Journal Description
Future
Future
is an international, peer-reviewed, open access journal focused on the research areas of growth and development and school health published quarterly online by MDPI.
- Open Access— free for readers, with article processing charges (APC) paid by authors or their institutions.
- Rapid Publication: first decisions in 19 days; acceptance to publication in 4 days (median values for MDPI journals in the first half of 2025).
- Recognition of Reviewers: APC discount vouchers, optional signed peer review, and reviewer names published annually in the journal.
Latest Articles
Integrating Plant-Based Diets into Schools for a Healthier and More Sustainable Future: A Contemporary Overview
Future 2025, 3(4), 22; https://doi.org/10.3390/future3040022 - 23 Oct 2025
Abstract
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
[...] Read more.
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
Open AccessArticle
Navigating Controversial Topics: Discussion-Based Pedagogy in Health Education
by
Emily Lockhart, Jennie Bickmore-Brand and Phil Doecke
Future 2025, 3(4), 21; https://doi.org/10.3390/future3040021 - 21 Oct 2025
Abstract
►▼
Show Figures
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
[...] Read more.
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

Figure 1
Open AccessArticle
Parenting Style and Adolescents’ Cyberbullying Behaviors: Restrictive Parental Internet Intervention as a Moderator in Macau
by
Shu-Wen Liu and Ka Long Hoi
Future 2025, 3(4), 20; https://doi.org/10.3390/future3040020 - 17 Oct 2025
Abstract
►▼
Show Figures
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
[...] Read more.
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

Figure 1
Open AccessArticle
Associations Between Preschool Bedroom Television and Subsequent Psycho-Social Risks Amplified by Extracurricular Childhood Sport
by
Béatrice Necsa, Kianoush Harandian, Caroline Fitzpatrick, Eric F. Dubow and Linda S. Pagani
Future 2025, 3(4), 19; https://doi.org/10.3390/future3040019 - 7 Oct 2025
Abstract
►▼
Show Figures
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
[...] Read more.
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

Figure 1
Open AccessArticle
Thyroid Disorder in Obese Children and Adolescents: A Cross-Sectional Study in a Tertiary Care Hospital in Bangladesh
by
Farzana Sharmin, Anika Tasneem Chowdhury, Mosharop Hossian, Shaima Rafiquzzaman, Dhiraj C. Biswas, Fatema Hashem Rupa and Suraiya Begum
Future 2025, 3(4), 18; https://doi.org/10.3390/future3040018 - 25 Sep 2025
Abstract
►▼
Show Figures
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:
[...] Read more.
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

Figure 1
Open AccessArticle
Parents and Athletes’ Perceptions of Parental Involvement Practices in Youth Basketball
by
Maria V. Lopes, Andreas Ihle, Élvio Rúbio Gouveia, Adilson Marques, Fahri Safa Cinarli and Cíntia França
Future 2025, 3(3), 17; https://doi.org/10.3390/future3030017 - 5 Sep 2025
Abstract
►▼
Show Figures
Parental involvement in youth sports is an increasingly relevant topic because of its key implications for children’s development in youth sports. This study’s aims are threefold: (1) to investigate parental involvement practices based on parents’ previous sports experiences, (2) to examine athletes’ and
[...] Read more.
Parental involvement in youth sports is an increasingly relevant topic because of its key implications for children’s development in youth sports. This study’s aims are threefold: (1) to investigate parental involvement practices based on parents’ previous sports experiences, (2) to examine athletes’ and parents’ perceptions on parental involvement practices across different age categories, and (3) to compare the athletes’ and parents’ overall perceptions on parental involvement practices. In total, 423 participants (151 youth players and 272 parents) completed the Parental Behaviors in Sports (PBSP) questionnaire. The PBSP includes separate versions for parents and athletes, each assessing five key dimensions: (1) sports support, (2) competition attendance, (3) technical influence, (4) performance pressure, and (5) sports expectations. In the parents’ group, 154 participants (56.6%) reported previous sports experience. No statistically significant differences were observed in the PBSP dimensions between parents with and without previous sports experience. Parents’ years of sports experience negatively correlated with performance pressure (r = −0.155, p = 0.013) and expectations (r = −0.149, p = 0.017). Age group analysis showed lower competition attendance in the U18 group and higher expectations in the U12 group. When comparing parents’ and athletes’ responses, statistically significant differences emerged in all PBSP dimensions except for performance pressure. These findings underscore the importance of aligning parental involvement with children’s experiences to foster enjoyment, reduce pressure, and support sustained engagement in youth sports.
