Future, Volume 3, Issue 4 (December 2025) – 7 articles

Objective: This study aimed to analyze parents’ perceptions regarding adolescents’ screen use, signs of screen dependency, and its impact on sleep among 10- to 16-year-olds in the district of Leiria, Portugal. A descriptive–correlational, cross–sectional study was conducted in April 2024 using an online questionnaire completed by a non-probabilistic accidental sample of 616 parents or legal guardians. Nearly half of the respondents (48.2%) perceived adolescents as dependent on screens, while 68.7% believed that their screen time was excessive. Several behavioural signs consistent with digital dependence were reported. Increased screen use was significantly associated with shorter sleep duration, daytime sleepiness, and difficulties initiating sleep. Although many adolescents still achieved the recommended number of hours of sleep, those perceived as screen-dependent were more likely to experience compromised sleep quality and quantity. These findings reinforce the growing concern about adolescents’ digital habits and underscore the importance of implementing targeted health promotion strategies focused on responsible screen use and sleep hygiene among school-aged youth. Full article

Human papillomavirus (HPV) vaccination is a cornerstone of cancer prevention across genders. In the United Kingdom (UK), the programme now includes boys, yet uptake remains below target, with persistent disparities by gender and region. This commentary examines the drivers of these gaps, including the historical framing of the HPV vaccine as a vaccine for girls, limited public awareness of boys’ eligibility, and challenges in school-based delivery. Gendered misconceptions, cultural norms, and inadequate communication continue to limit uptake in boys, while healthcare professionals, including general practitioners, dentists, and pharmacists, remain underused in supporting vaccine access and tackling parental hesitancy. Schools are central to equitable delivery, but teachers often lack training and possess low-to-moderate knowledge of HPV-related topics, including HPV vaccination availability for boys and HPV-related cancers affecting men. Drawing on health behaviour theory, we propose evidence-informed, multi-level recommendations to improve uptake, from gender-inclusive messaging and more efficient consent processes to digital engagement tools that support parents. We also highlight our ongoing research into parental attitudes toward HPV vaccination for boys aged 9–12 in England, which will inform future targeted interventions and policy development. Full article

Schools constitute strategic settings for shaping eating behaviors among youth. Given the profound environmental, health, and social challenges associated with current food systems, there is an urgent need to explore dietary patterns that simultaneously support human well-being, ecological sustainability, and ethical principles. This comprehensive review provides a contemporary overview of the role of plant-based diets as an instrumental pathway to a healthier and more sustainable future by examining (i) environmental and social impacts of current food systems; (ii) the effects of plant-based diets on health; (iii) determinants of plant-based diet implementation in schools, including barriers and facilitators to their adoption; and (iv) the development of future-oriented dietary guidelines. Transitioning to plant-based diets, combined with sustainable agricultural practices, can reduce resource use and promote ecological sustainability. Promoting plant-based diets can also encourage the development of a more responsible and equitable social culture. Plant-based diets consistently provide metabolic, cardiovascular, and anti-inflammatory benefits across diverse populations, contributing to healthy weight and glycemic regulation. Well-planned plant-based diets may also improve cognitive function and promote psychological well-being. The integration of plant-based diets in schools is limited by barriers such as children’s food preferences, habitual eating patterns, peer influence, time and resource constraints, limited knowledge, cultural attachment to meat, and low family involvement. Conversely, facilitators including experiential learning, nutrition education, teacher and family engagement, social norms, ethical or environmental motivations, and institutional support promote acceptance and implementation. Ongoing research is required to refine dietary recommendations, assess long-term health outcomes, and ensure nutritional adequacy across pediatric populations. Continued evaluation of school-based interventions and policy frameworks will be essential to optimize the integration of plant-based diets and to monitor their health, ethical, and environmental impacts. Full article

Objective: Health education is critical in imparting health literacy to children and developing community health and wellbeing. The effectiveness of the teaching–learning interaction in health education classes depends on the teacher employing effective teaching methods, facilitating students’ deep understanding, critical thinking, and the development of skills, beliefs and attitudes that will be needed for them to cultivate healthy behaviours throughout their lives. Health education teaching differs from other learning areas as it addresses controversial and sensitive topics in class. Little research has been conducted regarding the preferred teaching methods of health educators and their ability to employ these teaching methods effectively in the classroom. Methods: In this paper, we present findings from a doctoral grounded theory study to explain the preferred teaching methods of teachers as they work with young people in the important learning area of health education. The study was conducted using a Chamazian constructivist grounded theory approach with the data being analysed using an inductive process, beginning with open codes and progressing to high-level categories. Main Results: This study determined that the preferred teaching method of the teachers delivering health education in Western Australia was discussion-based teaching. We examine the literature regarding discussion-based teaching methods, particularly in health education. Our findings evidence that teachers report preferring a discussion-based teaching approach, even though the health curriculum advises a critical inquiry approach and many schools in Australia currently promote an explicit teaching method. Conclusions: Teachers have expressed uncertainty as to how to effectively employ a discussion-based approach in class and have sought further clarification as they lead class discussions. Effective teaching practices need to be interrogated to support teachers, so how do we do this in a way that provides clarity for teachers and ultimately produces the best outcomes for young people? Full article

