Patterns of sexual risk behaviors and psychiatric disorders in a community sample of young adults

Journal of Behavioral Medicine

Volumn 26, Issue 5, 2003, Pages 473-500

  Tubman, Jonathan G ^a   Gil, Andrés G ^a   Wagner, Eric F ^a   Artigues, Henry ^a  

^a FLORIDA INTERNATIONAL UNIVERSITY   (United States)

Author keywords

Community sample; HIV; Psychiatric diagnosis; Sexual risk behavior; Young adult

Indexed keywords

ADULT; ALCOHOL ABUSE; ALCOHOLISM; ARTICLE; CHILD BEHAVIOR; CLUSTER ANALYSIS; CONDUCT DISORDER; CONTROLLED STUDY; FEMALE; HIGH RISK POPULATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; MOOD DISORDER; PSYCHOPATHY; SELF REPORT; SEXUAL BEHAVIOR; SEXUALLY TRANSMITTED DISEASE;

ADULT; CLUSTER ANALYSIS; CROSS-SECTIONAL STUDIES; FEMALE; FLORIDA; HIV INFECTIONS; HUMANS; MALE; MENTAL DISORDERS; MULTIVARIATE ANALYSIS; PREVALENCE; RISK FACTORS; RISK-TAKING; SEXUAL BEHAVIOR; SEXUALLY TRANSMITTED DISEASES;

EID: 0141920561     PISSN: 01607715     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1025776102574     Document Type: Article

References (80)

