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SAHM Position & Statement Papers
13 Results
- Position statement
Refeeding Hypophosphatemia in Hospitalized Adolescents With Anorexia Nervosa
Journal of Adolescent HealthVol. 71Issue 4p517–520Published in issue: October, 2022- The Society for Adolescent Health and Medicine
Cited in Scopus: 1Refeeding hypophosphatemia in hospitalized adolescents with anorexia nervosa is correlated with degree of malnutrition, with a high index of suspicion for severely malnourished patients (<70% median body mass index). Weight history (greater magnitude or rate of weight loss prior to admission) regardless of presentation weight has also been associated with lower serum phosphate. Higher energy meal-based refeeding starting at 2,000 kcal has not been shown to be associated with higher rates of refeeding hypophosphatemia than the traditional standard of care, lower energy refeeding. - Position paper
Medical Management of Restrictive Eating Disorders in Adolescents and Young Adults
Journal of Adolescent HealthVol. 71Issue 5p648–654Published online: September 1, 2022- The Society for Adolescent Health and Medicine
Cited in Scopus: 1The medical provider plays an important role in the management of adolescents and young adults (AYAs) with restrictive eating disorders (EDs), including anorexia nervosa (AN), atypical anorexia nervosa, and avoidant/restrictive food intake disorder. The focus of this article is the medical management of AYAs with restrictive EDs, which can be performed by a number of different medical providers, including pediatricians, family physicians, internists, nurse practitioners, and, in some countries, psychiatrists. - Position paper
COVID Vaccines in Adolescents and Young Adults
Journal of Adolescent HealthVol. 70Issue 6p1002–1005Published in issue: June, 2022- The Society for Adolescent Health and Medicine
Cited in Scopus: 0Worldwide, a number of COVID-19 vaccines have been approved or granted Emergency Use Authorization (EUA) or Emergency Use Listing for adolescents and young adults (AYA), which has brought hope to many across the globe. Extension of the EUA for a COVID-19 vaccine to children and adolescents aged 5 through 15 years is exciting news for children, adolescents, parents, and providers of AYA. Many countries around the globe have extended immunization against COVID-19 to younger age groups. At the same time, the COVID-19 pandemic has led to a decrease globally in administration of other adolescent vaccines. - Position paper
Recommendations for Promoting the Health and Well-being of Sexual and Gender–diverse Adolescents Through Supportive Families and Affirming Support Networks
Journal of Adolescent HealthVol. 70Issue 4p692–696Published online: February 15, 2022- The Society for Adolescent Health and Medicine
Cited in Scopus: 0Adolescent and young adult (AYA) health care providers (HCPs) frequently serve sexual and gender–diverse (SGD) youth. Sexual orientation refers to a person's sexual identity in relation to the gender(s) to which they are attracted. Gender-diverse, sometimes addressed as gender-expansive, persons are a subset of the population whose gender identity, expressions, or behaviors differ from those typically associated with the sex they were assigned at birth in the society in which they live. These constructs may develop separately, and terminology should acknowledge and include the broad range of SGD identities that exist. - Position paper
Medication for Adolescents and Young Adults With Opioid Use Disorder
Journal of Adolescent HealthVol. 68Issue 3p632–636Published online: January 21, 2021- The Society for Adolescent Health and Medicine
Cited in Scopus: 11Opioid-related morbidity and mortality have risen in many settings globally. It is critical that practitioners who work with adolescents and young adults (AYAs) provide timely, evidence-based treatment for opioid use disorder (OUD). Such treatment should include medications for opioid use disorder (MOUD), including buprenorphine, naltrexone, and methadone. Medication treatment is associated with reduced mortality, fewer relapses to opioid use, and enhanced recovery and retention in addiction care, among other positive health outcomes. - Position paper
Preventing Nutritional Disorders in Adolescents by Encouraging a Healthy Relationship With Food
Journal of Adolescent HealthVol. 67Issue 6p875–879Published in issue: December, 2020- The Society for Adolescent Health and Medicine
Cited in Scopus: 1Nutritional disorders, including overweight, underweight, and/or nutrient deficiency, are a significant cause of morbidity and mortality. These disorders are frequently related to abnormal patterns of eating and/or physical activity, which commonly begin in adolescence and persist into adulthood. Abnormal eating and exercise behaviors may stem from an unhealthy relationship with food, which often takes root in preadolescence or early adolescence. To prevent eating disorders, overweight, underweight, and nutritional deficiencies in adolescence and beyond, health care providers need to proactively support early adolescents and their caregivers to develop a healthy relationship with food and their bodies. - Position paper
Improving Integration of Behavioral Health Into Primary Care for Adolescents and Young Adults
Journal of Adolescent HealthVol. 67Issue 2p302–306Published online: July 2, 2020- Society for Adolescent Health and Medicine
Cited in Scopus: 2Problems related to mood, substance use, anxiety, body image issues, post-traumatic stress, and suicidality are common in adolescence and become even more common in young adulthood. Integrated behavioral health (IBH) in primary care has shown great promise in identifying and treating adolescents and young adults who have these problems. Treatment outcomes in IBH settings outperform those in usual primary care settings where a primary care provider may identify behavioral health problems and refer youth to colocated or outside behavioral health specialists. - Position paper
