Tolou-Shams Marina, Brown Larry K, Houck Christopher, Lescano Celia M
Bradley Hasbro Children's Research Center/The Warren Alpert Medical School of Brown University, One Hoppin Street, Coro West, Suite 204, Providence, Rhode Island 02903, USA.
J Stud Alcohol Drugs. 2008 Jan;69(1):58-64. doi: 10.15288/jsad.2008.69.58.
Juvenile justice youth are at increased risk for contracting human immunodeficiency virus (HIV)/sexually transmitted infections because of higher rates of substance use and sexual risk-taking behaviors. However, little is known about the relationship between depressive symptoms, substance use, and HIV risk among youth who traditionally present with behavioral symptoms.
Adolescents and young adults (N = 835) who participated in a larger multisite HIV prevention program in three states provided baseline data on depressive symptoms, substance use, sexual risk, risk attitudes, and mental health history. Participants were grouped as arrestees and nonarrestees based on self-reported arrest history. This study examined differences between juvenile arrestees with depressive symptoms (n = 27) and those without depressive symptoms (n = 181) on various substance-use, sexual-risk, and mental health outcomes.
Arrestees who endorsed a clinically significant level of depressive symptoms reported significantly greater drug and alcohol use, greater substance use during sex, a lower proportion of condom use, and more psychiatric hospitalizations than arrestees without depressive symptoms.
Greater depressive symptomatology among juvenile arrestees is associated with increased risk for substance use and HIV; however, these findings need to be replicated with a larger, more representative sample of juveniles with depressive symptoms. Understanding more about the association of depressive symptoms with drug behaviors and sexual risk among juvenile offenders, even at time of first arrest, is essential for creating successful substance use and HIV prevention interventions within the juvenile justice system.
由于药物使用和性冒险行为发生率较高，青少年司法系统中的青少年感染人类免疫缺陷病毒（HIV）/性传播感染的风险增加。然而，对于那些传统上表现出行为症状的青少年，抑郁症状、药物使用与HIV风险之间的关系却知之甚少。
参与三个州一项更大规模多地点HIV预防项目的青少年和青年成年人（N = 835）提供了关于抑郁症状、药物使用、性风险、风险态度和心理健康史的基线数据。根据自我报告的被捕史，将参与者分为被捕者和未被捕者两组。本研究考察了有抑郁症状的青少年被捕者（n = 27）和无抑郁症状的青少年被捕者（n = 181）在各种药物使用、性风险和心理健康结果方面的差异。
认可临床显著水平抑郁症状的被捕者报告的药物和酒精使用量显著更高，性行为期间的药物使用更多，避孕套使用率更低，精神科住院次数比无抑郁症状的被捕者更多。
青少年被捕者中更严重的抑郁症状与药物使用和HIV风险增加有关；然而，这些发现需要在更大、更具代表性的有抑郁症状青少年样本中进行重复验证。对于理解青少年罪犯中抑郁症状与药物行为和性风险之间的关联，即使是在首次被捕时，对于在青少年司法系统内制定成功的药物使用和HIV预防干预措施至关重要。
