Developmental relationships between adolescent substance use and risky sexual behavior in young adulthood

Guo, Jie; Chung, Ick-Joong; Hill, Karl G.; Hawkins, J. David; Catalano, Richard F.; Abbott, Robert D.

doi:10.1016/s1054-139x(02)00402-0

Cited by 250 publications

(237 citation statements)

References 26 publications

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“…Strong associations between substance use and sexual risk behaviours have been reported previously and include smoking, drinking, and drug use being associated with sexual risk behaviours in general (Duncan, Strycker, & Duncan, 1999; Jackson, Sweeting, & Haw, 2012; Tu, Lou, Gao, Li, & Zabin, 2012), early sexual debut (Lowry et al, 1994), and number of sexual partners (Lowry et al, 1994; Shrier, Emans, Woods, & DuRant, 1997). Binge drinking has been associated with a higher number of partners (Guo et al, 2002), while more generally alcohol consumption has been associated with sexual debut, multiple sexual partners, and unprotected sex, all of which lead to an increased risk of HIV infection (Ayisi et al, 2000; Bassett et al, 1996; Clift et al, 2003; Lewis et al, 2005; Mnyika, Klepp, Kvale, & Ole-King’Ori, 1997; Myer, Mathews, & Little, 2002; Somsé, Chapko, & Hawkins, 1993; Zachariah et al, 2003). The increased risk of HIV infection may be attributable to the social consequences of substance use, which facilitates unprotected sex.…”

Section: Discussionmentioning

confidence: 99%

Education, substance use, and HIV risk among orphaned adolescents in Eastern Zimbabwe

Pufall

Eaton

Robertson

et al. 2017

Vulnerable Children and Youth Studies

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There is a growing interest in education as a means to reduce HIV infection in vulnerable children in sub-Saharan Africa; however, the mechanisms by which education reduces HIV infection remain uncertain. Substance use has been associated with high-risk sexual behaviour and could lie on the causal pathway between education and HIV risk. Therefore, we used multivariable regression to measure associations between: (i) orphanhood and substance use (alcohol, recreational drugs, and smoking), (ii) substance use and sexual risk behaviours, and (iii) school enrolment and substance use, in adolescents aged 15–19 years, in Eastern Zimbabwe. We found substance use to be low overall (6.4%, 3.2%, and 0.9% of males reported alcohol, drug, and cigarette use; <1% of females reported any substance use), but was more common in male maternal and double orphans than non-orphans. Substance use was positively associated with early sexual debut, number of sexual partners, and engaging in transactional sex, while school enrolment was associated with lower substance use in males. We conclude that education may reduce sexual risk behaviours and HIV infection rates among male adolescents in sub-Saharan Africa, in part, by reducing substance abuse.

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Section: Discussionmentioning

confidence: 99%

Education, substance use, and HIV risk among orphaned adolescents in Eastern Zimbabwe

Pufall

Eaton

Robertson

et al. 2017

Vulnerable Children and Youth Studies

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“…In Zimbabwe, men who had sex while intoxicated reported 20-fold more episodes of unprotected sex with casual partners and 27-fold more episodes of paying for sex than men, who did not have sex while intoxicated (Fritz et al, 2002). Although a positive relationship between alcohol use and sexual risk behaviors has been found in the majority of studies, results have not been uniformly consistent (Guo et al, 2002). For example, a study among adolescent detainees in the United States failed to find significant associations of alcohol use either in the past 30 days or during sex with unprotected sexual episodes (Kingree et al, 2000).…”

Section: Introductionmentioning

confidence: 96%

Alcohol intoxication and sexual risk behaviors among rural-to-urban migrants in China

