Scope of HIV risk and co-occurring psychosocial health problems among young adults: Violence, victimization, and substance use

Ellickson, Phyllis L.; Collins, Rebecca L.; Bogart, Laura M.; Klein, David J.; Taylor, Stephanie L.

doi:10.1016/j.jadohealth.2004.06.008

Cited by 56 publications

(38 citation statements)

References 28 publications

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“…Individually, each class of drug (i.e., sedatives, stimulants, opioids/pain relievers) was positively associated with SRBs. Multivariate analyses indicated that relationships between the number of different classes of PDM and SRBs persisted after accounting for demographics and alcohol and cannabis use, two substances often associated with SRBs among young people (e.g., Bryan et al, 2007Bryan et al, , 2012Ellickson et al, 2005;Nkansah-Amankra et al, 2011). Additionally, when categorizing participants based on number of classes of PDM, those who reported multiple classes of PDM were signifi cantly more likely to report each SRB, except that using one class of PDM was associated with substance use before sex and inconsistent condom use but not multiple partners.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, substance use is often initiated during adolescence and peaks during emerging adulthood (Arnett, 2000(Arnett, , 2005Stone et al, 2012; Substance Abuse and Mental Health Services Administration [SAMHSA], 2011). Alcohol and other drug use have been associated with SRBs in samples of young people at both the global level, perhaps refl ecting problem behavior theory (Donovan, 1996;Jessor, 1982) in which risk behaviors tend to cluster, and the event level (Bonar et al, in press;Brown and Vanable, 2007;Bryan et al, 2007Bryan et al, , 2012Ellickson et al, 2005;Hendershot et al, 2010;Kiene et al, 2009;Nkansah-Amankra et al, 2011), likely refl ecting contextual infl uences and acute intoxication that may affect decision making related to SRBs.…”

mentioning

confidence: 98%

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Prescription Drug Misuse and Sexual Risk Behaviors Among Adolescents and Emerging Adults

Bonar

Cunningham

Chermack

et al. 2014

J. Stud. Alcohol Drugs

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ABSTRACT. Objective:The purpose of this study was to evaluate associations between prescription drug misuse (PDM) and sexual risk behaviors (SRBs) among adolescents and emerging adults. Method: In a hospital emergency department, 2,127 sexually active 14-to 20-yearolds (61% female) reported on past-year alcohol use severity (using the Alcohol Use Disorders Identifi cation Test-consumption [AUDIT-C]), cannabis use, PDM (n = 422), and SRBs (inconsistent condom use, multiple partners, intercourse following alcohol/other drug use). Results: Bivariately, AUDIT-C score, cannabis use, and PDM of stimulants, opioids, and sedatives were positively associated with each SRB. Because many participants reported PDM for multiple drug classes (i.e., sedatives, stimulants, opioids), participants were categorized as (a) no PDM (n = 1,705), (b) PDM of one class (n = 251), (c) PDM of two classes (n = 90), or (d) PDM of three classes (n = 81). Three hierarchical logistic regression models evaluated the associations of number of classes of PDM with SRBs separately, after accounting for demographics (age, gender, race), AUDIT-C score, and cannabis use. Adding PDM statistically improved each model beyond what was accounted for by demographics, alcohol, and cannabis use. For inconsistent condom use and substance use before sex, PDM of one, two, or three classes was signifi cantly associated with increased odds of these SRBs. PDM of two or three classes was associated with increased odds of reporting multiple partners. Conclusions: Findings suggest that PDM, especially poly-PDM, may be a pertinent risk factor for SRBs among youth. Event-based research could further evaluate how PDM, as well as other substance use, is related to SRBs at the event level in order to inform interventions. (J. Stud. Alcohol Drugs, 75, 259-268, 2014)

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 98%

Prescription Drug Misuse and Sexual Risk Behaviors Among Adolescents and Emerging Adults

Bonar

Cunningham

Chermack

et al. 2014

J. Stud. Alcohol Drugs

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“…Risk factors found to be associated with drug use among MSM include a history of forced sex and/or childhood sexual abuse (Ellickson, Collins, Bogart, Klein, & Taylor, 2005;Kaukinen, 2002), attendance in gay bars or nightclub (Waldo, McFarland, Katz, MacKellar, & Valleroy, 2000), and internalized homophobia (Malyon, 1982;Nungesser, 1983;Shidlo, 1994;Swadi, 1999).…”

Section: Introductionmentioning

confidence: 99%

Club Drug Use in Los Angeles Among Young Men Who Have Sex With Men

Kipke

Weiss

Ramirez

et al. 2007

Substance Use & Misuse

106

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Future correspondence and requests for reprints should be sent to: Michele D. Kipke Little is known about young men who have sex with men's use of club drugs and the risk factors associated with such use. A structured survey was administered in 2005 to 496 young men who were 18-22 years old (40% were 18-19 years old); self-identified as with a same-sex sexuality (83%), bisexual (16%), and/or had had sex with a man (97%); Caucasian (35%), African American (24%), and Latino of Mexican descent (40%). Subjects were recruited from gay-identified venues in Los Angeles, California using a venue-based probability sampling design. Descriptive statistics revealed a high prevalence of drug and club drug use. Regression analyses revealed risk factors associated with recent club drug use, including place of residence, religiosity, disclosure of sexuality to family, frequency of attendance at bars/clubs, and involvement in sexual exchange and the street economy. Limitations and implications of this research are discussed.

