Sexual and Drug Use Behavior in Perinatally HIV− Infected Youth: mental state and Family Influences
Drs. Mellins, Elkington, Brackis-Cott, and Dolezal are with the HIV Center for Clinical and behavioral Studies, university and ny State medical specialty Institute. Dr. Bauermeister is with the Department of Health Behavior and Health Education,
University of Michigan. Dr. McKay is with the mount sinai college of drugs. Dr. Wiznia is with the Jacobi middle, albert einstein faculty of drugs. Dr. Bamji is with the ny Medical faculty, and Dr. Abrams is with the city district Hospital and university
Abstract
Objective
As perinatally human immunodeficiency virus (HIV)− infected (PHIV+) youths enter adolescence, they are at high risk for poor behavioral and health outcomes. This study examines relations between youth mental state issues and sexual and substance use risk behavior, the impact of caregiver mental state and family functioning on youth mental state and risk behavior outcomes, and the role of youth HIV status in this method.
Method
Participants were recruited from four medical centers. Individual interviews were administered to 193 PHIV+ and 127 perinatally HIV exposed however uninfected (PHIV−) 9- to 16-year-old boys and girls and their primary caregivers. Participants were primarily African yank and Latino. The interview assessed kid sexual and drug risk behavior, kid and caregiver mental state, and family functioning.
Results
Exploratory latent-variable structural equation modeling discovered no variations in rates of sexual risk behavior or substance use between PHIV+ and PHIV− youths. However, adolescent mental state was considerably related to sexual risk behavior and substance use. Caregiver mental state was related to youth mental state and indirectly with sexual risk behavior and drug use through its impact on youth mental state. Family functioning didn't considerably predict youth outcomes.
Conclusions
Over and above other key environmental factors and family functioning, youth and caregiver mental state issues are associated with sex and drug use risk behaviors in PHIV+ and PHIV− youths. Given high rates of youth and caregiver mental state issues in this population, family-based mental state interventions is also a key component of HIV prevention programs for perinatally HIV− exposed youth. If you want to learn more Go now
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