Modeling HIV Risk in Highly Vulnerable Youth

Huba, G. J.; Panter, A. T.; Melchior, Lisa A.; Trevithick, Lee; Woods, Elizabeth R.; Wright, Eric R.; Feudo, Rudy; Tierney, Steven; Schneir, Arlene; Tenner, Adam; Remafedi, Gary; Greenberg, Brian; Sturdevant, Marsha; Goodman, Elizabeth; Hodgins, Antigone; Wallace, Michael; Brady, Russell E.; Singer, Barney; Marconi, Katherine

doi:10.1207/s15328007sem1004_6

Cited by 6 publications

(4 citation statements)

References 31 publications

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“…Child sexual abuse (CSA) is associated with numerous adverse consequences, including risk for HIV infection. CSA has been linked to sexual revictimization (Arriola, Louden, Doldren, & Fortenberry, 2005; Classen, Palesh, & Aggarwal, 2005), risky sex (Arriola et al, 2005; Senn, Carey, & Vanable, 2008; Testa, VanZile-Tamsen, & Livingston, 2005), and addiction to drugs or alcohol (Molnar, Buka, & Kessler, 2001), all of which are associated with risk for HIV infection (Huba et al, 2003; Morrill, Kasten, Urato, & Larson, 2001; Rees, Saitz, Horton, & Samet, 2001; Tucker, Wenzel, Elliott, Marshall, & Williamson, 2004; Zierler et al, 1991). Numerous psychological consequences include posttraumatic stress disorder (PTSD) (Rodriguez, Vande-Kemp, & Foy, 1998), depression (Weiss, Longhurst, & Mazure, 1999), anxiety (Heath, Bean, & Feinauer, 1996), affect dysregulation (Shipman, Zeman, Penza, & Champion, 2000), identity confusion (Roche, Runtz, & Hunter, 1999), and interpersonal problems (DiLillo, Tremblay, & Peterson, 2000).…”

mentioning

confidence: 99%

A comparison of trauma-focused and present-focused group therapy for survivors of childhood sexual abuse: A randomized controlled trial.

Classen

Palesh

Cavanaugh

et al. 2011

Psychological Trauma: Theory, Research, Practice, and Policy

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This randomized controlled trial compared trauma-focused group psychotherapy (TFGT) with presentfocused group psychotherapy (PFGT) and a waitlist condition for 166 survivors of childhood sexual abuse who were at risk for HIV infection. Primary outcomes included risk for HIV infection (based on sexual revictimization, drug and alcohol use, and risky sex) and posttraumatic stress disorder (PTSD) symptoms. It was hypothesized that TFGT would be superior to the PFGT and waitlist conditions and that receiving either treatment (combining both TFGT and PFGT) would be superior to no treatment (waitlist condition). Intention-to-treat analyses for HIV risk found that all conditions reduced risk; however, there was no effect for condition on HIV risk. Intention-to-treat analyses for PTSD symptoms found a reduction for all conditions. There was no advantage for either TFGT or PFGT in reducing PTSD symptoms; however, there was an effect for treatment compared with the waitlist condition. On secondary outcomes, there was a greater reduction in anger for TFGT compared with PFGT, and when comparing treatment with the waitlist condition, there was a greater reduction in hyperarousal, reexperiencing, anger, and impaired self-reference for the treatment condition. Adequate dose analyses generally confirmed the intention-to-treat findings and additionally found that treatment led to reductions in depression, dissociation, and sexual concerns.

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mentioning

confidence: 99%

A comparison of trauma-focused and present-focused group therapy for survivors of childhood sexual abuse: A randomized controlled trial.

Classen

Palesh

Cavanaugh

et al. 2011

Psychological Trauma: Theory, Research, Practice, and Policy

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“…These research have focus on numerous of importance to the well-being of vulnerable youth, such as social support, social negative effect, transition to adulthood, development outcome in a particular situation, social risk, risktaking behavior and program assessment for the relative social policy and social service (e.g. Holzman & Grinker, 1974;Schinke, Jansen, Kennedy, & Shi, 1994;Taylor & Dryfoos, 1998/1999Collins, 2001;Stice, Spangler, & Agras, 2001;Huba, Panter, & Melchior, 2003;Hyucksun, 2004). Based on the Results of a study, Stice, Spangler and Agras (2001) suggest that exposure to thin-ideal images has lasting negative effects for vulnerable youth.…”

Section: Literature Reviewmentioning

confidence: 99%

Resource Transaction and the Disadvantage of Vulnerable Youth

Wu¹

2018

ChnStd

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Under the background of social transition and globalization, vulnerable youth in China is quite disadvantaged in the public activities. Based on the ecological system perspective, this paper examines the situation of vulnerable youth in Tianjin, one of the five municipalities directly under the Central Government in China, by the qualitative-quantitative mixed method. Findings show that the disadvantage of vulnerable youth is caused by the shortage of economy resource, culture resource and information resource, which the groups can not obtain sufficiently from family system, school system, work system and community system by successful transaction. Some suggestions for social policies and further research are set forth accordingly.

