{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:35:20Z","timestamp":1772120120597,"version":"3.50.1"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T00:00:00Z","timestamp":1748908800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T00:00:00Z","timestamp":1748908800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hormones"],"published-print":{"date-parts":[[2025,9]]},"DOI":"10.1007\/s42000-025-00677-9","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T13:10:37Z","timestamp":1748956237000},"page":"663-670","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Sexuality of Greek adolescents with type 1 diabetes mellitus in comparison with their healthy peers"],"prefix":"10.1007","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7993-8418","authenticated-orcid":false,"given":"K.","family":"Kakleas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Kandyla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Tsitsika","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Tzavara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Karanasios","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Karavanaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,6,3]]},"reference":[{"issue":"1","key":"677_CR1","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1186\/s13098-024-01310-2","volume":"16","author":"V Allen","year":"2024","unstructured":"Allen V, Mahieu A, Kasireddy E, Shouman W, Pourrahmat MM, Collet JP, Cherkas A (2024) Humanistic burden of pediatric type 1 diabetes on children and informal caregivers: systematic literature reviews. Diabetol Metab Syndr 16(1):73. https:\/\/doi.org\/10.1186\/s13098-024-01310-2","journal-title":"Diabetol Metab Syndr"},{"issue":"2","key":"677_CR2","first-page":"1","volume":"12","author":"A Ouzouni","year":"2019","unstructured":"Ouzouni A, Galli-Tsinopoulou A, Kazakos K, Lavdaniti M (2019) Adolescents with diabetes type 1: Psychological and behavioral problems and compliance with treatment. Int J Caring Sci 12(2):1\u20137","journal-title":"Int J Caring Sci"},{"issue":"6","key":"677_CR3","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1177\/0145721711422610","volume":"37","author":"SS Jaser","year":"2011","unstructured":"Jaser SS, Yates H, Dumser S, Whittemore R (2011) Risky business: risk behaviors in adolescents with type 1 diabetes. Diabetes Educ 37(6):756\u2013764. https:\/\/doi.org\/10.1177\/0145721711422610","journal-title":"Diabetes Educ"},{"issue":"4","key":"677_CR4","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1177\/26318318221107598","volume":"4","author":"A Hegde","year":"2022","unstructured":"Hegde A, Chandran S, Pattnaik JI (2022) Understanding adolescent sexuality: A developmental perspective. Journal of Psychosexual Health 4(4):237\u2013242. https:\/\/doi.org\/10.1177\/26318318221107598","journal-title":"Journal of Psychosexual Health"},{"issue":"7","key":"677_CR5","doi-asserted-by":"publisher","first-page":"2671","DOI":"10.1007\/s10508-024-02877-7","volume":"53","author":"D Jepsen","year":"2024","unstructured":"Jepsen D, Healy KV, Bernard M, Markert J, Brzank PJ (2024) Patterns of sexual risk behaviors and sexuality-related risk factors among young adults in Germany: implications for prevention and therapy. Arch Sex Behav 53(7):2671\u20132688","journal-title":"Arch Sex Behav"},{"issue":"1","key":"677_CR6","doi-asserted-by":"publisher","first-page":"20","DOI":"10.3390\/children9010020","volume":"9","author":"B Kandyla","year":"2021","unstructured":"Kandyla B, Tsitsika A, Soldatou A, Tzavara C, Karanasios S, Karavanaki K (2021) Sexual Risk Behaviors of Adolescents with Type 1 Diabetes in Comparison with Their Peers. Children (Basel) 9(1):20. https:\/\/doi.org\/10.3390\/children9010020","journal-title":"Children (Basel)"},{"key":"677_CR7","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1177\/0145721710365171","volume":"36","author":"EB Schwartz","year":"2010","unstructured":"Schwartz EB, Sobota M, Charron-Prochownik D (2010) Perceived access to contraception among adolescents with diabetes: Barriers to