Predicting risky sexual behaviors among college student drinkers as a function of event-level drinking motives and alcohol use

Kilwein, Tess M.; Looby, Alison

doi:10.1016/j.addbeh.2017.07.032

Cited by 39 publications

(40 citation statements)

References 41 publications

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“…This prospective model offers a novel pathway explaining the relationship between substance use and unprotected sex. In contrast to evidence for event-level relationships between substance use and unprotected sex that can be explained by the alcohol myopia theory (e.g., MacDonald, MacDonald, Zanna, & Fong, 2000) and expectancy and motive theories (Dermen, Cooper, & Agocha, 1998; Dvorak et al, 2016; Kilwein & Looby, 2018), results highlight a more distal relationship between substance use and unprotected sex. One explanation for findings could be related to peer affiliation (Staras, Tobler, Maldonado-Molina, & Cook, 2011); there may be unique group norms regarding sexual risk and pregnancy among adolescent substance users, and thus, affiliation with substance-using peer groups may influence one’s attitudes about sexual risk and concerns about pregnancy.…”

Section: Discussioncontrasting

confidence: 99%

“…The association between adolescent substance use and unprotected sex is well-documented (Connell, Gilreath, & Hansen, 2009). Although extensive research has highlighted event-level relationships between marijuana (Kingree, Braithwaite, & Woodring, 2000; Schumacher, Marzell, Toepp, & Schweizer, 2018) and alcohol (Dvorak et al, 2016; Kilwein & Looby, 2018) use and unprotected sex, there are likely other non-event-level explanations for higher rates of unprotected sex and unplanned pregnancy among substance-using adolescents. Specifically, there is evidence that sex-related attitudes and risk perceptions regarding sex are associated with actual sexual behaviors (Albarracín et al, 2005); for example, attitudes toward condoms are associated with actual condom use among adolescents (Halpern-Felsher, Kropp, Boyer, Tschann, & Ellen, 2004; Weinman, Small, Buzi, & Smith, 2008).…”

Section: Introductionmentioning

confidence: 99%

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The Role of Pregnancy Concerns in the Relationship between Substance Use and Unprotected Sex among Adolescents

Dir

Hulvershorn

Aalsma

2019

Substance Use & Misuse

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Background: Substance use and unprotected sex are prevalent among adolescents. The link between substance use and unprotected sex is well-established. Research has also highlighted how adolescents’ attitudes and risk perceptions regarding unprotected sex, including concerns about pregnancy (“Getting pregnant would force me to grow up too fast”), are associated with unprotected sex and unplanned pregnancy. However, less research has examined the potential relationship between pregnancy concerns and substance use among adolescents. Objectives: The study prospectively examined (1) differences in pregnancy concerns across patterns of substance use and (2) whether pregnancy concerns mediate the relationship between substance use and later unprotected sex among a sample of middle and high school students. Method: 98 adolescents [M(SD) age = 14.28(1.68), 59.4% female, 59.4% black/African American] completed self-report measures of marijuana and alcohol use, pregnancy concerns, and unprotected sex across three time points over 6months (T1–T3). Results: Substance users (alcohol/marijuana) reported fewer pregnancy concerns compared to non-substance users (t = 2.99, p = .04). Pregnancy concerns at T2 mediated the relationship between T1 lifetime substance use and later unprotected sex (T3) (indirect effect: b = 0.10, CI[.01–.41]; direct effect: b = 0.15, p = .32), controlling for gender, age, and race. More frequent substance use (T1) was related to fewer pregnancy concerns at T2 (b = –0.10, p = .04); fewer pregnancy concerns were related to increased likelihood of later unprotected sex (b = –1.02, p = .02). Conclusions: Findings offer new insight into associations between substance use and unprotected sex and suggest that substance use and sexual health interventions should target pregnancy concerns.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Role of Pregnancy Concerns in the Relationship between Substance Use and Unprotected Sex among Adolescents

Dir

Hulvershorn

Aalsma

2019

Substance Use & Misuse

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“…The main limiting factor is the use of self‐report measures of occasion characteristics that lack validation. Some papers use well‐validated self‐report scales for more complex predictors, particularly psychological constructs such as drinking motives or mood . Measures for some simple contextual characteristics, such as the day of the week, may not require validation.…”

Section: Resultsmentioning

confidence: 99%

Drinking contexts and their association with acute alcohol‐related harm: A systematic review of event‐level studies on adults' drinking occasions

