Social support, self-esteem and depressionrelationship with risk for sexually transmitted infections/HIV transmission

  1. Ramiro Sánchez, María Teresa
  2. Teva Álvarez, Inmaculada
  3. Bermúdez Sánchez, María Paz
  4. Buela Casal, Gualberto
Revista:
International journal of clinical and health psychology

ISSN: 1697-2600

Año de publicación: 2013

Volumen: 13

Número: 3

Páginas: 181-188

Tipo: Artículo

DOI: 10.1016/S1697-2600(13)70022-X DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: International journal of clinical and health psychology

Resumen

Sexually transmitted infections (STIs) and HIV are important health problems that affect adolescents. The aim of the present study was to analyze the relationship between 1) depression, self-esteem and perceived social support and 2) sexual risk behaviors according to gender. The sample used in this ex post facto study was composed of 1,005 adolescents of both sexes aged between 14 and 18 years. Participants completed several questionnaires in the classrooms of their secondary education schools. The questionnaires assessed depression, self-esteem and perceived social support and recorded information on sexual behavior and socio-demographic issues. Results showed that, among males, self-esteem predicted higher vaginal risk, depression was related to higher vaginal, anal and oral sexual risk, and perceived support from the family predicted lower vaginal and anal sexual risk. Among females, self-esteem was found to be associated with lower anal sexual risk and perceived support from friends predicted lower anal and oral sexual risk. The study highlights the importance of considering family and friends as well as gender differences in the prevention of STIs/HIV.

Información de financiación

This study was conducted thanks to the scholarship granted from Spanish Ministry of Education, Culture, and Sport to first author (Scholarship University Teacher Training Reference: AP2008-03223).