Full article

Figure 1
Open AccessArticle
The Appearance of Disordered Eating Behaviors in Adulthood Through Low Self-Esteem and Mental Health in Childhood
by
Anna Papadimitriou and Eirini Karakasidou
Future 2025, 3(3), 16; https://doi.org/10.3390/future3030016 - 13 Aug 2025
Abstract
The purpose of this study is to explore the extent to which self-esteem, depression, anxiety, and stress experienced during childhood may contribute to the development of disordered eating behaviors in adulthood. The existing literature indicates that disordered eating habits are positively associated with
[...] Read more.
The purpose of this study is to explore the extent to which self-esteem, depression, anxiety, and stress experienced during childhood may contribute to the development of disordered eating behaviors in adulthood. The existing literature indicates that disordered eating habits are positively associated with symptoms of anxiety, stress, depression, and low self-esteem. However, most research focuses on the concurrent relationships among these variables rather than examining whether low self-esteem and poor mental health in childhood can influence the emergence of disordered eating behaviors later in life. An online quantitative survey was conducted using questionnaires completed by 135 participants aged between 30 and 70 years. The results revealed that low self-esteem and high levels of depression, anxiety, and stress during childhood were associated with increased disordered eating behaviors in adulthood. These findings suggest that negative self-perceptions and poor mental health in childhood have lasting effects that extend into adulthood. This knowledge can be valuable for psychologists, mental health professionals, parents, and schools in designing intervention programs aimed at enhancing children’s and adolescents’ self-esteem, promoting good mental health, and fostering healthy eating habits.
Full article
Open AccessArticle
Changes in Alcohol, Cannabis, and Tobacco Use Before and After the COVID-19 Pandemic in Adolescents in Catalonia: A Repeated Cross-Sectional Study
by
Judit Rogés, Katherine Pérez, Xavier Continente, Juan Miguel Guerras, Brenda Robles, Inmaculada Mateo, Carmen Vives-Cases, Marina Bosque-Prous, Helena Gonzalez-Casals, Cinta Folch, Montse Bartroli, María José López, Esteve Fernández and Albert Espelt
Future 2025, 3(3), 15; https://doi.org/10.3390/future3030015 - 8 Aug 2025
Abstract
►▼
Show Figures
This study analyzes the impact of the COVID-19 pandemic on alcohol, cannabis, and tobacco use among adolescents aged 14–19 in Central Catalonia across three periods. Data were obtained from two waves of the DESKcohort project. The first wave (n = 4641) was
[...] Read more.
This study analyzes the impact of the COVID-19 pandemic on alcohol, cannabis, and tobacco use among adolescents aged 14–19 in Central Catalonia across three periods. Data were obtained from two waves of the DESKcohort project. The first wave (n = 4641) was pre-COVID-19 and the second wave was divided into two phases: post-COVID-19 with restrictions (n = 3478) and post-COVID-19 without restrictions (n = 2900). The prevalence of monthly binge drinking, cannabis use in the last 30 days, and daily tobacco use was calculated. Poisson regression models estimated adjusted prevalence ratios (aPR) comparing two post-pandemic phases to the pre-pandemic baseline. Binge drinking increased during the restrictions among girls [aPR = 1.5 (95%CI: 1.1–2.1)] and boys [aPR = 1.7 (95%CI: 1.3–2.3)]. Cannabis use decreased during restrictions and remained low post-pandemic, especially among girls [aPR = 0.6 (95%CI: 0.5–0.8)] and boys in the 4th Compulsory Secondary Education (CSE) [aPR = 0.4 (95%CI: 0.3–0.6)], and girls in the 2nd Post-Compulsory Secondary Education/Intermediate-Level Training Cycles (PCSE/ILTC) [aPR = 0.7 (95%CI: 0.6–0.9)]. Daily tobacco use also dropped among boys in the 4th year of CSE [aPR = 0.5 (95%CI: 0.3–0.7)] and girls in the 2nd year of PCSE/ILTC [aPR = 0.7 (95%CI: 0.6–0.9)]. The COVID-19 pandemic has created a unique opportunity to reassess patterns of adolescent substance use in a context of sudden social disruption. The findings highlight the need to denormalize alcohol and tobacco use and promote healthier adolescent behavior through education.