1. Aldenderfer, M. S., and Blashfield, R. K. (1984). Cluster Analysis. Sage, Beverly Hills, CA. Sage University Paper series on Quantitative Applications in the Social Sciences, series no. 07-044.
2. Angold, A., Costello, E. J., and Erkanli, A. (1999). Comorbidity. J. Child Psychol. Psychiatry 40: 57-87.
3. Ary, D. V., Duncan, T. E., Biglan, A., Metzler, C. W., Noell, J. W., and Smolkowski, K. (1999). Development of adolescent problem behavior. J. Abnorm. Child Psychol. 27: 141-150.
4. Bailey, S. L., Pollock, N. K., Martin, C. S., and Lynch, K. G. (1999). Risky sexual behaviors among adolescents with alcohol use disorders. J. Adolesc. Health 25: 179-181.
5. Basen-Engquist, K., Edmundson, E. W., and Parcel, G. S. (1996). Structure of health risk behavior among high school students. J. Consult. Clin. Psychol. 64: 764-775.
6. Belcher, L., Kalichman, S., Topping, M., Smith, S., Emshoff, J., Norriss, E., and Nurss, J. (1998). A randomized trial of a brief HIV risk reduction counseling intervention for women. J. Consult. Clin. Psychol. 66: 531-541.
7. Bergman, L. R. (2000). The application of a person-oriented approach: Types and clusters. In Bergman, L. R., Cairns, R. B., Nilsson, L.-G., and Nystedt, L. (Eds.), Developmental Science and the Holistic Approach, Erlbaum, Mahwah, NJ, pp. 137-154.
8. Booth, R. E., and Zhang, Y. (1997). Conduct disorder and HIV risk behaviors among runaway and homeless adolescents. Drug Alcohol Depend. 48: 69-76.
9. Breslin, C., Li, S., Sdao-Jarvie, K., Tupker, E., and Ittig-Deland, V. (2002). Brief treatment for young substance abusers: A pilot study in an addiction treatment setting. Psychol. Addict. Behav. 16: 10-16.
10. Brown, L. K., Danovsky, M. B., Lorie, K. J., DiClemente, R. J., and Ponton, L. E. (1997a). Adolescents with psychiatric disorders and the risk of HIV. J. Am. Acad. Child Adolesc. Psychiatry 36: 1609-1617.
11. Brown, L. K., and Lourie, K. J. (2001). Motivational interviewing and the prevention of HIV among adolescents. In Monti, P. M., Colby, S. M., and O'Leary, T. A. (Eds.), Adolescents, Alcohol, and Substance Abuse: Reaching Teens Through Brief Interventions, Guilford, Press, NY, pp. 244-274.
12. Brown, L. K., Reynolds, L. A., and Lourie, K. J. (1997b). A pilot HIV prevention program for adolescents in a psychiatric hospital. Psychiatr. Serv. 48: 531-533.
13. Capaldi, D. M., Stoolmiller, M., Clark, S., and Owen, L. D. (2002). Heterosexual risk behaviors in at-risk young men from early adolescence to young adulthood: Prevalence, prediction, and association with STD contraction. Dev. Psychol. 38: 394-406.
14. Carey, M. P., Braaten, L. S., Maisto, S. A., Gleason, J. R., Forsyth, A. D., Durant, L. E., and Jaworski, B. C. (2000). Using information, motivational enhancement, and skills training to reduce the risk of HIV infection for low-income urban women: A second randomized clinical trial. Health Psychol. 19: 3-11.
15. Carey, M. P., and Lewis, B. P. (1999). Motivational strategies can enhance HIV risk reduction programs. AIDS Behav. 3: 269-276.
16. Caron, C., and Rutter, M. (1991). Comorbidity in child psychopathology: Concepts, issues and research strategies. J. Child Psychol. Psychiatry 32: 1063-1080.
17. Cates, W., Jr. (1999). Estimates of the incidence and prevalence of sexually transmitted diseases in the United States. Sex Transm. Dis. 26(Suppl.): S2-S7.
18. Centers for Disease Control and Prevention (CDC) (2000). Tracking the Hidden Epidemics: Trends in STDs in the United States 2000. Department of Health and Human Services,
19. Centers for Disease Control and Prevention, Atlanta, GA. Centers for Disease Control and Prevention (CDC) (2002). HIV/AIDS Surveillance Report Year-End 2001 Edn., Vol. 13, No. 2. Centers for Disease Control and Prevention, National
20. Center for HIV, STD, and TB Prevention, Divisions of HIV/AIDS Prevention, Atlanta, GA.
