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

Author

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

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

Suggested Citation

  • Jackson, J.M. & Seth, P. & DiClemente, R.J. & Lin, A., 2015. "Association of depressive symptoms and substance use with risky sexual behavior and sexually transmitted infections among African American female adolescents seeking sexual health care," American Journal of Public Health, American Public Health Association, vol. 105(10), pages 2137-2142.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302493_0
    DOI: 10.2105/AJPH.2014.302493
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    Cited by:

    1. Ijeoma Opara & Kimberly Pierre & Maame Araba Assan & Laurel Scheinfeld & Courtnae Alves & Kristina Cross & Ashley Lizarraga & Bridgette Brawner, 2022. "A Systematic Review on Sexual Health and Drug Use Prevention Interventions for Black Girls," IJERPH, MDPI, vol. 19(6), pages 1-17, March.
    2. Vanessa Sanchez-Mendoza & Encarnacion Soriano-Ayala & Pablo Vallejo-Medina, 2020. "Psychometric Properties of the Condom Use Self-Efficacy Scale among Young Colombians," IJERPH, MDPI, vol. 17(11), pages 1-15, May.

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