Family context and HIV risk among youth in psychiatric care: what pediatricians can do

Jordan, Kristi Y.; Donenberg, Geri R.

doi:10.1097/01.mop.0000245356.68207.d2

Cited by 6 publications

(1 citation statement)

References 43 publications

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“…4 This research has demonstrated a notable association between positive parent-adolescent relationships and reduced adolescent engagement in sexual risk behaviors. 5 Specifically, parenting processes such as monitoring and discipline, parent-adolescent communication, and parent-adolescent relationship satisfaction have been associated with adolescents' involvement in sexual risk behaviors and their subsequent sexual and reproductive health outcomes. [6][7][8][9] Although the importance of parental effects has been well established, most research has focused on how mothers shape adolescent sexual behavior.…”

Section: Discussionmentioning

confidence: 99%

Paternal Influences on Adolescent Sexual Risk Behaviors: A Structured Literature Review

et al. 2012

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BACKGROUND AND OBJECTIVE: To date, most parent-based research has neglected the role of fathers in shaping adolescent sexual behavior and has focused on mothers. The objective of this study was to conduct a structured review to assess the role of paternal influence on adolescent sexual behavior and to assess the methodological quality of the paternal influence literature related to adolescent sexual behavior. METHODS:We searched electronic databases: PubMed, PsychINFO, Social Services Abstracts, Family Studies Abstracts, Sociological Abstracts, and the Cumulative Index to Nursing and Allied Health Literature. Studies published between 1980 and 2011 that targeted adolescents 11 to 18 years and focused on paternal parenting processes were included. Methodological quality was assessed by using an 11-item scoring system. RESULTS: Thirteen articles were identified and reviewed. Findings suggest paternal factors are independently associated with adolescent sexual behavior relative to maternal factors. The most commonly studied paternal influence was emotional qualities of the father-adolescent relationship. Paternal communication about sex was most consistently associated with adolescent sexual behavior, whereas paternal attitudes about sex was least associated. Methodological limitations include a tendency to rely on cross-sectional design, nonprobability sampling methods, and focus on sexual debut versus broader sexual behavior. CONCLUSIONS:Existing research preliminarily suggests fathers influence the sexual behavior of their adolescent children; however, more rigorous research examining diverse facets of paternal influence on adolescent sexual behavior is needed. We provide recommendations for primary care providers and public health practitioners to better incorporate fathers into interventions designed to reduce adolescent sexual risk behavior.

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Section: Discussionmentioning

confidence: 99%

Paternal Influences on Adolescent Sexual Risk Behaviors: A Structured Literature Review

et al. 2012

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Family and HIV/AIDS: First Line of Health Promotion and Disease Prevention

Pequegnat

Aids²

2011

Family and HIV/AIDS

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Marijuana Use and Sexually Transmitted Infections in Young Women Who Were Teenage Mothers

Genna

Cornelius

Cook

2007

Women's Health Issues

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Purpose-Teenage pregnancy and marijuana use are associated with higher risk of contracting Sexually Transmitted Infections (STIs). In this study, we examined the role of early and current marijuana use as it related to STI risk in a sample of young women who were pregnant teenagers, using a variety of statistical models.Methods-279 pregnant adolescents, ages 12-18, were recruited at an urban prenatal clinic as part of a study that was developed to evaluate the long-term effects of prenatal substance exposure. Six years later, they were asked about their substance use and sexual history. The association of early and late marijuana use to lifetime sexual partners and STIs was examined, and then structural equation modeling (SEM) was used to illustrate the associations among marijuana use, number of sexual partners, and STIs.Results-Bivariate analyses revealed a dose-response effect of early and current marijuana use on STIs in young adulthood. Early and current marijuana use also predicted a higher number of lifetime sexual partners. However, the effect of early marijuana use on STIs was mediated by lifetime number of sexual partners in the SEM, whereas African-American race, more externalizing problems, and a greater number of sexual partners were directly related to more STIs.Conclusions-Adolescent pregnancy, early marijuana use, mental health problems, and African-American race were significant risk factors for STIs in young adult women who had become mothers during adolescence. Pregnant teenage girls should be screened for early drug use and mental health problems, because they may benefit the most from the implementation of STI screening and skill-based prevention programs. Please address all correspondence to: Natacha De Genna, PhD, Program in Epidemiology, Western Psychiatric Institute and Clinic (WPIC), Webster Hall, Suite 138, 4415 Fifth Avenue, Pittsburgh, PA, 15222, degennan@pitt.edu, Telephone: (412) Fax: (412) 246-6875. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Compared to other developed countries, American 15-19 year olds have one of the top three highest reported rates of syphilis, gonorrhea, and chlamydia (Panchaud, Singh, Feivelson, & Darroch, 2000). Within the US adolescent population, girls (especially African-American girls) are at higher risk of contracting a sexually-transmitted infection (STI) than boys (Aral & Holmes, 1990;Bunnell et al., 1999; CDC, 2005;Weinstock, Berman, & Cates, 2000). Although all sexually-active girls are vulnerable to STIs, those who become teenage mothers are a particularly high-risk subset within this age ...

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Family context and HIV risk among youth in psychiatric care: what pediatricians can do

Cited by 6 publications

References 43 publications

Paternal Influences on Adolescent Sexual Risk Behaviors: A Structured Literature Review

Paternal Influences on Adolescent Sexual Risk Behaviors: A Structured Literature Review

Family and HIV/AIDS: First Line of Health Promotion and Disease Prevention

Marijuana Use and Sexually Transmitted Infections in Young Women Who Were Teenage Mothers

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