preventing pregnancy complications. Diabetes Educ 36:489\u2013494. https:\/\/doi.org\/10.1177\/0145721710365171","journal-title":"Diabetes Educ"},{"key":"677_CR8","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1016\/j.jpag.2010.03.001","volume":"23","author":"A Tsitsika","year":"2010","unstructured":"Tsitsika A, Greydanus D, Konstantoulaki E et al (2010) Adolescents dealing with sexuality isues: A cross-sectional study in Greece. J Pediatr Adolesc Gynecol 23:298\u2013304. https:\/\/doi.org\/10.1016\/j.jpag.2010.03.001","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"677_CR9","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1016\/j.jpag.2013.11.009","volume":"27","author":"A Tsitsika","year":"2014","unstructured":"Tsitsika A, Andrie E, Deligeoroglou E, Tzavara C, Sakou I, Greydanus D, Papaevangelou V, Tsolia M, Creatsas G, Bakoula C (2014) Experiencing sexuality in youth living in Greece: Contraceptive practices, risk taking, and psychosocial status. J Pediatr Adolesc Gynecol 27:232\u2013239. https:\/\/doi.org\/10.1016\/j.jpag.2013.11.009","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"677_CR10","volume-title":"Manual for the Youth Self-Report and 1991 Profile","author":"TM Achenbach","year":"1991","unstructured":"Achenbach TM (1991) Manual for the Youth Self-Report and 1991 Profile. University of Vermont; Burlington, VT, USA, Department of Psychiatry"},{"key":"677_CR11","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1007\/s007870170046","volume":"10","author":"A Roussos","year":"2001","unstructured":"Roussos A, Francis K, Zoubou V, Kiprianos S, Prokopiou A, Richardson C (2001) The standardization of Achenbach\u2019s Youth Self-Report in Greece in a national sample of high school students. Eur Child Adolesc Psychiatry 10:47. https:\/\/doi.org\/10.1007\/s007870170046","journal-title":"Eur Child Adolesc Psychiatry"},{"issue":"1","key":"677_CR12","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1016\/S1054-139X(96)00162-0","volume":"20","author":"MA Frey","year":"1997","unstructured":"Frey MA, Guthrie B, Loveland-Cherry C, Park PS, Foster CM (1997) Risky behavior and risk in adolescents with IDDM. J Adolesc Health 20(1):38\u201345. https:\/\/doi.org\/10.1016\/S1054-139X(96)00162-0","journal-title":"J Adolesc Health"},{"key":"677_CR13","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.1111\/pedi.13245","volume":"22","author":"F Giraudo","year":"2021","unstructured":"Giraudo F, Lalanne I, Vald\u00e9s I, Gajardo A, Charron-Prochownik D, Codne E (2021) Risky sexual behaviors in adolescents and young adult women with type 1 diabetes: An overlooked problem. Pediatr Diabetes 22:1092\u20131098. https:\/\/doi.org\/10.1111\/pedi.13245","journal-title":"Pediatr Diabetes"},{"issue":"1","key":"677_CR14","doi-asserted-by":"publisher","first-page":"e2837","DOI":"10.1177\/20571585221132652","volume":"43","author":"TF Eines","year":"2023","unstructured":"Eines TF, Kieczka EA, Klungnes SH, Johnsen TA, Gr\u00f8nvik CKU (2023) Adolescents\u2019 experiences living with type 1 diabetes mellitus: A scoping review. Nord J Nurs Res 43(1):e2837. https:\/\/doi.org\/10.1177\/20571585221132652","journal-title":"Nord J Nurs Res"},{"key":"677_CR15","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1111\/pedi.13290","volume":"23","author":"CJ Garey","year":"2022","unstructured":"Garey CJ, Clements MA, McAuliffe-Fogarty AH et al (2022) The association between depression symptom endorsement and glycemic outcomes in adolescents with type 1 diabetes. Pediatr Diabetes 23:248\u2013257. https:\/\/doi.org\/10.1111\/pedi.13290","journal-title":"Pediatr Diabetes"},{"key":"677_CR16","doi-asserted-by":"publisher","first-page":"840","DOI":"10.1111\/pedi.12641","volume":"19","author":"V Hagger","year":"2018","unstructured":"Hagger V, Hendrieckx C, Cameron F et al (2018) Diabetes distress is more strongly associated with HbA1c than depressive symptoms in adolescents with type 1 diabetes: results from Diabetes MILES Youth-Australia. Pediatr Diabetes 19:840\u2013847. https:\/\/doi.org\/10.1111\/pedi.12641","journal-title":"Pediatr