Full article

Figure 1
Open AccessArticle
Professional Development Pilot Program for Paraprofessionals in a Special Education Setting: A Qualitative Exploration of Their Experiences
by
Keisha McCoy and Chana S. Max
Future 2025, 3(3), 14; https://doi.org/10.3390/future3030014 - 30 Jul 2025
Abstract
Paraprofessionals play a crucial role in supporting both teachers and students within a classroom, even though the specifics of their duties vary. While their responsibilities involve supporting student achievement, research has shed light that many paraprofessionals feel unprepared for their responsibilities in the
[...] Read more.
Paraprofessionals play a crucial role in supporting both teachers and students within a classroom, even though the specifics of their duties vary. While their responsibilities involve supporting student achievement, research has shed light that many paraprofessionals feel unprepared for their responsibilities in the classroom. This study aimed to address a gap in the existing literature by exploring how a professional development program that mirrors the trainings special education teachers receive would impact paraprofessionals and help them feel more prepared for their responsibilities in the classroom. Employing a generic qualitative methodology, this study sought to capture the experiences of 43 paraprofessionals. Data collection involved an online open-ended questionnaire at the start and conclusion of the school year. The study’s outcomes revealed five patterns in the data: (a) paraprofessionals struggled with collaborating with classroom teams at the start of the school year, (b) paraprofessionals struggled with managing student behavior at the start of the school year, (c) professional development was helpful to most of the paraprofessionals, (d) professional development led to better preparedness to address challenging behavior, and (e) professional development led to better preparedness to address the instructional needs of students with disabilities. Following a thorough analysis and synthesis, these patterns were condensed into two general themes: the importance of professional development for paraprofessionals and the importance of presenting the professional development that teachers receive on a continuous basis to paraprofessionals as well. These findings are significant for school leaders and educators, as they highlight the importance of providing professional development to paraprofessionals while supporting students with disabilities.
Full article
Open AccessArticle
Caregiving for Children and Youth with CHARGE Syndrome: Impact of Family Caregiver Quality of Life and Coping Strategies
by
Afeez A. Hazzan, Lauren J. Lieberman, Pamela Beach and Jonathan Ferrer
Future 2025, 3(3), 13; https://doi.org/10.3390/future3030013 - 20 Jun 2025
Abstract
Individuals with CHARGE syndrome often experience motor delays impacting their balance, flexibility, and hand–eye coordination. Due to the medical complications associated with CHARGE syndrome, 40% of children will not develop functional communication skills and many more will have difficulty with speech and oral
[...] Read more.
Individuals with CHARGE syndrome often experience motor delays impacting their balance, flexibility, and hand–eye coordination. Due to the medical complications associated with CHARGE syndrome, 40% of children will not develop functional communication skills and many more will have difficulty with speech and oral communication. Family caregivers play a critical role in the care of children and youths with disabilities, especially CHARGE syndrome. However, there is minimal research on the parental experiences of children and youth with CHARGE syndrome. The purpose of this study was to understand the family caregiver experiences and needs of parents of children and youth with CHARGE syndrome and related disabilities. Six family caregivers of children and youth living with CHARGE syndrome in the United States were interviewed to understand their current quality of life, factors influencing their quality of life, and the coping strategies they use. The interviews were transcribed verbatim and then analyzed using qualitative content analysis. The themes generated from the qualitative analyses of interviews showed that family caregivers experienced significant challenges in their quality of life and faced barriers as they navigated a complex system of care. However, family caregivers described robust approaches such as social support for coping with some of the stresses.
Full article
Open AccessFeature PaperArticle
Overview and Methods for Chinese National Surveillance on Students’ Common Diseases and Risk Factors, 2022
by
Yi Xing, Qi Ma, Mengjie Cui, La Mang, Peijin Hu, Bin Dong, Yanhui Dong, Li Chen, Jun Ma and Yi Song
Future 2025, 3(2), 12; https://doi.org/10.3390/future3020012 - 19 Jun 2025
Abstract
►▼
Show Figures
Child and adolescent health plays a critical role in shaping future public health and intergenerational outcomes. In China, rising rates of myopia, obesity, mental health issues, and other common conditions highlight the need for continuous monitoring. Since 2016, the Chinese National Surveillance on
[...] Read more.
