Depressive Symptoms as a Longitudinal Predictor of Sexual Risk Behaviors Among African-American Adolescents
Depressive Symptoms as a Longitudinal Predictor of Sexual Risk Behaviors Among African-American Adolescents
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DOI：
10.1037/hea0000780
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发表时间：
2019-11-01
影响因子：
4.2
通讯作者：
Valois, Robert F.
中科院分区：
文献类型：
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作者：
Foley, Jacklyn D.;Vanable, Peter A.;Valois, Robert F.
目的：了解与非裔美国青少年性危险行为相关的个体因素仍然是一个重要的公共卫生优先事项。目前的二级数据分析检查了抑郁症状基线评估与6个月后报告的性危险行为之间的纵向关联；目的是确定抑郁症状与危险性行为的关联是否随性别的变化而变化。第二个目的是在3个月的随访中检查拒绝性行为和使用安全套的自我效能，以评估抑郁症状与性风险关系之间的中介关系。方法：782名性活跃的非裔美国青少年（M-age = 15.3岁，SD = 1.08； 54%为女性）被招募参加性健康干预试验。数据分析侧重于阴道性交，结果包括：(a)在过去3个月内与2个或更多伴侣发生性行为；（二）过去3个月使用避孕套的相对频率；(c)在最后发生性行为时不使用避孕套；(d)性传播感染阳性筛查。结果：抑郁症状预示着女性参与者有2个以上的性伴侣，但对整个样本来说没有其他风险标志。然而，通过降低男性和女性青少年使用安全套的自我效能，抑郁症状对无安全套性行为有显著的间接影响。结论：这些发现对预防艾滋病毒/性传播感染具有重要意义，其中行为干预可能受益于包括关注情绪对安全性行为自我效能影响的模块。
Objective: Understanding individual level factors associated with sexual risk behaviors among African-American adolescents remains an important public health priority. The current secondary data analysis examined the longitudinal association between a baseline assessment of depressive symptoms and sexual risk behaviors reported 6 months later; the purpose was to determine whether the association of depressive symptoms to risky sex varies as a function of gender. A secondary aim was to examine self-efficacy for sex refusal and condom use assessed at a 3-month follow-up as mediators of the depressive symptoms-sexual risk relationship. Methods: The sample consisted of 782 sexually active African-American adolescents (M-age = 15.3 years, SD = 1.08; 54% female) recruited to participate in a sexual health intervention trial. Data analyses focused on vaginal sex, and outcomes included: (a) sexual activity with 2 or more partners in the previous 3 months; (b) the relative frequency of condom use in the previous 3 months; (c) noncondom use at last occasion of sex; and (d) positive sexually transmitted infection (STI) screening. Results: Depressive symptoms predicted sex with 2 more partners for female participants, but no other risk markers for the sample as a whole. However, there was a significant indirect effect of depressive symptoms on condomless sex via decreased condom use self-efficacy for both male and female adolescents. Conclusions: These findings have important implications for HIV/STI prevention, in which behavioral interventions may benefit from modules that include a focus on the influence of mood on self-efficacy for safer sex practices.