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Between Synergy and Travesty: A Sexual Risk Syndemic Among Pregnant Latina Immigrant and Non-immigrant Adolescents
Journal article   Peer reviewed

Between Synergy and Travesty: A Sexual Risk Syndemic Among Pregnant Latina Immigrant and Non-immigrant Adolescents

Isabel Martinez, Trace S Kershaw, Jessica B Lewis, Emily C Stasko, Jonathan N Tobin, Jeannette R Ickovics and William Clement Regli
AIDS and behavior, v 21(3), pp 858-869
Mar 2017
DOI: https://doi.org/10.1007/s10461-016-1461-3
PMID: 27338951
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Acculturation Adolescent Depression - epidemiology Emigrants and Immigrants - psychology Female Hispanic Americans - psychology HIV Infections - complications HIV Infections - etiology Humans Intimate Partner Violence - psychology Intimate Partner Violence - statistics & numerical data Male Pregnancy Pregnant Women - psychology Risk-Taking Sexual Behavior Sexual Partners Spouse Abuse - psychology Spouse Abuse - statistics & numerical data Substance-Related Disorders - epidemiology Unsafe Sex - statistics & numerical data
Substance use, intimate partner violence, and depression contribute to sexual risk individually, yet have not been evaluated as a syndemic for adolescents. Using data from 772 pregnant Latina adolescents, we evaluated these factors as a syndemic and tested the moderating role of immigration. Bivariate analyses showed syndemic score (OR = 1.40, p = 0.02) and severity (OR = 1.68, p = 0.006) were predictors for multiple sex partners, and syndemic score predicting STIs (OR = 1.15, p = 0.05). Syndemic severity remained significant in multivariate analyses for multiple sex partners (OR = 1.53, p = 0.04). Moderation analyses showed higher syndemic severity was associated with more condom use among immigrants (OR = 1.75, p = 0.04) and less condom use (OR = 0.07, p = 0.011) among those with separated orientation. Higher syndemic severity also predicted greater odds for multiple partners (OR = 2.40, p = 0.01) among immigrants. This evidence suggests a sexual risk syndemic exists among Latina adolescents. Research should continue exploring this phenomenon, particularly exploring the role immigration plays for sexual health.

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14 citations in Web of Science
16 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
Social Sciences, Biomedical
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