21. Chen, Y. W., Stiffman, A. R., Cheng, L. C., and Dore, P. (1997). Mental health, social environment, and sexual risk behaviors of adolescent service users: A gender comparison. J. Fam. Child Stud. 6: 9-25.
22. Chung, J. Y. (2001). Prevention of HIV infection in psychiatric patients. Psychiatr. Annals 31: 21-25.
23. Clark, D. B., and Bukstein, O. G. (1998). Psychopathology in adolescent alcohol abuse and dependence. Alcohol Health Res. World 22: 117-122.
24. Colby, S. M., Monti, P. M., Barrett, N. P., Rohsenow, D. J., Weissman, K., Spirito, A., Wollard, R. H., and Lewander, W. J. (1998). Brief motivational interviewing in a hospital setting for adolescent smoking: A preliminary study. J. Consult. Clin. Psychol. 66: 574-578.
25. Costa, F. M., Jessor, R., Donovan, J. E., and Fortenberry, J. D. (1995). Early initiation of sexual intercourse: The influence of psychosocial unconventionality. J. Res. Adolesc. 5: 93-121.
26. Deas-Nesmith, D., Brady, K. T., White, R., and Campbell, S. (1999). HIV-risk behaviors in adolescent substance abusers. J. Subst. Abuse Treat. 16: 169-172.
27. Diaz, R. M. (1998). Latino gay men and HIV, Routledge, New York.
28. DiClemente, R. J., and Cobb, B. (1999). Adolescent health promotion and disease prevention. In Raczynski, J. M., and DiClemente, R. J. (Eds.), Handbook of Health Promotion and Disease Prevention, Kluwer Academic/Plenum, New York, pp. 491-520.
29. DiClemente, R. J., and Ponton, L. E. (1993). HIV-related risk behaviors among psychiatrically hospitalized adolescents and school-based adolescents. Am. J. Psychiatry 150: 324-325.
30. Dudley, C., O'Sullivan, L. F., and Moreau, D. (2002). Does familiarity breed complacency? HIV knowledge, personal contact and sexual risk behavior of psychiatrically referred Latino adolescent girls. Hispanic J. Behav. Sci. 24: 353-368.
31. Duncan, S. C., Strycker, L. A., and Duncan, T. E. (1999). Exploring associations in developmental trends in adolescent substance use and risky sexual behavior in a high-risk population. J. Behav. Med. 22: 21-34.
32. Dunn, C., Deroo, L., and Rivera, E P. (2001). The use of brief interventions adapted from motivational interviewing: A systematic review. Addiction 96: 1725-1742.
33. Fergusson, D. M., Horwood, L. J., and Lynskey, M. T. (1994). The childhoods of multiple problem adolescents: A 15-year longitudinal study. J. Child Psychol. Psychiatry 35: 1123-1140.
34. Gil, A. G., Tubman, J. G., and Wagner, E. F. (2001). Substance abuse intervention with Latino adolescents: A cultural framework. In Wagner, E. F., and Waldron, H. B. (Eds.), Innovations in Adolescent Substance Abuse Interventions, Pergamon, New York, pp. 353-378.
35. Gil, A. G., Wagner, E. F., and Tubman, J. G. (in press). Culturally sensitive substance abuse intervention for Hispanic and African American adolescents: Empirical examples from the ATTAIN project. Addiction.
36. Graber, J. A., Brooks-Gunn, J., and Galen, B. R. (1998). Betwixt and between: Sexuality in the context of adolescent transitions. In Jessor, R. (Ed.), New Perspectives on Adolescent Risk Behavior, Cambridge University Press, New York, pp. 270-316.
37. Hines, A. M., and Caetano, R. (1998). Alcohol and AIDS-related sexual behavior among Hispanics: Acculturation and gender differences. AIDS Educ. Prev. 10: 533-547.
38. Janca, A., Robins, L., Cottler, L., and Early, T. (1992). Clinical observations of CIDI assessments: An analysis of the CIDI field trial - Wave II at the St. Louis site. Br. J. Psychol. 160: 815-818.
39. Kalichman, S. C. (1998). Preventing AIDS: A Sourcebook for Behavioral Interventions, Erlbaum, Mahwah, NJ.
40. Kalichman, S. C., Cherry, C., and Browne-Sperling, F. (1999). Effectiveness of a video-based motivational skills-building HIV risk-reduction intervention for inner-city African American men. J. Consult. Clin. Psychol. 67: 959-966.