Child and adolescent health plays a critical role in shaping future public health and intergenerational outcomes. In China, rising rates of myopia, obesity, mental health issues, and other common conditions highlight the need for continuous monitoring. Since 2016, the Chinese National Surveillance on Students’ Common Diseases and Risk Factors (CNSSCDRF) has provided comprehensive, nationwide data on student health. By 2022, the system had expanded to nearly all counties, tracking key indicators such as vision problems, overweight/obesity, dental caries, and health-risk behaviors across multiple administrative levels. This review outlines the surveillance methodology, including sampling, data collection, and analysis. Findings have directly informed school health policies and technical guidelines, supporting national goals such as those in the Healthy China 2030 Plan.
Full article

Figure 1
Open AccessArticle
Sport Emotions, Anxiety, Task and Ego Orientation in Pakistani Adolescents: Mediating the Role of Coaching in Athlete Purpose
by
Yumna Ali, Yasuhiro Kotera, Matthew Cotterill, Ann-Marie Edwards and Stephen Palmer
Future 2025, 3(2), 11; https://doi.org/10.3390/future3020011 - 6 Jun 2025
Abstract
(1) Background: Adolescent health and well-being are associated with sports and physical education activities. Novel therapies for athletics training, sporting formations, and physical culture are important. In areas where sports facilities are scarce and not cost-effective, they can lead to poorer physical and
[...] Read more.
(1) Background: Adolescent health and well-being are associated with sports and physical education activities. Novel therapies for athletics training, sporting formations, and physical culture are important. In areas where sports facilities are scarce and not cost-effective, they can lead to poorer physical and mental well-being in adolescents. Emotions related to sports, somatic anxiety, worry, and concentration disruption aligned with task and ego orientation have been under-researched in Pakistan. (2) Methods: A sample of 830 adolescents between the ages of 14 and 19 years were recruited from Pakistan’s sports training center through purposive sampling. Sport-specific emotions, anxiety, task and ego orientation, and coaching athlete purpose (CAP) were measured. (3) Results: Regression analysis showed that different dimensions of sports anxiety (somatic trait anxiety, worry, and concentration disruption) have a significant effect on the task and ego orientation of sports education students. The Hayes process macro analysis shows that CAP significantly mediates between sports emotions and orientation. (4) Conclusions: It is important to introduce Rational Emotive Behavior Coaching and integrate ontological health and well-being for coaching in the sports field.
Full article
Open AccessFeature PaperArticle
Trends and Inequities in the Burden of Depressive Disorders Among Adolescents and Young Adults in the Western Pacific, 1990–2021: Findings from the Global Burden of Disease Study, 2021
by
Jianhui Guo, Feifei Si, Huan Wang, Yaqi Wang, Xinyao Lian, Shaodong Xie, Zhiyong Zou and Jing Li
Future 2025, 3(2), 10; https://doi.org/10.3390/future3020010 - 22 May 2025
Abstract
►▼
Show Figures
Despite growing concern, there is limited comprehensive and up-to-date research on the burden, disparities, and inequalities of depressive disorders in the Western Pacific region. We obtained data from the Global Burden of Disease Study (GBD; 2021) for the Western Pacific region. We reported
[...] Read more.
Despite growing concern, there is limited comprehensive and up-to-date research on the burden, disparities, and inequalities of depressive disorders in the Western Pacific region. We obtained data from the Global Burden of Disease Study (GBD; 2021) for the Western Pacific region. We reported the prevalence and disability-adjusted life years (DALYs) rates of depressive disorders from 1990 to 2021. Our results showed that the prevalence of depressive disorders in the Western Pacific region was 1723.1 per 100,000 people (95% UI: 1359.2–2164.9), contributing to 1057.3 DALYs per 100,000 (95% UI: 683.0–1551.8). From 1990 to 2021, the burden of depressive disorders initially decreased but then increased, with Japan, Malaysia, and South Korea seeing the most significant rise. The burden grew with age, especially in the 10–14 age group, and exhibited significant sex disparities, especially in this age group. Among 31 countries, those with higher UHC scored had higher prevalence rates, but the gap between high- and low-UHC countries has decreased over time, indicating that countries with lower UHC might face greater challenges in the future. Our results highlight the differences in burden by sex and age call for targeted policies and interventions to promote youth mental health. Accelerating universal health coverage could be a key strategy to further reduce this high burden.
