The Associations of Mental Health Disturbances, Self-Esteem, and Partner Violence Victimization with Condom Use in Spanish Adolescents
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Título: | The Associations of Mental Health Disturbances, Self-Esteem, and Partner Violence Victimization with Condom Use in Spanish Adolescents |
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Autor/es: | Sanchez-SanSegundo, Miriam | Alarcó-Rosales, Raquel | Zaragoza Martí, Ana | Quesada, José Antonio | Gabaldón Bravo, Eva María | Hurtado-Sánchez, José Antonio |
Grupo/s de investigación o GITE: | Psicología Aplicada a la Salud y Comportamiento Humano (PSYBHE) | Informática Industrial y Redes de Computadores | Enfermería y Cultura de los Cuidados (EYCC) | Grupo de Investigación en Alimentación y Nutrición (ALINUT) |
Centro, Departamento o Servicio: | Universidad de Alicante. Departamento de Psicología de la Salud | Universidad de Alicante. Departamento de Enfermería |
Palabras clave: | Unprotected sex | Self-esteem | Adolescent | Mental health | Spain |
Área/s de conocimiento: | Personalidad, Evaluación y Tratamiento Psicológico | Enfermería |
Fecha de publicación: | 27-abr-2022 |
Editor: | MDPI |
Cita bibliográfica: | Sánchez-SanSegundo M, Alarcó-Rosales R, Zaragoza-Martí A, Quesada-Rico JA, Gabaldón-Bravo E, Hurtado-Sánchez JA. The Associations of Mental Health Disturbances, Self-Esteem, and Partner Violence Victimization with Condom Use in Spanish Adolescents. Journal of Clinical Medicine. 2022; 11(9):2467. https://doi.org/10.3390/jcm11092467 |
Resumen: | Risky sexual behaviors, such as not using a condom for preventing sexually transmittable diseases and unwanted pregnancies, are associated with emotional and psychological problems in adolescence, including higher levels of depression, anxiety, stress, and low self-esteem. Adolescents with a history of violence victimization are also at increased risk of engaging in sexual risk behaviors. In this study, we examined the associations between mental health disturbances and partner violence victimization and the non-use of condoms among young people in Spain. We also examined self-esteem as a mediator of mental health problems and unprotected sexual relationships. A cross-sectional study was conducted on a sample of 831 adolescents randomly selected from 25 high schools in Spain. From the initial sample, 285 students (144 men and 141 women) from high schools in Alicante (Spain) who reported having experienced sexual activity with at least one partner were approached. The results showed that one in three adolescents between 14 and 19 years old did not use condoms during sexual intercourse. The factors associated with the non-use of condoms in the estimated models of Poisson robust variance were having a history of physical, psychological, or sexual violence; having been expelled from school because of behavioral problems; and having higher levels of depression, anxiety, and stress and lower levels of self-esteem. Self-esteem was independently associated with the non-use of condoms. Having lower levels of self-esteem increased the risk of not using a condom during participants’ last sexual intercourse. These findings suggest the importance of developing public health strategies for mental health promotion to increase condom use among adolescents. |
Patrocinador/es: | This study was funded by Concejalía de Acción Social, Plan Municipal sobre Drogodependencias; Ayuntamiento de Alicante, Spain (AYTOALICANTE3-13I); Delegación del Gobierno para el Plan Nacional sobre Drogas. This study was also funded by GE-PPUA2013–2017 PA PROGRAMA DE REDES DE INVESTIGACIÓN EN DOCENCIA UNIVERSITARIA. Insituto Ciencias de la Educación, Universidad de Alicante. |
URI: | http://hdl.handle.net/10045/123916 |
ISSN: | 2077-0383 |
DOI: | 10.3390/jcm11092467 |
Idioma: | eng |
Tipo: | info:eu-repo/semantics/article |
Derechos: | © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
Revisión científica: | si |
Versión del editor: | https://doi.org/10.3390/jcm11092467 |
Aparece en las colecciones: | INV - PSYBHE - Artículos de Revistas INV - EYCC - Artículos de Revistas INV - ALINUT - Artículos de Revistas |
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