{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T17:25:51Z","timestamp":1790184351464,"version":"4.1.0"},"reference-count":67,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND AND OBJECTIVES<\/jats:title>\n                    <jats:p>Psychological empowerment, referring to one\u2019s agency, self-efficacy, and meaningful participation in society, supports positive social and behavioral outcomes in adolescence; however, research examining psychological empowerment in the context of health remains limited. We sought to describe relationships between psychological empowerment and aspects of adolescents\u2019 mental and physical health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>School-based surveys were administered across 17 high schools in Allegheny County, Pennsylvania. We measured psychological empowerment with items adapted from a validated instrument. Health-related measures included past-year depressive symptoms, lifetime substance use, and measures of overall health and receipt of health care. Multilevel regression models examined associations between psychological empowerment and each health-related measure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Among 3685 youth, the majority (n\u2009=\u20093391; 92.0%) were aged 14 to 17\u00a0years. Most were white (n\u2009=\u20091737; 47.1%) or Black\/African American (n\u2009=\u20091166; 31.6%). Many identified as gender\/sexual diverse (n\u2009=\u20091397; 37.9%). Youth with high psychological empowerment were less likely to report hopelessness (adjusted odds ratio [aOR], 0.61; 95% CI, 0.50\u20130.75), nonsuicidal self-injury (aOR, 0.57; 95% CI, 0.44\u20130.73), and suicidal ideation (aOR, 0.56; 95% CI, 0.42\u20130.75). Psychological empowerment was inversely associated with lifetime use of e-cigarettes (aOR, 0.70; 95% CI, 0.56\u20130.86), alcohol (aOR, 0.75; 95% CI, 0.61\u20130.92), and marijuana (aOR, 0.77; 95% CI, 0.62\u20130.94). Psychological empowerment was additionally linked to positive perception of health (aOR, 1.72; 95% CI, 1.29\u20132.31), receipt of preventive care (aOR, 1.26; 95% CI, 1.02\u20131.55), and less foregone care (aOR, 0.76; 95% CI, 0.61\u20130.94).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Findings underscore the importance of psychological empowerment as a modifiable protective factor in adolescence, particularly in youth-facing interventions focused on health and well-being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2024-069955","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T20:03:19Z","timestamp":1747684999000},"source":"Crossref","is-referenced-by-count":5,"title":["Psychological Empowerment and Adolescent 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Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Miller","sequence":"additional","affiliation":[{"name":"2Adolescent and Young Adult Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison J.","family":"Culyba","sequence":"additional","affiliation":[{"name":"2Adolescent and Young Adult Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2025,5,20]]},"reference":[{"issue":"9826","key":"2026022402515739900_r1","doi-asserted-by":"crossref","first-page":"1564","DOI":"10.1016\/S0140-6736(12)60472-3","article-title":"Seizing the opportunities of adolescent 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