Depression and HIV risk among African American adolescent females: A sequential exploratory mixed methods study

African American adolescent females are among the fastest growing populations of new HIV infections, and those with mental illnesses are also risk. Little is known about underlying constructs resulting in HIV risk-related sexual behaviors (HRRSB) among clinically depressed African American adolescent females who seek mental health services, or about the links between depression and specific behavioral risks within the target population. Extensive research has been conducted on HIV-risk reduction interventions within the general adolescent population, yet we do not know if these findings are generalizable to the target population. Guided by the Theory of Planned Behavior, the purpose of this sequential exploratory mixed methods study (N=128) was to develop a better understanding of the context of sexual risk for HIV among clinically depressed African American adolescent females. The study aimed to: (1) elucidate the context of heterosexual relationships, (2) empirically examine the relationship between depression severity and the five specified HRRSB from a theory-based perspective, and (3) compare the relationship between depressive symptoms and the five specified HRRSB among clinically depressed and non-depressed participants. African American adolescent females aged 13 to 19 years old were recruited from outpatient mental health programs and community settings in Philadelphia, PA and Hampton, VA. Semi-structured, face-to-face interviews (n=30) preceded anonymous surveys (n=98). Data analysis is currently in progress. Preliminary findings indicate that there are unique HIV risk factors for clinically depressed African American adolescent females. The findings from this study may potentially inform the adaptation/development of effective HIV prevention interventions for this group.