The association between stress, coping, and sexual risk behaviors over 24 months among African-American female adolescents

Erin N. Hulland, Jennifer L. Brown, Andrea L. Swartzendruber, Jessica M. Sales, Eve S. Rose, Ralph DiClemente

Research output: Contribution to journalArticle

Abstract

Heightened psychosocial stress coupled with maladaptive coping may be associated with greater sexual risk engagement. This study examined the association between stress levels and coping strategy use as predictors of sexual risk behavior engagement over 24 months among African-American adolescent females (N = 701; M = 17.6 years) enrolled in an STI/HIV risk-reduction intervention program. Participants completed audio computer assisted self-interview (ACASI) measures of global stress, interpersonal stress, coping strategy use, and sexual behaviors prior to intervention participation. Follow-up ACASI assessments were conducted at 6, 12, 18, and 24 months post-intervention. Generalized estimated equation models examined associations between baseline stress levels and coping strategy use as predictors of condom use (past 90 days, last sex) and multiple partners during follow-up. Global stress and individual coping strategy usage were not associated with differences in condom use. Higher interpersonal stress was associated with lower proportion condom use (p =.018), inconsistent condom use (p =.011), and not using a condom at last sex (p =.002). There were no significant associations between stress levels, coping strategy use, and multiple partners. Future research should explore mechanisms that may underlie the association between elevated interpersonal stress and decreased condom use among this population.

Original languageEnglish (US)
Pages (from-to)443-456
Number of pages14
JournalPsychology, Health and Medicine
Volume20
Issue number4
DOIs
StatePublished - May 19 2015

Fingerprint

Condoms
Risk-Taking
Sexual Behavior
African Americans
Sexual Partners
Interviews
Risk Reduction Behavior
Sexually Transmitted Diseases
HIV
Population

Keywords

  • African-American adolescent women
  • coping
  • HIV prevention intervention
  • sexual risk behavior
  • stress

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology
  • Psychiatry and Mental health

Cite this

The association between stress, coping, and sexual risk behaviors over 24 months among African-American female adolescents. / Hulland, Erin N.; Brown, Jennifer L.; Swartzendruber, Andrea L.; Sales, Jessica M.; Rose, Eve S.; DiClemente, Ralph.

In: Psychology, Health and Medicine, Vol. 20, No. 4, 19.05.2015, p. 443-456.

Research output: Contribution to journalArticle

Hulland, Erin N. ; Brown, Jennifer L. ; Swartzendruber, Andrea L. ; Sales, Jessica M. ; Rose, Eve S. ; DiClemente, Ralph. / The association between stress, coping, and sexual risk behaviors over 24 months among African-American female adolescents. In: Psychology, Health and Medicine. 2015 ; Vol. 20, No. 4. pp. 443-456.
@article{90ca3dff3d154a42ab302742fe803def,
title = "The association between stress, coping, and sexual risk behaviors over 24 months among African-American female adolescents",
abstract = "Heightened psychosocial stress coupled with maladaptive coping may be associated with greater sexual risk engagement. This study examined the association between stress levels and coping strategy use as predictors of sexual risk behavior engagement over 24 months among African-American adolescent females (N = 701; M = 17.6 years) enrolled in an STI/HIV risk-reduction intervention program. Participants completed audio computer assisted self-interview (ACASI) measures of global stress, interpersonal stress, coping strategy use, and sexual behaviors prior to intervention participation. Follow-up ACASI assessments were conducted at 6, 12, 18, and 24 months post-intervention. Generalized estimated equation models examined associations between baseline stress levels and coping strategy use as predictors of condom use (past 90 days, last sex) and multiple partners during follow-up. Global stress and individual coping strategy usage were not associated with differences in condom use. Higher interpersonal stress was associated with lower proportion condom use (p =.018), inconsistent condom use (p =.011), and not using a condom at last sex (p =.002). There were no significant associations between stress levels, coping strategy use, and multiple partners. Future research should explore mechanisms that may underlie the association between elevated interpersonal stress and decreased condom use among this population.",
keywords = "African-American adolescent women, coping, HIV prevention intervention, sexual risk behavior, stress",
author = "Hulland, {Erin N.} and Brown, {Jennifer L.} and Swartzendruber, {Andrea L.} and Sales, {Jessica M.} and Rose, {Eve S.} and Ralph DiClemente",
year = "2015",
month = "5",
day = "19",
doi = "10.1080/13548506.2014.951369",
language = "English (US)",
volume = "20",
pages = "443--456",
journal = "Psychology, Health and Medicine",
issn = "1354-8506",
publisher = "Routledge",
number = "4",

