Family-Based Processes Associated with Adolescent Distress, Substance Use and Risky Sexual Behavior in Families Affected by Maternal HIV

Lester, Patricia; Stein, Judith A.; Bursch, Brenda; Rice, Eric; Green, Sara; Penniman, Typhanye V.; Rotheram‐Borus, Mary Jane

doi:10.1080/15374411003691677

Cited by 28 publications

(31 citation statements)

References 57 publications

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“…Past studies were strictly correlational and did not consider these variables simultaneously. Moreover, many studies examining risky sexual behaviours also used mediators rather than moderators to maximize their understanding of adolescent sexuality (Brakefield, Wilson, & Donenberg, 2012;Kashubeck-West & Szymanski, 2008;Lester et al, 2010;Mezzich et al, 1997). Lastly, the gender invariance of the model will be tested because some sex differences have been reported in the pattern of substance use, psychopathic personality traits and sexual risk-taking (Ruiz, Stevens, Fuhriman, Bogart, & Korchmaros, 2009).…”

Section: The Present Studymentioning

confidence: 97%

Risky sexual behaviours: The role of substance use, psychopathic traits, and attachment insecurity among adolescents and young adults in Quebec

Lemelin

Lussier

Sabourin

et al. 2014

The Canadian Journal of Human Sexuality

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The purpose of this study was to examine how substance use, psychopathic traits, and attachment representations explain sexual risk-taking in adolescence. Variables used to define risky sexual behaviours were age at first sexual intercourse and number of lifetime sexual partners. A sample of 1,553 adolescents and young adults completed a battery of questionnaires including measures of substance use, psychopathic traits, attachment representations, and sexual behaviours. Structural equation modelling demonstrated that, in the present sample, risky sexual behaviours were best modelled through both direct effects of avoidant attachment representations and indirect effects of psychopathic traits and abandonment anxiety through increases in substance use. This model was gender-invariant and may represent a contemporary trend toward homogenization of sexual practices among young people in Quebec.

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Section: The Present Studymentioning

confidence: 97%

Risky sexual behaviours: The role of substance use, psychopathic traits, and attachment insecurity among adolescents and young adults in Quebec

Lemelin

Lussier

Sabourin

et al. 2014

The Canadian Journal of Human Sexuality

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“…Although this finding has not been consistent across studies (Elkington, Bauermeister, Brackis-Cott, Dolezal, & Mellins, 2009), parenting challenges have been associated with increased externalizing behaviors in children, including substance use (Knowlton, Buchanan, Wissow, Pilowsky, & Latkin, 2008). Maternal bonds have been found to mediate the relationship between level of maternal illness and binge drinking, among other negative behaviors (Lester et al, 2010; Murphy et al, 2009), and parental health lapses have been found to further exacerbate substance use, peer issues, and emotional distress (Lester et al, 2010). …”

Section: Maternal Hiv Status and Daughters’ Alcohol Usementioning

confidence: 99%

Maternal HIV, Substance Use Role Modeling, and Adolescent Girls' Alcohol Use

Cederbaum

Guerrero

Barman‐Adhikari

et al. 2015

Journal of the Association of Nurses in AIDS Care

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Parental role modeling has a major influence on adolescent alcohol use. Our study examined maternal factors associated with daughters’ alcohol use among inner-city racial minority adolescents of HIV-infected and HIV-uninfected mothers. A nonprobability sample of 176 mothers (37% with HIV) and their adolescent daughters completed self-administered surveys. Between- and within-group analyses were conducted using hierarchical multivariate logistic regressions. Findings showed that in the full sample, difficulty talking with daughters about alcohol was positively associated with alcohol use among daughters, whereas maternal report of importance of religion was negatively associated with alcohol use among daughters. Within-group analysis of participants by maternal HIV status revealed that maternal beliefs that drinking alcohol in front of their daughters was normative were associated with higher odds of adolescent alcohol use in households with HIV-infected mothers. These preliminary findings highlight the potential increased vulnerability of racial minority adolescent girls living in households with HIV-infected mothers.

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“…Such stressors and their destabilizing effects on families and societies may jeopardize healthy development in children. In the context of family loss and chronic illness, children are often pressured to take on additional household and care-giving responsibilities, as well as emotional burdens [2], raising the risk for mental health problems and poor social outcomes, such as school dropout [3, 4]. …”

Section: Introductionmentioning

confidence: 99%

Individual-level factors associated with mental health in Rwandan youth affected by HIV/AIDS

Scorza

Duarte

Stevenson

et al. 2017

Soc Psychiatry Psychiatr Epidemiol

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Purpose Prevention of mental disorders worldwide requires a greater understanding of protective processes associated with lower levels of mental health problems in children who face pervasive life stressors. This study aimed to identify culturally appropriate indicators of individual-level protective factors in Rwandan adolescents where risk factors, namely poverty and a history of trauma, have dramatically shaped youth mental health. Methods The sample included 367 youth aged 10–17 in rural Rwanda. An earlier qualitative study of the same population identified the constructs “kwihangana” (patience/perseverance) and “kwigirira ikizere” (self-esteem) as capturing local perceptions of individual-level characteristics that helped reduce risks of mental health problems in youth. Nine items from the locally derived constructs were combined with 25 items from an existing scale that aligned well with local constructs—the Connor-Davidson Resilience Scale (CD-RISC). We assessed the factor structure of the CD-RISC expanded scale using exploratory factor analysis and determined the correlation of the expanded CD-RISC with depression and functional impairment. Results The CD-RISC expanded scale displayed high internal consistency (α = 0.93). Six factors emerged, which we labeled: perseverance, adaptability, strength/sociability, active engagement, self-assuredness, and sense of self-worth. Protective factor scale scores were significantly and inversely correlated with depression and functional impairment (r = −0.49 and r = −0.38, respectively). Conclusions An adapted scale displayed solid psychometric properties for measuring protective factors in Rwandan youth. Identifying culturally appropriate protective factors is a key component of research associated with the prevention of mental health problems and critical to the development of cross-cultural strength-based interventions for children and families.

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Family-Based Processes Associated with Adolescent Distress, Substance Use and Risky Sexual Behavior in Families Affected by Maternal HIV

Cited by 28 publications

References 57 publications

Risky sexual behaviours: The role of substance use, psychopathic traits, and attachment insecurity among adolescents and young adults in Quebec

Risky sexual behaviours: The role of substance use, psychopathic traits, and attachment insecurity among adolescents and young adults in Quebec

Maternal HIV, Substance Use Role Modeling, and Adolescent Girls' Alcohol Use

Individual-level factors associated with mental health in Rwandan youth affected by HIV/AIDS

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