ArticleAmerican journal of public health2015
Association of Depressive Symptoms and Substance Use With Risky Sexual Behavior and Sexually Transmitted Infections Among African American Female Adolescents Seeking Sexual Health Care.
Article in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
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Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review on Sexual Health and Drug Use Prevention Interventions for Black Girls.International journal of environmental research and public health · 2022Pooled it
- Effects of the "Circle of Life" HIV-prevention program on marijuana use among American Indian middle school youths: a group randomized trial in a Northern Plains tribe.The American journal of drug and alcohol abuse · 2018Trial
- Syndemics of complex risk factors in adolescents: findings from the youth risk behavior survey, 2021.Npj mental health research · 2026Article
- Association of Stress from Racism and High Depressive Symptomatology among a Community Sample of Young African American Women.Journal of racial and ethnic health disparities · 2025Article
- Depressive symptoms among women of reproductive age with and without HIV in the Southern United States.AIDS (London, England) · 2025Observational
- Constellations of Depressive Symptoms, Substance Use, and Risky Sexual Behavior Among Higher Education Students: A Moderated Mediation Analysis of Mask-Wearing Practice During COVID-19.Journal of prevention (2022) · 2025Article
- Suicidal behaviour, depression and generalized anxiety and associated factors among female and male adolescents in Mozambique in 2022-23.Child and adolescent psychiatry and mental health · 2024Article
- Correlates of Unmet Need for Modern Contraception Among Reproductive-Aged Women Involved in New York City Criminal Legal Systems.Women's health reports (New Rochelle, N.Y.) · 2024Article
- Cumulative Health Vulnerabilities Among Adolescents by Age and Neighborhood Opportunity.Pediatrics · 2023Article
- Adapting a Counseling-Plus-mHealth Intervention for the Virtual Environment to Reduce Sexual and Reproductive Health Risk Among Young Women with Depression.Prevention science : the official journal of the Society for Prevention Research · 2023Article
- Retrospective review of rates of sexually transmitted and blood-borne infection (STBBI) testing in provincial corrections facilities in Newfoundland and Labrador.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2023Article
- Sexual Health and Drug Use Prevention for Black Girls (The Dreamer Girls Project): Protocol for an Intervention Development.JMIR research protocols · 2023Article
- Predicting Risky Sexual Behavior Among College Students Through Machine Learning Approaches: Cross-sectional Analysis of Individual Data From 1264 Universities in 31 Provinces in China.JMIR public health and surveillance · 2023Article
- The protective role of secure attachment in the relationship between experiences of childhood abuse, emotion dysregulation and coping, and behavioral and mental health problems among emerging adult Black women: A moderated mediation analysis.Journal of psychopathology and clinical science · 2022Article
- The Peak of Pleasure: US Southern Black Women's Definitions of and Feelings Toward Sexual Pleasure.Sexuality & culture · 2022Article
- Emotional Violence is Associated with Increased HIV Risk Behavior Among South African Adolescent Girls and Young Women in the HPTN 068 Cohort.AIDS and behavior · 2022Article
- Feeling Invisible and Unheard: A Qualitative Exploration of Gendered-Racist Stereotypes Influence on Sexual Decision Making and Mistreatment of Black Teen Girls.Youth & society · 2022Article
- Ethnic Identity, Empowerment, Social Support and Sexual Risk Behaviors Among Black Adolescent Girls: Examining Drug Use as a Mediator.Child & adolescent social work journal : C & A · 2022Article
- Understanding Neighborhoods' Impact on Youth Substance Use and Mental Health Outcomes in Paterson, New Jersey: Protocol for a Community-Based Participatory Research Study.JMIR research protocols · 2021Article
- Social self-efficacy and sexual communication among adolescents in the United States: a cross-sectional study.Sexual health · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesWe examined how depression and substance use interacted to predict risky sexual behavior and sexually transmitted infections (STIs) among African American female adolescents.
methodsWe measured depressive symptoms, substance use, sexual behavior, and STIs in 701 African American female adolescents, aged 14 to 20 years, at baseline and at 6-month intervals for 36 months in Atlanta, Georgia (2005-2007). We used generalized estimating equation models to examine effects over the 36-month follow-up period.
resultsAt baseline, more than 40% of adolescents reported significant depressive symptoms; 64% also reported substance use in the 90 days before assessment. Depression was associated with recently incarcerated partner involvement, sexual sensation seeking, unprotected sex, and prevalent STIs (all P < .001). In addition, adolescents with depressive symptoms who reported any substance use (i.e., marijuana, alcohol, Ecstasy) were more likely to report incarcerated partner involvement, sexual sensation seeking, unprotected sex, and have an incident STI over the 36-month follow-up (all P < .05).
conclusionsAfrican American female adolescents who reported depressive symptoms and substance use were more likely to engage in risky behavior and acquire incident STIs. This population might benefit from future prevention efforts targeting the intersection of depression and substance use.
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