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Depression, sexually transmitted infection, and sexual risk behavior among young adults in the United States.

Publication ,  Journal Article
Khan, MR; Kaufman, JS; Pence, BW; Gaynes, BN; Adimora, AA; Weir, SS; Miller, WC
Published in: Arch Pediatr Adolesc Med
July 2009

OBJECTIVE: To measure associations among depression, sexual risk behaviors, and sexually transmitted infection (STI) among white and black youth in the United States. DESIGN: Analysis of prospective cohort study data. Wave I of the National Longitudinal Study of Adolescent Health occurred in 1995 when participants were in grades 7 through 12. Six years later, all Wave I participants who could be located were invited to participate in Wave III and to provide a urine specimen for STI testing. SETTING: In-home interviews in the continental United States, Alaska, and Hawaii. PARTICIPANTS: Population-based sample. A total of 10 783 Wave I (adolescence) and Wave III (adulthood) white and black respondents with sample weight variables. Main Exposures Chronic depression (detected at Waves I and III) and recent depression (detected at Wave III only) vs no adult depression (not detected at Wave III). OUTCOME MEASURES: Multiple sexual partners and inconsistent condom use in the past year and a current positive test result for Chlamydia trachomatis, Neisseria gonorrhoeae, or Trichomonas vaginalis (adulthood). RESULTS: Recent or chronic depression in adulthood was more common for blacks (women, 19.3%; men, 11.9%) than for whites (women, 13.0%; men, 8.1%). Among all groups (white men and women, and black men and women), adult depression was associated with multiple partners but not with condom use. Among black men, depression was strongly associated with STI (recent: adjusted prevalence ratio, 2.36; 95% confidence interval, 1.26-4.43; chronic: adjusted prevalence ratio, 3.05; 95% confidence interval, 1.48-6.28); having multiple partners did not mediate associations between depression and STI. CONCLUSIONS: Integration of mental health and STI programs for youth is warranted. Further research is needed to elucidate how depression may influence the prevalence of STI among black men.

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Published In

Arch Pediatr Adolesc Med

DOI

EISSN

1538-3628

Publication Date

July 2009

Volume

163

Issue

7

Start / End Page

644 / 652

Location

United States

Related Subject Headings

  • Young Adult
  • White People
  • United States
  • Substance-Related Disorders
  • Socioeconomic Factors
  • Sexually Transmitted Diseases
  • Sexual Partners
  • Sexual Behavior
  • Sex Factors
  • Risk-Taking
 

Citation

APA
Chicago
ICMJE
MLA
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Khan, M. R., Kaufman, J. S., Pence, B. W., Gaynes, B. N., Adimora, A. A., Weir, S. S., & Miller, W. C. (2009). Depression, sexually transmitted infection, and sexual risk behavior among young adults in the United States. Arch Pediatr Adolesc Med, 163(7), 644–652. https://doi.org/10.1001/archpediatrics.2009.95
Khan, Maria R., Jay S. Kaufman, Brian Wells Pence, Bradley N. Gaynes, Adaora A. Adimora, Sharon S. Weir, and William C. Miller. “Depression, sexually transmitted infection, and sexual risk behavior among young adults in the United States.Arch Pediatr Adolesc Med 163, no. 7 (July 2009): 644–52. https://doi.org/10.1001/archpediatrics.2009.95.
Khan MR, Kaufman JS, Pence BW, Gaynes BN, Adimora AA, Weir SS, et al. Depression, sexually transmitted infection, and sexual risk behavior among young adults in the United States. Arch Pediatr Adolesc Med. 2009 Jul;163(7):644–52.
Khan, Maria R., et al. “Depression, sexually transmitted infection, and sexual risk behavior among young adults in the United States.Arch Pediatr Adolesc Med, vol. 163, no. 7, July 2009, pp. 644–52. Pubmed, doi:10.1001/archpediatrics.2009.95.
Khan MR, Kaufman JS, Pence BW, Gaynes BN, Adimora AA, Weir SS, Miller WC. Depression, sexually transmitted infection, and sexual risk behavior among young adults in the United States. Arch Pediatr Adolesc Med. 2009 Jul;163(7):644–652.

Published In

Arch Pediatr Adolesc Med

DOI

EISSN

1538-3628

Publication Date

July 2009

Volume

163

Issue

7

Start / End Page

644 / 652

Location

United States

Related Subject Headings

  • Young Adult
  • White People
  • United States
  • Substance-Related Disorders
  • Socioeconomic Factors
  • Sexually Transmitted Diseases
  • Sexual Partners
  • Sexual Behavior
  • Sex Factors
  • Risk-Taking