Adolescent Sexual Debut and Initiation into New-Type Drug Use among a Sample of Young Adults

Ding, Yingying; He, Na; Detels, Roger

doi:10.1080/02791072.2015.1049725

Cited by 4 publications

(5 citation statements)

References 21 publications

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“…However, adding it to the multivariable logistic model only led to modest changes in the aOR of the early sexual initiation on risky sexual practice. Given that repetitive preceding-sex use of illicit drugs presumably occurs following sexual initiation and empirical evidence suggests that the majority of Asian club drug users began their first club drug use after their sexual initiation [ 6 ], this pattern of attenuated aOR of the exposure after the adding of preceding-sex use of illicit drugs is compatible with its role as a mediator. Nevertheless, a mediator cannot be distinguished from a confounder solely based on the statistical change.…”

Section: Discussionmentioning

confidence: 99%

“…Evidence from cross-country studies showed that substance use (measured by tobacco use frequency, alcohol use frequency, and ever drunk) was consistently associated with increased odds of early sexual initiation [ 1 , 34 ]. Earlier data in the US have pointed out that early-onset of marijuana or other illicit drugs were stronger predictors for having intercourse initiation before age 16 [ 35 ], although a study in East Asia indicated that the majority of club-drug users had sexual initiation before their first club-drug use [ 6 ]. The association of early initiation of illicit drug use with early initiation of sexual behavior might be attributed to shared underlying pathways, such as certain personality traits or disadvantaged environment [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Earlier data in the US have pointed out that early-onset of marijuana or other illicit drugs were stronger predictors for having intercourse initiation before age 16 [ 35 ], although a study in East Asia indicated that the majority of club-drug users had sexual initiation before their first club-drug use [ 6 ]. The association of early initiation of illicit drug use with early initiation of sexual behavior might be attributed to shared underlying pathways, such as certain personality traits or disadvantaged environment [ 6 ]. For example, sensation seeking and impulsivity have linked with a wide array of underage risk behaviors, including substance use [ 36 – 39 ] and early sexual initiation [ 40 – 45 ].…”

Section: Introductionmentioning

confidence: 99%

“…Hence , the associations between early sexual initiation and risky sexual practices might be mediated via the influence of drugs [ 21 ]. Previous studies found that early sexual initiators were more likely to report preceding-sex use of illicit drugs [ 6 , 7 ]. Meanwhile, studies found that preceding-sex use of illicit drugs was associated with risky sexual practices [ 47 , 48 ].…”

Section: Introductionmentioning

confidence: 99%

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Early sexual initiation and risky sexual practices among alcohol- and tobacco-using young adults in Taiwan: mediation analysis of preceding-sex use of illicit drugs

Ting

Chen

et al. 2020

BMC Public Health

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Background As early sexual initiation is increasingly common in East Asia, we examined its relations to risky sexual practices in alcohol- and tobacco-using individuals in Taiwan and evaluated whether the associations were mediated through preceding-sex use of illicit drugs. Methods Participants, recruited from alcohol- and tobacco-using adults aged 18 to 50 in Taipei through respondent-driven sampling (N = 1115), completed a computer-assisted self-interview covering questions on substance use and sexual experiences. In a subsample of 916 participants who had had sexual experience (median age 27), we examined the relations of early sexual initiation (< 16 years) to multiple sexual partners, casual sex, group sex, and rare condom use. Causal mediation analyses were conducted to examine whether illicit drug use preceding sex mediated these associations. Results Around 9.3% reported early sexual initiation and the prevalence of risky sexual practices ranged from 7% (group sex) to 47% (rare condom use). Early initiators had a higher prevalence of regular binge drinking, illicit drug use, and risky sexual practices. In the multivariable analyses, higher odds of multiple sexual partners, casual sex, and group sex were consistently associated with early sexual initiation, gender, and their interaction. Mediation through preceding-sex use of illicit drugs was found between early sexual initiation and the three risky sexual practices, with the proportions mediated ranging from 17 to 19%. Conclusions Early sexual initiators were more likely to engage in risky sexual practices and preceding-sex use of illicit drugs partially explained this relationship, calling for more attention to this population’s sexual health.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Early sexual initiation and risky sexual practices among alcohol- and tobacco-using young adults in Taiwan: mediation analysis of preceding-sex use of illicit drugs

Ting

Chen

et al. 2020

BMC Public Health

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“…So these drugs were not being well controlled by relevant drug legislation [12]. There was an increase in the use of recreational drugs in China [11,13,14]. Using recreational drugs helped MSM deal with shame and vulnerability issues they might have from outside.…”

Section: Introductionmentioning

confidence: 99%

Recreational Drug use and Risk of HIV Infection Among Young Men Who Have Sex with men: A Cross-Sectional Study in Tianjin, China