This study examined the effects of perceived parenting styles and restrictive parental internet intervention on adolescents’ cyberbullying behaviors in Macau. A survey conducted in 2023 gathered responses from 708 secondary school students aged 12 to 18. The findings indicated that fathers’ authoritative and permissive parenting styles were positively associated with adolescents’ experiences of cyberbullying, both as perpetrators and victims. Mothers’ authoritative style was significantly associated with increased cyber-victimization. Notably, when mothers used an authoritative style and also applied restrictive internet intervention strategies—such as time or content controls—adolescents reported higher levels of cyber-victimization. These results suggest that rigid control, if not combined with open communication, may heighten risk. This study highlights the importance of involving both parents—particularly fathers—in adolescent media education and calls for increased awareness in social work, education, and family policy to prevent and mitigate cyberbullying in the digital age. Full article

Background: Preschool bedroom television placement represents an established risk factor for negative psychological and behavioral outcomes in adolescence. Girls and boys have different risk factors for developmental psychopathology. It is unclear if childhood sport participation can act as a protective factor for the potential maladaptive behaviors associated with having a bedroom television in early childhood. Methods: This study aims to evaluate the impact of having a bedroom television in early childhood on later externalizing behaviors while examining the potential beneficial role of extracurricular sport participation in middle childhood using the Quebec Longitudinal Study of Child Development (Canada). We examine subsequent teacher-reported psycho-social outcomes by the end of sixth grade. Linear regression is used to examine the interaction between child-reported bedroom television placement (age 4 years) and parent-reported childhood sport participation trajectories (ages 6 to 10 years) in predicting behavioral outcomes at age 12 years. Results: For boys, extracurricular sport amplified the relationship between having a preschool bedroom television and subsequent physical aggression (b = 0.95, SE = 0.32, p < 0.001) and ADHD symptoms (b = 0.59, SE = 0.30, p ≤ 0.05), beyond individual and family characteristics. No interaction results were found for girls; however, consistent sport participation between ages 6 and 10 years resulted in a decrease in ADHD symptoms in girls (b = −0.329, SE = 0.102, p ≤ 0.001). Conclusion: Unexpectedly, for boys exposed to early bedroom television, consistently participating in extracurricular sport in childhood exacerbated long-term behavioral risks. Social unpreparedness from bedroom television placement countered the intended benefits of sport. This private access to screens might influence sedentary, unsupervised, isolated activity that increases the chances of viewing violence and reduces opportunities for social interaction. Full article

Background: Childhood obesity is becoming an increasingly pressing issue on a global scale. This study aimed to explore the relationship between thyroid hormone levels and body mass index (BMI) in obese children and adolescents, an area with limited research, particularly in Bangladesh. Methods: This cross-sectional study was undertaken in Bangabandhu Sheikh Mujib Medical University, Bangladesh, from August 2018 to January 2020. We included 105 participants aged 10–18 years, divided into obese (n = 69) and normal-weight (n = 36) groups based on the CDC BMI percentiles. We conducted chi-square tests, Pearson correlation, and linear regression analyses. Results: Obese participants exhibited significantly higher mean levels of TSH (4.40 ± 3.20 µIU/mL vs. 2.26 ± 0.97 µIU/mL, p-value 0.0002) and FT3 (3.52 ± 0.71 pg/mL vs. 3.02 ± 0.48 pg/mL, p-value < 0.001) and lower FT4 levels (1.23 ± 0.21 ng/dL vs. 1.38 ± 0.30 ng/dL, p-value 0.0002) compared to normal-weight participants. We observed a positive correlation between BMI and TSH (p-value 0.002) and FT3 (p-value < 0.001), and a negative correlation between BMI and FT4 (p-value 0.003). Most of the obese children were euthyroid (71.01%), with 27.54% showing subclinical hypothyroidism and 1.45% showing overt hypothyroidism. Multivariable linear regression analysis revealed that with a one unit increase in BMI, FT3 increased by 0.032 ± 0.011 pg/mL (p-value 0.004), FT4 decreased by 0.010 ± 0.004 (p-value 0.017 ng/dL, and TSH increased by 0.104 ± 0.044 µIU/mL (p-value 0.020). Conclusions: The significant association between BMI and thyroid hormone levels underscores the necessity for routine thyroid function monitoring in obese paediatric populations. The early detection and management of thyroid dysfunction may enhance health and well-being outcomes in obese children and adolescents. Full article