Psychological distress as a correlate of a biologically confirmed STI, risky sexual practices, self-efficacy and communication with male sex partners in African-American female adolescents

Puja Seth, Paulomi T. Raiji, Ralph DiClemente, Gina M. Wingood, Eve Rose

Research output: Contribution to journalArticle

Abstract

Previous research has established the association between psychosocial factors and risky sexual behaviour. However, few studies have examined the relationship between psychological distress and sexually transmitted infection (STI)/HIV-associated behaviours in African-American youth. The present study examined the association of psychological distress with STI/HIV-risk behaviour and psycho-social mediators of HIV-preventive behaviours. A sample of 715 African-American female adolescents, 15-21 years old, completed an audio computer assisted self-interviewing (ACASI) assessing sociodemographics, psychological distress, self-efficacy, communication and STI/HIV-associated sexual behaviours. Participants also provided self-collected vaginal swab specimens, which were assayed for STIs. High levels of psychological distress were defined as having a score of 7 on the eight-item Centre for Epidemiological Studies-Depression Scale. The overall prevalence of high levels of psychological distress was 44.5%. Logistic regression analyses revealed that adolescents with high psychological distress, relative to those with low psychological distress, were more likely to have a biologically confirmed STI (adjusted odd ratio (AOR)=1.40), use condoms inconsistently (AOR=1.50), not use condoms during their last casual sexual encounter (AOR=1.89), have sex while high on alcohol or drugs (AOR=1.47), have male sexual partners with concurrent female sexual partners (AOR=1.98), have low condom use self-efficacy (AOR=1.54), partner sexual communication self-efficacy (AOR=1.77), refusal self-efficacy (AOR=2.05) and be more fearful of communicating with their partners (AOR=1.98). These findings, although preliminary, could be used to inform HIV intervention programs and physicians/clinicians providing regular health care maintenance to African-American female adolescents engaging in risky sexual behaviour.

Original languageEnglish (US)
Pages (from-to)291-300
Number of pages10
JournalPsychology, Health and Medicine
Volume14
Issue number3
DOIs
StatePublished - May 1 2009

Fingerprint

Self Efficacy
Sexually Transmitted Diseases
African Americans
Odds Ratio
Communication
Psychology
HIV
Condoms
Sexual Behavior
Sexual Partners
Interpersonal Relations
Risk-Taking
Epidemiologic Studies
Logistic Models
Regression Analysis
Maintenance
Alcohols
Depression
Delivery of Health Care
Physicians

Keywords

  • African-American adolescents
  • HIV/STI risk behaviour
  • Psychological distress
  • Self-efficacy
  • Sexual communication

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology
  • Psychiatry and Mental health

Cite this

Psychological distress as a correlate of a biologically confirmed STI, risky sexual practices, self-efficacy and communication with male sex partners in African-American female adolescents. / Seth, Puja; Raiji, Paulomi T.; DiClemente, Ralph; Wingood, Gina M.; Rose, Eve.

In: Psychology, Health and Medicine, Vol. 14, No. 3, 01.05.2009, p. 291-300.

Research output: Contribution to journalArticle

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