Problem Solving Reduces Sexual Risk Associated with Sensation Seeking, Substance Use, and Depressive Symptoms Among African-American Adolescents

Eugene M. Dunne, Alyssa L. Norris, Daniel Romer, Ralph J. DiClemente, Peter A. Vanable, Robert F. Valois, Larry K. Brown, Michael P. Carey

Research output: Contribution to journalArticle

Abstract

African-American adolescents experience higher rates of sexually transmitted infections (STIs) compared to same-age Caucasian peers. Substance use, sensation seeking, and depression have all been linked to risky sexual practices. Theory suggests that problem-solving skills may help to buffer against these risk factors. To test this hypothesis, we used data from African-American adolescents (N = 1,018; M age = 16.7, SD = 1.1; 58% female) who participated in a prevention trial. Nearly half of the sample (47%) reported lifetime marijuana use, while 13% reported drug use prior to most recent sexual encounter. Sexual sensation seeking was directly associated with drug use prior to sex (β = 1.13, b = 0.13, SE = 0.02, p <.001) and lower problem-solving skills (β = –0.08, b = –0.06, SE = 0.02, p =.01). Problem-solving skills were associated with drug use prior to sex (β = 0.92, b = −0.08, SE = 0.03, p =.004), such that those with greater problem-solving skills were less likely to report drug use prior to most recent sex. Finally, problem-solving skills mediated the association between sexual sensation seeking and drug use prior to sex, although the effect was small (β = 0.01, 95% CI:.001,.01). Problem-solving skills can have a protective influence on risky behavior for adolescents. Future research might examine the utility of strengthening problem-solving skills in order to reduce STI/HIV risk among African-American adolescents.

Original languageEnglish (US)
Pages (from-to)113-118
Number of pages6
JournalJournal of Child and Adolescent Substance Abuse
Volume28
Issue number2
DOIs
StatePublished - Mar 4 2019

Keywords

  • adolescents
  • drug use
  • problem solving
  • sexual sensation seeking

ASJC Scopus subject areas

  • Social Psychology
  • Education
  • Psychology(all)
  • Public Health, Environmental and Occupational Health

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