Full article

Figure 1
Open AccessArticle
Dropout Risk and School Trust: An Exploratory Study in the First Classes of High School in the Suburbs of Southern Italy
by
Elisabetta Fenizia, Jacopo Postiglione, Lucia Irene Porzio, Grazia De Angelis, Dario Bacchini and Santa Parrello
Future 2025, 3(2), 9; https://doi.org/10.3390/future3020009 - 20 May 2025
Abstract
This study investigates the dropout risk among first- and second-year high school students in the peripheral areas of Southern Italy, where the dropout rates are extremely high. It focuses on individual and relational factors associated with dropout, analyzing data from 645 students (
[...] Read more.
This study investigates the dropout risk among first- and second-year high school students in the peripheral areas of Southern Italy, where the dropout rates are extremely high. It focuses on individual and relational factors associated with dropout, analyzing data from 645 students (Mage = 14.64) who completed a self-report questionnaire. The examined variables include self-efficacy, amotivation, future orientation, peer relationships, and students’ trust in teachers. Hierarchical regressions assessed the influence of grade levels on these dimensions. Our findings show a positive developmental trend in second-year students, including higher self-efficacy, better peer relationships, and reduced intentions to drop out. However, trust in teachers declines during this transition. Moreover, relationships with teachers show no significant improvement across grades. Therefore, this study underscores the importance of fostering trust between students and teachers as a protective factor against dropout. It also reveals the need for interventions targeting both students and the educational environment to improve teacher–student relationships and support students’ educational aspirations. By addressing these relational aspects, stakeholders can better mitigate dropout risks and promote school engagement during critical transitions in adolescence.
Full article
Open AccessArticle
Using a Youth Advisory Council to Address the Youth Vaping Epidemic
by
Alison C. McLeish, Kandi L. Walker, Lindsey A. Wood, Osayande Agbonlahor, Kolbie Vincent, Savanna Kerstiens, Madeline M. Tomlinson and Joy L. Hart
Future 2025, 3(2), 8; https://doi.org/10.3390/future3020008 - 3 May 2025
Abstract
►▼
Show Figures
Youth use of electronic cigarettes (e-cigarettes or vaping) has skyrocketed in recent years, resulting in a youth vaping epidemic. To combat this epidemic, a coalition of U.S.-based researchers created the Rapidly Advancing Discovery to Arrest the Outbreak of Youth Vaping (VapeRace) Center to
[...] Read more.
Youth use of electronic cigarettes (e-cigarettes or vaping) has skyrocketed in recent years, resulting in a youth vaping epidemic. To combat this epidemic, a coalition of U.S.-based researchers created the Rapidly Advancing Discovery to Arrest the Outbreak of Youth Vaping (VapeRace) Center to stop youth e-cigarette use through integration of research across basic, clinical, behavioral, and population-based domains. Because most research on youth vaping is researcher-driven, the VapeRace Community Engagement and Research Translation (CERT) Core was created to facilitate stakeholder input and engagement with Center activities to develop partnerships between VapeRace researchers, youth, and the community. To help achieve these goals, a VapeRace Youth Advisory Council (YAC) was formed. This article describes the development and implementation of the VapeRace YAC, details its outcomes, and offers lessons learned and future recommendations for similar youth advisory groups.
Full article

Figure 1
Open AccessFeature PaperOpinion
Strategic Co-Prevention Framework for Addressing Common Health Challenges Among Students in China
by
Jing Li, Yaqi Wang, Yihang Zhang, Jieyu Liu, Yanhui Dong, Yi Xing and Yi Song
Future 2025, 3(2), 7; https://doi.org/10.3390/future3020007 - 22 Apr 2025
Abstract
The concurrent rise in multiple health conditions among students, including myopia, obesity, spinal curvature abnormalities, and mental health disorders, represents a critical public health challenge. These interconnected health issues necessitate comprehensive prevention strategies that simultaneously address multiple conditions through synchronized behavioral and environmental
[...] Read more.
