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Background: Nearly 750,000 adolescents and emerging adults with special health care needs (AEA-SHCN) enter into adulthood annually. The linkages to ensure the seamless transfer of care from pediatric to adult care and transition to adulthood for AEA-SHCN have yet to be realized. Purpose: The purpose of this systematic review was to investigate the state of the science of health care transition (HCT) service models as described in quantitative investigations. Methods: A four-tier screening approach was used to obtain reviewed articles published from 2004 to 2013. A total of 17 articles were included in this review. Discussion: Transfer of care was the most prominent intervention feature. Overall, using the Effective Public Health Practice Project criteria, the studies were rated as weak. Limitations included lack of control groups, rigorous designs and methodology, and incomplete intervention descriptions. Conclusion: As the findings indicate, HCT is an emerging field of practice that is largely in the exploratory stage of model development.

Background: Health care transition (HCT) for adolescents and emerging adults (AEA) with special health care needs is an emerging field of interdisciplinary field of practice and research that is based upon an intergenerational approach involving care coordination between pediatric and adult systems of health care. Informed understanding of the state of the HCT science pertaining to this group of providers is needed in order to develop and implement service programs that will meet the comprehensive needs of AEA with special health care needs. Methods: The authors conducted a systematic review of the literature on the transition from child to adult care for adolescents and emerging adults (AEA) with special health care needs from 2004 to 2013. Fifty-five articles were selected for this review. An adaptation of the PRISMA guidelines was applied because all studies in this review used descriptive designs. Results: Findings revealed lack of evidence due to the limitations of the research designs and methodology of the studies included in this systematic review. Study findings were categorized the following four types: adult provider competency, provider perspectives, provider attitudes, and HCT service models. The discipline of medicine was predominant; interdisciplinary frameworks based upon integrated care were not reported. Few studies included samples of adult providers. Conclusions: Empirical-based data are lacking pertaining to the role of providers involved in this specialty area of practice. Evidence is hampered by the limitations of the lack of rigorous research designs and methodology.

Background: A better understanding of the needs of adolescents and emerging adults with special health care needs (AEA-SHCNs) is essential to provide health care transition services that represent best practices. The purpose of this systematic review was to evaluate the research on health care transition for AEA-SHCNs from their perspectives. Methods: A comprehensive literature review of research publications since 2005 was performed using the PubMed, Cumulative Index to Nursing and Allied Health Literature, and EBSCO databases. Thirty-five studies met the final review criteria. Results: The process of transition from child to adult for AEA-SHCNs is complex. Individuals experiencing the transition desire to be a part of the process and want providers who will listen and be sensitive to their needs, which are often different from others receiving health care at the same facility. Conclusions: More research that considers the voice of the AEA-SHCNs related to transition from pediatric to adult care is needed.

The first purpose of this study was to investigate the direct effects of three subtypes of social withdrawal (shyness, social avoidance, and unsociability, respectively) on internalizing outcomes (depression, emotional dysregulation, and self-worth, respectively) in emerging adulthood and to examine these effects by gender. A second purpose was to examine if parenting moderates (i.e., exacerbates or buffers) the main effects of social withdrawal on internalizing outcomes. Participants included 790 undergraduate students from four universities in the United States (Mage = 19.61, SD = 1.85, range = 18–29; 243 males, 547 females) and their mothers. Regression analyses established that shyness was associated with higher levels of depression and emotional dysregulation as well as lower self-worth for males and females. Social avoidance was linked with higher levels of depression and emotional dysregulation for females only. Finally, unsociability was associated with lower levels of depression and dysregulation for both genders. Analyses also established that parenting did not moderate depression, emotional dysregulation, or self-worth with regard to shyness or social avoidance. However, helicopter parenting moderated the links between unsociability and depression. Authoritative parenting moderated the links between unsociability and dysregulation and self-worth. Discussion focuses on the outcomes for emerging adults and the moderating roles of gender and parenting.

This study is a spatiotemporal analysis of the COVID-19 pandemic in school-age children (5-18 years) in Tennessee, from 2020-03-19 to 2022-02-12. Trend Analysis, Emerging Hot Spot Analysis, and a time series revealed three significant waves in both age groups. Therefore, Change Point Detection at the county level was completed using six defined change points to identify the wax and wane of the three COVID-19 waves. Hierarchical Cluster Analysis grouped counties with similar change points into six clusters. No spatial pattern was observed in distribution of the six clusters, however, when each change point was evaluated separately, spatial autocorrelation was present, showing that timing of the individual waves was clustered in space. This research describes appropriate spatioanalytical methods useful at different stages of a pandemic and could inform policymaking by public health officials.

The purpose of this study was to better understand the current culture of marriage preparation among emerging adults and the primary factors that influence their attitudes about marriage and family life. A total of 254 students from five universities in the United States completed questionnaires on criteria for marriage readiness and criteria for adulthood. The results indicate that we are witnessing the formation of a unique culture of marriage preparation in the rising generation of educated young adults in comparison to the one experienced by their parents and grandparents. This study supports the notion that marriage still matters for the majority of young people and that they are both planning and expecting to marry in the future. Although they continue to maintain a strong marriage ideal, it appears that a growing number of emerging adults believe that they will not be ready for marriage until they go through an extended period of single adulthood that permits them to explore and experiment in various areas of life. In addition, the results indicate that emerging adults may be as much preparing for divorce as they are preparing for marriage during this period of exploration and experimentation. Most importantly, the findings from this study present evidence that some emerging adults are taking certain pathways to marriage readiness that result in unintended consequences. Indeed, this study suggests that the single period of life known as emerging adulthood may be contributing to attitudes and behaviors that will be problematic for marriage readiness. Emerging adults may be establishing unstable foundations for their later marriages and scholars need to pay more attention to this critical period in order to prepare better emerging adults for marital success and family life.

Researchers have studied emerging adults' attitudes regarding the three components of the marital horizon theory, namely their desired age for marriage, the importance they place on marriage, and the criteria they endorse as necessary before being marriage ready. Up to this point, no studies have looked at parents' marital horizons nor have comparisons been made with their emerging adult children. The goal of this study was to determine parents' views regarding the three components of the marital horizon theory. Using hierarchal linear modeling, parents' responses were compared with their emerging adult children regarding ideal timing of marriage, marital importance, and criteria for marriage readiness. The participants for this study were 536 emerging adults, 360 fathers and 446 mothers. On average, parents' ideal age for marriage was later than emerging adults. Parents and emerging adults did not statistically differ regarding the sequencing of specific events (e.g., career, college) relative to marriage—they agreed that education or a career should come before marriage at this time of their life. However, emerging adults placed more importance on overall importance of marriage. Mothers consistently placed a greater premium on fulfilling certain criteria (e.g., interpersonal competence, role transitions, family capacities) when compared with fathers and emerging adults. Fathers placed more importance on these criteria compared to their emerging adult children, but were lower than mothers. Implications for clinicians are discussed.

This paper explores the nature of emerging adulthood in Southern India. Survey data was collected from 450 college students in Coimbatore, Tamil Nadu, India and 100 non-students from rural villages surrounding Coimbatore. Unlike American samples, the majority of the 18- to 26-year-olds studied felt that they had achieved adulthood. The sample emphasized attributes needed to fulfill family roles as characteristics necessary for adulthood. Differences in optimism levels were found between students and non-students. Arnett suggests that emerging adulthood would be affected by cultural influences. The unique cultural and structural influences in India such as, Hinduism, caste, gendered socialization, and the educational system, are discussed as possible explanations for the unique findings.