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“…The co-occurrence of AOD use and sexual risk behavior has been shown to be related to a complex set of risk factors that probabilistically interact to influence directly or indirectly co-occurring sexual risk behavior and AOD use (e.g., Ellickson et al, 2005;Leigh, 1999).…”

Section: Sensation-seeking and Sexual Sensationmentioning

confidence: 99%

“…In fact, some studies suggest that the severity of maladaptive outcomes (i.e., HIV or STIs) associated with SRBs is due in part to minorities' greater exposure to key risk factors compared to other at-risk youth samples (e.g., Miller, 2002; Santelli et al, 2004). The current study is informed by a conceptual framework that highlights the multivariate influences of personality factors, peer norms, expectancies and inhibition conflict on the onset and maintenance of co- and sexual risk behavior has been shown to be related to a complex set of risk factors that probabilistically interact to influence directly or indirectly co-occurring sexual risk behavior and AOD use (e.g., Ellickson et al, 2005;Leigh, 1999 …”

mentioning

confidence: 99%

Examination of Personality, Social and Cognitive Factors on the Co-Occurrence of Health Risk Behaviors among Multi-Problem Youth: The Utility of An Integrative Framework

Rosiers¹,

Sabrina²

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Research has identified a number of putative risk factors that places adolescents at incrementally higher risk for involvement in alcohol and other drug (AOD) use and sexual risk behaviors (SRBs). Such factors include personality characteristics such as sensation-seeking, cognitive factors such as positive expectancies and inhibition conflict as well as peer norm processes. The current study was guided by a conceptual perspective that support the notion that an integrative framework that includes multi-level factors has significant explanatory value for understanding processes associated with the cooccurrence of AOD use and sexual risk behavior outcomes. This study evaluated simultaneously the mediating role of AOD-sex related expectancies and inhibition conflict on antecedents of AOD use and SRBs including sexual sensation-seeking and peer norms for condom use. Results demonstrated that AOD-sex related expectancies mediated the influence of sexual sensation-seeking on the co-occurrence of alcohol and other drug use and sexual risk behaviors. The evaluation of the integrative model also revealed that sexual sensation-seeking was positively associated with peer norms for condom use. Also, peer norms predicted inhibition conflict among this sample of multi-problem youth.This dissertation research identified mechanisms of risk and protection associated with the co-occurrence of AOD use and SRBs among a multi-problem sample of adolescents receiving treatment for alcohol or drug use and related problems. This study is informative for adolescent-serving programs that address those individual and contextual characteristics that enhance treatment efficacy and effectiveness among adolescents receiving substance use and related problems services.vii The co-occurrence of alcohol and other drug (AOD) use and sexual risk behaviors (SRBs) is a serious public health problem that has been linked to deleterious outcomes among adolescents. Consequently, understanding how relations among putative risk factors increase the co-occurrence of AOD use and SRBs is crucial for developing developmentally-appropriate prevention and treatment efforts. Chapter One of this dissertation has a specific structure. First, this chapter presents a rationale for studying co-occurring AOD use and SRBs from a multivariate perspective. Second, this chapter presents a summary of existing research studies examining putative risk factors associated with both AOD use and SRB among adolescents. Third, this chapter provides a brief discussion regarding the integrative model that guided the current study. Last, the significance of the current study for the development of prevention and intervention programs targeting high risk samples of adolescents is summarized. Current Research on Co-Occurring Alcohol and other Drug Use, and Sexual Risk BehaviorsCurrent research on the co-occurrence of sexual risk behaviors (SRBs) and alcohol and other drug (AOD) use supports the importance of a multivariate framework that specifies the influence of multi-level factors (e....

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Scope of HIV risk and co-occurring psychosocial health problems among young adults: Violence, victimization, and substance use

Cited by 56 publications

References 28 publications

Prescription Drug Misuse and Sexual Risk Behaviors Among Adolescents and Emerging Adults

Prescription Drug Misuse and Sexual Risk Behaviors Among Adolescents and Emerging Adults

Club Drug Use in Los Angeles Among Young Men Who Have Sex With Men

Examination of Personality, Social and Cognitive Factors on the Co-Occurrence of Health Risk Behaviors among Multi-Problem Youth: The Utility of An Integrative Framework

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