41. Kessler, R. C., Berglund, P. A., Foster, C. L., Saunders, W. B., Stang, P. E., and Walters, E. E. (1997). Social consequences of psychiatric disorders, II: Teenage parenthood. Am. J. Psychiatry 154: 1405-1411.
42. Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., Wittchen, H. U., and Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Arch. Gen. Psychiatry 51: 8-19.
43. Kessler, R. C., Wittchen, H. U., Abelson, J. M., McGonagle, K., Schwarz, N., Kendler, K., Knauper, B., and Zhao, S. (1998). Methodological studies of the Composite International Diagnostic Interview (CIDI) in the US National Comorbidity Survey (NCS). Int. J. Methods Psychiatr. Res. 7: 33-55.
44. Kotchick, B. A., Schaffer, A., Forehand, R., and Miller, K. S. (2001). Adolescent sexual risk behavior: A multi-system perspective. Clin. Psychol. Rev. 21: 493-519.
45. Leigh, B. C. (1999). Peril, chance, adventure: Concepts of risk, alcohol use and risky behavior in young adults. Addiction 94: 371-383.
46. Lewinsohn, P. M., Rohde, P., and Seeley, J. R. (1995). Adolescent psychopathology: III. The clinical consequences of comorbidity. J. Am. Acad. Child Adolesc. Psychiatry 34: 510-519.
47. Loeber, R., Farrington, D. P., Stouthamer-Loeber, M., and Van Kammen, W. B. (1998). Antisocial Behavior and Mental Health Problems: Explanatory Factors in Childhood and Adolescence, Erlbaum, Mahwah, NJ.
48. Martin, C. S., Kaczynski, N. A., Maisto, S. A., and Bukstein, O. M. (1995). Patterns of DSM-IV alcohol abuse and dependence symptoms in adolescent drinkers. J. Stud. Alcohol 56: 672-680.
49. McKinnon, K., Cournos, F., and Herman, R. (2001). A lifetime alcohol or other drug use disorder and specific psychiatric symptoms predict sexual risk for HIV infection among people with severe mental illness. AIDS Behav. 5: 233-240.
50. McKinnon, K., Cournos, F., and Herman, R. (2002). HIV among people with chronic mental illness. Psychiatr. Q. 73: 17-31.
51. Mezzich, A. C., Tarter, R. E., Giancola, P. R., Lu, S., Kirisci, L., and Parks, S. (1997). Substance use and risky sexual behavior in female adolescents. Drug Alcohol Depend. 44: 157-166.
52. Newman, P. A., and Zimmerman, M. A. (2000). Gender differences in HIV-related sexual risk behavior among urban African American youth: A multivariate approach. AIDS Educ. Prev. 12: 308-325.
53. Palmer, S. (2000). Developing an individual therapeutic programme suitable for use by counselling psychologists in a multicultural society: A multimodal perspective. Counsell. Psychol. Rev. 15: 32-50.
54. Pinkerton, S. D., Holtgrave, D. R., Leviton, L. C., Wagstaff, D. A., Cecil, H., and Abramson, P. R. (1998). Toward a standard sexual behavior data set for HIV prevention evaluation. Am. J. Health Behav. 22: 259-266.
55. Ponton, L. E., DiClemente, R. J., and McKenna, S. (1991). An AIDS education and prevention program for hospitalized adolescents. J. Am. Acad. Child Adolesc. Psychiatry 30: 729-734.
56. Ramrakha, S., Caspi, A., Dickson, N., Moffitt, T. E., and Paul, C. (2000). Psychiatric disorders and risky sexual behaviour in young adulthood: Cross sectional study in a birth cohort. BMJ 321: 263-266.
57. Robins, L. N., Helzer, J. E., Croughan, J. L., and Ratcliff, R. S. (1981). National Institute of Menta Health Diagnostic Interview Schedule: Its history, characteristics, and validity. Arch. Gen. Psychiatry 38: 381-389.
58. Sealy, J. R. (1999). Dual and triple diagnoses: Addictions, mental illness and HIV infection guidelines for outpatient therapists. Sex Addict. Compulsivity 6: 195-219.
59. Spengler, P., and Wittchen, H.-U. (1989). Procedural validity of standardized symptoms questions for the assessment of psychotic symptoms: A comparison of the CIDI with two clinical methods. Compr. Psychiatry 29: 309-322.
60. Spitzer, R. L., Williams, J. B. W., Gibbon, M., and First, M. B. (1990). Structured Clinical Interview for DSM-III-R: Patient Edition (SCID-P, Version 1.0), American Psychiatric Press, Washington, DC.