}

TY - JOUR

T1 - The association between stress, coping, and sexual risk behaviors over 24 months among African-American female adolescents

AU - Hulland, Erin N.

AU - Brown, Jennifer L.

AU - Swartzendruber, Andrea L.

AU - Sales, Jessica M.

AU - Rose, Eve S.

AU - DiClemente, Ralph

PY - 2015/5/19

Y1 - 2015/5/19

N2 - Heightened psychosocial stress coupled with maladaptive coping may be associated with greater sexual risk engagement. This study examined the association between stress levels and coping strategy use as predictors of sexual risk behavior engagement over 24 months among African-American adolescent females (N = 701; M = 17.6 years) enrolled in an STI/HIV risk-reduction intervention program. Participants completed audio computer assisted self-interview (ACASI) measures of global stress, interpersonal stress, coping strategy use, and sexual behaviors prior to intervention participation. Follow-up ACASI assessments were conducted at 6, 12, 18, and 24 months post-intervention. Generalized estimated equation models examined associations between baseline stress levels and coping strategy use as predictors of condom use (past 90 days, last sex) and multiple partners during follow-up. Global stress and individual coping strategy usage were not associated with differences in condom use. Higher interpersonal stress was associated with lower proportion condom use (p =.018), inconsistent condom use (p =.011), and not using a condom at last sex (p =.002). There were no significant associations between stress levels, coping strategy use, and multiple partners. Future research should explore mechanisms that may underlie the association between elevated interpersonal stress and decreased condom use among this population.

AB - Heightened psychosocial stress coupled with maladaptive coping may be associated with greater sexual risk engagement. This study examined the association between stress levels and coping strategy use as predictors of sexual risk behavior engagement over 24 months among African-American adolescent females (N = 701; M = 17.6 years) enrolled in an STI/HIV risk-reduction intervention program. Participants completed audio computer assisted self-interview (ACASI) measures of global stress, interpersonal stress, coping strategy use, and sexual behaviors prior to intervention participation. Follow-up ACASI assessments were conducted at 6, 12, 18, and 24 months post-intervention. Generalized estimated equation models examined associations between baseline stress levels and coping strategy use as predictors of condom use (past 90 days, last sex) and multiple partners during follow-up. Global stress and individual coping strategy usage were not associated with differences in condom use. Higher interpersonal stress was associated with lower proportion condom use (p =.018), inconsistent condom use (p =.011), and not using a condom at last sex (p =.002). There were no significant associations between stress levels, coping strategy use, and multiple partners. Future research should explore mechanisms that may underlie the association between elevated interpersonal stress and decreased condom use among this population.

KW - African-American adolescent women

KW - coping

KW - HIV prevention intervention

KW - sexual risk behavior

KW - stress

UR - http://www.scopus.com/inward/record.url?scp=84927640399&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84927640399&partnerID=8YFLogxK

U2 - 10.1080/13548506.2014.951369

DO - 10.1080/13548506.2014.951369

M3 - Article

C2 - 25159332

AN - SCOPUS:84927640399

VL - 20

SP - 443

EP - 456

JO - Psychology, Health and Medicine

JF - Psychology, Health and Medicine

SN - 1354-8506

IS - 4

ER -