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“…Finally, most empirical studies have examined a series of predictors without an a priori theoretical framework. Despite some rare studies (Huba et al, 2003; Newcomb, Locke, & Goodyear, 2003; Salazar et al, 2004; Scaramella, Conger, Simons & Whitebeck, 1998; Smith & Guthrie, 2005), few scholars have described the structural links between parenting practices, youths’ problem behaviors, deviant friends, and youths’ sexual behaviors.…”

Section: Limitations Of Previous Researchmentioning

confidence: 99%

A longitudinal examination of risky sexual behaviors among Canadian and Italian adolescents: Considering individual, parental, and friend characteristics

Boislard

Poulin

Kiesner

et al. 2009

International Journal of Behavioral Development

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In this study, two longitudinal models of early adolescent risky sexual behaviors (RSB) were compared using a pooled sample of 267 Canadian and Italian adolescents (55% females; 53% Canadians) assessed yearly from grade 8 to 10. We focused on parenting practices (monitoring, control, limit setting), adolescent problem behaviors (antisocial behaviors, substance use) and their friends' deviance (antisocial behaviors, substance use) as predictors of condom use frequency and lifetime number of sexual partners. The socialization model postulates that youths' problem behaviors and RSB are behaviors learned within the friendship network where deviancy training can occur. The selection model posits that delinquent youth tend to affiliate with each other, and that RSB is one of many behaviors that can form the basis of selection. Using structural equation modeling, this study showed that the socialization model was the most accurate to explain the emergence of RSB. A full mediation of parenting practices, passing through deviant friends and youths' problem behavior, was observed for condom use. The same process applied to number of sexual partners, but a direct effect for parenting practices was also found. Keywords adolescent; deviant friends; longitudinal; parenting practices; risky sexual behaviors; selection; socialization; structural equation modeling Most heterosexual teenagers begin to show interest in the opposite gender in early adolescence. However, the proportion of youth initiating sexual activity sometime during their teens is increasing in the United States (Katchadourian, 1990), Canada (MatickaTyndale, Barrett, & McKay, 2000), and some European countries, such as France, England and Sweden (Bajos, Ducot, Spencer, & Spira, 1997;Panchaud, Singh, Feivelson, & Darroch, 2000;Wellings, Field, Johnson, & Wadsworth, 1994). Although a developing awareness of sexuality and a participation in some forms of sexual behavior are normative during adolescence, some youth engage in risky sexual behaviors (RSB), such as having intercourse with multiple partners and misusing or underusing condoms, thus increasing their likelihood of contracting a sexually transmitted infection (STI) such as HIV/AIDS (Alix, Leaune, & Auger, 2001;Boyce, 2004; Brener, Kann, Lowry, Wechsler, & Romero, © 2009 The International Society for the Study of Behavioural Development Correspondence should be sent to Marie-Aude Boislard P., c/o François Poulin, Département de Psychologie, Université du Québec à Montréal, CP 8888, Succursale Centre-ville, Montréal, Québec, Canada, H3C 3P8; tel. 514-987-3000 # 7766; boislard-pepin.marieaude@uqam.ca. NIH Public Access Author ManuscriptInt J Behav Dev. Author manuscript; available in PMC 2011 August 17. Rotermann, 2005). Among all sexually active persons in Canada, teenagers currently have the highest incidence of STIs (Gouvernement du Canada, 2005;Gouvernement du Québec, 2004;McKay, 2004), a situation that is also evident in European countries, such as England and Wales (Panchaud et al., 2000).Cur...

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Modeling HIV Risk in Highly Vulnerable Youth

Cited by 6 publications

References 31 publications

A comparison of trauma-focused and present-focused group therapy for survivors of childhood sexual abuse: A randomized controlled trial.

A comparison of trauma-focused and present-focused group therapy for survivors of childhood sexual abuse: A randomized controlled trial.

Resource Transaction and the Disadvantage of Vulnerable Youth

A longitudinal examination of risky sexual behaviors among Canadian and Italian adolescents: Considering individual, parental, and friend characteristics

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