Comparison of Substance Use Typologies as Predictors of Sexual Risk Outcomes in African American Adolescent Females

Swartzendruber, Andrea; Sales, jessica; Brown, Jennifer L.; DiClemente, Ralph J.; Rose, Eve

doi:10.1007/s10508-015-0518-0

Cited by 17 publications

(24 citation statements)

References 35 publications

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“…However, alcohol use was not associated with condom use. This finding differs from the finding by Swartzendruber, Sales, and Brown (2016), who examined black female adolescents who used marijuana and or alcohol. Adolescent girls who used alcohol were less likely to use condoms.…”

Section: Literature Reviewcontrasting

confidence: 99%

Factors Associated with Condom Use among African American and Hispanic/ Latino Youth

Gleton

Jahanfar

Inungu

et al. 2019

EUROPEAN J ENV PUBLI

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Research has shown that African American and Hispanic/Latino youth are at an increased risk of contracting STIs/STDs and HIV/AIDS. Objective: The purpose of this study was to examine factors associated with condom use among African American and Hispanic/Latino youths. Results: Among African American youth, condom use was more likely among males (2.09; 95% CI:1.45-3.02) compared to females and less likely among gays/lesbians compared to heterosexuals (0.33; 95% CI: 0.12-0.90), adjusted for cofounders. Among Hispanic/Latino youth, condom use was more likely among males (1.70; 95% CI: 1.25-2.31) compared to females and less likely among gays/lesbians (0.16; 95% CI: 0.57-0.44) and those who used alcohol/drugs during last sex (0.54; 95% CI: 0.37-0.78), adjusted for cofounders. Conclusion: For both racial groups', females and those identifying as gay or lesbian were more at risk of not using condoms. For Hispanic/Latino youth who used alcohol/drugs during last sex they were more at risk of not using a condom. This study can be used to identify culturally appropriate interventions that must be implemented to encourage greater condom use amongst African American and Hispanic/Latino youth.

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Section: Literature Reviewcontrasting

confidence: 99%

Factors Associated with Condom Use among African American and Hispanic/ Latino Youth

Gleton

Jahanfar

Inungu

et al. 2019

EUROPEAN J ENV PUBLI

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“…Co-use may be particularly important to consider as use of alcohol together with marijuana may have a multiplicative effect on elevating risk [35,48]. Guo et al, [21] in one of the few longitudinal studies of urban youth, provide insight into the association of separate trajectories of alcohol and marijuana with sexual risk outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…Swartzendruber et al, [48] in a rare examination of the interaction of alcohol and marijuana use, demonstrated the additional risk of co-use of alcohol and marijuana. In a sample of African American female adolescents, they found that those who used both alcohol and marijuana had an increased risk of pregnancy 18 months later compared to those who used marijuana or alcohol alone.…”

Section: Introductionmentioning

confidence: 99%

“…Identifying patterns of substance use across adolescence, and their association with later sexual risk behaviors and outcomes would allow for a more complete understanding of the developmental process by which substance use trajectories contributes to sexual risk, and this information is critical for prevention efforts. Third, much of this research has focused on a single substance (e.g., alcohol) or substance use in general and not considered patterns of dual use, despite alcohol and marijuana being commonly used together, and previous work suggesting patterns of dual use relate differentially to long-term outcomes [20,48]. Fourth, in estimating long-term associations, studies have struggled to adequately take selection effects into account.…”

Section: Introductionmentioning

confidence: 99%

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Developmental Patterns of Adolescent Marijuana and Alcohol Use and Their Joint Association with Sexual Risk Behavior and Outcomes in Young Adulthood