Diabetes"},{"issue":"8","key":"677_CR17","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1007\/s11892-016-0762-2","volume":"16","author":"KA Driscoll","year":"2016","unstructured":"Driscoll KA, Raymond J, Naranjo D, Patton SR (2016) Fear of Hypoglycemia in Children and Adolescents and Their Parents with Type 1 Diabetes. Curr Diab Rep 16(8):77. https:\/\/doi.org\/10.1007\/s11892-016-0762-2","journal-title":"Curr Diab Rep"},{"issue":"2","key":"677_CR18","doi-asserted-by":"publisher","first-page":"e2837","DOI":"10.1002\/dmrr.2837","volume":"33","author":"O Pinhas-Hamiel","year":"2017","unstructured":"Pinhas-Hamiel O, Tisch E, Levek N, Ben-David RF, Graf-Bar-El C, Yaron M, Boyko V, Lerner-Geva L (2017) Sexual lifestyle among young adults with type 1 diabetes. Diabetes Metab Res Rev 33(2):e2837. https:\/\/doi.org\/10.1002\/dmrr.2837","journal-title":"Diabetes Metab Res Rev"},{"issue":"8","key":"677_CR19","doi-asserted-by":"publisher","first-page":"1237","DOI":"10.1111\/j.1651-2227.2010.01813.x","volume":"99","author":"A Scaramuzza","year":"2010","unstructured":"Scaramuzza A, De Palma A, Mameli C, Spiri D, Santoro L, Zuccotti GV (2010) Adolescents with type 1 diabetes and risky behaviour. Acta Paediatr 99(8):1237\u20131241. https:\/\/doi.org\/10.1111\/j.1651-2227.2010.01813.x","journal-title":"Acta Paediatr"},{"issue":"2","key":"677_CR20","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1016\/1054-139X(95)00282-W","volume":"19","author":"JC Sur\u00eds","year":"1996","unstructured":"Sur\u00eds JC, Resnick MD, Cassuto N, Blum RW (1996) Sexual behavior of adolescents with chronic disease and disability. J Adolesc Health 19(2):124\u2013131. https:\/\/doi.org\/10.1016\/1054-139X(95)00282-W","journal-title":"J Adolesc Health"},{"issue":"2","key":"677_CR21","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/s1083-3188(00)00004-8","volume":"13","author":"LS Valencia","year":"2000","unstructured":"Valencia LS, Cromer BA (2000) Sexual activity and other high-risk behaviors in adolescents with chronic illness: a review. J Pediatr Adolesc Gynecol 13(2):53\u201364. https:\/\/doi.org\/10.1016\/s1083-3188(00)00004-8","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"21","key":"677_CR22","doi-asserted-by":"publisher","first-page":"11295","DOI":"10.3390\/ijerph182111295","volume":"18","author":"H Kim","year":"2021","unstructured":"Kim H, Park KH, Park S (2021) Gender differences in sexual behaviors and their relevance to mental health among high school students with sexual experience in South Korea. Int J Environ Res Public Health 18(21):11295. https:\/\/doi.org\/10.3390\/ijerph182111295","journal-title":"Int J Environ Res Public Health"},{"key":"677_CR23","doi-asserted-by":"publisher","unstructured":"Vassilikou K, Ioannidi\u2013Kapolou E (2016) Sex education and sex behaviour in Greek adolescents: a research review.\u00a0SCAD 9(2), 143\u2013154.\u00a0https:\/\/doi.org\/10.12681\/scad.8912","DOI":"10.12681\/scad.8912"},{"issue":"4","key":"677_CR24","doi-asserted-by":"publisher","first-page":"618","DOI":"10.1007\/s00125-022-05866-4","volume":"66","author":"SAG de Vries","year":"2023","unstructured":"de Vries SAG, Verheugt CL, Mul D, Nieuwdorp M, Sas TCJ (2023) Do sex differences in paediatric type 1 diabetes care exist? A systematic review Diabetologia 66(4):618\u2013630. https:\/\/doi.org\/10.1007\/s00125-022-05866-4","journal-title":"A systematic review Diabetologia"},{"issue":"23","key":"677_CR25","doi-asserted-by":"publisher","first-page":"3032","DOI":"10.3390\/healthcare11233032","volume":"11","author":"IM Fern\u00e1ndez-Medina","year":"2023","unstructured":"Fern\u00e1ndez-Medina IM, Ramal-Gea MA, Ru\u00edz-Fern\u00e1ndez MD, Granero-Molina J, Jim\u00e9nez-Lasserrotte MDM, Ventura-Miranda MI (2023) Factors influencing sexuality in late adolescence: A qualitative study on heterosexual adolescents\u2019 perspectives. Healthcare (Basel) 11(23):3032. https:\/\/doi.org\/10.3390\/healthcare11233032","journal-title":"Healthcare (Basel)"},{"key":"677_CR26","doi-asserted-by":"publisher","DOI":"10.1016\/j.alcr.2022.100461","volume":"51","author":"R Guetto","year":"2022","unstructured":"Guetto R, Vignoli D, Lachi A (2022) Higher parental socioeconomic status accelerates sexual debut: Evidence from university students in Italy. Adv Life Course Res 51:100461. https:\/\/doi.org\/10.1016\/j.alcr.2022.100461","journal-title":"Adv Life Course Res"},{"issue":"6","key":"677_CR27","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1001\/jamapediatrics.2019.0458","volume":"173","author":"LD Lindberg","year":"2019","unstructured":"Lindberg LD, Maddow-Zimet I, Marcell AV (2019) Prevalence of sexual initiation before age 13 years among male adolescents and young adults in the United States. JAMA Pediatr 173(6):553\u2013560. https:\/\/doi.org\/10.1001\/jamapediatrics.2019.0458","journal-title":"JAMA Pediatr"},{"key":"677_CR28","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1136\/sti.76.2.98","volume":"76","author":"K Edgardh","year":"2000","unstructured":"Edgardh K (2000) Sexual behaviour and early coitarche in a national sample of 17 year old Swedish girls. Sex Transm Infect 76:98\u2013102. https:\/\/doi.org\/10.1136\/sti.76.2.98","journal-title":"Sex Transm Infect"},{"issue":"2","key":"677_CR29","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1093\/eurpub\/cki121","volume":"15","author":"AK Valle","year":"2005","unstructured":"Valle AK, Torgersen L, R\u00f8ysamb E, Klepp KI, Thelle DS (2005) Social class, gender and psychosocial predictors for early sexual debut among 16 year olds in Oslo. Eur J Public Health 15(2):185\u2013194. https:\/\/doi.org\/10.1093\/eurpub\/cki121","journal-title":"Eur J Public Health"},{"key":"677_CR30","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s10578-023-01519-8","volume":"25","author":"LF Reis","year":"2023","unstructured":"Reis LF, Surkan PJ, Atkins K, Garcia-Cerde R, Sanchez ZM (2023) Risk factors for early sexual intercourse in adolescence: A systematic review of cohort studies. Child Psychiatry Hum Dev 25:1\u201314. https:\/\/doi.org\/10.1007\/s10578-023-01519-8","journal-title":"Child Psychiatry Hum Dev"},{"key":"677_CR31","doi-asserted-by":"publisher","first-page":"945042","DOI":"10.3389\/fpsyg.2022.945042","volume":"13","author":"M Ma\u0142achowska","year":"2023","unstructured":"Ma\u0142achowska M, Gos\u0142awska Z, Rusak E, Jarosz-Chobot P (2023) The role and need for psychological support in the treatment of adolescents and young people suffering from type 1 diabetes. Front Psychol 13:945042. https:\/\/doi.org\/10.3389\/fpsyg.2022.945042","journal-title":"Front Psychol"}],"container-title":["Hormones"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s42000-025-00677-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s42000-025-00677-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s42000-025-00677-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T03:26:42Z","timestamp":1760066802000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s42000-025-00677-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,3]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["677"],"URL":"https:\/\/doi.org\/10.1007\/s42000-025-00677-9","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-4644587\/v1","asserted-by":"object"}]},"ISSN":["1109-3099","2520-8721"],"issn-type":[{"value":"1109-3099","type":"print"},{"value":"2520-8721","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,3]]},"assertion":[{"value":"27 June 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 May 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 June 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by the Ethics Review Board of the \u201cP. & A. Kyriakou\u201d Children\u2019s Hospital, Athens, Greece, and the Hellenic Ministry of Education and Religious Affairs.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all participants or legal guardians prior to participation in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The authors state no conflict of interest and have not received any funding.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}