title: Psychiatric functioning and substance use: factors associated with HIV risk among incarcerated adolescents.
abstract: This study examined several types of psychiatric functioning (neuropsychiatric, emotional, and cognitive functioning) and substance use in relation to HIV risk behavior among 894 incarcerated girls and boys. Youth remanded to juvenile correctional facilities in a southern US state completed a structured interview regarding abuse history, emotional and behavioral difficulties, and demographics. Adolescents who experienced sullen affect were significantly more likely to engage in behaviors that put them at risk for HIV infection. Moreover, higher levels of alcohol use predicted HIV risk behavior. HIV prevention efforts need to address emotional distress as well as substance use among delinquent adolescents to reduce HIV risk behavior. Implications for treatment and future research are discussed.
authors.affiliation: Center for AIDS Intervention Research (CAIR), Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI 53202, USA. lottosal@mcw.edu
authors.forename: Laura L
authors.initials: LL
authors.lastname: Otto-Salaj
authors.forename: Cheryl
authors.initials: C
authors.lastname: Gore-Felton
authors.forename: Elizabeth
authors.initials: E
authors.lastname: McGarvey
authors.forename: R J
authors.initials: RJ
authors.lastname: Canterbury
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007604:Juvenile Delinquency / Q000523:psychology*; D016015:Logistic Models; D008297:Male; D008603:Mental Health; D011329:Prisoners / Q000706:statistics & numerical data*; D012309:Risk-Taking; D012725:Sexual Behavior; D019966:Substance-Related Disorders / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology