TY - JOUR
T1 - Internalizing symptoms and safe sex intentions among adolescents in mental health treatment
T2 - Personal factors as mediators
AU - The Project STYLE Study Group
AU - Joppa, Meredith C.
AU - Rizzo, Christie J.
AU - Brown, Larry K.
AU - Hadley, Wendy
AU - Dattadeen, Jodi Ann
AU - Donenberg, Geri
AU - DiClemente, Ralph
AU - Brown, Larry K.
AU - Hadley, Wendy
AU - Lescano, Celia
AU - Beausoleil, Nancy
AU - Pugatch, David
AU - Seifer, Ron
AU - Affleck, Katelyn
AU - Barber, Catherine
AU - Johnson, Renee
AU - Kell, Harrison
AU - Litvin, Erika
AU - Thompson, Jonathon
AU - DiClemente, Ralph
AU - Crosby, Richard
AU - Lang, Delia
AU - Caliendo, Angela
AU - Averhart, Cara
AU - Baudy, Wayne
AU - Higgins, Emily
AU - Massey, Ana
AU - Donenberg, Geri
AU - Barve, Chinmayee
AU - Coleman, Gloria
AU - Hasselquist, Emily
AU - Kapungu, Chisina
AU - Thakral, Charu
AU - McBride, Cami
PY - 2014/11/1
Y1 - 2014/11/1
N2 - 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.
AB - 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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U2 - 10.1016/j.childyouth.2014.07.023
DO - 10.1016/j.childyouth.2014.07.023
M3 - Article
SN - 0190-7409
VL - 46
SP - 177
EP - 185
JO - Children and Youth Services Review
JF - Children and Youth Services Review
ER -