Association of depressive symptoms and substance use with risky sexual behavior and sexually transmitted infections among African American female adolescents seeking sexual health care

J.M. Jackson, P. Seth, R.J. DiClemente and A. Lin

American Journal of Public Health, 2015, vol. 105, issue 10, 2137-2142

Abstract: 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

Keywords: adolescent; adolescent behavior; African American; depression; female; Georgia; high risk behavior; human; prevalence; sexual behavior; Sexually Transmitted Diseases; statistics and numerical data; Substance-Related Disorders; young adult, Adolescent; Adolescent Behavior; African Americans; Depression; Female; Georgia; Humans; Prevalence; Risk-Taking; Sexual Behavior; Sexually Transmitted Diseases; Substance-Related Disorders; Young Adult (search for similar items in EconPapers)
Date: 2015
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302493_0

DOI: 10.2105/AJPH.2014.302493

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