“…Drug and alcohol use have been found to be consistently strong determinants of sexual risk behavior for college students and young adults across racial-ethnic groups (Cooper, 2002; Guo et al, 2002; Johnson & Chen, 2014; Livingston, Testa, Windle, & Bay-Cheng, 2015; Moilanen, 2013; Thamotharan, Grabowski, Stefano, & Fields, 2014; Valois, Oeltmann, Waller, & Hussey, 1999). In extreme cases, substance use increases the likelihood that individuals will participate in risky sexual behaviors in order to acquire drugs.…”