61. SPSS Inc. (1999). SPSS for Windows, Release 10.0, SPSS Inc., Chicago.
62. St. Lawrence, J. S., Crosby, R. A., Brasfield, T. L., and O'Bannion, R. E. (1995). Reducing STD and HIV risk behavior of substance-dependent adolescents: A randomized controlled trial. J. Consult. Clin. Psychol. 70: 1010-1021.
63. St. Lawrence, J. S., Jefferson, K. W., Alleyne, E., and Brasfield, T. L. (1995). Comparison of education versus behavioral skills training interventions in lowering sexual HIV-risk behavior of substance-dependent adolescents. J. Consult. Clin. Psychol. 63: 154-157.
64. Sullivan, G., Koegel, P., Kanouse, D. E., Cournos, E., McKinnon, K., Young, A. S., and Bean, D. (1999). HIV and people with serious mental illness: The public sector's role in reducing HIV risk and improving care. Psychiatr. Serv. 50: 648-652.
65. Tapert, S. F., Aarons, G. A., Sedlar, G. R., and Brown, S. A. (2001). Adolescent substance use and sexual risk-taking behavior. J. Adolesc. Health 28: 181-189.
66. Tubman, J. G., Wagner, E. E., Gil, A. G., and Pate, K. N. (2002). Brief motivational intervention for substance-abusing delinquent adolescents: Guided self-change as a social work practice innovation. Health and Soc. Work 27: 208-212.
67. Tuhman, J. G., Wagner, E. F., and Langer L. M. (in press). Patterns of depressive symptoms, drinking motives, and sexual behavior among substance abusing adolescents: Implications for health risk. J. Child Adolesc. Subst. Abuse.
68. Tubman, J. G., Windle, M., and Windle, R. C. (1996). Cumulative sexual intercourse patterns among middle adolescents: Problem behavior precursors and concurrent health risk behaviors. J. Adolesc. Health 18: 182-191.
69. Turner, R. J., and Gil, A. G. (2002). Psychiatric and substance use disorders in South Florida: Racial/ethnic and gender contrasts in a young adult cohort. Arch. Gen. Psychiatry 59: 43-50.
70. Tursz, A. (1997). Problems in conceptualizing adolescent risk behaviors: International comparisons. J. Adolesc. Health 21: 116-127.
71. Valois, R. F., Kammermann, S. K., and Drane, J. W. (1997). Number of sexual intercourse partners and associated risk behaviors among public high school adolescents. J. Sex Educ. Ther. 22: 13-22.
72. Vega, W. A., and Gil, A. G. (1998). Drug Use and Ethnicity in Early Adolescence, Plenum, New York.
73. Vega, W. A., Kolody, B., Aguilar-Gaxiola, S., Alderete, E., Catalano, R., and Caraveo-Anduaga, J. (1998). Lifetime prevalence of DSM-III-R psychiatric disorders among urban and rural Mexican Americans in California. Arch. Gen. Psychiatry 55: 771-778.
74. Wacker, H., Battegay, R., and Schlosser, C. (1990). Using the CIDI-C in the general population. In Stefains, C. N., Rabavilas, A. D., and Soldatos, C. R. (Eds.), Psychiatry: A World Perspective, Elsevier, New York, pp. 138-143.
75. Wagner, E. F., Lloyd, D. A., and Gil, A. G. (2002). Racial/ethnic and gender differences in the incidence and onset age of DSM-IV alcohol use disorder symptoms among adolescents. J. Stud. Alcohol 63: 609-619.
76. West, A. D. (2001). HIV/AIDS education for Latina inmates: The delimiting impact of culture on prevention efforts. Prison J. 81: 20-41.
77. Whitmore, E. A., Mikulich, S. K., Ehlers, K. M., and Crowley, T. J. (2000). One-year outcome of adolescent females referred for conduct disorder and substance abuse/dependence. Drug Alcohol Depend. 59: 131-141.
78. Wittchen, H.-U., Robins, L. N., Cottler, L. B., Sartorious, N., Burke, J. D., and Regier, D. (1991). Cross-cultural feasibility, reliability, and sources of variance in the Composite International Diagnostic Interview (CIDI). Br. J. Psychiatr. 159: 645-653.
79. World Health Organization (WHO). (1990). Composite International Diagnostic Interview (CIDI), Version 1.0, World Health Organization, Geneva, Switzerland.
80. Zeitlin, H. (1999). Psychiatric comorbidity with substance misuse in children and teenagers. Drug Alcohol Depend. 55: 225-234.