Internalizing symptoms and safe sex intentions among adolescents in mental health treatment: Personal factors as mediators

The Project STYLE Study Group

doi:10.1016/j.childyouth.2014.07.023

Internalizing symptoms and safe sex intentions among adolescents in mental health treatment: Personal factors as mediators

The Project STYLE Study Group

Global Public Health

Research output: Contribution to journal › Article › peer-review

Abstract

Little is known about why some adolescents with internalizing symptoms engage in sexual behaviors that increase their risk for HIV. This study tested a mediation model of internalizing symptoms and safe sex intentions among adolescents receiving mental health treatment. Self-efficacy for HIV prevention, HIV knowledge, and worry about HIV were hypothesized to mediate associations between internalizing symptoms and safe sex intentions among sexually active and non-active adolescents receiving mental health treatment (N. =. 893, M age. =. 14.9). Significant indirect effects from internalizing symptoms to safe sex intentions varied according to sexual experience: for sexually non-active adolescents, HIV worry and knowledge mediated this link, whereas for sexually active adolescents, HIV self-efficacy was the significant mediator. Increasing both HIV knowledge and self-efficacy for HIV prevention are important targets for HIV prevention with adolescents with internalizing symptoms, and careful attention should be paid towards targeting these interventions to sexually experienced and inexperienced youth.

Original language	English (US)
Pages (from-to)	177-185
Number of pages	9
Journal	Children and Youth Services Review
Volume	46
DOIs	https://doi.org/10.1016/j.childyouth.2014.07.023
State	Published - Nov 1 2014

Keywords

Adolescents
HIV prevention
Internalizing symptoms
Sexual risk

ASJC Scopus subject areas

Education
Developmental and Educational Psychology
Sociology and Political Science

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10.1016/j.childyouth.2014.07.023

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@article{f2f8928f3df741298d2f17d3e97af208,

title = "Internalizing symptoms and safe sex intentions among adolescents in mental health treatment: Personal factors as mediators",

abstract = "Little is known about why some adolescents with internalizing symptoms engage in sexual behaviors that increase their risk for HIV. This study tested a mediation model of internalizing symptoms and safe sex intentions among adolescents receiving mental health treatment. Self-efficacy for HIV prevention, HIV knowledge, and worry about HIV were hypothesized to mediate associations between internalizing symptoms and safe sex intentions among sexually active and non-active adolescents receiving mental health treatment (N. =. 893, M age. =. 14.9). Significant indirect effects from internalizing symptoms to safe sex intentions varied according to sexual experience: for sexually non-active adolescents, HIV worry and knowledge mediated this link, whereas for sexually active adolescents, HIV self-efficacy was the significant mediator. Increasing both HIV knowledge and self-efficacy for HIV prevention are important targets for HIV prevention with adolescents with internalizing symptoms, and careful attention should be paid towards targeting these interventions to sexually experienced and inexperienced youth.",

keywords = "Adolescents, HIV prevention, Internalizing symptoms, Sexual risk",

author = "{The Project STYLE Study Group} and Joppa, {Meredith C.} and Rizzo, {Christie J.} and Brown, {Larry K.} and Wendy Hadley and Dattadeen, {Jodi Ann} and Geri Donenberg and Ralph DiClemente and Brown, {Larry K.} and Wendy Hadley and Celia Lescano and Nancy Beausoleil and David Pugatch and Ron Seifer and Katelyn Affleck and Catherine Barber and Renee Johnson and Harrison Kell and Erika Litvin and Jonathon Thompson and Ralph DiClemente and Richard Crosby and Delia Lang and Angela Caliendo and Cara Averhart and Wayne Baudy and Emily Higgins and Ana Massey and Geri Donenberg and Chinmayee Barve and Gloria Coleman and Emily Hasselquist and Chisina Kapungu and Charu Thakral and Cami McBride",

note = "Funding Information: This research was supported by grants from the National Institute of Mental Health ( R01 MH63008 and T32 MH078788 ) to Rhode Island Hospital (P.I. Larry K. Brown, M.D.) and the Lifespan/Tufts/Brown Center for AIDS Research. Publisher Copyright: {\textcopyright} 2014 Elsevier Ltd.",

year = "2014",

month = nov,

day = "1",

doi = "10.1016/j.childyouth.2014.07.023",

language = "English (US)",

volume = "46",

pages = "177--185",

journal = "Children and Youth Services Review",

issn = "0190-7409",

publisher = "Elsevier Limited",

}

TY - JOUR

T1 - Internalizing symptoms and safe sex intentions among adolescents in mental health treatment

T2 - Personal factors as mediators

AU - The Project STYLE Study Group

AU - Joppa, Meredith C.

