Risky Sex Behavior and Substance Use among Young Adults

Staton, Michele; Leukefeld, Carl G.; Logan, TK; Zimmerman, Rick S.; Lynam, Donald R.; Milich, Richard; Martin, Catherine A.; McClanahan, Kimberly K.; Clayton, Richard

doi:10.1093/hsw/24.2.147

Cited by 105 publications

(95 citation statements)

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“…The positive relationship between alcohol intoxication and most sexual risk behaviors is consistent with those from the majority of previous studies conducted among adolescents, college students, and rural residents (Staton et al, 1999;Duncan et al, 1999). Likewise, the findings are consistent with some previous studies (Kingree and Betz, 2003) in western countries as well as a survey conducted among commercial sex workers in China, which reported 42% of sexual workers and 32% of their clients used alcohol during sex (Rogers et al, 2002).…”

Section: Discussionsupporting

confidence: 88%

“…Twenty-four percent of teens 15-17 years of age say that their alcohol and drug use led them to do more sexually than they had planned (CASA, 1999). Heavy use of alcohol was correlated with increased casual sex without condoms and with increased number of sexual partners among youth (Staton et al, 1999). Limited research conducted in developing countries in Asia and Africa also suggested a positive relationship between alcohol use and sexual risk behaviors.…”

Section: Introductionmentioning

confidence: 95%

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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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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 95%

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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“…Unger et al (1998) noted that early adolescent homeless youth may be at lower risk of acquiring HIV and may be more receptive to interventions that help them get off the streets compared to older youth. Some research suggests that risk behaviors increase with age because of increases in autonomy and freedom and from social control agents (Bachman et al 1997;Staton et al 1999). Older age in combination with homelessness may be associated with more opportunities to engage in high-risk activities.…”

Section: Age and Gendermentioning

confidence: 99%

The impact of an integrated treatment on HIV risk behavior among homeless youth: a randomized controlled trial

Slesnick

Kang

2007

J Behav Med

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While many studies provide useful information on the risk behaviors in which homeless youth engage, few prior studies evaluate Human Immunodeficiency Virus (HIV) risk related reduction strategies. In this study, homeless youth (n = 180) were recruited from a drop-in center and randomly assigned to one of two conditions, either an integrated individual cognitive-behavioral treatment and HIV prevention intervention that focused on skills building and education or to treatment as usual. All youth were assessed at entry into the program and at 3 and 6 month follow-up points. Findings showed an interaction between treatment condition, age and time. In the interaction, youth assigned to the integrated treatment reported greater condom usage than youth assigned to treatment as usual, with younger youth assigned to treatment as usual showing no change in condom use. The number of sexual partners reported by youth in both treatment conditions was also reduced over time. However, youth in both conditions continued to engage in other high-risk behaviors. The integrated treatment findings are promising and suggest that interventions which target both HIV risk behavior in addition to other life areas (substance use, mental health and housing) among homeless youth may be necessary in order to significantly impact high-risk behaviors among this unique group.

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“…Marijuana use is associated with criminal behavior, notably attempted homicide, drug trafficking, and delinquency in adolescents and young adults (Fergusson and Horwood, 1997;Friedman et al, 2001;Watts and Wright, 1990;White, 1991). Marijuana use has been associated with risky sexual behavior (Duncan et al, 1999;Kingree et al, 2000;Kingree and Betz, 2003;Staton et al, 1999) and chronic use may serve as a predictor for HIV risk (Malow et al, 2001). Marijuana is the most frequently used illicit drug implicated in intoxicated driving (Brookoff et al, 1994;Moskowitz, 1985;Walsh and Mann, 1999).…”

Section: Introductionmentioning

confidence: 99%

Acute Marijuana Effects on Human Risk Taking

Lane

Cherek

Tcheremissine

et al. 2005

Neuropsychopharmacol

149

100

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Previous studies have established a relationship between marijuana use and risky behavior in natural settings. A limited number of laboratory investigations of marijuana effects on human risk taking have been conducted. The present study was designed to examine the acute effects of smoked marijuana on human risk taking, and to identify behavioral mechanisms that may be involved in drug-induced changes in the probability of risky behavior. Using a laboratory measure of risk taking designed to address acute drug effects, 10 adults were administered placebo cigarettes and three doses of active marijuana cigarettes (half placebo and half 1.77%; 1.77%; and 3.58% D 9 -THC) in a within-subject repeated-measures experimental design. The risk-taking task presented subjects with a choice between two response options operationally defined as risky and nonrisky. Data analyses examined cardiovascular and subjective effects, response rates, distribution of choices between the risky and nonrisky option, and first-order transition probabilities of trial-by-trial data. The 3.58% THC dose increased selection of the risky response option, and uniquely shifted response probabilities following both winning and losing outcomes following selection of the risky option. Acute marijuana administration thereby produced measurable changes in risky decision making under laboratory conditions. Consistent with previous risk-taking studies, shifts in trial-by-trial response probabilities at the highest dose suggested a change in sensitivity to both reinforced and losing risky outcomes. Altered sensitivity to consequences may be a mechanism in drug-induced changes in risk taking. Possible neurobiological sites of action related to THC are discussed. Neuropsychopharmacology (2005) 30, 800-809.

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Risky Sex Behavior and Substance Use among Young Adults

Cited by 105 publications

References 0 publications

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

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

The impact of an integrated treatment on HIV risk behavior among homeless youth: a randomized controlled trial

Acute Marijuana Effects on Human Risk Taking

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