HIV risk behavior and internalizing/externalizing psychopathology among adolescents in court-ordered treatment

Background: The confluence of drug use behaviors, sexual risk, and psychopathology may complicate human immunodeficiency virus (HIV) prevention intervention for adolescents engaging in substance use and criminal behavior. However, few studies have examined these risk associations. Objective: This st...

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Bibliographic Details
Published in:The American journal of drug and alcohol abuse 2016-03, Vol.42 (2), p.187-195
Main Authors: McMahon, Robert C., Stanforth, Evan T., Dévieux, Jessy G., Jean-Gilles, Michèle
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Behavior - psychology
Disease prevention
externalizing
Female
HIV
HIV Infections - prevention & control
HIV Infections - psychology
HIV risk behavior
Human immunodeficiency virus
Humans
Internal-External Control
internalizing
Juvenile offenders
Male
Mandatory Programs
personality
Psychopathology
Risk assessment
Risk Factors
Sexual behavior
Substance abuse treatment
Substance-Related Disorders - psychology
Substance-Related Disorders - therapy
Unsafe Sex - prevention & control
Unsafe Sex - psychology
Unsafe Sex - statistics & numerical data
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Summary:Background: The confluence of drug use behaviors, sexual risk, and psychopathology may complicate human immunodeficiency virus (HIV) prevention intervention for adolescents engaging in substance use and criminal behavior. However, few studies have examined these risk associations. Objective: This study identified HIV risk behavior subgroups among adolescents in court-ordered substance abuse treatment and examined linkages with dimensions of internalizing and externalizing psychopathology. Methods: Internalizing and externalizing behaviors were assessed with the Millon Adolescent Clinical Inventory (MACI). Latent class analysis was used to identify subgroups on the basis of involvement in substance use proximal to sex, number of partners, and consistency of condom use. Results: Participants (n = 301) were identified as demonstrating high, medium, or low levels of sexual risk behavior. Greater externalizing psychopathology distinguished the high risk class from the medium risk class and from the low risk class. Conclusion: Detained youth with particularly serious oppositional-defiant behavioral characteristics, substance use, and sex risk behavior likely require intensive interventions that address the multiple systemic factors that contribute to the development and maintenance of this pattern.
ISSN:0095-2990
1097-9891
DOI:10.3109/00952990.2015.1132719