Internalizing symptoms and safe sex intentions among adolescents in mental health treatment: Personal factors as mediators |
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| Affiliation: | 1. Rhode Island Hospital, Providence, RI;2. Emory University, Atlanta, GA;3. University of Illinois at Chicago, Chicago, IL;4. Rosalind Franklin University of Medicine and Science, Chicago, IL;1. Department of Psychology, Rowan University, 201 Mullica Hill Road, Glassboro, NJ 08028, United States;2. Bradley Hasbro Children''s Research Center/Rhode Island Hospital, and The Warren Alpert Medical School of Brown University, One Hoppin Street, Suite 204, Providence, RI 02903, United States;3. Department of Psychiatry, University of Illinois at Chicago, Institute for Juvenile Research, Chicago, IL, United States;4. Rollins School of Public Health, Emory University, Atlanta, GA, United States;1. Rhode Island Hospital, Providence, RI;2. Emory University, Atlanta, GA;3. University of Illinois at Chicago, Chicago, IL;4. Rosalind Franklin University of Medicine and Science, Chicago, IL;1. Department of Psychology, Rowan University, 201 Mullica Hill Road, Glassboro, NJ 08028, United States;2. Bradley Hasbro Children''s Research Center/Rhode Island Hospital, and The Warren Alpert Medical School of Brown University, One Hoppin Street, Suite 204, Providence, RI 02903, United States;3. Department of Psychiatry, University of Illinois at Chicago, Institute for Juvenile Research, Chicago, IL, United States;4. Rollins School of Public Health, Emory University, Atlanta, GA, United States;1. Department of Genetics, Albert Einstein College of Medicine, Bronx, NY, USA;2. Division of Pediatric Nephrology, University of Texas Health Science Center, Houston, TX, USA;3. Montefiore–Einstein Center for Transplantation, Montefiore Medical Center, The University Hospital for Albert Einstein College of Medicine, Bronx, NY, USA;4. Division of Nephrology, Albert Einstein College of Medicine, Bronx, NY, USA;5. Department of Pathology, Albert Einstein College of Medicine, Bronx, NY, USA;6. Department of Mathematical Sciences, Yeshiva University, New York, NY, USA |
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| 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. |
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