HIV risk behavior and internalizing/externalizing psychopathology among adolescents in court-ordered treatment

ABSTRACT

Background: The confluence of drug use behaviors, sexual risk, and psychopathology may complicate human immunodeficiency virus (HIV) prevention intervention for adolescents engaging in substance use and criminal behavior. However, few studies have examined these risk associations. Objective: This study identified HIV risk behavior subgroups among adolescents in court-ordered substance abuse treatment and examined linkages with dimensions of internalizing and externalizing psychopathology. Methods: Internalizing and externalizing behaviors were assessed with the Millon Adolescent Clinical Inventory (MACI). Latent class analysis was used to identify subgroups on the basis of involvement in substance use proximal to sex, number of partners, and consistency of condom use. Results: Participants (n = 301) were identified as demonstrating high, medium, or low levels of sexual risk behavior. Greater externalizing psychopathology distinguished the high risk class from the medium risk class and from the low risk class. Conclusion: Detained youth with particularly serious oppositional-defiant behavioral characteristics, substance use, and sex risk behavior likely require intensive interventions that address the multiple systemic factors that contribute to the development and maintenance of this pattern.

KEYWORDS:

• Adolescent
• HIV risk behavior
• personality
• internalizing
• externalizing

Acknowledgement

We express thanks to Sarra Hedden, PhD, for her contributions to this study.

Funding

This research was funded in part by RO1 DA11875 from NIDA and RO1 AA11752 from NIAAA.

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this paper.

Additional information

Funding

This research was funded in part by RO1 DA11875 from NIDA and RO1 AA11752 from NIAAA.