Psychological Distress, Substance Use, and HIV/STI Risk Behaviors among Youth

Autor/inn/en	Elkington, Katherine S.; Bauermeister, Jose A.; Zimmerman, Marc A.
Titel	Psychological Distress, Substance Use, and HIV/STI Risk Behaviors among Youth
Quelle	In: Journal of Youth and Adolescence, 39 (2010) 5, S.514-527 (14 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0047-2891
DOI	10.1007/s10964-010-9524-7
Schlagwörter	Sexually Transmitted Diseases; Sexuality; Psychology; Urban Youth; Acquired Immunodeficiency Syndrome (AIDS); At Risk Persons; Psychological Patterns; Stress Variables; Substance Abuse; High School Students; African American Students; Age Differences; Adolescents; Correlation; Health Behavior; Gender Differences; Racial Differences + Suchen Sie Ihr Suchwort? Sexual transmitted disease; Geschlechtskrankheit; Sexualität; Psychologie; Urban area; Urban areas; Youth; Stadtregion; Stadt; Jugend; Risikogruppe; Drug use; Drug consomption; Drogenkonsum; High school; High schools; Student; Students; Oberschule; Schüler; Schülerin; Studentin; African Americans; Afroamerikaner; Age; Difference; Age difference; Altersunterschied; Adolescent; Adolescence; Adoleszenz; Jugendalter; Jugendlicher; Korrelation; Health behaviour; Gesundheitsverhalten; Geschlechterkonflikt; Rassenunterschied
Abstract	Psychological distress has been inconsistently associated with sexual risk behavior in youth, suggesting additional factors, such as substance use, may explain this relationship. The mediating or moderating role of substance use on the relationship between psychological distress and sexual risk behaviors was prospectively examined over the four high school years in a sample of urban youth (N = 850; 80% African American; 50% female). Growth curve modeling was used to estimate changes in sexual risk across adolescence and to test its association to psychological distress symptoms and frequency of substance use. Substance use was associated with psychological distress. Greater psychological distress was associated with increased sexual intercourse frequency, decreased condom use, and increased number of partners. Substance use fully mediated the relationship between psychological distress and intercourse frequency and condom use, and partially mediated the relationship between psychological distress and number of partners. We found no differences in mediation by sex or race/ethnicity and no evidence to support moderation of psychological distress and substance use on sexual risk. Findings suggest that psychological distress is associated with sexual risk because youth with greater psychological distress are also more likely to use substances. Practical implications for adolescent HIV/STI prevention are discussed. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10