Substance use and mental health problems as predictors of HIV sexual risk behaviors among adolescents in foster care.

Substance use and mental health problems as predictors of HIV sexual risk behaviors among adolescents in foster care.
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DOI:
10.1093/hsw/36.1.33
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发表时间:
2011-02
影响因子:
1.5
通讯作者:
Auslander WF
Auslander WF
中科院分区:
法学4区
文献类型:
--
作者:
Thompson RG Jr;Auslander WF

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这项研究调查了寄养青少年样本中物质使用、心理健康问题和艾滋病毒性危险行为之间的关系。通过对 320 名青少年(15-18 岁)进行结构化基线访谈收集数据,这些青少年居住在寄养机构中,并参与了一项更大规模的艾滋病毒预防计划评估研究。最终的逻辑回归模型表明,违法行为和吸食大麻是从事任何一种艾滋病毒危险行为的最重要预测因素。报告有犯罪行为、酗酒和吸食大麻的青少年以及女性青少年比同龄人更有可能在不使用安全套的情况下进行阴道性交。未来的研究需要进一步确定寄养青少年中药物使用、心理健康问题和艾滋病毒性危险行为的风险和保护因素。针对这些弱势青少年的艾滋病毒预防工作应针对那些有药物滥用和违法行为的青少年。
This study examined the relationship between substance use, mental health problems, and HIV sexual risk behaviors among a sample of foster care adolescents. Data were collected through structured baseline interviews from 320 adolescents (age 15-18 years) who resided in foster care placements and participated in a larger evaluation study of an HIV prevention program. Final logistic regression models indicated that delinquent behavior and marijuana use were the most significant predictors of engaging in any one HIV risk behavior. Adolescents who reported delinquent behaviors, alcohol use, and marijuana use, and who were females were more likely than their counterparts to engage in vaginal sex without using a condom. Future research is needed to further identify risk and protective factors for substance use, mental health problems, and HIV sexual risk behaviors among adolescents in foster care. HIV prevention efforts for these vulnerable adolescents should target those with substance use and delinquent behaviors.
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