HIV/AIDS preventive self-efficacy, depressive symptoms, and risky sexual behavior in adolescents: A cross-sectional questionnaire survey

Lee, Yi-Hui; Salman, Ali; Fitzpatrick, Joyce J.

doi:10.1016/j.ijnurstu.2008.11.007

Cited by 33 publications

(20 citation statements)

References 22 publications

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“…The cognitive style of people with depressive symptoms is related to the motivational and affective responses. It is considered that the negative affective states skew attention and interpretation of situations, for example, negative effect on self-determination and condom use negotiation skills; and affect the processes of selfregulation of emotions experienced, for example, increasing the consumption of alcohol and drugs during sex (Jackson, Seth, DiClemente, & Lin, 2015;Lee, Salman, & Fitzpatrick, 2009;MacDonald & Matineau, 2002;Quinn & Fromme, 2010). In addition, a lesser use of condoms along ages could be explicated by the preference to employ long-term mating strategies (Mathes, King, Miller & Reed, 2002).…”

Section: Discussionmentioning

confidence: 99%

Clinical profile associated with HIV risk in Spanish youth

Ruiz-Palomino

Ballester‐Arnal

Giménez‐García

et al. 2018

Revista INFAD de Psicología

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Heterosexual transmission is the second route of new HIV infection diagnoses in Spain. A high percentage of young people use condom inconsistently. Beyond cognitive factors, emotional variables seem to be associated with sexual risk behavior. The aim was to examine the differential clinical profile between young people at risk and no-risk for HIV infection. A total of 424 heterosexuals were evaluated (M age =20.62; SD=2.16), and distributed into two groups: risk group (60.7%) and non-risk group (39.3%). They completed the AIDS Prevention Questionnaire, the Beck Depression Inventory, the Rosenberg Self-Esteem Scale, the Penn State Worry Questionnaire, and the Brief Fear of Negative Evaluation Scale. Young people who do not use condoms consistently scored higher on worry about health, fear of negative evaluation, depressive symptoms and self-esteem. But no statistical differences were obtained between the group of risk and non-risk group. A multiple regression logistic analysis indicated that depression (B =.054, p = .015) and age (B =.135, p = .010) explained 5.6% of the variance in condom use. It would be relevant to continue studying the role of negative affective states and emotional self-regulation in risky sexual behaviors among this population.Keywords: HIV prevention; condom use; depressive symptoms; emotional self-regulation; youth INTRODUCTION

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Section: Discussionmentioning

confidence: 99%

Clinical profile associated with HIV risk in Spanish youth

Ruiz-Palomino

Ballester‐Arnal

Giménez‐García

et al. 2018

Revista INFAD de Psicología

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“…Second, mental health problems in HIV-infected patients can affect public health. Psychopathology like depression and substance abuse can increase hazardous sexual behaviour and, with it, the chance of spreading HIV [9,10]. …”

Section: Introductionmentioning

confidence: 99%

HIV-infected mental health patients: characteristics and comparison with HIV-infected patients from the general population and non-infected mental health patients

2013

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ObjectivesHIV-infected patients are at increased risk of developing mental health symptoms, which negatively influence the treatment of the HIV-infection. Mental health problems in HIV-infected patients may affect public health. Psychopathology, including depression and substance abuse, can increase hazardous sexual behaviour and, with it, the chance of spreading HIV. Therefore, it is important to develop an optimal treatment plan for HIV-infected patients with mental health problems. The majority of HIV-infected patients in the Netherlands (almost 60%) are homosexual men.The main objectives of this study were to describe the clinical and demographic characteristics of patients with HIV who seek treatment for their mental health symptoms in the Netherlands. Secondly, we tested whether HIV infected and non-infected homosexual patients with a lifetime depressive disorder differed on several mental health symptoms.MethodsWe compared a cohort of 196 patients who visited the outpatient clinic for HIV and Mental Health with HIV-infected patients in the general population in Amsterdam (ATHENA-study) and with non-HIV infected mental health patients (NESDA-study). DSM-IV diagnoses were determined, and several self-report questionnaires were used to assess mental health symptoms.ResultsDepressive disorders were the most commonly occurring diagnoses in the cohort and frequent drug use was common. HIV-infected homosexual men with a depressive disorder showed no difference in depressive symptoms or sleep disturbance, compared with non-infected depressive men. However, HIV-positive patients did express more symptoms like fear, anger and guilt. Although they showed significantly more suicidal ideation, suicide attempts were not more prevalent among HIV-infected patients. Finally, the HIV-infected depressive patients displayed a considerably higher level of drug use than the HIV-negative group.ConclusionHabitual drug use is a risk factor for spreading HIV. It is also more often diagnosed in HIV-infected homosexual men with a lifetime depression or dysthymic disorder than in the non-infected population. Untreated mental health problems, such as depressive symptoms and use of drugs can have serious repercussions. Therefore, general practitioners and internists should be trained to recognize mental health problems in HIV-infected patients.

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“…Indeed, availability, acceptability, and accessibility of condoms to adolescents have significantly promoted condom utilization in various contexts [52]. In Swaziland, young people still face difficulty in accessing contraceptive services from healthcare facilities for fear of being harshly judged by healthcare personnel upon discovery of their sexual activity.…”

Section: Discussionmentioning

confidence: 99%

High Risk Sexual Behaviors for HIV among the In-School Youth in Swaziland: A Structural Equation Modeling Approach

et al. 2013

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BackgroundGlobal efforts in response to the increased prevalence of the human immunodeficiency virus (HIV) are mainly aimed at reducing high risk sexual behaviors among young people. However, knowledge regarding intentions of young people to engage in protective sexual behaviors is still lacking in many countries around the world, especially in Sub-Saharan Africa where prevalence of human immunodeficiency virus is the highest. The objective of this study was to test the theory of planned behavior (TPB) for predicting factors associated with protective sexual behaviors, including sexual abstinence and condom use, among in-school youths aged between 15 and 19 years in Swaziland.MethodsThis cross-sectional survey was conducted using a anonymous questionnaire. A two-stage stratified and cluster random sampling method was used. Approximately one hundred pupils from each of four schools agreed to participate in the study, providing a total sample size of 403 pupils of which 369 were ultimately included for data analysis. The response rate was 98%. Structural equation modeling was used to analyse hypothesized paths.ResultsThe TPB model used in this study was effective in predicting protective sexual behavior among Swazi in-school youths, as shown by model fit indices. All hypothesized constructs significantly predicted intentions for abstinence and condom use, except perceived abstinence controls. Subjective norms were the strongest predictors of intention for premarital sexual abstinence; however, perceived controls for condom use were the strongest predictors of intention for condom use.ConclusionsOur findings support application of the model in predicting determinants of condom use and abstinence intentions among Swazi in-school youths.

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HIV/AIDS preventive self-efficacy, depressive symptoms, and risky sexual behavior in adolescents: A cross-sectional questionnaire survey

Cited by 33 publications

References 22 publications

Clinical profile associated with HIV risk in Spanish youth

Clinical profile associated with HIV risk in Spanish youth

HIV-infected mental health patients: characteristics and comparison with HIV-infected patients from the general population and non-infected mental health patients

High Risk Sexual Behaviors for HIV among the In-School Youth in Swaziland: A Structural Equation Modeling Approach

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