Green

Musci

Matson³

et al. 2017

J Urban Health

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Urban populations disproportionately experience poor sexual outcomes, including high rates of teenage pregnancy and sexually transmitted infections. However, the contribution of substance use across adolescence to poor sexual outcomes in young adulthood has not been investigated in depth, despite offering opportunities for more targeted prevention. This study aimed to estimate joint trajectories of adolescent alcohol and marijuana use to determine if they relate differently to four sexual outcomes: multiple sexual partners, sex without a condom, teenage pregnancy, and contraction of a sexually transmitted infection in young adulthood (by age 25). Data came from a longitudinal study of urban youth followed from age 6 to age 25, with annual assessments during adolescence and young adulthood (n = 608). The sample showed high levels of sexual risk, with young adults on average having sex without a condom once in the past month, 28.5% having multiple sexual partners in the past month, one quarter having contracted a sexually transmitted infection, and over 60% of the women being pregnant as a teenager and 36% of the men having gotten a partner pregnant. Applying longitudinal latent profile analysis to estimate joint trajectories of alcohol and marijuana use from grades 8-12, we identified four classes representing high dual use, moderate alcohol use, moderate alcohol use with increasing marijuana use, and nonuse. Class membership differently predicted all four outcomes investigated with high dual users having the highest level of teenage pregnancy and the increasing marijuana trajectory having the highest risk of engaging with multiple sexual partners in the past month. Results suggest implications for both sexual risk and substance use prevention for urban youth.

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“…The second issue is related to the risky sexual behaviors that cause many issues, problems, costs and financial burdens. In this regard, drug use has been described as the strongest cause and predictor of exposure to gonorrhea, herpes simplex virus (HSV), and HIV [30][31][32]. Since risky sexual behaviors in women drug users can be shaped based on their perceptions of social interactions, this grounded theory study will be conducted for understanding and identification of the process of risky sexual behaviors in their natural environment and social context.…”

Section: Discussionmentioning

confidence: 99%

The process of risky sexual behaviors formation in women drug users: a protocol for a grounded theory study

et al. 2020

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Background: Drug use is an important underlying factor in risky sexual behaviors. Risky sexual behaviors can lead to STIs and HIV/AIDS, especially in women. For better understanding of the relationship between drug use and risky sexual behaviors in women, it is necessary to identify the process of the formation of these behaviors that is a multidimensional process influenced by multiple socio-cultural factors. Therefore, the present study aims to explore the process of risky sexual behaviors formation in women drug users. Methods: This is a grounded theory qualitative study with Corbin and Strauss approach. The participants of the study are women drug users with risky sexual behaviors who, using purposeful sampling method, will be selected from the Counseling and Harm Reduction centers for vulnerable women, the Drug Rehabilitation centers affiliated to the Isfahan University of Medical Sciences, Therapeutic Community Rehabilitation centers, Drop in Centers affiliated to the Welfare Organization, Medium-term Residential centers (women's camps), and Women's Empowerment centers in Isfahan, Iran. Sampling will continue using snowball method and the strategy of maximum variation in terms of the age, occupation, education, duration of the drug use, and type of the drug. During the sampling process, theoretical sampling will gradually replace purposeful sampling, so that sampling will proceed based on the emergence of the theory and for understanding of the concept and, then, the next participants will be selected. Sampling will continue until data saturation is reached. Data will be collected using individual semi-structured in-depth interviews, observation, field notes, and memo writing. Data will be coded as they are collected, and the analysis will be performed at three levels of open, axial, and selective coding and based on the constant comparative analysis. The four criteria of credibility, dependability, transferability and confirmability will be used to ensure the trustworthiness of the data. Discussion: The findings of the present study are expected to provide a better understanding of the process of risky sexual behaviors formation in women drug users. The findings may also lead to the identification of the barriers and factors contributing to the formation of such behaviors and, finally, will promote the reproductive and sexual health of these women. This study can also provide the guide and the ground for designing and conducting further studies in the related areas through using various qualitative and quantitative methods.

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Comparison of Substance Use Typologies as Predictors of Sexual Risk Outcomes in African American Adolescent Females

Cited by 17 publications

References 35 publications

Factors Associated with Condom Use among African American and Hispanic/ Latino Youth

Factors Associated with Condom Use among African American and Hispanic/ Latino Youth

Developmental Patterns of Adolescent Marijuana and Alcohol Use and Their Joint Association with Sexual Risk Behavior and Outcomes in Young Adulthood

The process of risky sexual behaviors formation in women drug users: a protocol for a grounded theory study

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