Disparities in the Patterns and Determinants of HIV Risk Behaviors among Adolescents Entering Substance Abuse Treatment Programs

Mulatu, Mesfin S.; Leonard, Kimberly Jeffries; Godette, Dionne C.; Fulmore, Darren

doi:10.1016/s0027-9684(15)31540-6

Cited by 7 publications

(7 citation statements)

References 34 publications

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“…Less research has examined externalizing symptoms in relation to HIV/ risk, though initial results suggesting a positive relationship (Kogan, Yu, Brody, & Allen., 2013;Starr, Donenberg, & Emerson, 2012;Wilson, Pettineo, et al, 2015). However, when comparing African American and White female adolescents, one study found that internalizing and externalizing symptoms were related to behavioral outcomes among Whites, but not African Americans (Mulatu et al, 2008), suggesting that African American youth may engage in RSB regardless of psychological problems. However, more research is needed on racial differences in these relationships.…”

Section: Domain Specific Risk For Hiv/sti Among African American Yout...mentioning

confidence: 99%

“…Substance use has also been implicated in HIV/STI risk among young African Americans, including cigarette (Berg et al, 2012;Hill et al, 2014;Swartzendruber, Sales, Brown, DiClemente, & Rose, 2014;Waldrop-Valverde et al, 2013) cocaine (Ritchwood, DeCoster, Metzger, Bolland, & Danielson, 2016), opiate (Mulatu, Leonard, Godette, & Fulmore, 2008), ecstasy (J. M. Jackson et al, 2015;Stephens et al, 2016) and inhalant use (Berger, Khan, & Cleland, 2016) as well as general substance use problems (Woods-Jaeger, Jaeger, . However, alcohol and marijuana, the most commonly-used substances among African American adolescents and young adults (Miech, Johnston, O'Malley, Bachman, & Schulenberg, 2016), are the substances most often studied among this population, both showing consistent relationships with HIV/STI risk (e.g., Keen, Blanden, & Rehmani, 2016;Sales, Monahan, et al, 2014;Swartzendruber, Sales, Brown, DiClemente, & Rose, 2014;.…”

Section: Domain Specific Risk For Hiv/sti Among African American Yout...mentioning

confidence: 99%

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Integrating Individual and Contextual Factors to Explain Disparities in HIV/STI Among Heterosexual African American Youth: A Contemporary Literature Review and Social Ecological Model

2020

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Heterosexual African American youth face substantial disparities in sexual health consequences such as HIV and STI. Based on the social ecological framework, the current paper provided a comprehensive, narrative review of the past 14 years of literature examining HIV/STI risk, including risky sexual behavior, among heterosexual African American youth and a conceptual model of risk among this population. The review found that individual psychological and biological factors are insufficient to explain the sexual health disparities faced by this group; instead, structural disadvantage, interpersonal risk, and community dysfunction contribute to the disparity in HIV/STI outcomes directly and indirectly through individual psychological factors. The conceptual model presented suggests that for African American youth, a) HIV/STI risk commonly begins at the structural level and trickles down to the community, social, and individual levels, b) risk works in a positive feedback system such that downstream effects compound the influence of structural risks, and c) contextual and individual risk factors must be considered within the advanced stage of the epidemic facing this population. Despite advanced HIV and STI epidemics among heterosexual African American youth, multisystemic interventions that target structural risk factors and their downstream effects are posited to reduce the disparity among this high-risk population.

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Section: Domain Specific Risk For Hiv/sti Among African American Yout...mentioning

confidence: 99%

Section: Domain Specific Risk For Hiv/sti Among African American Yout...mentioning

confidence: 99%

Integrating Individual and Contextual Factors to Explain Disparities in HIV/STI Among Heterosexual African American Youth: A Contemporary Literature Review and Social Ecological Model

2020

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“…Depressive disorders/symptoms have been found to be linked to sexual activity or risk-taking among youth in the community (Brown et al, 2006; Lehrer et al, 2006; Mazzaferro et al, 2006; Ramrakha, Caspi, Dickson, Moffitt, & Paul, 2000; Seth et al, 2011) and in psychiatric care (Abrantes et al, 2006; Brown et al, 2010; Mulatu, Leonard, Godette, & Fulmore, 2008; Starr, Donenberg, & Emerson, 2012; Udell, Donenberg, & Emerson, 2011). Links have also been found among symptoms of anxiety in adolescence and sexual risk-taking (Abrantes et al, 2006; Stiffman, Dore, Earls, & Cunningham, 1992).…”

mentioning

confidence: 99%

Internalizing symptoms and safe sex intentions among adolescents in mental health treatment: Personal factors as mediators

