PURPOSE:To understand the prospective relationship between depressive symptoms and sexual risk behavior among a community sample of African American adolescents. METHODS:African American adolescents (n = 415) who participated in a larger multi-site human immunodeficiency virus (HIV) prevention program provided baseline data on demographics, psychosocial context and depressive symptoms. At six-month follow-up, data were collected regarding sexual activity in the past 90 days. Multivariate logistic regression was conducted to determine the prospective relationship between depressive symptoms and proportion of condom use while controlling for relevant demographic and contextual factors. RESULTS:The odds that African American adolescents who reported depressive symptoms at baseline would report inconsistent condom use at six-month follow-up was approximately four times greater than that of their peers who did not report depressive symptoms. Older adolescents and females were less likely to use condoms consistently and certain contextual factors, such as less pleasurable expectations about condom use, and living with a partner also heightened HIV/STI risk. CONCLUSIONS:Clinicians should assess for depression symptoms in African American adolescent patients as an indicator of future sexual risk. Prevention interventions that address depressed mood could have a significant impact on later HIV/STI sexual risk behaviors. Further research is needed to understand the effect of depressive symptoms on sexual risk among adolescents of other race/ethnicities and to examine the potential cultural forces that affect this relationship.

译文

目的:了解非裔美国青少年社区样本中抑郁症状与性危险行为之间的预期关系。
方法:参加较大的多站点人类免疫缺陷病毒(HIV)预防计划的非裔美国青少年(n = 415)提供了有关人口统计学,社会心理背景和抑郁症状的基线数据。在六个月的随访中,收集了过去90天内有关性活动的数据。进行多因素logistic回归分析以确定抑郁症状与安全套使用比例之间的预期关系,同时控制相关的人口统计学和背景因素。
结果:在基线时报告抑郁症状的非洲裔美国青少年在六个月的随访中报告使用安全套不一致的几率是未报告抑郁症状的同龄人的四倍。较大的青少年和女性不太可能一贯使用安全套,并且某些情境因素,例如对使用安全套的期望降低,以及与伴侣生活在一起,也增加了艾滋病毒/性传播疾病的风险。
结论:临床医生应评估非洲裔美国青少年患者的抑郁症状,作为未来性风险的指标。预防情绪低落的预防干预措施可能会对以后的HIV / STI性风险行为产生重大影响。需要进一步的研究来了解抑郁症状对其他种族/族裔青少年的性风险的影响,并研究影响这种关系的潜在文化力量。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录