The concurrent rise in multiple health conditions among students, including myopia, obesity, spinal curvature abnormalities, and mental health disorders, represents a critical public health challenge. These interconnected health issues necessitate comprehensive prevention strategies that simultaneously address multiple conditions through synchronized behavioral and environmental interventions. In response to this need, the National Disease Control and Prevention Administration issued the Technical Guidelines for Co-Prevention of Common Diseases in Students on 30 April 2024, marking a significant advancement in China’s student health protection initiatives. The guidelines establish three core strategic priorities: enhancing surveillance of shared risk factors, implementing a systematic tiered approach to public health interventions, and developing an integrated, multisector prevention framework. This evidence-based, comprehensive initiative provides practical solutions for preventing comorbidities and enhancing overall student health outcomes. Further research is warranted to assess long-term effectiveness, explore regional implementation challenges, and support the development of standardized monitoring and evaluation systems.
Full article
Open AccessFeature PaperArticle
Associations Between Meeting 24-Hour Movement Guidelines and Health Indicators in Children with and Without Mental, Behavioral, and Developmental Disorders
by
Ning Pan, Jing-Xian Zhao, Xin-Tong Su, Kai-Ze Yang, Lei Shi, Xin Wang, Jin Jing, Xiu-Hong Li and Li-Zi Lin
Future 2025, 3(2), 6; https://doi.org/10.3390/future3020006 - 11 Apr 2025
Cited by 1
Abstract
►▼
Show Figures
Background: It remains unclear whether adherence to the 24-hour movement guidelines is beneficial for children with mental, behavioral, and developmental disorders (MBDDs). Methods: The results of the 2016–2020 National Survey of Children’s Health (NSCH) in the U.S. were used in this study. All
[...] Read more.
Background: It remains unclear whether adherence to the 24-hour movement guidelines is beneficial for children with mental, behavioral, and developmental disorders (MBDDs). Methods: The results of the 2016–2020 National Survey of Children’s Health (NSCH) in the U.S. were used in this study. All types of MBDDs, adherence to the different movement guidelines (physical activity [PA], screen time [ST], and sleep), and various health indicators (general physical health, emotional regulation, cognitive and social functioning) were parent-reported. Weighted logistic regression models were used to assess the associations between adherence to the 24-hour movement guidelines and health indicators in children with and without MBDDs. Results: The majority of children with MBDDs had a lower weighted proportion of meeting the PA, ST, and sleep guidelines compared to those without MBDDs (all p values < 0.05). Less than half of the associations between adherence to the 24-hour movement guidelines and the different health indicators were significant among children with MBDDs, while the associations were all significant among children without MBDDs (ORs ranged 1.22–2.10, all p values < 0.05). When there were no between-group differences in the statistically significant associations between guideline adherence and health indicators (e.g., sleep guideline and general physical health), children with specific MBDDs can achieve comparable health benefits through adherence to the 24-hour movement guidelines (e.g., children with emotional disorders or developmental disorders experience better general physical health through adherence to the sleep guideline). Conclusion: We highlight the prioritization of the 24-hour guidelines for different health indicators among children with various MBDDs, and children with certain MBDDs could attain similar health benefits as those without these conditions by adhering to the 24-hour movement guidelines.
Full article

Figure 1
Open AccessArticle
Neuroeducational Factors Influencing Cognitive and Emotional Development in Unaccompanied Foreign Minors: The Impact of Migration Trauma
by
Sara Arenas-Carranza, Eva Olmedo-Moreno and Jorge Expósito-López
Future 2025, 3(2), 5; https://doi.org/10.3390/future3020005 - 10 Apr 2025
Abstract
►▼
Show Figures
The migration experience of unaccompanied foreign minors (UFMs) has significant emotional and cognitive implications. The present research explores the way in which migration trauma influences the cognitive and emotional development of UFMs, contextualizing the current situation of this population in relation to migration
[...] Read more.