Promoting Health Equality and Nondiscrimination for Transgender and Gender-Diverse Youth
Journal of Adolescent HealthVol. 66Issue 6p761–765Published in issue: June, 2020- The Society for Adolescent Health and Medicine
Cited in Scopus: 12Adolescent and young adult health-care providers often care for transgender and gender-diverse (TGD) youth—youth whose gender identity is incongruent with the gender assigned to them at birth. This patient population faces health challenges distinct from their cisgender peers (i.e., youth whose gender identity aligns with their assigned gender at birth), which include the health impacts from gender dysphoria and from societal stigma and discrimination. SAHM encourages adolescent and young adult health-care providers to receive training in providing culturally effective, evidence-based care for TGD youth; calls for more research on gender-affirming health care; and advocates for policies that protect the rights of TGD youth and minimize barriers to attaining healthcare. - Position paper
Transition to Adulthood for Youth With Chronic Conditions and Special Health Care Needs
Journal of Adolescent HealthVol. 66Issue 5p631–634Published in issue: May, 2020- Society for Adolescent Health and Medicine
Cited in Scopus: 14In 2003, the Society for Adolescent Medicine issued a position paper joining the American Academy of Pediatrics, the American Academy of Family Physicians, and the American College of Physicians in endorsing a national consensus statement regarding successful transition to adult care, for all young people, including youth with special health care needs. This consensus statement was followed by a clinical report in 2011, which was updated in 2018. Since the original publication, the development of professional guidelines, several iterations of U.S.-based national survey data, and a growing global evidence base characterizing the consequences of suboptimal transitions have advanced the field of health care transition substantially. - Position paper
Preventing Firearm Violence in Youth Through Evidence-Informed Strategies
Journal of Adolescent HealthVol. 66Issue 2p260–264Published in issue: February, 2020- The Society for Adolescent Health and Medicine
Cited in Scopus: 5Firearm injuries are the leading cause of death for adolescents and young adults (AYA) aged 12–24 years in the U.S. The Society for Adolescent Health and Medicine (SAHM) believes that a comprehensive approach addressing firearm access for AYA can decrease the morbidity and mortality that AYA experience due to firearms. SAHM's position paper builds on the 2005 position statement, the scientific literature, and expert opinion. SAHM believes that the safest home for AYA is one without firearms. If firearms are present, they must be stored unloaded, locked up, with ammunition locked and stored separately. - Position paper
Crisis Pregnancy Centers in the U.S.: Lack of Adherence to Medical and Ethical Practice Standards: A Joint Position Statement of the Society for Adolescent Health and Medicine and the North American Society for Pediatric and Adolescent Gynecology
Journal of Adolescent HealthVol. 65Issue 6p821–824Published online: October 28, 2019- Society for Adolescent Health and Medicine and the North American Society for Pediatric and Adolescent Gynecology
Cited in Scopus: 7Crisis pregnancy centers (CPCs) attempt to dissuade pregnant people from considering abortion, often using misinformation and unethical practices. While mimicking health care clinics, CPCs provide biased, limited, and inaccurate health information, including incomplete pregnancy options counseling and unscientific sexual and reproductive health information. The centers do not provide or refer for abortion or contraception but often advertise in ways that give the appearance that they do provide these services without disclosing the biased nature and marked limitations of their services. - Position statement
Advocating for Adolescent and Young Adult Male Sexual and Reproductive Health: A Position Statement From the Society for Adolescent Health and Medicine
Journal of Adolescent HealthVol. 63Issue 5p657–661Published in issue: November, 2018- Society for Adolescent Health and Medicine
Cited in Scopus: 13There is a critical need to improve the sexual and reproductive health (SRH) education and care of adolescent and young adult (AYA) males around the globe, as SRH is a basic human right for all AYAs. This special attention toward the SRH of AYA males is warranted given the fact that they often have difficulty accessing SRH services and education relative to their female counterparts and have higher rates of sexual risk behaviors than females. To promote AYA males’ SRH and the health of their sexual partners and children, the Society for Adolescent Health and Medicine (SAHM) recommends that leaders in research, policy, public health, and clinical practice develop and implement evidence-based, comprehensive SRH education that supports AYA males at school, within communities and families, and through healthcare services that are developmentally appropriate, gender affirming, inclusive of, and informed by AYA males. - Position paper
HIV Pre-Exposure Prophylaxis Medication for Adolescents and Young Adults: A Position Paper of the Society for Adolescent Health and Medicine
Journal of Adolescent HealthVol. 63Issue 4p513–516Published in issue: October, 2018- Society for Adolescent Health and Medicine
Cited in Scopus: 22Pre-exposure prophylaxis (PrEP) is a biomedical prevention intervention that has demonstrated high efficacy in reducing human immunodeficiency virus (HIV) transmission. While an increasing number of jurisdictions have endorsed the use of emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) for PrEP, access to PrEP varies widely. Adolescents and young adults (AYAs), especially those at high risk of HIV acquisition, such as young gay, bisexual, and other men having sex with men (YGBMSM) and individuals living in countries where HIV is endemic, face multiple barriers that limit their access to PrEP.