Lin

Yang

et al. 2005

Drug and Alcohol Dependence

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Background-The migrant population in China is at high risk for sexual risk behavior and alcohol intoxication. Information about the prevalence of alcohol intoxication and its association with sexual risk behavior among migrants is needed for designing effective intervention prevention programs for reduction in alcohol abuse and HIV infection.Methods-Cross-sectional data were collected from 2153 sexually experienced young rural-tourban migrants in Beijing and Nanjing, China, in 2002.Results-Approximately one-third of the participants had been intoxicated with alcohol at least once during the previous month, with more males than females reporting intoxication (40.2% versus 23.7%, p < 0.001). Compared to non-intoxicated participants, respondents with alcohol intoxication in previous 30 days reported more psychological problems, including higher depression scores, lower levels of satisfaction with life and work, and higher perception of peer involvement in risk behavior. Intoxicated respondents were more likely to engage in premarital sex than non-intoxicated respondents (76% versus 60.2%, p < 0.001), have multiple sexual partners (13.4% versus 5.2%, p < 0.001), purchase sex (12.6% versus 4.9%, p < 0.001), and sell sex (10.1% versus 3.7%, p < 0.001). However, there was no association between alcohol intoxication and inconsistent/non-use of condoms. Multivariate analysis controlling for depression, peer risk involvement, age, gender, and other socio-demographic variables indicated that alcohol intoxication was independently correlated with premarital sex, multiple sexual partners, and buying and selling sex.Conclusions-Compared to the general Chinese population, levels of intoxication were elevated among Chinese rural-to-urban migrants. Alcohol intoxication was associated with sexual risk behaviors. HIV/AIDS prevention and intervention efforts should include components of alcohol use/ abuse prevention for an effective reduction of sexual risk among young rural-to-urban migrants in China.

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“…The context and meaning of adolescent drinking, and probably its consequences, are, therefore, different from alcohol consumption in young adulthood, which is legal at age 21. Furthermore, trajectories of early heavy drinking are associated with later alcohol abuse and dependence in young adulthood as well as with numerous negative social and personal outcomes (Guo et al, 2002;Hill et al, 2000;Kandel et al, 1986;Bentler, 1987, 1988). Focusing on alcohol use during adolescence is important because it sets the stage for later alcohol misuse and health problems and, therefore, has unique implications for prevention.…”

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confidence: 99%

Adolescent heavy episodic drinking trajectories and health in young adulthood.

et al. 2004

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ABSTRACT. Objective: This study examined the association of trajectories of heavy episodic drinking (at least five alcoholic drinks on one occasion) during adolescence with health status and practices at age 24. Method: Semiparametric group-based modeling and logistic regressions were used to analyze data from a longitudinal panel of 808 youths interviewed between 10 and 24 years of age. Results: Four distinct trajectories of adolescent heavy episodic drinking were identified: nonheavy drinkers, late onsetters, escalators and chronic heavy drinkers. Overall, young adults who did not engage in heavy episodic drinking during adolescence had the lowest occurrence of health problems and were most likely to engage in safe health behaviors at age 24. Chronic and late-onset heavy episodic drinking during adolescence had negative effects on health status and practices at age 24. Adolescent chronic heavy drinkers were more likely to be overweight or obese and to have high blood pressure at age 24 than those who did not drink heavily in adolescence. Late-onset heavy drinkers were less likely to engage in safe driving practices at age 24 and were more likely to have been ill in the past year than adolescents who did not drink heavily. These health disparities remained even after current frequency of heavy episodic drinking at age 24, other adolescent drug use, ethnicity, gender and family poverty were controlled. Conclusions: Heavy episodic alcohol use during adolescence has long-term, negative health consequences. Distinct patterns of adolescent heavy drinking affect health status and practices in young adulthood differently. (J. Stud. Alcohol 65: [204][205][206][207][208][209][210][211][212] 2004)

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Developmental relationships between adolescent substance use and risky sexual behavior in young adulthood

Cited by 250 publications

References 26 publications

Education, substance use, and HIV risk among orphaned adolescents in Eastern Zimbabwe

Education, substance use, and HIV risk among orphaned adolescents in Eastern Zimbabwe

Alcohol intoxication and sexual risk behaviors among rural-to-urban migrants in China

Adolescent heavy episodic drinking trajectories and health in young adulthood.

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