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Gepubliceerd in: Journal of Youth and Adolescence 5/2010

01-05-2010 | Empirical Research

Psychological Distress, Substance Use, and HIV/STI Risk Behaviors Among Youth

Auteurs: Katherine S. Elkington, José A. Bauermeister, Marc A. Zimmerman

Gepubliceerd in: Journal of Youth and Adolescence | Uitgave 5/2010

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Abstract

Psychological distress has been inconsistently associated with sexual risk behavior in youth, suggesting additional factors, such as substance use, may explain this relationship. The mediating or moderating role of substance use on the relationship between psychological distress and sexual risk behaviors was prospectively examined over the four high school years in a sample of urban youth (N = 850; 80% African American; 50% female). Growth curve modeling was used to estimate changes in sexual risk across adolescence and to test its association to psychological distress symptoms and frequency of substance use. Substance use was associated with psychological distress. Greater psychological distress was associated with increased sexual intercourse frequency, decreased condom use, and increased number of partners. Substance use fully mediated the relationship between psychological distress and intercourse frequency and condom use, and partially mediated the relationship between psychological distress and number of partners. We found no differences in mediation by sex or race/ethnicity and no evidence to support moderation of psychological distress and substance use on sexual risk. Findings suggest that psychological distress is associated with sexual risk because youth with greater psychological distress are also more likely to use substances. Practical implications for adolescent HIV/STI prevention are discussed.
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Metagegevens
Titel
Psychological Distress, Substance Use, and HIV/STI Risk Behaviors Among Youth
Auteurs
Katherine S. Elkington
José A. Bauermeister
Marc A. Zimmerman
Publicatiedatum
01-05-2010
Uitgeverij
Springer US
Gepubliceerd in
Journal of Youth and Adolescence / Uitgave 5/2010
Print ISSN: 0047-2891
Elektronisch ISSN: 1573-6601
DOI
https://doi.org/10.1007/s10964-010-9524-7

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