The migration experience of unaccompanied foreign minors (UFMs) has significant emotional and cognitive implications. The present research explores the way in which migration trauma influences the cognitive and emotional development of UFMs, contextualizing the current situation of this population in relation to migration trauma and neuroeducation. This study aimed to understand these impacts by examining the lived experiences of UFMs. An interpretative paradigm was adopted alongside a qualitative methodological approach, employing a collective case study technique to explore individual narratives in depth. The present findings highlight links between migratory trauma and cognitive and emotional development through a neuroeducational lens. Emphasis was placed on the importance of understanding the unique experience of each child and the critical role of professional support in mitigating the adverse effects of migration trauma.
Full article

Figure 1
Open AccessOpinion
Time to Focus on Movement and Active Play Across the First 2000 Days of Life
by
Andrew P. Hills, Sara Hills, Sisitha Jayasinghe and Nuala M. Byrne
Future 2025, 3(1), 4; https://doi.org/10.3390/future3010004 - 13 Mar 2025
Cited by 2
Abstract
Chronic health conditions including obesity, cardiovascular diseases, type 2 diabetes, and depression are rising in Australia, and are often addressed reactively in adulthood rather than proactively during childhood. Evidence highlights the first 2000 days (from conception to five years of age) as a
[...] Read more.
Chronic health conditions including obesity, cardiovascular diseases, type 2 diabetes, and depression are rising in Australia, and are often addressed reactively in adulthood rather than proactively during childhood. Evidence highlights the first 2000 days (from conception to five years of age) as a critical window for prevention, where movement, active play, proper nutrition, and adequate sleep are key to reducing chronic disease risk. Despite this, limited longitudinal data on children’s growth and development hinders effective intervention. Up to one in four Australian children are living with overweight or obesity, with poor movement behaviours, sedentary lifestyles, unhealthy diets, and inadequate sleep as primary contributors. Active play fosters motor skill development and lifelong health but faces barriers like overprotective caregiving and sedentary environments. Actionable strategies to enhance activity levels in this age group include providing educator training, developing online resources, fostering communities of practice, improving infrastructure, and advocating for policy changes. A coordinated effort by parents, caregivers, educators, and health professionals is essential to prioritise movement in early childhood, laying the foundation for healthier growth and reducing the burden of chronic diseases.
Full article
Open AccessArticle
Incidence and 12-Month Outcomes of Fracture Types Associated with Abuse in Children Under Three Years Old Presenting to an Emergency Department
by
Amy Lee, Lara Phillips and Viet Tran
Future 2025, 3(1), 3; https://doi.org/10.3390/future3010003 - 11 Feb 2025
Abstract
►▼
Show Figures
Background: Child physical abuse is a significant contributor to overall pediatric mortality and morbidity and is associated with both short- and long-term effects on the physical, social and mental wellbeing of the child involved. Fractures are the second most common physical injury in
[...] Read more.
Background: Child physical abuse is a significant contributor to overall pediatric mortality and morbidity and is associated with both short- and long-term effects on the physical, social and mental wellbeing of the child involved. Fractures are the second most common physical injury in children suffering from physical abuse and are present in up to 55% of cases of physically abused children. Specific fracture patterns may prompt suspicion for abuse, although none are specific. We aim to identify the incidence of fracture types associated with abuse in children under three years old presenting to the ED. Methods: This study was a retrospective descriptive study. The inclusion criteria consisted of (a) children less than three years of age, (b) presenting to the ED, (c) between 1 January 2020, and 31 December 2022, inclusive and (d) with a diagnosis consistent with a fracture type associated with abuse. Results: There were 214 patients diagnosed with fractures who were under 3 years of age. Of these, twenty-one patients fit the criteria for fracture suspcious for non-accidental injury (a rate of one per month if following a normal distribution). The diagnosis of NAI was considered in eight (38%) patients. NAI was not considered in 13 (62%) patients. A medical record review of these patients up to 12 months after initial ED presentation showed that five did not re-present to the ED, one was referred to CSS from outpatients and two re-presented within this period with minor head injuries. Conclusions: Presentations of fractures concerning NAI are rare but important not to miss. Automated systems and targeted education and action are critical to ensure that concerns for NAI are managed appropriately.
Full article

Figure 1
Highly Accessed Articles
Latest Books
E-Mail Alert
News
Topics
Topic in
Children, Disabilities, Future, Healthcare, IJERPH, Sports
Health, Physical Activity, and Recreation of Children with Sensory Impairments
Topic Editors: Lauren Lieberman, Pamela BeachDeadline: 30 June 2027

