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Risky sexual behaviour among Russian adolescents : association with internalizing and externalizing symptoms

Isaksson, Johan (author)
Uppsala universitet,Karolinska Institutet,Ramklint: Barn- och ungdomspsykiatri,Karolinska Inst, Karolinska Inst KIND, Dept Womens & Childrens Hlth, Pediat Neuropsychiat Unit,Ctr Neurodev Disorders, Stockholm, Sweden
Westermark, C. (author)
Uppsala universitet,Ramklint: Barn- och ungdomspsykiatri
Koposov, R. A. (author)
UiT-The Arctic University of Norway, Tromsö, Norway; Sechenov First Moscow State Medical University, Moscow, Russia,UiT Arctic Univ Norway, Reg Ctr Child & Youth Mental Hlth & Child Welf, Tromso, Norway;Sechenov First Moscow State Med Univ, Moscow, Russia
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Stickley, Andrew (author)
Södertörns högskola,SCOHOST (Stockholm Centre for Health and Social Change),National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan,Södertörn Univ, Stockholm Ctr Hlth & Social Change SCOHOST, Huddinge, Sweden; Natl Ctr Neurol & Psychiat, Natl Inst Mental Hlth, Dept Prevent Intervent Psychiat Disorders, Tokyo, Japan
Ruchkin, Vladislav V., 1969- (author)
Uppsala universitet,Ramklint: Barn- och ungdomspsykiatri,Yale Univ, Sch Med, Child Study Ctr, New Haven, CT 06520 USA; Säter Psychiat Clin, Säter, Sweden
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 (creator_code:org_t)
2021-08-09
2021
English.
In: Child and Adolescent Psychiatry and Mental Health. - : BioMed Central. - 1753-2000. ; 15
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: Risky sexual behaviour (RSB) is regarded as a major health problem during adolescence. Russia has one of the highest rates of teenage pregnancy, abortion and newly diagnosed HIV infections in the world, but research on RSB in Russian youth has been limited. To address this deficit, this study examined the role of several factors, including internalizing and externalizing symptoms, in RSB among Russian adolescents. Methods: Self-reported data were collected from 2573 Russian adolescents aged 13–17 years old (59.4 % girls; Mean age = 14.89) regarding RSB (unprotected sex, early pregnancy, multiple sexual partners and substance use during sexual encounters). Information was also obtained on externalizing (conduct problems and delinquent behaviour) and internalizing (depression, anxiety and posttraumatic stress) symptoms, as well as interpersonal risk and protective factors (affiliation with delinquent peers, parental involvement and teacher support). Hierarchical multiple binary logistic regression analysis was used to examine the associations between these variables and RSB. Results: Boys reported engaging in more RSB than girls. Externalizing symptoms and affiliation with delinquent peers were most strongly associated with RSB, whereas symptoms of anxiety were negatively associated with RSB. There was an interaction effect for sex and affiliation with delinquent peers on RSB with boys reporting RSB when having more delinquent peers. Neither parental involvement nor teacher support were protective against RSB. Conclusions: Early detection of and interventions for RSB and associated externalizing symptoms may be important for adolescent physical and mental wellbeing. Affiliation with delinquent peers should, especially among boys, be regarded as a risk marker for RSB.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Psykiatri (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Psychiatry (hsv//eng)

Keyword

Adolescents
Externalizing symptoms
Internalizing symptoms
Risky sexual behaviour

Publication and Content Type

ref (subject category)
art (subject category)

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