Major Mental Disorders, Substance Use Disorders, Comorbidity, and HIV-AIDS Risk Behaviors in Juvenile Detainees

Teplin, Linda A.; Elkington, Katherine S.; McClelland, Gary M.; Abram, Karen M.; Mericle, Amy A.; Washburn, Jason J.

doi:10.1176/appi.ps.56.7.823

Cited by 192 publications

(138 citation statements)

References 25 publications

Supporting

Mentioning

130

Contrasting

Order By: Relevance

“…45,46 Additionally, those with co-occurring mental and substance use disorders have the highest risk for engaging in high-risk sexual behaviors that put them at risk for HIV and other STDs. 47 Lastly, given the correlational nature of the study analyses, we cannot discern causal relationships between drug use and sexual risk behaviors, although the study highlights several specific ways in which these behaviors are associated.…”

Section: Study Limitationsmentioning

confidence: 96%

Methamphetamine Use and High-Risk Sexual Behaviors among Incarcerated Female Adolescents with a Diagnosed STD

Steinberg

Grella²,

Boudov

et al. 2011

J Urban Health

View full text Add to dashboard Cite

Juvenile detention settings provide an important venue for addressing the health-related needs of adolescent populations, who often have high rates of sexually transmitted diseases (STDs) and concomitant drug use. This study examines factors associated with methamphetamine use and risky sexual behaviors among 539 incarcerated female adolescents between ages 12-18 years with an STD diagnosis. Data were obtained from interviews with detainees receiving STD case management services within a California juvenile detention facility in January 2006-June 2007. High-risk behaviors characterized the sample, such as low use of condoms consistently (43.3%), prior STD infection (25%), pregnancy history (26%), arrest charge for prostitution or drug use (23%), and a history of prostitution (18%). Half of the sample reported weekly alcohol or drug use; most commonly used drugs were marijuana (37%), alcohol (21%), and methamphetamine (16%). In multivariate analysis, African Americans had a lower odds of methamphetamine use (odds ratio [OR]=.163) compared with whites. Detainees who reported inconsistent condom use had over twice the odds of methamphetamine use (OR=2.7) compared with consistent condom users. In addition, those who reported alcohol use had twice the odds of methamphetamine use (2.0). There was a significant interaction between Latina ethnicity and having an arrest charge for drugs or prostitution; Latinas who had this charge had over 11 times the odds of using methamphetamine compared with those with other arrest charges (OR=11.28). A better understanding of the relationship between drug use and sexual risk behaviors of STD-positive incarcerated female adolescents can inform the development of appropriate corrections and community-based interventions serving this segment of high-risk adolescents.

show abstract

Section: Study Limitationsmentioning

confidence: 96%

Methamphetamine Use and High-Risk Sexual Behaviors among Incarcerated Female Adolescents with a Diagnosed STD

Steinberg

Grella²,

Boudov

et al. 2011

J Urban Health

View full text Add to dashboard Cite

show abstract

“…Two studies including people from the United States with SMI found that young people tend to be more sexually active and have risky behavior more often (Hellerstein & Prager, 1992;Carey, Carey, Maisto, Gleason, Gordon & Brewer, 1999). Another study complementing the former found that risky behavior by teenagers increased as they aged (Teplin, Elkington, McClelland, Abram, Mericle & Washburn, 2005).…”

Section: Differences By Age Groupsmentioning

confidence: 97%

Factors associated with HIV transmission risk in people with a severe mental illness. A narrative review

Galarza‐Tejada

Caballero-Hoyos

Lira

2017

View full text Add to dashboard Cite

Background. People with a severe mental illness (SMI) are a highly vulnerable group for the transmission risk of the human immunodeficiency virus (HIV). They have a higher seroprevalence compared with the general population and their life expectancy is shorter than those of people without the disease. This narrative review describes individual factors or those inherent to a person's characteristics and the sociocultural factors conditioning sexual behaviour and prevention norms. Objective. The purpose of this narrative review is to describe individual and sociocultural factors associated with the risk of HIV in people with a severe mental illness. Method. 82 empirical studies published between 1981 and 2015, addressing HIV transmission risk factors and sociocultural dimensions related to vulnerability were selected. Four indexes were used for this purpose: ISI Web of Knowledge, Redalyc, SciELO, and PUBMED; and four multidisciplinary electronic databases: Ebscohost Web, ProQuest, Sage Publications and ScienceDirect. Results. The analysis based on coding and systematic categorization shows that people with SMI are more vulnerable to risk than the general population, with differentials based on the severity of the disease symptomatology and economic and sociocultural characteristics associated with HIV-related risk practices. Discussion and conclusion. The need to design longitudinal studies with mixed methodology is proposed to attain a deeper understanding of the interaction of factors associated and processes conditioning risk. In this population group, structural preventive programs that take into account social and gender inequality must be implemented.

show abstract

“…Although girls were less likely to be involved in risk behavior, those who were involved had greater depression. Research involving justice-involved youth has found similar relationships between depression and sexual risk behavior [3]. Studies have not been consistent, as some studies have failed to identify an association between depression and sexual risks.…”

Section: Depressionmentioning

confidence: 99%

“…While the juvenile justice system focuses on public safety, and seeks to identify and address risk factors that affect youth offense behavior [1][2][3][4], the system does not routinely direct attention to health issues, particularly sexually transmitted diseases, by identifying and treating infected youth [5] and providing evidence-based interventions designed to reduce the risk of STD/HIV acquisition and transmission [6].…”

Section: Introductionmentioning

confidence: 99%

Health Coaches: An Innovative and Effective Approach for Identifying and Addressing the Health Needs of Justice Involved Youth

Dembo¹,

Rj²,

Brown³

et al. 2016

J Community Med Health Educ

View full text Add to dashboard Cite

We present the background, formulation, and implementation of an innovative health service at the front end of the juvenile justice system serving the serious, growing public health needs of justice involved youth-who bear a high burden of STD/HIV and other health problems. Involving multi-agency collaboration, the Health Coach Service seeks to address the youth health needs through health risk assessment and biological testing-with indicated followup testing, prevention, and neighborhood based treatment services. Through continuous monitoring of the Health Coach Service, we will be equipped to assess its feasibility, efficacy, and its real-world effectiveness and utility as a health-risk detection, prevention, and treatment paradigm.

show abstract

Major Mental Disorders, Substance Use Disorders, Comorbidity, and HIV-AIDS Risk Behaviors in Juvenile Detainees

Abstract: Objectives-This study determined the prevalence of 20

Cited by 192 publications

References 25 publications

Methamphetamine Use and High-Risk Sexual Behaviors among Incarcerated Female Adolescents with a Diagnosed STD

Methamphetamine Use and High-Risk Sexual Behaviors among Incarcerated Female Adolescents with a Diagnosed STD

Factors associated with HIV transmission risk in people with a severe mental illness. A narrative review

Health Coaches: An Innovative and Effective Approach for Identifying and Addressing the Health Needs of Justice Involved Youth

Contact Info

Product

Resources

About