Relationships Between Adolescent Stress, Depressive Symptoms, and Sexual Risk Behavior in Young Adulthood: A Structural Equation Modeling Analysis

Maryam Ghobadzadeh; Barbara J. McMorris; Renee E. Sieving; Carolyn M. Porta; Sonya S. Brady

doi:10.1016/j.pedhc.2018.11.006

Relationships Between Adolescent Stress, Depressive Symptoms, and Sexual Risk Behavior in Young Adulthood: A Structural Equation Modeling Analysis

Maryam Ghobadzadeh, Barbara J. McMorris, Renee E. Sieving, Carolyn M. Porta, Sonya S. Brady

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

Introduction: This study examined longitudinal associations between stressful life events and depressive symptoms, assessed during two time points of adolescence, and sexual risk behavior, assessed during young adulthood. Methods: Structural equation modeling was conducted with three waves of data from the National Longitudinal Study of Adolescent to Adult Health. Results: Analyses revealed bidirectional relationships between stressful life events and depressive symptoms during the two time points of adolescence. Adolescent depressive symptoms indirectly affected young adult sexual risk behavior through adolescent stressful life events. Adolescent stressful life events during late adolescence were directly associated with young adult sexual risk behavior. Discussion: Findings highlight the need to screen for both depression and stressful life events during adolescence, to identify at-risk adolescents and deliver tailored interventions to prevent sexual risk behavior during young adulthood.

Original language	English (US)
Pages (from-to)	394-403
Number of pages	10
Journal	Journal of Pediatric Health Care
Volume	33
Issue number	4
DOIs	https://doi.org/10.1016/j.pedhc.2018.11.006
State	Published - Jul 1 2019

Bibliographical note

Funding Information:
This dissertation research was supported by a fellowship from the University of Minnesota , Center for Personalized Prevention Research in Children's Mental Health and by the Sofia Fund for Public Health Projects.

Publisher Copyright:
© 2018 National Association of Pediatric Nurse Practitioners

Keywords

Depression
adolescent
sexual risk behavior
stressful life events

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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title = "Relationships Between Adolescent Stress, Depressive Symptoms, and Sexual Risk Behavior in Young Adulthood: A Structural Equation Modeling Analysis",

abstract = "Introduction: This study examined longitudinal associations between stressful life events and depressive symptoms, assessed during two time points of adolescence, and sexual risk behavior, assessed during young adulthood. Methods: Structural equation modeling was conducted with three waves of data from the National Longitudinal Study of Adolescent to Adult Health. Results: Analyses revealed bidirectional relationships between stressful life events and depressive symptoms during the two time points of adolescence. Adolescent depressive symptoms indirectly affected young adult sexual risk behavior through adolescent stressful life events. Adolescent stressful life events during late adolescence were directly associated with young adult sexual risk behavior. Discussion: Findings highlight the need to screen for both depression and stressful life events during adolescence, to identify at-risk adolescents and deliver tailored interventions to prevent sexual risk behavior during young adulthood.",

keywords = "Depression, adolescent, sexual risk behavior, stressful life events",

author = "Maryam Ghobadzadeh and McMorris, {Barbara J.} and Sieving, {Renee E.} and Porta, {Carolyn M.} and Brady, {Sonya S.}",

note = "Funding Information: This dissertation research was supported by a fellowship from the University of Minnesota , Center for Personalized Prevention Research in Children's Mental Health and by the Sofia Fund for Public Health Projects. Publisher Copyright: {\textcopyright} 2018 National Association of Pediatric Nurse Practitioners",

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AU - Ghobadzadeh, Maryam

AU - McMorris, Barbara J.

AU - Sieving, Renee E.

AU - Porta, Carolyn M.

AU - Brady, Sonya S.

N1 - Funding Information: This dissertation research was supported by a fellowship from the University of Minnesota , Center for Personalized Prevention Research in Children's Mental Health and by the Sofia Fund for Public Health Projects. Publisher Copyright: © 2018 National Association of Pediatric Nurse Practitioners

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N2 - Introduction: This study examined longitudinal associations between stressful life events and depressive symptoms, assessed during two time points of adolescence, and sexual risk behavior, assessed during young adulthood. Methods: Structural equation modeling was conducted with three waves of data from the National Longitudinal Study of Adolescent to Adult Health. Results: Analyses revealed bidirectional relationships between stressful life events and depressive symptoms during the two time points of adolescence. Adolescent depressive symptoms indirectly affected young adult sexual risk behavior through adolescent stressful life events. Adolescent stressful life events during late adolescence were directly associated with young adult sexual risk behavior. Discussion: Findings highlight the need to screen for both depression and stressful life events during adolescence, to identify at-risk adolescents and deliver tailored interventions to prevent sexual risk behavior during young adulthood.

AB - Introduction: This study examined longitudinal associations between stressful life events and depressive symptoms, assessed during two time points of adolescence, and sexual risk behavior, assessed during young adulthood. Methods: Structural equation modeling was conducted with three waves of data from the National Longitudinal Study of Adolescent to Adult Health. Results: Analyses revealed bidirectional relationships between stressful life events and depressive symptoms during the two time points of adolescence. Adolescent depressive symptoms indirectly affected young adult sexual risk behavior through adolescent stressful life events. Adolescent stressful life events during late adolescence were directly associated with young adult sexual risk behavior. Discussion: Findings highlight the need to screen for both depression and stressful life events during adolescence, to identify at-risk adolescents and deliver tailored interventions to prevent sexual risk behavior during young adulthood.

KW - Depression

KW - adolescent

KW - sexual risk behavior

KW - stressful life events

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Relationships Between Adolescent Stress, Depressive Symptoms, and Sexual Risk Behavior in Young Adulthood: A Structural Equation Modeling Analysis

Abstract

Bibliographical note

Keywords

UN SDGs

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