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Controlling Anxiety Mediates the Influence of Childhood Adversities on Risky Sexual Behaviors Among Emerging Adults

Bibliographic Data

ID10208997
AuthorsJanet Yuen Ha Wong (0000-0002-3000-4577, School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, corresponding author), Edmond Pui Hang Choi (0000-0001-9062-3540, University of Hong Kong), Edmond Pui-Hang Choi (School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong), Claudia Kor-Yee Chan (School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong), David Fong (0000-0001-7365-9146, University of Hong Kong), Daniel Yee-Tak Fong (School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong)
Year2017
Volume54
Issue8
Pages1018-1025
Publication date2017-02-14
Open AccessNo
TypeARTICLE
VenueThe Journal of Sex Research (JOURNAL)
Journal identifiersISSN: 0022-4499 • E-ISSN: 1559-8519
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/00224499.2017.1278569
PMID28276939
OpenAlexW2587900278
LanguageEN
Citations received2
References cited58

Relatively little research has assessed the exposure-response relationship of childhood adversities on engaging in risky sexual behaviors. Also, no previous research has examined the interrelationship among childhood adversities, adult anxiety and depressive symptoms, and risky sexual behaviors. This study aimed to investigate their interrelationships. We used data from a multisite survey of emerging adults aged 18 to 29 studying at four universities in Hong Kong between September and December 2015. Structural equation modeling (SEM) was used to examine the pathways from childhood adversities to risky sexual behaviors. Participants who had higher childhood adversity scores reported more severe adult anxiety symptoms (β = 0.20, p = 0.002); and adult anxiety symptoms were associated with significantly more risky sexual behaviors (β = 0.46, p < 0.0001). The model with adult anxiety symptoms as the mediator between childhood adversities and risky sexual behaviors showed good fit (root mean square error of approximation [RMSEA] = 0.04, comparative fit index [CFI] = 0.96, Tucker-Lewis index [TLI] = 0.94 and standardized root mean square residual [SRMSR] = 0.04). However, adult depressive symptoms failed to mediate between childhood adversities and risky sexual behaviors. This study demonstrates the link between childhood adversities and risky sexual behaviors via adult anxiety but not adult depressive symptoms. It is essential to reduce anxious symptoms in dealing with emerging adults who have risky sexual behaviors to prevent sexually transmitted infections (STIs) and unintended pregnancy

Anxiety · Developmental psychology · Psychiatry · Structural equation modeling · Young adult · Adolescent Sexual and Reproductive Health · Child Abuse and Trauma · Clinical Psychology · Intimate Partner and Family Violence · Psychology

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Citations per year0.33
Citation span2020 - 2020 (1)
Highly citedNo

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