scholarly journals Reproductive coercion, sexual risk behaviours and mental health symptoms among young low-income behaviourally bisexual women: implications for nursing practice

2016 ◽  
Vol 25 (23-24) ◽  
pp. 3533-3544 ◽  
Author(s):  
Kamila A Alexander ◽  
Ellen M Volpe ◽  
Sarah Abboud ◽  
Jacquelyn C Campbell
Keyword(s):  
Mental Health ◽  
Sexual Risk ◽  
Low Income ◽  
Nursing Practice ◽  
Risk Behaviours ◽  
Bisexual Women ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Reproductive Coercion ◽  
Sexual Risk Behaviours

scholarly journals Stages of change as a correlate of mental health symptoms in abused, low-income African American women

2006 ◽  
Vol 62 (12) ◽  
pp. 1531-1543 ◽  
Author(s):  
Tiffany A. Edwards ◽  
Debra Houry ◽  
Robin S. Kemball ◽  
Sharon E. Harp ◽  
Louise-Anne McNutt ◽  
...  
Keyword(s):  
Mental Health ◽  
African American ◽  
African American Women ◽  
Stages Of Change ◽  
Low Income ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
American Women

scholarly journals Gender differences in sexual risk behaviours and sexually transmissible infections among adolescents in mental health treatment

Sexual Health ◽  
2012 ◽  
Vol 9 (3) ◽  
pp. 240 ◽  
Author(s):  
Puja Seth ◽  
Delia L. Lang ◽  
Ralph J. DiClemente ◽  
Nikia D. Braxton ◽  
Richard A. Crosby ◽  
...  
Keyword(s):  
Mental Health ◽  
Gender Differences ◽  
Sexual Risk ◽  
Mental Health Treatment ◽  
Female Adolescents ◽  
Risk Behaviours ◽  
Health Treatment ◽  
Hiv Test ◽  
Sexually Transmissible Infections ◽  
Sexual Risk Behaviours

Background Adolescents with a history of psychiatric disorder(s) are particularly vulnerable to contracting sexually transmissible infections (STIs) as a result of psychological and emotional states associated with higher rates of risky sexual behaviour. The present study examined gender differences in sexual risk behaviours and STI among adolescents in mental health treatment. Methods: Three hundred and seventy nine sexually active adolescents, aged 13–18 years, from a larger multisite study, who received mental health treatment during the past year, completed an audio computer-assisted self interview assessing sociodemographics, psychiatric symptomatology and HIV/STI risk behaviours, and provided urine specimens tested for STI. Results: After controlling for covariates, multivariate logistic regression models indicated that female adolescents were more likely to have had an HIV test (adjusted odds ratio (AOR) = 3.2, P = 0.0001), obtain their HIV test results (AOR = 2.9, P = 0.03), refuse sex out of fear for STI acquisition (AOR = 1.7, P = 0.04), or avoid a situation that might lead to sex (AOR = 2.4, P = 0.001), and were less likely to have a casual sex partner (AOR = 0.40, P = 0.002). Additionally, females were more likely to report inconsistent condom use (AOR = 2.60, P = 0.001) and have a STI (AOR = 9.1, P = 0.0001) than their male counterparts. Conclusions: Female adolescents receiving mental health treatment were more than nine times as likely to have an STI and more likely to use condoms inconsistently. The standard of care for mental health practice for adolescents should include referrals for STI screening and treatment as well as assessment and discussion of risky sexual behaviours as part of the treatment plan when indicated. Effective programs should address gender-specific communication and behavioural skills.

scholarly journals Poor mental health and sexual risk behaviours in Uganda: A cross-sectional population-based study

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Patric Lundberg ◽  
Godfrey Rukundo ◽  
Schola Ashaba ◽  
Anna Thorson ◽  
Peter Allebeck ◽  
...  
Keyword(s):  
Mental Health ◽  
Sexual Risk ◽  
Population Based ◽  
Poor Mental Health ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
Population Based Study ◽  
Sexual Risk Behaviours

scholarly journals Effectiveness and costs associated with a lay counselor–delivered, brief problem-solving mental health intervention for adolescents in urban, low-income schools in India: 12-month outcomes of a randomized controlled trial

PLoS Medicine ◽  
2021 ◽  
Vol 18 (9) ◽  
pp. e1003778
Author(s):  
Kanika Malik ◽  
Daniel Michelson ◽  
Aoife M. Doyle ◽  
Helen A. Weiss ◽  
Giulia Greco ◽  
...  
Keyword(s):  
Mental Health ◽  
Problem Solving ◽  
Low Income ◽  
Mental Health Problems ◽  
Well Being ◽  
Scaling Up ◽  
Sensitivity Analyses ◽  
Mental Health Symptoms ◽  
Health Symptoms

Background Psychosocial interventions for adolescent mental health problems are effective, but evidence on their longer-term outcomes is scarce, especially in low-resource settings. We report on the 12-month sustained effectiveness and costs of scaling up a lay counselor–delivered, transdiagnostic problem-solving intervention for common adolescent mental health problems in low-income schools in New Delhi, India. Methods and findings Participants in the original trial were 250 school-going adolescents (mean [M] age = 15.61 years, standard deviation [SD] = 1.68), including 174 (69.6%) who identified as male. Participants were recruited from 6 government schools over a period of 4 months (August 20 to December 14, 2018) and were selected on the basis of elevated mental health symptoms and distress/functional impairment. A 2-arm, randomized controlled trial design was used to examine the effectiveness of a lay counselor–delivered, problem-solving intervention (4 to 5 sessions over 3 weeks) with supporting printed booklets (intervention arm) in comparison with problem solving delivered via printed booklets alone (control arm), at the original endpoints of 6 and 12 weeks. The protocol was modified, as per the recommendation of the Trial Steering Committee, to include a post hoc extension of the follow-up period to 12 months. Primary outcomes were adolescent-reported psychosocial problems (Youth Top Problems [YTP]) and mental health symptoms (Strengths and Difficulties Questionnaire [SDQ] Total Difficulties scale). Other self-reported outcomes included SDQ subscales, perceived stress, well-being, and remission. The sustained effects of the intervention were estimated at the 12-month endpoint and over 12 months (the latter assumed a constant effect across 3 follow-up points) using a linear mixed model for repeated measures and involving complete case analysis. Sensitivity analyses examined the effect of missing data using multiple imputations. Costs were estimated for delivering the intervention during the trial and from modeling a scale-up scenario, using a retrospective ingredients approach. Out of the 250 original trial participants, 176 (70.4%) adolescents participated in the 12-month follow-up assessment. One adverse event was identified during follow-up and deemed unrelated to the intervention. Evidence was found for intervention effects on both SDQ Total Difficulties and YTP at 12 months (YTP: adjusted mean difference [AMD] = −0.75, 95% confidence interval [CI] = −1.47, −0.03, p = 0.04; SDQ Total Difficulties: AMD = −1.73, 95% CI = −3.47, 0.02, p = 0.05), with stronger effects over 12 months (YTP: AMD = −0.98, 95% CI = −1.51, −0.45, p < 0.001; SDQ Total Difficulties: AMD = −1.23, 95% CI = −2.37, −0.09; p = 0.03). There was also evidence for intervention effects on internalizing symptoms, impairment, perceived stress, and well-being over 12 months. The intervention effect was stable for most outcomes on sensitivity analyses adjusting for missing data; however, for SDQ Total Difficulties and impairment, the effect was slightly attenuated. The per-student cost of delivering the intervention during the trial was $3 United States dollars (USD; or $158 USD per case) and for scaling up the intervention in the modeled scenario was $4 USD (or $23 USD per case). The scaling up cost accounted for 0.4% of the per-student school budget in New Delhi. The main limitations of the study’s methodology were the lack of sample size calculations powered for 12-month follow-up and the absence of cost-effectiveness analyses using the primary outcomes. Conclusions In this study, we observed that a lay counselor–delivered, brief transdiagnostic problem-solving intervention had sustained effects on psychosocial problems and mental health symptoms over the 12-month follow-up period. Scaling up this resource-efficient intervention is an affordable policy goal for improving adolescents’ access to mental health care in low-resource settings. The findings need to be interpreted with caution, as this study was a post hoc extension, and thus, the sample size calculations did not take into account the relatively high attrition rate observed during the long-term follow-up. Trial registration ClinicalTrials.gov NCT03630471.

Recruitment of Low-Income Minority Women With Trauma and Mental Health Symptoms Into Clinical Trials

2009 ◽  
Author(s):  
Alexis Cook ◽  
Mary Ann Dutton ◽  
Lindsey Murray ◽  
Kavitha Schelbert ◽  
Deborah Schiavone ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Trials ◽  
Low Income ◽  
Minority Women ◽  
Mental Health Symptoms ◽  
Health Symptoms
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