The Gender & Sexuality Development Clinic (GSDC) was founded in January 2014 and with our exciting growth over last few years we are pleased to share with you our second Annual Update. The clinic team provides medical care and psychosocial support for gender non…

Abuse and neglect are serious concerns for all children, but military families may have unique needs that complicate efforts to prevent abuse and intervene on behalf of those who are at risk. For the more than 50 percent of Armed Forces members who are parents, deployment can introduce…

Despite recent declines, the unintended pregnancy rate among US adolescents is among the highest for industrialized nations [1]. Many adolescents who seek care in emergency departments (EDs) are at high-risk of pregnancy, reporting early sexual debut, multiple partners, and infrequent…

ABSTRACT: Skeletal surveys (SSs) have been identified as a key component of the evaluation for suspected abuse in young children, but variability in SS utilization has been reported. Thus, we aimed to describe the utilization patterns, yield, and risks of obtaining SS in young…

OBJECTIVE: To estimate the effect of a 1% lidocaine paracervical nerve block on pain during intrauterine device (IUD) insertion compared with a sham block in adolescents and young women. METHODS: We conducted a multisite, single-blind, sham-controlled randomized trial in adolescents…

As recently as 2014, the U.S. military reported rates of child abuse and neglect that were 45 percent lower than those of the general population. However, recent PolicyLab research suggests that the U.S. Army may be unaware of a large proportion of child maltreatment cases among…

BACKGROUND AND OBJECTIVES: In the primary care setting, there are racial and ethnic differences in antibiotic prescribing for acute respiratory tract infections (ARTIs). Viral ARTIs are commonly diagnosed in the pediatric emergency department (PED), in which racial and ethnic…

BACKGROUND: Though regional variation in healthcare spending has received national attention, it has not been widely studied in pediatrics. OBJECTIVES: (1) To evaluate regional variation in costs of care for 3 inpatient pediatric conditions, (2) assess potential drivers of variation,…

Many studies have established a link between foster care placement instability and child behavioral problems. Evidence-based interventions for behavioral problems, however, are often unavailable to children in foster care given challenges of recruiting behavioral health providers,…

OBJECTIVE: To estimate whether the incidence of low birthweight and rates of infant mortality were associated with Massachusetts health reform in the overall population and for subgroups that are at higher risk for poor health outcomes. DATA SOURCES: Individual-level data on…