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Relationship Between Criminal and Status Offense Behaviors, Substance Use, and HIV Risk Among Adolescent Girls and Young Women in Cape Town, South Africa

Bibliographic Data

ID15440211
AuthorsTara Carney (0000-0001-5400-0565, South African Medical Research Council, corresponding author), Bronwyn Myers (0000-0003-0235-6716, South African Medical Research Council), F A Browne (0000-0002-4230-2096, University of North Carolina at Chapel Hill), Tracy Kline (0000-0002-6675-0360, RTI International), Courtney Peasant Bonner (0000-0001-6983-2698, University of North Carolina at Chapel Hill), Jacqueline Ndirangu (0000-0001-8346-7359, RTI International), W M Wechsberg (0000-0002-5146-6463, University of North Carolina at Chapel Hill)
Year2023
Volume22
Issue5
Pages2893-2906
Publication date2023-08-28
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Mental Health and Addiction (JOURNAL)
Journal identifiersISSN: 1557-1874 • E-ISSN: 1557-1882
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s11469-023-01130-x
PMID39712238
OpenAlexW4386212272
LanguageEN
Citations received1
References cited48

This study aimed to examine the relationship between externalizing behaviors, substance use, and sexual risk among adolescent girls and young women (AGYW) in Cape Town, South Africa, who experience social disadvantage characterized by poverty and school dropout. We analyzed baseline data from 500 AGYW in a cluster-randomized trial who had dropped out of school. Multivariate logistic regression models explored associations between self-reported criminal behaviors and other status offenses, heavy episodic drinking, polydrug use, and condomless sex. Engagement in status offenses was associated with heavy episodic drinking (OR = 3.56, 95% CI: 2.05-6.20), while crimes against other people were associated with polydrug use (OR = 1.65, 95% CI: 1.03-2.63). Drug-related illegal behavior was associated with polydrug use (OR = 7.78, 95% CI: 3.53-8.69) and reduced odds of condom use during last sexual episode, after adjusting for drug use (OR = 0.56, 95% CI: 4.00-5.15). As externalizing behaviors are prevalent among this sample of AGYW and associated with greater likelihood of problem substance use and condomless sex, interventions to improve the physical and mental well-being of AGYW should assess for and address engagement in criminal and status offenses

Condom · Health psychology · Human immunodeficiency virus (HIV · Mental health · Psychiatry · Psychological intervention · Public health · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · HIV, Drug Use, Sexual Risk · Homelessness and Social Issues · Medicine · Psychology

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1
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