1 Internet Addiction and Suicidal Ideation in Adolescent Girls: Indirect Associations Through Loneliness, Shame, and Parent-Adolescent Conflict https://brieflands.com/journals/ijhrba/articles/172065 10.5812/ijhrba-172065 1 Background :Internet addiction (IA) has been associated with suicidal ideation (SI) among adolescents. However, limited empirical attention has been devoted to indirect associations between IA and SI via psychological and interpersonal factors, such as loneliness, shame, and parent-adolescent conflict (PAC). Objectives :This study aimed to examine a cross-sectional structural equation model (SEM) assessing the association between IA and SI, as well as indirect associations through loneliness, shame, and PAC, among female adolescents. Methods :This cross-sectional study was conducted in 2025 among 441 female high school students in Tehran selected through convenience sampling. Participants completed the Beck Scale for Suicidal Ideation (BSSI), Cell-Phone Over-Use Scale (COS), UCLA Loneliness Scale (UCLA-LS), Other As Shamer Scale (OAS), and Short Form Conflict Behavior Questionnaire (CBQ). Data were analyzed using SPSS version 25 and AMOS version 24. Structural equation modeling with bootstrapping was used to estimate direct associations and statistical indirect effects; these were interpreted non-causally because of the cross-sectional design. Results :Internet addiction showed a significant direct association with SI. Internet addiction was significantly associated with loneliness and shame, whereas loneliness was not significantly associated with SI. Shame and PAC showed significant indirect effects on the association between IA and SI. The final structural model showed an acceptable fit to the data and accounted for 32% of the variance in SI (R2 = 0.32). Conclusions :The findings of this study suggest that IA, shame, and PAC are significantly associated with SI among adolescent girls. These variables may serve as important correlates for identifying individuals at increased risk of SI and should be considered in developing prevention and intervention programs. 1 12 Fatemeh Serjouie Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran Iran fatemeh.ser34@gmail.com Jafar Sarani Yaztappeh Social Determinants of Health Research Center, Research Institute for Prevention of Non-communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran Iran sarani.jafar@yahoo.com Mohammad Davood Mohebi Department of Psychiatry, Zahedan University of Medical Sciences, Zahedan, Iran Iran mdmohebi@gmail.com Zeynab Akbari Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran Iran zakbarisardehlaghi@gmail.com Maryam Sate Zohd Department of Clinical Psychology, Islamic Azad University, North Tehran University branch, Iran Iran maryam_satezohd69@yahoo.com Ali Bagheri Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran Iran alibagheri3822@gmail.com Amir Sam Kianimoghadam Department of Clinical Psychology, Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Iran kianimoghadam@sbmu.ac.ir No Keyword 1.pdf [0]Ho TC, Gifuni AJ, Gotlib IH.Psychobiological risk factors for suicidal thoughts and behaviors in adolescence: a consideration of the role of puberty. 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1 Relation of Heavy Alcohol Consumption and Angina or Coronary Heart Disease Among U.S. Adults: Analysis of 2016 - 2021 BRFSS Data https://brieflands.com/journals/ijhrba/articles/171553 10.5812/ijhrba-171553 1 Background :Heavy alcohol consumption is associated with adverse health outcomes; however, its relationship with coronary heart disease (CHD) and angina remains unclear owing to behavioral, demographic, and clinical factors. Objectives :This study aimed to estimate the survey-weighted association between heavy alcohol consumption and self-reported angina or CHD among U.S. adults. Methods :We analyzed Behavioral Risk Factor Surveillance System (BRFSS) data from 2016 - 2021 for 2,586,321 adults. The outcome was self-reported angina or CHD (CVDCRHD4). Heavy alcohol consumption was defined using CDC-calculated BRFSS heavy-drinking variables corresponding to > 14 drinks/week for men and > 7 drinks/week for women. Survey-weighted logistic regression accounted for BRFSS weights, strata, and primary sampling units. Adjusted models included age, sex, race/ethnicity, smoking status, physical activity, and overweight/obesity. Results :The weighted prevalence of angina or CHD was 4.11%, and the weighted prevalence of heavy alcohol consumption was 6.33%. Heavy alcohol consumption was associated with lower odds of angina or CHD (adjusted odds ratio [aOR] = 0.66; 95% confidence interval [CI], 0.62 - 0.71). Exploratory subgroup analyses suggested variation among demographic and behavioral groups. Conclusions :In this cross-sectional BRFSS analysis, heavy alcohol consumption was inversely associated with self-reported angina or CHD. These findings should not be interpreted as evidence of a protective effect because reverse causation, survivor bias, residual confounding, and post-diagnosis changes in drinking behavior may explain the observed association. 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