Joppa

Rizzo²,

Brown³

et al. 2014

Children and Youth Services Review

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Little is known about why some adolescents with internalizing symptoms engage in sexual behaviors that increase their risk for HIV. This study tested a mediation model of internalizing symptoms and safe sex intentions among adolescents receiving mental health treatment. Self-efficacy for HIV prevention, HIV knowledge, and worry about HIV were hypothesized to mediate associations between internalizing symptoms and safe sex intentions among sexually active and non-active adolescents receiving mental health treatment (N = 893, M age = 14.9). Significant indirect effects from internalizing symptoms to safe sex intentions varied according sexual experience: for sexually non-active adolescents, HIV worry and knowledge mediated this link, whereas for sexually active adolescents, HIV self-efficacy was the significant mediator. Increasing both HIV knowledge and self-efficacy for HIV prevention are important targets for HIV prevention with adolescents with internalizing symptoms, and careful attention should be paid towards targeting these interventions to sexually experienced and inexperienced youth.

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“…Sexual risk behaviors are associated with a broad range of relational, contextual and individual factors (e.g., Dogan, Stockdale, Widaman, & Conger, 2010; Leigh, 2002; Norris et al, 2009a, b; Zawacki, 2011). Therefore, adolescents with substance use problems are at elevated risk for HIV/STI exposure due to co-occurring substance use and sex, multiple sex partners, co-occurring psychiatric problems, and inconsistent condom use (Abrantes, Strong, Ramsey, Kazura, & Brown, 2006; Brown et al, 2010; Mulatu, Leonard, Godette, & Fulmore, 2008; Oshri, Tubman, Wagner, Morris, & Snyders, 2008). These adolescents are likely to present for, or to be referred to, substance abuse treatment - posing a wide range of challenges for existing service provision systems (Hawkins, 2009).…”

mentioning

confidence: 99%

The use of the Risky Sex Scale among adolescents receiving treatment services for substance use problems: Factor structure and predictive validity

Tubman

Rosiers

Schwartz

et al. 2012

Journal of Substance Abuse Treatment

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The present study evaluated the use of the Risky Sex Scale (RSS; O'Hare, 2001) among youth in outpatient treatment for substance use problems. An ethnically diverse sample of 394 adolescents (280 males; Mage = 16.33 years, SDage = 1.15) was recruited from two treatment sites. The study was guided by two aims. First, a confirmatory factor analysis was conducted on RSS item responses. Findings replicated the factor structure identified in previous studies of undergraduate students cited for campus alcohol violations. Second, structural equation modeling (SEM) was used to document associations between RSS subscales and self-reported substance use and sexual risk behaviors. The Risky Sex Expectancies (RSE) subscale was significantly associated with co-occurring alcohol use and sex, alcohol use at last intercourse, and alcohol use during the prior 30 days. The Risky Sex Behaviors (RSB) subscale was significantly associated with cooccurring drug use and sex, condom use at last intercourse and unprotected intercourse during the prior 30 days. The factor structure of the RSS was consistent across age group (12-16 and 16- 18) and across gender, and the links between the RSS subscales and health risk behaviors varied somewhat by gender but not by age group. These findings suggest that the RSS is an appropriate brief screening tool for predicting health risk behaviors among adolescents in substance abuse treatment.

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Disparities in the Patterns and Determinants of HIV Risk Behaviors among Adolescents Entering Substance Abuse Treatment Programs

Cited by 7 publications

References 34 publications

Integrating Individual and Contextual Factors to Explain Disparities in HIV/STI Among Heterosexual African American Youth: A Contemporary Literature Review and Social Ecological Model

Integrating Individual and Contextual Factors to Explain Disparities in HIV/STI Among Heterosexual African American Youth: A Contemporary Literature Review and Social Ecological Model

Internalizing symptoms and safe sex intentions among adolescents in mental health treatment: Personal factors as mediators

The use of the Risky Sex Scale among adolescents receiving treatment services for substance use problems: Factor structure and predictive validity

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