{"doi":"10.1016/j.hctj.2025.100119","title":"Effects of mental health on transition readiness in primary care","abstract":"Adolescents and young adults often lack appropriate healthcare transition preparation, a concern amplified by prevalent mental health issues. Our study aimed to assess the relationship between transition readiness and behavioral health screening across multiple domains in adolescents within a primary care medical home. We conducted a retrospective cohort study (October 2021-December 2024) for new, preventive and follow-up visits where patients (ages 14–25 years) completed validated depression, transition readiness screening, Transition Readiness Assessment Questionnaire (TRAQ) and the Patient Questionnaire-9 (PHQ-9). Nonparametric median tests for continuous variables and chi-squared tests for categorical variables assessed for differences for patient age, race/ethnicity, legal sex, and insurance type. Linear and linear logistic regression was also performed. Patients (median 17.0 years; 62.8 % female; Hispanic 44.9 %; public insurance 62.2 %) completed the TRAQ and PHQ-9 for 3010 visits. Patients with PHQ-9 > 10 were more likely to be female, non-Hispanic White at follow up visits with private insurance; p < 0.001. There was no significant relationship between PHQ-9 and TRAQ scores. Linear regression showed significance for age at visit, legal sex (female), non-Hispanic White, visit type (follow up); p < 0.001 and English language (p = 0.017); logistic regression showed significance for age at visit, legal sex (female), non-Hispanic white, follow up visits (p < 0.001) Age, legal sex, race/ethnicity, and insurance status significantly influence transition readiness among AYA. While positive depression screens do not show a direct association with transition readiness, depression may still affect health factors that indirectly shape readiness for transition. • Patients with PHQ-9 were more likely to be female, non-Hispanic White and have private insurance compared to those with negative PHQ-9 screens. • Being older, female, non-Hispanic White, speaking English, private insurance coming for a follow-up visit were related to positive TRAQ items. • Positive depression screens are not directly correlated to lower TRAQ scores emphasizing role of other factors in the transition process.","journal":"Health Care Transitions","year":2025,"id":574836,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9576,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1303159,"name":"Courtney E. Batt","orcid":"0000-0001-7656-197X","position":1,"is_corresponding":false},{"id":1482864,"name":"Catherine Clark","orcid":null,"position":2,"is_corresponding":false},{"id":907145,"name":"Amanda Bogart","orcid":"0009-0008-6651-1993","position":3,"is_corresponding":false},{"id":660632,"name":"Jeanelle Sheeder","orcid":"0000-0002-4463-3569","position":4,"is_corresponding":false},{"id":1357608,"name":"Jennifer Woods","orcid":"0000-0003-2793-0390","position":0,"is_corresponding":true}],"reference_count":24,"raw_metadata":null,"created_at":"2026-07-19T02:57:44.572630Z","pmid":"40949792","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}