Age of Sexual Initiation, Psychiatric Symptoms, and Sexual Risk Behavior among Ecstasy and LSD Users in Porto Alegre, Brazil: A Preliminary Analysis

Pechansky, Flávio; Remy, Lysa Silveira; Surratt, Hilary L.; Kurtz, Steven P.; Rocha, Thiago Botter-Maio; Diemen, Lísia von; Bumaguin, Daniela Benzano; Inciardi, James A.

doi:10.1177/002204261104100204

Cited by 12 publications

(10 citation statements)

References 45 publications

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“…We do not have objective data, such as a toxicology screen, to evaluate the degree of under-reporting of these activities, but a study performed on club-going adults in Porto Alegre showed that only 1.3% of men/women interviewed used crack in past 90 days, which is similar to rates endorsed by women on ACASI. 27 Furthermore, clinicians working in the hospital report that about 1% of newborns appear to be have symptoms of in utero drug exposure (approximately 4 each month of 400 births), which is also consistent with our results. 28 However, it is important to note that a prior study performed on pregnant women in the USA showed that when comparing ACASI to toxicology screens, there was significant underreporting of drug use.…”

Section: Discussionsupporting

confidence: 91%

Audio computer-assisted survey instrument versus face-to-face interviews: optimal method for detecting high-risk behaviour in pregnant women and their sexual partners in the south of Brazil

Yeganeh

Dillavou²,

Simon

et al. 2013

Int J STD AIDS

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Summary Audio computer-assisted survey instrument (ACASI) has been shown to decrease under-reporting of socially undesirable behaviours, but has not been evaluated in pregnant women at risk of HIV acquisition in Brazil. We assigned HIV-negative pregnant women receiving routine antenatal care at in Porto Alegre, Brazil and their partners to receive a survey regarding high-risk sexual behaviours and drug use via ACASI (n = 372) or face-to-face (FTF) (n = 283) interviews. Logistic regression showed that compared with FTF, pregnant women interviewed via ACASI were significantly more likely to self-report themselves as single (14% versus 6%), having >5 sexual partners (35% versus 29%), having oral sex (42% versus 35%), using intravenous drugs (5% versus 0), smoking cigarettes (23% versus 16%), drinking alcohol (13% versus 8%) and using condoms during pregnancy (32% versus 17%). Therefore, ACASI may be a useful method in assessing risk behaviours in pregnant women, especially in relation to drug and alcohol use.

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Section: Discussionsupporting

confidence: 91%

Audio computer-assisted survey instrument versus face-to-face interviews: optimal method for detecting high-risk behaviour in pregnant women and their sexual partners in the south of Brazil

Yeganeh

Dillavou²,

Simon

et al. 2013

Int J STD AIDS

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“…This suggests a link between earlier sexual initiation and illicit drug use behaviors, which is supported by the existing literature (Rosenbaum & Kandel 1990; Pechansky et al 2011). In addition, we noted that the age at sexual debut in our sample was higher than in studies among illicit drug users in other countries (Abdala et al 2012; Pechansky et al 2011), which was consistent with the fact that Chinese youth have a later onset of sexual activity in comparison to Western societies (Guo et al 2012)…”

Section: Discussionsupporting

confidence: 84%

“…Sexual debut in adolescence has been shown to be a strong predictor of illicit drug use in later life (Novoa et al 2005; Pechansky et al 2011). To date, there have been few attempts to investigate the relationship between age at sexual debut and age at drug initiation.…”

Section: Introductionmentioning

confidence: 99%

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

Ding

Detels

2015

Journal of Psychoactive Drugs

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We examined the association between adolescent sexual debut and age at new-type drug initiation among a sample of young adult new-type drug users. A total of 276 participants were recruited using respondent-driven sampling (RDS) in Shanghai, China. The analyses were restricted to a total of 201 participants aged between 18 and 30 years. The average age at sexual debut and age at first new-type drug use were 18.8 and 20.9 years, respectively. About 94% of participants reported having sexual experience (n = 188); of those, 137 (72.9%) had sexual debut before they first used new-type drugs, while 32 (17.0%) initiated both events at the same age. After adjustment for age, income, education, and sexual orientation, adolescent sexual debut was independently associated with younger age at new-type drug initiation. Adolescent sexual debut is associated with early onset of new-type drug use. Our findings underscore the importance of implementing sex-education programs for adolescents in schools in China.

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“…Pechansky et al (2011) reported that early sexual debut was associated with lifetime cannabis use. However, this study was restricted to current ecstasy/LSD users and is thus not generalizable to the broader population.…”

Section: Introductionmentioning

confidence: 99%

Age of Sexual Debut and Cannabis Use in the United States

Cha

Masho

Mezuk

2016

Substance Use & Misuse

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Background Understanding the interrelationships between risky health behaviors is critical for health promotion efforts. Conceptual frameworks for understanding substance misuse (e.g. stepping-stone models) have not yet widely incorporated other risky behaviors, including those related to sexual health. Objectives The goals of this study were to assess the relationship between early sexual debut and cannabis use, examine the role of licit substance use in this association, and evaluate differences by gender and race/ethnicity. Methods Data came from the National Comorbidity Survey-Replication (NCS-R). Primary analysis was restricted to respondents who reported sexual debut at ≥12 years (n=5,036). Age at sexual debut was categorized as early (<18 years), average (18 years) and late (>18 years). Logistic regression was used to assess the relationship between age at sexual debut and cannabis use. Interaction terms were used to evaluate effect modification by gender and race/ethnicity. Results Later age of sexual debut was associated with lower odds of cannabis use relative to the average age of debut (AOR = 0.50, 95% CI = 0.37 – 0.66). For every year that respondents delayed their sexual debut, the relative odds of lifetime cannabis use declined by 17%. After accounting for alcohol and tobacco use the association between early sexual debut and cannabis was attenuated (AOR = 0.90, 95% CI = 0.68 – 1.20), while later age of debut remained protective (AOR = 0.57, 95% CI = 0.42 – 0.78). Results were generally consistent across race/ethnicity and gender. Conclusions Multifactorial intervention strategies targeting both sexual health and substance use may be warranted.

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Age of Sexual Initiation, Psychiatric Symptoms, and Sexual Risk Behavior among Ecstasy and LSD Users in Porto Alegre, Brazil: A Preliminary Analysis

Cited by 12 publications

References 45 publications

Audio computer-assisted survey instrument versus face-to-face interviews: optimal method for detecting high-risk behaviour in pregnant women and their sexual partners in the south of Brazil

Audio computer-assisted survey instrument versus face-to-face interviews: optimal method for detecting high-risk behaviour in pregnant women and their sexual partners in the south of Brazil

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

Age of Sexual Debut and Cannabis Use in the United States

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