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

doi:10.1016/j.childyouth.2014.07.023

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

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

8 Scopus citations

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
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

Bibliographical note

Publisher Copyright:
© 2014 Elsevier Ltd.

Funding

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.

Funders	Funder number
Lifespan/Tufts/Brown Center for AIDS Research
National Institute of Mental Health	R01 MH63008, T32 MH078788
National Institute of Mental Health
Rhode Island Hospital

Keywords

Adolescents
HIV prevention
Internalizing symptoms
Sexual risk

ASJC Scopus subject areas

Education
Developmental and Educational Psychology
Sociology and Political Science

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.childyouth.2014.07.023

Cite this

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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 = "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 Chinmayee Barve and Gloria Coleman and Emily Hasselquist and Chisina Kapungu and Charu Thakral and Cami McBride",

note = "Publisher Copyright: {\textcopyright} 2014 Elsevier Ltd.",

year = "2014",

month = nov,

day = "1",

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

language = "English",

volume = "46",

pages = "177--185",

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TY - JOUR

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

T2 - Personal factors as mediators

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 - Barve, Chinmayee

AU - Coleman, Gloria

AU - Hasselquist, Emily

AU - Kapungu, Chisina

AU - Thakral, Charu

AU - McBride, Cami

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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ER -

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

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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