Risk of depression and multiple sexual risk-taking behaviours in adolescents in Nova Scotia, Canada

Langille, Don, Asbridge, Mark, Kisely, Steve and Wilson, Kevin (2012) Risk of depression and multiple sexual risk-taking behaviours in adolescents in Nova Scotia, Canada. Sexual Health, 9 3: 254-260. doi:10.1071/SH11029

Author Langille, Don
Asbridge, Mark
Kisely, Steve
Wilson, Kevin
Title Risk of depression and multiple sexual risk-taking behaviours in adolescents in Nova Scotia, Canada
Journal name Sexual Health   Check publisher's open access policy
ISSN 1448-5028
Publication date 2012-01-01
Year available 2011
Sub-type Article (original research)
DOI 10.1071/SH11029
Open Access Status Not Open Access
Volume 9
Issue 3
Start page 254
End page 260
Total pages 7
Place of publication Collingwood, Vic., Australia
Publisher CSIRO Publishing
Language eng
Formatted abstract
Background: Although depression is known to be associated with adolescent sexual risk-taking, Canadian studies are few, many have lacked appropriate controls and none has examined the associations of depression with multiple sexual risk-taking behaviours. We tested associations between multiple sexual risk-taking and risk of depression, controlling for other factors, including social capital, in high school students in Nova Scotia, Canada. Methods: We surveyed sexually active male (n = 418) and female (n = 467) adolescents. Participants were asked about their risk of depression, perceptions of social capital, substance use, sociodemographic factors and sexual behaviours. Multinomial logistic regressions were used to determine associations of risk of depression with various levels of sexual risk-taking. Results: In unadjusted models, risk of depression was associated with two or more v. no sexual risk behaviours among both males and females. After controlling for other variables, risk of depression remained significantly associated with two or more sexual risks v. no risks for both females and males (relative risk ratios (RRR) of 2.5; 95% confidence interval (CI) 1.4–4.5 and 3.5; 95% CI 1.6–7.82 respectively) and for one v. no risks for females (RRR = 1.9; 95% CI 1.1–3.5). One measure of social capital was associated with multiple risks in females. Conclusions: The consistent, independent associations of risk of depression with multiple sexual risks should lead health care workers interacting with adolescents to ask about sexual risk behaviours among patients with symptoms of depression. Alternatively, patients who engage in sexual risk-taking might be screened for depression.
Keyword Mental health
School students
Social capital
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online: 19 December 2011.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Public Health Publications
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 5 times in Thomson Reuters Web of Science Article | Citations
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Created: Tue, 06 Mar 2012, 21:48:28 EST by Geraldine Fitzgerald on behalf of School of Public Health