Brawner Bridgette M, Jemmott Loretta Sweet, Wingood Gina, Reason Janaiya, Daly Bridget, Brooks Kiahana, Lanier Yzette
Department of Family and Community Health, University of Pennsylvania School of Nursing, 418 Curie Blvd., 4th Floor, Room 419, Philadelphia, PA 19104-4217.
Health and Health Equity, Drexel University, Philadelphia, PA.
J Child Fam Stud. 2017 Feb 20;26(6):1635-1645. doi: 10.1007/s10826-017-0674-z.
Human immunodeficiency virus (HIV)/sexually transmitted infection (STI) prevention models may not address psychological complexities among adolescents with mental illnesses. This study examined contextual factors related to HIV/STI risk among heterosexually active Black adolescents with mental illnesses to inform the development of targeted HIV/STI prevention strategies. Black adolescent males and females (aged 14-17) were recruited from outpatient mental health programs in Philadelphia, PA to complete a computer-assisted personalized interview on sociodemographics, sexual behaviors, and emotion regulation ( = 53). Two sample t-tests, Wilcoxon Rank Sum tests and regression modeling were used to examine differences in the study measures by gender and relationship status. Reports of sexual partner concurrency were high-both while already in a sexual relationship (67.3%) and multiple sexual partners in the same day (42.3%). Boys reported significantly more risk behaviors than girls. Sadness dysregulation predicted currently being in a relationship, older age at first oral sex, fewer vaginal sexual partners and fewer unprotected oral sexual encounters. Coping difficulties predicted a greater number of vaginal and oral sexual partners, and a lower age at first vaginal sex. Increasing depression severity was related to older age at first vaginal sex, fewer vaginal sexual partners and fewer unprotected oral sexual encounters in the past 3 months. This formative work suggests that coping mechanisms should be addressed in HIV/STI prevention research through the inclusion of activities targeted toward emotion regulation and decreasing sexual risk behaviors. Psycho-education and skills building may mitigate the psychopathology that contributes to HIV/STI risk in the target demographic.
人类免疫缺陷病毒（HIV）/性传播感染（STI）预防模式可能无法解决患有精神疾病的青少年的心理复杂性问题。本研究调查了患有精神疾病的异性恋活跃黑人青少年中与HIV/STI风险相关的背景因素，以为制定有针对性的HIV/STI预防策略提供信息。从宾夕法尼亚州费城的门诊心理健康项目中招募了14至17岁的黑人青少年男性和女性，以完成一项关于社会人口统计学、性行为和情绪调节的计算机辅助个性化访谈（n = 53）。使用两样本t检验、Wilcoxon秩和检验和回归模型来检验研究指标在性别和恋爱状况方面的差异。性伴侣同时存在的报告率很高——无论是在恋爱关系中（67.3%）还是在同一天有多个性伴侣（42.3%）。男孩报告的风险行为明显多于女孩。悲伤调节障碍预示着目前处于恋爱关系、首次口交年龄较大、阴道性伴侣较少以及无保护口交接触较少。应对困难预示着阴道和口交性伴侣数量较多，以及首次阴道性交年龄较低。抑郁严重程度增加与首次阴道性交年龄较大、阴道性伴侣较少以及过去3个月无保护口交接触较少有关。这项形成性研究表明，在HIV/STI预防研究中应通过纳入针对情绪调节和减少性风险行为的活动来解决应对机制问题。心理教育和技能培养可能会减轻导致目标人群中HIV/STI风险的精神病理学问题。
