Association of Depressive Symptoms and Substance Use With Risky Sexual Behavior and Sexually Transmitted Infections Among African American Female Adolescents Seeking Sexual Health Care

Bibliographic Data

ID11036250
AuthorsJerrold M Jackson (Jerrold M. Jackson, Puja Seth, and Ralph J. DiClemente are with the Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA. Anne Lin is with the Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.), Puja Seth (0000-0003-1073-2590, Jerrold M. Jackson, Puja Seth, and Ralph J. DiClemente are with the Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA. Anne Lin is with the Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.), Ralph J Diclemente (0000-0002-4374-4611, Jerrold M. Jackson, Puja Seth, and Ralph J. DiClemente are with the Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA. Anne Lin is with the Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.), Anne Lin (0000-0003-0200-6361, Jerrold M. Jackson, Puja Seth, and Ralph J. DiClemente are with the Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA. Anne Lin is with the Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.)
Year2015
Volume105
Issue10
Pages2137-2142
Publication date2015-10-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2014.302493
PMID25905854
OpenAlexW2043790445
LanguageEN
Citations received28
References cited31

Objectives. We examined how depression and substance use interacted to predict risky sexual behavior and sexually transmitted infections (STIs) among African American female adolescents. Methods. We measured depressive symptoms, substance use, sexual behavior, and STIs in 701 African American female adolescents, aged 14 to 20 years, at baseline and at 6-month intervals for 36 months in Atlanta, Georgia (2005–2007). We used generalized estimating equation models to examine effects over the 36-month follow-up period. Results. At baseline, more than 40% of adolescents reported significant depressive symptoms; 64% also reported substance use in the 90 days before assessment. Depression was associated with recently incarcerated partner involvement, sexual sensation seeking, unprotected sex, and prevalent STIs (all P Conclusions. African American female adolescents who reported depressive symptoms and substance use were more likely to engage in risky behavior and acquire incident STIs. This population might benefit from future prevention efforts targeting the intersection of depression and substance use

Anxiety · Association (psychology) · Depressive symptoms · Environmental health · Population · Psychiatry · Reproductive health · Sexual behavior · Substance use · Adolescent Sexual and Reproductive Health · Clinical Psychology · HIV/AIDS Research and Interventions · Medicine · Psychology · Reproductive tract infections research

Tools

Open DOISci-HubOpen Access