AU - Rizzo, Christie J.

AU - Brown, Larry K.

AU - Hadley, Wendy

AU - Dattadeen, Jodi Ann

AU - Donenberg, Geri

AU - DiClemente, Ralph

AU - Brown, Larry K.

AU - Hadley, Wendy

AU - Lescano, Celia

AU - Beausoleil, Nancy

AU - Pugatch, David

AU - Seifer, Ron

AU - Affleck, Katelyn

AU - Barber, Catherine

AU - Johnson, Renee

AU - Kell, Harrison

AU - Litvin, Erika

AU - Thompson, Jonathon

AU - DiClemente, Ralph

AU - Crosby, Richard

AU - Lang, Delia

AU - Caliendo, Angela

AU - Averhart, Cara

AU - Baudy, Wayne

AU - Higgins, Emily

AU - Massey, Ana

AU - Donenberg, Geri

AU - Barve, Chinmayee

AU - Coleman, Gloria

AU - Hasselquist, Emily

AU - Kapungu, Chisina

AU - Thakral, Charu

AU - McBride, Cami

N1 - Funding Information: This research was supported by grants from the National Institute of Mental Health ( R01 MH63008 and T32 MH078788 ) to Rhode Island Hospital (P.I. Larry K. Brown, M.D.) and the Lifespan/Tufts/Brown Center for AIDS Research. Publisher Copyright: © 2014 Elsevier Ltd.

PY - 2014/11/1

Y1 - 2014/11/1

N2 - Little is known about why some adolescents with internalizing symptoms engage in sexual behaviors that increase their risk for HIV. This study tested a mediation model of internalizing symptoms and safe sex intentions among adolescents receiving mental health treatment. Self-efficacy for HIV prevention, HIV knowledge, and worry about HIV were hypothesized to mediate associations between internalizing symptoms and safe sex intentions among sexually active and non-active adolescents receiving mental health treatment (N. =. 893, M age. =. 14.9). Significant indirect effects from internalizing symptoms to safe sex intentions varied according to sexual experience: for sexually non-active adolescents, HIV worry and knowledge mediated this link, whereas for sexually active adolescents, HIV self-efficacy was the significant mediator. Increasing both HIV knowledge and self-efficacy for HIV prevention are important targets for HIV prevention with adolescents with internalizing symptoms, and careful attention should be paid towards targeting these interventions to sexually experienced and inexperienced youth.

AB - Little is known about why some adolescents with internalizing symptoms engage in sexual behaviors that increase their risk for HIV. This study tested a mediation model of internalizing symptoms and safe sex intentions among adolescents receiving mental health treatment. Self-efficacy for HIV prevention, HIV knowledge, and worry about HIV were hypothesized to mediate associations between internalizing symptoms and safe sex intentions among sexually active and non-active adolescents receiving mental health treatment (N. =. 893, M age. =. 14.9). Significant indirect effects from internalizing symptoms to safe sex intentions varied according to sexual experience: for sexually non-active adolescents, HIV worry and knowledge mediated this link, whereas for sexually active adolescents, HIV self-efficacy was the significant mediator. Increasing both HIV knowledge and self-efficacy for HIV prevention are important targets for HIV prevention with adolescents with internalizing symptoms, and careful attention should be paid towards targeting these interventions to sexually experienced and inexperienced youth.

KW - Adolescents

KW - HIV prevention

KW - Internalizing symptoms

KW - Sexual risk

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UR - http://www.scopus.com/inward/citedby.url?scp=84907535129&partnerID=8YFLogxK

U2 - 10.1016/j.childyouth.2014.07.023

DO - 10.1016/j.childyouth.2014.07.023

M3 - Article

AN - SCOPUS:84907535129

VL - 46

SP - 177

EP - 185

JO - Children and Youth Services Review

JF - Children and Youth Services Review

SN - 0190-7409

ER -

Internalizing symptoms and safe sex intentions among adolescents in mental health treatment: Personal factors as mediators

Abstract

Keywords

ASJC Scopus subject areas

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