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Depressive Symptoms as a Longitudinal Predictor of Sexual Risk Behaviors Among US Middle and High School Students
- Source :
- Pediatrics. 118:189-200
- Publication Year :
- 2006
- Publisher :
- American Academy of Pediatrics (AAP), 2006.
-
Abstract
- OBJECTIVE. The purpose of this study was to examine whether depressive symptoms are predictive of subsequent sexual risk behavior in a national probability sample of US middle and high school students.METHODS. Sexually active, unmarried, middle and high school students (n = 4152) participated in home interviews in waves I and II of the National Longitudinal Study of Adolescent Health, at an ∼1-year interval. Associations between baseline depressive symptoms and sexual risk behaviors over the course of the following year were examined separately for boys and girls, adjusting for demographic variables, religiosity, same-sex attraction/behavior, sexual intercourse before age 10, and baseline sexual risk behavior.RESULTS. In adjusted models, boys and girls with high depressive symptom levels at baseline were significantly more likely than those with low symptom levels to report ≥1 of the examined sexual risk behaviors over the course of the 1-year follow-up period. For boys, high depressive symptom levels were specifically predictive of condom nonuse at last sex, birth control nonuse at last sex, and substance use at last sex; these results were similar to those of parallel analyses with a continuous depression measure. For girls, moderate depressive symptoms were associated with substance use at last sex, and no significant associations were found between high depressive symptom levels and individual sexual risk behaviors. Parallel analyses with the continuous depression measure found significant associations for condom nonuse at last sex, birth control nonuse at last sex, ≥3 sexual partners, and any sexual risk behavior.CONCLUSION. In this study, depressive symptoms predicted sexual risk behavior in a national sample of male and female middle and high school students over a 1-year period.
- Subjects :
- Male
Longitudinal study
medicine.medical_specialty
Adolescent
Alcohol Drinking
Substance-Related Disorders
Sexual Behavior
media_common.quotation_subject
Sensitivity and Specificity
law.invention
Birth control
Religiosity
Risk-Taking
Unsafe Sex
Condom
law
Humans
Medicine
Psychiatry
Poverty
Depression (differential diagnoses)
media_common
Depression
business.industry
United States
Sexual intercourse
Logistic Models
Multivariate Analysis
Pediatrics, Perinatology and Child Health
Female
business
Adolescent health
Clinical psychology
Subjects
Details
- ISSN :
- 10984275 and 00314005
- Volume :
- 118
- Database :
- OpenAIRE
- Journal :
- Pediatrics
- Accession number :
- edsair.doi.dedup.....df8fa897969878f1f8549cf957907990