@article {5300,
	title = {Between Synergy and Travesty: A Sexual Risk Syndemic Among Pregnant Latina Immigrant and Non-immigrant Adolescents.},
	journal = {AIDS and behavior},
	year = {2016},
	month = {2016 Jun 23},
	abstract = {Substance use, intimate partner violence, and depression contribute to sexual risk individually, yet have not been evaluated as a syndemic for adolescents. Using data from 772 pregnant Latina adolescents, we evaluated these factors as a syndemic and tested the moderating role of immigration. Bivariate analyses showed syndemic score (OR~=~1.40, p~=~0.02) and severity (OR~=~1.68, p~=~0.006) were predictors for multiple sex partners, and syndemic score predicting STIs (OR~=~1.15, p~=~0.05). Syndemic severity remained significant in multivariate analyses for multiple sex partners (OR~=~1.53, p~=~0.04). Moderation analyses showed higher syndemic severity was associated with more condom use among immigrants (OR~=~1.75, p~=~0.04) and less condom use (OR~=~0.07, p~=~0.011) among those with separated orientation. Higher syndemic severity also predicted greater odds for multiple partners (OR~=~2.40, p~=~0.01) among immigrants. This evidence suggests a sexual risk syndemic exists among Latina adolescents. Research should continue exploring this phenomenon, particularly exploring the role immigration plays for sexual health.},
	issn = {1573-3254},
	doi = {10.1007/s10461-016-1461-3},
	author = {Martinez, Isabel and Kershaw, Trace S and Lewis, Jessica B and Stasko, Emily C and Tobin, Jonathan N and Ickovics, Jeannette R}
}