Yang

et al. 2021

Preprint

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Background- Recreational drug use among young men who have sex with men (YMSM) was a public health issue of worldwide concern. Evidence had shown the relevance between recreational drug use and human immunodeficiency virus (HIV) infection. This study aimed to investigate the current prevalence state of recreational drug use among YMSM in Tianjin, discern the characteristics of YMSM who used recreational drugs or not and examine the interaction effect of recreational drug use and unprotected anal intercourse (UAI) on HIV infection.Methods- In 2018, a cross-sectional study was conducted in Tianjin, China. The snowball sampling method was used to recruit YMSM. Participants were recruited from gay bars, gay bathhouses, social network sites (WeChat, QQ, gay chat website), gay apps and peer referrals. Structured questionnaires were used to collect data.Results- A total of 1075 YMSM met the eligibility criteria and were included in the study eventually. The overall HIV prevalence was 4.3% (46/1075). Of all the recreational drugs involved in this study (rush poppers, methamphetamine, capsule No.0), rush poppers (406/517,78.5%) were the most popular among YMSM in Tianjin. Compared with non-drug users, drug users were more likely to have first sex earlier, be bisexual, be male sex worker (MSW), have a higher education level, seek sex partners through physical venues, engage in UAI, have sexually transmitted infection (STI), and receive HIV testing. Moreover, recreational drug use and UAI were associated with the increased risk of HIV infection [adjusted OR:3.6 (95%CI: 1.7-7.6) and 4.9 (95%CI: 2.2-10.4), respectively]. There was additive interaction of recreational drug use and UAI on HIV infection [relative excess risk due to interaction (RERI): 6.949 (95%CI: 0.011‐13.887); attributable proportion due to interaction (AP): 0.809 (95%CI: 0.578‐1.039)].Conclusions- Recreational drug use was common and correlated with HIV infection among YMSM in Tianjin. There was an urgent need to build novel targeted HIV prevention strategies to discern and reduce recreational drug use among YMSM in China.

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Factors Associated with Sexual Debut in Mexican Adolescents: Results of the National Survey on Drug Use among Students in 2014

Barragán

Berenzon

Tiburcio

et al. 2019

The Journal of Sexual Medicine

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Introduction Although first sexual experience (understood as first sexual intercourse) is one of the most commonly assessed characteristics of adolescents, recent research emphasizes the importance of understanding other related social factors. This study highlights factors associated with first sexual experience in a nationally representative sample of adolescent students in Mexico. Aims The goals of this study were (i) to determine the proportion of adolescents aged 12–17 who had had their first sexual experience; (ii) to identify the factors associated with first sexual experience; and (iii) to analyze the conditions (condom use, substance use) in which first sexual experience takes place. Method The data presented in this study are drawn from the 2014 National Survey on Drug Use in Students (Spanish acronym ENCODE), undertaken with the purpose of identifying the prevalence of drug use and associated variables, including sexual activity, in Mexican students. Kaplan-Meier analysis was used to estimate the probability of first sexual experience at a given age, taking sex as an outcome variable and age as a follow-up period. Logistic regression was used to assess possible factors for sexual initiation. Main Outcome Measures Validated standard questionnaires were used to assess sociodemographic characteristics, first sexual experience (framed as first sexual intercourse), frequency of sexual relations, sexual partners, sexual preference (framed as preferred sex of partners), substance use, having a physical illness or a behavioral problem, condom or other contraceptive use, as well as the absence or presence of parents, parents’ educational attainment, and parents’ substance use. Results A total of 26,187 students aged 12–17 participated. Of this total, 14.8% had already had their first sexual experience, at a median age of 15; 64.5% used some type of contraceptive, and 53.2% used condoms. Proportional probabilities for having first sexual experience using age as a follow-up period showed that the probability of having sex earlier was higher among boys than girls: the probability of having sex at age of 15 was 26.5% for boys and 13.9% for girls. Predictors of first sexual experience included substance use (alcohol OR = 2.5, tobacco OR = 2.6, and other drugs OR = 2.3), having a mother who used drugs (OR= 2.2), sexual preference (female homosexual, OR = 2.2), and sex (male, OR = 2.1). Conclusions Boys are more likely to have had a first sexual experience than girls. Future strategies should incorporate specifically targeted elements with different messages that consider adolescents’ sex and age.

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Adolescent Sexual Debut and Initiation into New-Type Drug Use among a Sample of Young Adults

Cited by 4 publications

References 21 publications

Early sexual initiation and risky sexual practices among alcohol- and tobacco-using young adults in Taiwan: mediation analysis of preceding-sex use of illicit drugs

Early sexual initiation and risky sexual practices among alcohol- and tobacco-using young adults in Taiwan: mediation analysis of preceding-sex use of illicit drugs

Recreational Drug use and Risk of HIV Infection Among Young Men Who Have Sex with men: A Cross-Sectional Study in Tianjin, China

Factors Associated with Sexual Debut in Mexican Adolescents: Results of the National Survey on Drug Use among Students in 2014

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