Auslander Wendy F, Thompson Ronald G, Gerke Donald R
Brown School of Social Work, Washington University, St. Louis, Missouri.
Department of Psychiatry, Columbia University, New York.
J HIV AIDS Soc Serv. 2014 Jan 1;13(2):179-197. doi: 10.1080/15381501.2013.859112.
Adolescents in foster care experience mental health and substance use problems that place them at risk for HIV, yet the exact nature of the relationship remains unclear. This study examined the co-occurring influences of mental health problems and substance use on HIV risk and determined whether substance use moderated the effect of mental health problems on HIV risk behaviors among adolescents in foster care. Regression analyses of cross-sectional data collected through structured interviews with 334 adolescents, aged 15-18 years, determined which mental health problems and substances increased HIV risk behaviors. Adolescents with delinquency and anxiety/depression engaged in significantly more HIV risk behaviors than their counterparts, controlling for race, gender, and type of childhood abuse. Further, any marijuana use significantly moderated the effects of delinquent behaviors on HIV risk, differentially increasing HIV risk among those who engaged in delinquent behaviors.
寄养青少年存在心理健康和药物使用问题，这些问题使他们面临感染艾滋病毒的风险，但两者关系的确切性质仍不清楚。本研究考察了心理健康问题和药物使用对艾滋病毒风险的共同影响，并确定药物使用是否调节了心理健康问题对寄养青少年艾滋病毒风险行为的影响。通过对334名15 - 18岁青少年进行结构化访谈收集的横断面数据进行回归分析，确定了哪些心理健康问题和药物会增加艾滋病毒风险行为。在控制了种族、性别和童年虐待类型后，有犯罪行为和焦虑/抑郁的青少年比其他青少年有明显更多的艾滋病毒风险行为。此外，任何大麻使用都显著调节了犯罪行为对艾滋病毒风险的影响，在有犯罪行为的人群中差异增加了艾滋病毒风险。
