HIV testing and harm reduction services to inform targeted HIV prevention efforts. Methods We analysed cross‐sectional data from 14,381 PWID recruited from cities in the Northeast and North/Central regions of India in 2013 using respondent driven sampling (RDS). We compared “emerging‐adult” (18 to 24 years, 26% of sample) and “young‐adult” PWID (25 to 30 years, 30% of sample) to older PWID (>30 years, 44% of sample) using logistic regression to evaluate factors associated with three recent risk behaviours: needle‐sharing, multiple sexual partners and unprotected sex. We estimated age‐stratified cross‐sectional HIV incidence using a validated multi‐assay algorithm. Results Compared to older adults, emerging‐adults in the Northeastern states were significantly more likely to share needles (males adjusted odds ratio [aOR] 1.82; females aOR 2.29, p < 0.01), have multiple sexual partners (males aOR 1.56; females aOR 3.75, p < 0.01), and engage in unprotected sex (males aOR 2.29, p < 0.01). In the North/Central states, young‐adult males were significantly more likely to needle‐share (aOR 1.23, p < 0.05) while emerging‐adult males were significantly more likely to have multiple sexual partners (aOR 1.74, p < 0.05). In both regions, emerging‐adults had the lowest HIV testing. Participation in harm reduction services was low across all age groups. Annual HIV incidence was higher in emerging‐ and young‐adult PWID in the North/Central region: emerging‐adults: 4.3% (95% confidence interval [CI] 3.0, 5.6); young‐adults: 4.9% (95% CI 3.7, 6.2); older adults: 2.1% (95% CI 1.4, 2.8). Conclusions Higher HIV incidence and engagement in risky behaviours among younger PWID compared to older PWID, coupled with low utilization of harm reduction services highlight the importance of targeting this population in HIV programming. Age‐specific interventions focused on addressing the needs of young PWID are urgently needed to curb the HIV epidemic in this vulnerable population.

Although abundant research documented the vulnerability of left-behind children in rural China, little is known about whether early left-behind experiences are linked to their positive psychosocial functioning in later life, as well as the potential protective factors for their psychosocial adjustment. Informed by positive youth development framework and a positive adjustment framework in migrants, the current study compares psychosocial adjustment characterized by self-esteem and prosocial behavior between emerging adults with early left-behind experiences (LB-E) and their counterparts (Non-LB-E). Of importance, this study also examines the potential protective roles of social context (ie, peer support) and individual characteristic (ie, resilience) in psychosocial outcomes among Chinese emerging adults with and without early left-behind experiences. A propensity score matching was used to balance the two groups regarding age, gender, socioeconomic status, and potentially traumatic life events. Finally, a total of 182 emerging adults with early left-behind experiences and 182 their counterparts was involved in the current study, who were asked to complete self-report questionnaires. The results showed that there were no significant differences in self-esteem and prosocial behavior between the two groups. In addition, resilience was found to moderate the link between peer support and self-esteem. Specifically, in the context of higher levels of peer support, emerging adults with higher levels of resilience reported higher levels of self-esteem. The current study suggests that early left-behind experiences are not an adversity for emerging adults' positive psychosocial adjustment, and the protective roles of peer support and resilience are highlighted in Chinese emerging adults. Intervention or prevention programs may focus on the enhancement of resilience as well as the quality of peer relationships, shifting away from risk towards positive development models.

A growing body of research has documented the phenomenon of climate change anxiety (CCA), defined broadly as negative cognitive, emotional, and behavioral responses associated with concerns about climate change. A recently validated scale of CCA indicated two subscales: cognitive emotional impairment and functional impairment (Clayton & Karazsia, 2020). However, there are few empirical studies on CCA to date and little evidence regarding whether CCA is associated with psychiatric symptoms, including symptoms of Major Depressive Disorder (MDD) and Generalized Anxiety Disorder (GAD), and whether engaging in individual and collective action to address climate change could buffer such relationships. This mixed methods study draws on data collected from a sample of emerging adult students (ages 18–35) in the United States ( N  = 284) to address these gaps. Results indicated that both CCA subscales were significantly associated with GAD symptoms, while only the Functional Impairment subscale was associated with higher MDD symptoms. Moreover, engaging in collective action, but not individual action, significantly attenuated the association between CCA cognitive emotional impairment and MDD symptoms. Responses to open-ended questions asking about participants’ worries and actions related to climate change indicated the severity of their worries and, for some, a perception of the insignificance of their actions relative to the enormity of climate change. These results further the field’s understanding of CCA, both in general and specifically among emerging adults, and suggest the importance of creating opportunities for collective action to build sense of agency in addressing climate change.

