Structural model analysis of HIV risk behaviors among sexually active minority adolescents.
Contents of this article are solely the responsibility of the authors and do not necessarily reflect the opinions, official policy or position of the U.S. Department of Health and Human Services, the Substance Abuse and Mental Health Services Administration or Centers for Mental Health Services and Substance Abuse Prevention.


OBJECTIVE
To evaluate an HIV risk profile in sexually active black and Hispanic adolescents using a structural equation model (SEM).


METHODS
Grantees from 15 states and Washington, DC, were selected to participate in the study. Black and Hispanic adolescents (N = 2,371) who completed the baseline instrument were required to have experienced vaginal, oral or anal sex in order to be included in this study. Total minority youths who self-reported as black but not Hispanic were n = 1,455 and for Hispanic n = 916.


RESULTS
The hypothesized model fit moderately well (CFI = 0.940, TLI = 0.928, RMSEA = 0.039). The key significant direct effect was found (P < 0.05) for higher alcohol, tobacco and other drug use related to nonuse of condoms, more sex partners and use of substances before sex.


CONCLUSIONS
Current findings underscore the need to incorporate culturally sensitive strategies in developing programs for minority youth. However, given that minority group members often report greater experiences of discrimination than whites, future research in this area should also include an examination of the role of other stressors such as racial disparities and their potential cumulative impact on minority youth and their risks for alcohol, tobacco and other drug use and HIV.
Bellamy
Nikki D
ND
Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, Prevention, Traumatic Stress and Special Programs, 1 Choke Cherry Road, Room 6-1003, Rockville, MD 20857, USA. nikki.bellamy@samhsa.hhs.gov
Wang
Min Qi
MQ
Matthew
Resa F
RF
Leitao
Marion P
MP
Agee
Rená A
RA
Yan
Alice F
AF
D000293:Adolescent; D016497:Adolescent Health Services; D001741:Black or African American / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003710:Demography; D004522:Educational Status; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008913:Minority Groups / Q000706:statistics & numerical data*; D008962:Models, Theoretical; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000453:epidemiology; D014481:United States