Abstract
Given the potential for unintended pregnancy and exposure to sexually transmitted infections, both of which can have long-term deleterious health consequences, the identification of predictors of adolescent risky sexual behavior remains an important line of inquiry. Although prior research has identified a variety of family and individual factors that are associated with risky sexual behavior, few studies have examined the role of family economic stress. The current study utilized three waves of data from a community sample of African American families with adolescents (N = 778, 54% girls, average age = 10.4 years old at Wave 1, 12.3 years old at Wave 2, 15.6 years old at Wave 3) to test the family stress model as an explanation of adolescent risky sexual behavior. Multi-group analyses examined gender differences in the family processes expected to link economic stress and risky sexual behavior. Unlike most studies utilizing this theoretical perspective, family structure was also taken into account. The results supported the propositions of the family stress model for boys and girls for both two-caregiver and single-mother households. Further, in single-mother households, maternal psychological distress continued to have a positive effect on adolescent risky sex even after taking into account the impact of parenting behaviors. Overall, the results suggest that economic stress ripples through the family system, increasing adolescent risky sexual behavior through its negative impact on family processes, highlighting the need for systemic policy changes rather than individual-level intervention/prevention efforts.
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A.L.B. conceived of the study, performed the statistical analysis and interpretation of the data, and drafted the manuscript; L.G.S. participated in the study design and coordination and assisted in drafting the manuscript; F.X.G. assisted in drafting the manuscript. All authors read and approved the final manuscript.
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This work was supported by funding from the National Heart, Lung, and Blood Institute (R01 HL118045), the National Institute of Child Health and Human Development (R01 HD080749), the National Institute on Aging (R01 AG055393), the National Institute on Drug Abuse (R21 DA034457, R01 DA021898, R01 DA018871), the National Institute of Mental Health (R01 MH48165, R01 MH62666, R01 MH62668, R01 MH62699, 1P30DA02782), the National Institute on Alcohol Abuse & Alcoholism (2R01AA012768, 3R01AA012768-90S1) and the Centers for Disease Control and Prevention (U01CD001645).
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Brown, A.L., Simons, L.G. & Gibbons, F.X. How Economic Stress Impacts Risky Sex among African American Adolescents. J Youth Adolescence 51, 1074–1088 (2022). https://doi.org/10.1007/s10964-021-01529-6
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DOI: https://doi.org/10.1007/s10964-021-01529-6