Sexting is the sharing of sexually explicit images, videos, and/or messages via electronic devices. Prevalence estimates of sexting have varied substantially, potentially due to broad age ranges being examined. The current study sought to synthesize relevant findings examining the prevalence of consensual and non-consensual sexting in a specific developmental period, emerging adulthood (≥ 18–< 29), to try to explain discrepancies in the literature. Searches were conducted in electronic databases for articles published up to April 2018. Relevant data from 50 studies with 18,122 emerging adults were extracted. The prevalence of sexting behaviors were: sending 38.3% ( k  = 41; CI 32.0–44.6), receiving 41.5% ( k  = 19; CI 31.9–51.2), and reciprocal sexting 47.7% ( k  = 16; CI 37.6–57.8). Thus, sexting is a common behavior among emerging adults. The prevalence of non-consensual forwarding of sexts was also frequent in emerging adults at 15.0% ( k  = 7; CI 6.9–23.2). Educational awareness initiatives on digital citizenship and psychological consequences of the non-consensual forwarding of sexts should be targeted to youth and emerging adults with the hopes of mitigating this potentially damaging and illegal behavior.

This section describes the use of psychoanalysis in an inpatient setting. One child's analysis was conducted many decades ago and the emerging adult's analysis was completed recently at Austen Riggs, an inpatient psychiatric facility.

The Interpersonal Sensitivity Measure (IPSM) is used to assess interpersonal sensitivity. This study explored the factor structure, internal consistency, and criterion validity of the Italian version of the IPSM (IPSM-It) in non-clinical emerging adults. 374 participants aged between 18 and 31 years (64.4% female; M = 21.96, SD = 2.91) were included in the study. They completed the IPSM, the Beck Depression Inventory-I, the Beck Anxiety Inventory, the State-Trait Anger Expression Inventory-II, and the Satisfaction with Life Scale. Confirmatory factor analysis indicated that the original structure of the measure did not fit the data well. An exploratory factor analysis was also conducted and the results supported a 27-item version of the IPSM and a three-factor structure (Interpersonal Worry and Dependency, Low Self- Esteem, and Unassertive Interpersonal Behavior). The IPSM-It showed good internal consistency and criterion validity. The IPSM-It appeared to be a reliable and valid measure for assessing IPS in Italian culture.

Social media use is almost ubiquitous among adolescents and emerging adults. Although much has been studied about the psychological implications of social media use, there is currently no integrative model in which multiple dimensions of social media are considered. The goal of this theoretical article is to introduce the Multidimensional Model of Social Media Use (MMSMU), which aims to provide a useful framework for researchers and practitioners to study and understand young people’s social media use in relation to their psychological well-being. The model attends to three major dimensions: activities performed on social media, motives for social media use, and communication partners connected through social media. We present empirical evidence showing whether each dimension is associated with better or poorer well-being and identify or propose mechanisms explaining the associations. Before concluding the article, we discuss clinical implications and possible ways to further expand the proposed model.

Overparenting is defined as a parenting style characterized by overprotection, overcontrol, and an excess of involvement in the life of one’s offspring. These types of parenting practices turn out to be particularly intrusive during the period of emerging adults in which the need for autonomy is the element that most characterizes this stage of development. The current review aimed at summarizing studies that considered the repercussions of overparenting’s dysfunctional behaviors on offspring during the developmental phase of emerging adulthood and was carried out using the new Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) protocol. Articles were retrieved from Scopus and Web of Science databases. After having initially considered 832 papers, 31 studies were deemed eligible to be included in this review. The analysis of these studies showed that individuals subjected to overparenting are prone to developing various internalizing and externalizing symptoms. Internalizing symptoms are more prevalent and are often associated with conditions such as depression, social anxiety, and generalized anxiety. Pivotal recommendations have been suggested to reduce the impact of overparenting practices on the well-being of young adults. These include the development of coping strategies and the development of trust, resilience, and open communication within the supportive context of clinical intervention.

The coronavirus disease 2019 (COVID-19) pandemic has significantly increased depression rates, particularly in emerging adults. The aim of this study was to examine longitudinal changes in depression risk before and during COVID-19 in a cohort of emerging adults in the U.S. and to determine whether prior drinking or sleep habits could predict the severity of depressive symptoms during the pandemic. Participants were 525 emerging adults from the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA), a five-site community sample including moderate-to-heavy drinkers. Poisson mixed-effect models evaluated changes in the Center for Epidemiological Studies Depression Scale (CES-D-10) from before to during COVID-19, also testing for sex and age interactions. Additional analyses examined whether alcohol use frequency or sleep duration measured in the last pre-COVID assessment predicted pandemic-related increase in depressive symptoms. The prevalence of risk for clinical depression tripled due to a substantial and sustained increase in depressive symptoms during COVID-19 relative to pre-COVID years. Effects were strongest for younger women. Frequent alcohol use and short sleep duration during the closest pre-COVID visit predicted a greater increase in COVID-19 depressive symptoms. The sharp increase in depression risk among emerging adults heralds a public health crisis with alarming implications for their social and emotional functioning as this generation matures. In addition to the heightened risk for younger women, the role of alcohol use and sleep behavior should be tracked through preventive care aiming to mitigate this looming mental health crisis.