Depressive Symptoms as a Predictor of Sexual Risk Among African-American Adolescents and Young Adults

The authors conducted the current study to understand the prospective relationship between depressive symptoms and sexual risk behavior among a community sample of African-American adolescents.

Four-hundred fifteen African-American adolescents who participated in a larger multi-site HIV prevention program provided baseline data on demographics, psychosocial context and depressive symptoms. At six-month follow-up, investigators collected data regarding sexual activity in the past 90 days. The researchers conducted multivariate logistic regression to determine the prospective relationship between depressive symptoms and proportion of condom use while controlling for relevant demographic and contextual factors.

The investigators found that the odds that African-American adolescents who reported depressive symptoms at baseline would report inconsistent condom use at six-month follow-up was approximately four times greater than that of their peers who did not report depressive symptoms. Older adolescents and females were less likely to use condoms consistently and certain contextual factors -- such as less pleasurable expectations about condom use and living with a partner -- also heightened HIV/STI risk.

"Clinicians should assess for depression symptoms in African-American adolescent patients as an indicator of future sexual risk," the authors concluded, "Prevention interventions that address depressed mood could have a significant impact on later HIV/STI sexual risk behaviors. Further research is needed to understand the effect of depressive symptoms on sexual risk among adolescents of other race/ethnicities and to examine the potential cultural forces that affect this relationship."

Back to other news for September 27, 2006