Depressive symptoms and sexual risk behavior in young, chlamydia-infected, heterosexual dyads

Shrier, Lydia A., Schillinger, Julia A., Aneja, Parul, Rice, Peter A., Batteiger, Byron E., Braslins, Phillip G., Orr, Donald P. and Fortenberry, J. Dennis (2009) Depressive symptoms and sexual risk behavior in young, chlamydia-infected, heterosexual dyads. Journal of Adolescent Health, 45 1: 63-69. doi:10.1016/j.jadohealth.2008.11.016


Author Shrier, Lydia A.
Schillinger, Julia A.
Aneja, Parul
Rice, Peter A.
Batteiger, Byron E.
Braslins, Phillip G.
Orr, Donald P.
Fortenberry, J. Dennis
Title Depressive symptoms and sexual risk behavior in young, chlamydia-infected, heterosexual dyads
Journal name Journal of Adolescent Health   Check publisher's open access policy
ISSN 1054-139X
1879-1972
Publication date 2009-07
Sub-type Article (original research)
DOI 10.1016/j.jadohealth.2008.11.016
Volume 45
Issue 1
Start page 63
End page 69
Total pages 7
Place of publication Philadelphia, PA, United States
Publisher Elsevier
Language eng
Formatted abstract
Purpose
To examine associations between depressive symptoms and dyad-level sexual risk behavior in young heterosexual dyads with sexually transmitted infection (STI).

Methods
Chlamydia-positive 14–24-year-old, heterosexually active outpatients and their opposite-sex partners completed an assessment that included demographics, past and recent STI risk behaviors, and the Beck Depression Inventory (BDI). Participants in the top 25% of BDI scores within gender were categorized as depressed. Variables were created to identify dyads in which the female or male partner was depressed, as well as a measure of concordance of depression between partners. Dyad-level STI risk variables were created from the STI risk characteristics reported by each dyad member, and associations between these and the depression variables were analyzed.

Results
The 130 dyads were comprised of young men and women at high STI risk. One-third of dyads had at least one depressed partner. Dyads in which the female partner was depressed had greater partner age difference, greater total number of lifetime partners, and one or more partners reporting substance use within 2 hours before sex, compared with dyads in which the female partner was not depressed. Dyads in which the male partner was depressed were more likely than the nondepressed-male dyads to report substance use before sex. All dyads in which both partners were depressed reported substance use before sex.

Conclusions
In young, chlamydia-infected, heterosexual dyads, depressive symptoms, especially in women, is related to increased dyad-level STI risk, including greater partner age difference, more partners, and substance use before sex.
Copyright © 2011 Elsevier B.V. All rights reserved.


Keyword Depressive symptoms
Unsafe sex
Sexual partners
Dyad
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: ERA 2012 Admin Only
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Created: Thu, 03 Sep 2009, 07:50:49 EST by Mr Andrew Martlew on behalf of School of Medicine