Financiadores

    • AP2008-03223

Referencias bibliográficas

  • Adam, E. K., Chyu, L., Hoyt, L. T., Doane, L. D., Boisjoly, J., Duncan, G. J., Chase-Landsdale, P. L.,&McDade, T. W. (2011). Adverse adolescent relationship histories and young adult health: Cumulative effects of loneliness, low parental support, relationship instability, intimate partner violence and loss. Journal of Adolescent Health, 49, 278-286.
  • Bartlett, R., Buck, R.,&Shattell, M. M. (2008). Risk and protection for HIV/AIDS in African-American, Hispanic, and white adolescents. Journal of National Black Nurses'Association, 19, 19-25.
  • Beadnell, B., Morrison, D. M., Wildson, A., Wells, E. A., Murowchick, E., Hoppe, M., Gillmore, M. R.,&Nahom, D. (2005). Condom use, frequency of sex, and number of partners: Multidimensional characterization of adolescent sexual risk taking. The Journal of Sex Research, 42, 192-202.
  • Bermúdez, M. P., Castro, A., Madrid, J.,&Buela-Casal, G. (2010). Análisis de la conducta sexual de adolescentes autóctonos e inmigrantes latinoamericanos en España. International Journal of Clinical and Health Psychology, 10, 89-103.
  • Bermúdez, M. P., Teva, I., Ramiro, M. T., Uribe-Rodríguez, A. F., Sierra, J. C.,&Buela-Casal, G. (2012). Knowledge, misconceptions, self-efficacy and attitudes regarding HIV: Cross-cultural assessment and analysis in adolescents. International Journal of Clinical and Health Psychology, 12, 235-249.
  • Castro, A.,&Bermúdez, M. P. (2011). Native and immigrant adolescents in Spain: Adaptation and perceived discrimination as HIV-risk factors. International Journal of Clinical and Health Psychology, 11, 34-47.
  • Ciairano, S., Bonino, S., Kliewer, W., Miceli, R.,&Jackson, S. (2006). Dating, sexual activity and well-being in Italian adolescents. Journal of Clinical Child and Adolescent Psychology, 35, 275-282.
  • Dehne, K. L.,&Riedner, G. (2005). Sexually transmitted infections among adolescents. The need for adequate health services. Geneva: World Health Organization.
  • Deptula, D. P., Henry, D. B.,&Schoeny, M. E. (2010). How can parents make a difference? Longitudinal associations with adolescent sexual behaviour. Journal of Family Psychology, 24, 731-739.
  • DiClemente, R. J., Crittenden, C. P., Rose, E., Sales, J. M., Wingood, G. M., Crosby, R. A.,&Salazar, L. F. (2008). Psychosocial predictors of HIV-associated sexual behaviours and the efficacy of prevention interventions in adolescents at risk for HIV infection: What works and what doesn't work? Psychosomatic Medicine, 70, 598-605.
  • DiClemente, R. J., Salazar, L. F., Crosby, R. A.,&Rosenthal, S. (2005). Prevention and control of sexually transmitted infections among adolescents: The importance of a socio-ecological perspective. A commentary. Public Health, 119, 825-836.
  • Ethier, K. A., Kershaw, T. S., Lewis, J. B., Milan, S., Niccolai, M.,&Ickovics, J.R. (2006). Self-esteem, emotional distress and sexual behaviour among adolescent females: Inter-relationships and temporal effects. Journal of Adolescent Health, 38, 268-274.
  • Gao, Y.,&Chen, Y. (2011). Social support associated with a reduced risk of sexually transmitted infection in Canadians. Journal of Public Health, 19, 49-56.
  • Hartley, J. (2012). New ways of making academic articles easier to read. International Journal of Clinical and Health Psychology, 12, 143-160.
  • Henrich, C. C., Brookmeyer, K. A., Shrier, L. A.,&Shahar, G. (2006). Supportive relationships and sexual risk behaviour in adolescence: An ecological-transactional approach. Journal of Pediatric Psychology, 31, 286-297.
  • Henry, D. B., Deptula, D. P.,&Schoeny, M. E. (2012). Sexually transmitted infections and unintended pregnancy: A longitudinal analysis of risk transmission through friends and attitudes. Social Development, 21, 195-214.
  • Lakshmi, P. V. M., Gupta, N.,&Kumar, R. (2007). Psychosocial predictors of adolescent sexual behavior. Indian Journal of Pediatrics, 74, 923-926.
  • Langille, D., Asbridge, M., Kisely, S.,&Wilson, K. (2011). Risk of depression and multiple sexual risk-taking behaviours in adolescents in Nova Scotia, Canada. Sexual Health, 9, 254-260.
  • Lehrer, J., Shrier, L. A., Gortmaker, S.,&Buka, S. (2006). Depressive symptoms as a longitudinal predictor of sexual risk behaviours. Pediatrics, 118, 189-200.
  • Matud, M. P.,&Aguilera, L. (2009). Roles sexuales y salud mental en una muestra de la población general española. Salud Mental, 32, 53-58.
  • McBride, D. F.,&Bell, C. C. (2011). Human immunodeficiency virus prevention with youth. Psychiatric Clinics of North America, 34, 217-229.
  • Meekers, D., Silva, M.,&Klein, M. (2006). Determinants of condom use among youth in Madagascar. Journal of Biosocial Science, 38, 365-380.
  • Miranda-Díaz, M.,&Corcoran, K. (2012). "All my friends are doing it": The impact of the perception of peer sexuality on adolescents' intention to have sex. Journal of Evidence-Based Social Work, 9, 260-264.
  • Moksnes, U. K.,&Espnes, G. A. (2012). Self-esteem and emotional health in adolescents. Gender and age as potential moderators. Scandinavian Journal of Psychology, 53, 483-489.
  • Monahan, K. C.,&Lee, J. M. (2008). Adolescent sexual activity: Links between relational context and depressive symptoms. Journal of Youth and Adolescence, 37, 917-927.
  • Paxton, K. C.,&Robinson, W. L. (2008). Depressive symptoms, gender and sexual risk behaviour among African-American adolescents. Journal of Prevention&Intervention in the Community, 35, 49-62.
  • Penfold, S. C., Van Teijlingen, E. R.,&Tucker, J. S. (2009). Factors associated with self-reported first sexual intercourse in Scottish adolescents. BMC Research Notes, 2, 1-6.
  • Perrino, T., González-Soldevilla, A., Pantin, H.,&Szapocznik, J. (2000). The role of families in adolescent HIV prevention: A review. Clinical Child and Family Psychology Review, 3, 81-96.
  • Pettifor, A. E., Van der Straten, A., Dunbar, M. S., Shiboski, S. C.,&Padian, N. S. (2004). Early age of first sex: A risk factor for HIV infection among women in Zimbabwe. AIDS, 18, 1435-1442.
  • Price, M. N.,&Hyde, J. S. (2009). When two isn't better than one: Predictors of early sexual activity in adolescence using a cumulative risk model. Journal of Youth Adolescence, 38, 1059-1071.
  • Redondo Figuero, C.,&Viadero Ubierna, M. T. (2008). Enfermedades de transmisión sexual. In C. Redondo Figuero, G. Galdó Muñoz&M. García Fuentes (Eds.), Atención al adolescente (pp. 325-331). Santander: PubliCan.
  • Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, N.J.: Princeton University Press.
  • Salazar, L. F., Crosby, R. A., DiClemente, R. J., Wingood, G. M., Rose, E., Sales, J. M.,&Caliendo, A. M. (2007). Personal, relational, and peer-level risk factors for laboratory confirmed STI prevalence among low-income African American adolescent females. Sexually Transmitted Diseases, 34, 761-766.
  • santor, D. A.,&Coyne, J. C. (1997). Shortening the CES-D to improve its ability to detect cases of depression. Psychological Assesment, 9, 223-243.
  • Seth, P., Patel, S. N., Sales, J. M., DiClemente, R. J., Wingood, G. M.,&Rose, E. (2011). Psychological distress as a correlate of a biologically confirmed STI, risky sexual practices, self-efficacy and communication with males sex partners in African-American female adolescents. Psychology, Health&Medicine, 14, 291-300.
  • Stevens, S. B., Brice, Ch. S., Ale, Ch. M.,&Morris, T. L. (2011). Examining depression, anxiety and foster care placement as predictors of substance use and sexual activity in adolescents. Journal of Social Service Research, 37, 539-554.
  • Teva, I., Bermúdez, M. P.,&Buela-Casal, G. (2009). Characteristics of sexual behavior in Spanish adolescents. The Spanish Journal of Psychology, 12, 471-474.
  • Waller, M. W., Hallfors, D. D., Halpern, C. T., Iritani, B. J., Ford, C. A.,&Guo, G. (2006). Gender differences in associations between depressive symptoms and patterns of substance use and risky sexual behaviour among a nationally representative sample pf U.S. adolescents. Archives of Women's Mental Health, 9, 139-150.
  • Wheeler, S. B. (2010). Effects of self-esteem and academic performance on adolescent decision making: An examination of early sexual intercourse and illegal substance use. Journal of Adolescent Health, 47, 582-590.
  • Wisnieski, D., Sieving, R. E.,&Garwick, A. W. (2013). Influence of peers on young adolescent females' romantic decisions. American Journal of Health Education, 44, 32-40.
  • Zimet, G., Dahlem, N. V., Zimet, S. G.,&Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30-41.