Stevely

Holmes

McNamara

et al. 2020

Drug and Alcohol Review

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Issues. Event-level alcohol research can inform prevention efforts by determining whether drinking contexts-such as people or places-are associated with harmful outcomes. This review synthesises evidence on associations between characteristics of adults' drinking occasions and acute alcohol-related harm. Approach. We systematically searched Ovid MEDLINE, Ovid PsycInfo and the Web of Science Social Sciences Citation Index. Eligible papers used quantitative designs and event-level data collection methods. They linked one or more drinking contexts to acute alcohol-related harm. Following extraction of study characteristics, methods and findings, we assessed study quality and narratively synthesised the findings. PROSPERO ID: CRD42018119701. Key Findings. Searches identified 95 eligible papers, 65 (68%) of which study young adults and 62 (65%) of which are set in the United States, which limits generalisability to other populations. These papers studied a range of harms from assault to drink driving. Study quality is good overall although measures often lack validation. We found substantial evidence for direct effects of drinking context on harms. All of the contextual characteristics types studied (e.g. people, place, timing, psychological states, drink type) were consistently associated with harms. Certain contexts were frequently studied and associated with harms, in particular, weekend drinking, drinking in licensed premises and concurrent illicit drug use. Implications. The findings of our review indicate target drinking contexts for prevention efforts that are consistently associated with increased acute alcohol-related harm. Conclusion. A large range of contextual characteristics of drinking occasions are directly associated with acute alcohol-related harm, over and above levels of consumption. [Stevely AK, Holmes J, McNamara S, Meier PS. Drinking contexts and their association with acute alcohol-related harm: A systematic review of event-level studies on adults' drinking occasions. Drug Alcohol Rev 2020;39: [309][310][311][312][313][314][315][316][317][318][319][320]

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“…The behavior of the studied person can be considered in terms of social approval; dangers to people around; development of the state and society in general; in terms of respect for precepts of law and legality. If to consider such deviation (according to matrix of social deviations of N.V. Maysak) as sexual deviations (masochism) -this behavior, most likely, is deviation from normal, is social not approved, but it does not bear any danger to people around, hardly considerably influences development of society in general and does not carry any legal regulation, therefore, is not pursued by the law, despite this such behavior you should not lose sight and it has to make the contribution to the generalized indicator of deviation [11]. Any phenomenon has to make various contribution to the generalized indicator characterizing behavior of the person depending on the first-priority purpose which induced this research -studying of tendency to commission of illegal acts or allocation of pupils of the general education organizations for carrying out scheduled maintenance by the juvenile officer.…”

Section: Methodsmentioning

confidence: 99%

Modeling and analysis of deviant behavior of minors

Narushev¹,

Kubasov²,

Kulichenko³

2019

Proceedings of the 1st International Scientific Conference "Modern Management Trends and the Digital Economy: From Regional Dev

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The method of obtaining the integral indicator of the deviant behavior of minors, which allows to numerically evaluate and characterize its indicator, in order to perform further detailed preventive work, depending on the nature and extent of deviation is examined in the article. The research is conducted for the purpose of forming the universal approach to obtaining the numerical characteristic describing the hardly formalizable phenomenon (deviant behavior) using characteristic vector of weight coefficients of criteria for the personality evaluation. Methodology. The study is based on analysis and generalization of scientific and theoretical sources, as well as the conducted quantitative experiment. For forming of indistinct and multiple indicator of deviant behavior of minors the modified method of the analysis of hierarchies of T. Saati is used. Results. To form the target level of the juvenile deviant behavior evaluation the methods, based on cluster-hierarchical methods for obtaining generalized indicator, are preferable. The indistinct and multiple indicator is more sensitive to distinction of characteristics of the compared objects, than determined and also considers extent of influence of criterion and group on indicator of the general level of deviation that positively affects the accuracy of calculation of required indicator. Conclusions. Use of the generalized indicator of deviance of minors will allow to estimate well and visually degree and the nature of deviation in behavior that will allow to reveal timely deviations in behavior at early stages for the purpose of carrying out effective scheduled maintenance and also to strengthen control of the teenagers who are registered in divisions for minors that, undoubtedly, will raise possibilities of law-enforcement bodies on prevention of crimes among young people.

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Predicting risky sexual behaviors among college student drinkers as a function of event-level drinking motives and alcohol use

Cited by 39 publications

References 41 publications

The Role of Pregnancy Concerns in the Relationship between Substance Use and Unprotected Sex among Adolescents

The Role of Pregnancy Concerns in the Relationship between Substance Use and Unprotected Sex among Adolescents

Drinking contexts and their association with acute alcohol‐related harm: A systematic review of event‐level studies on adults' drinking occasions

Modeling and analysis of deviant behavior of minors

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