The impact of depressive symptomatology on risky sexual behavior and sexual communication among African American female adolescents

Puja Seth, Shilpa N. Patel, Jessica M. Sales, Ralph DiClemente, Gina M. Wingood, Eve S. Rose

Research output: Contribution to journalArticle

Abstract

Adolescents, particularly African American adolescents, are at high risk for sexually transmitted infections (STIs). The association between psychosocial factors and risky sexual behavior has been well established. However, only a small number of studies have examined the relationship between depressive symptomatology among African American female adolescents, specifically over time. The present study examined depressive symptoms as a predictor of risky sexual behavior, sexual communication, and STIs longitudinally among African American female adolescents between the ages 15 and 21. Binary generalized estimating equation models were conducted assessing the impact of depressive symptoms at baseline on risky sexual behavior and STIs over six- and 12-months follow-up. Age, intervention group, and baseline outcome measures were entered as covariates. The results indicated that high levels of depressive symptoms predicted no condom use during last sexual encounter and multiple sexual partners over six-months follow-up. Depressive symptoms also predicted having a main partner with concurrent partners, high fear of communication about condoms, and sex while high on alcohol or drugs over six- and 12-months follow-up. These findings could be used to inform HIV/STI prevention intervention programs and clinicians providing regular health care maintenance to African American female adolescents engaging in risky sexual behavior.

Original languageEnglish (US)
Pages (from-to)346-356
Number of pages11
JournalPsychology, Health and Medicine
Volume16
Issue number3
DOIs
StatePublished - May 1 2011

Fingerprint

Sexual Behavior
African Americans
Sexually Transmitted Diseases
Communication
Depression
Sexual Partners
Condoms
Fear
Age Groups
Maintenance
Alcohols
Outcome Assessment (Health Care)
HIV
Psychology
Delivery of Health Care
Pharmaceutical Preparations

Keywords

  • adolescents
  • African American
  • depression
  • female
  • HIV/STI
  • risky sexual behavior

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology
  • Psychiatry and Mental health

Cite this

The impact of depressive symptomatology on risky sexual behavior and sexual communication among African American female adolescents. / Seth, Puja; Patel, Shilpa N.; Sales, Jessica M.; DiClemente, Ralph; Wingood, Gina M.; Rose, Eve S.

In: Psychology, Health and Medicine, Vol. 16, No. 3, 01.05.2011, p. 346-356.

Research output: Contribution to journalArticle

Seth, Puja ; Patel, Shilpa N. ; Sales, Jessica M. ; DiClemente, Ralph ; Wingood, Gina M. ; Rose, Eve S. / The impact of depressive symptomatology on risky sexual behavior and sexual communication among African American female adolescents. In: Psychology, Health and Medicine. 2011 ; Vol. 16, No. 3. pp. 346-356.
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