The association between substance use, unplanned sexual intercourse and other sexual behaviours among adolescent students

Poulin, Christiane; Graham, Linda

doi:10.1046/j.1360-0443.2001.9646079.x

Cited by 165 publications

(119 citation statements)

References 24 publications

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“…Numerous studies have examined the contribution of substance use to sexual health and have shown eventlevel causal effects as a result of impaired decisionmaking and disinhibition [33,40,42]. The research base has often focused on a single substance, typically alcohol, or substance use in general with little attention to common patterns of substance use among youth.…”

Section: Introductionmentioning

confidence: 99%

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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Section: Introductionmentioning

confidence: 99%

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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show abstract

“…Again, these rationalizations are consistent with previous work describing excuses provided by known perpetrators of sexual assault for their actions. 36 However, multiple participants described rape as uncommon and indicated that girls claiming to be raped are typically lying about the incident. So, although it is unclear whether forced sex is considered normal or common among these young men and their peers, the rationalizations provided for rape and lack of condom use in this context indicate a strong lack of accountability for such actions and for consequences to themselves or the girls they might victimize.…”

Section: Discussionmentioning

confidence: 99%

Social Norms and Beliefs Regarding Sexual Risk and Pregnancy Involvement among Adolescent Males Treated for Dating Violence Perpetration

et al. 2006

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The present study explored perceived sexual norms and behaviors related to sexual risk and pregnancy involvement among adolescent males (ages 13 to 20) participating in programs for perpetrators of dating violence. The purpose of this study was to generate hypotheses regarding the contexts and mechanisms underlying the intersection of adolescent dating violence, sexual risk and pregnancy. Six focus groups were conducted (N = 34 participants). A number of major themes emerged: 1) male norm of multiple partnering, 2) perceived gain of male social status from claims of sexual activity, 3) perception that rape is uncommon combined with belief that girls claiming to be raped are liars, 4) perception that men rationalize rapes to avoid responsibility, 5) condom non-use in the context of rape and sex involving substance use, 6) beliefs that girls lie and manipulate boys in order to become pregnant and trap them into relationships, and 7) male avoidance of responsibility and negative responses to pregnancy. The combination of peer-supported norms of male multiple partnering and adversarial sexual beliefs appear to support increased male sexual risk, lack of accountability for sexual risk, and rationalization of rape and negative responses to pregnancy. Further research focused on the context of male sexual risk and abusive relationship behaviors is needed to inform intervention with young men to promote sexual health and prevent rape, dating violence, and adolescent pregnancy.

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“…GCS: Lower presenting GCS (≤12) was seen with use of ethanol (57.1%, 100/175), whereas higher presenting GCS (13)(14)(15) was seen with use of cannabis (83.3%, 5/6), MDMA (100%, 1/1), other illicit substances (66.7%, 2/3), and cough/cold medications (66.7%, 2/3). However, the overall association between GCS and single-drug ingestion (n = 196) was not statistically significant (p = 0.227).…”

Section: Demographic Trends and Correlationsmentioning

confidence: 99%

“…14 Emerging evidence suggests that the overall incidence of polydrug use and associated drug-related death is increasing; however, Canadian data are limited. 12,13 The ED often serves as an entry point of care for children with acute substance use related medical or psychological issues. 5,15 As such, the initial medical management and subsequent psychosocial needs of these at-risk youth often fall to the hands of the emergency physician.…”

mentioning

confidence: 99%

“…5 Substance use is also associated with increased risk of sexual assault, unplanned sexual activity, behavioural problems, pregnancy, and selfharm. [6][7][8][9][10][11][12][13] Use of more than one type of substance at the same time (termed polydrug use) is associated with a further increased risk of harm, injury, and overdose. 14 Emerging evidence suggests that the overall incidence of polydrug use and associated drug-related death is increasing; however, Canadian data are limited.…”

mentioning

confidence: 99%

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What are kids getting into these days? A retrospective chart review of substance use presentations to a Canadian pediatric emergency department

Driedger

Dong

Newton

et al. 2015

CJEM

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Objectives: Goals for this study were to characterize the substances being used by youth who presented to an emergency department (ED), their demographic descriptors, and to describe the associated acute morbidity and mortality. Methods: We conducted a retrospective review of all youth, ages 10-16 years, who presented to a pediatric ED with complaints related to recreational drug use (n = 641) for 2 years ending on December 31, 2009. Results: The median age of patients was 15 years; 56% were female. Six percent of patients were homeless, and 21% were wards of the state. The most frequent ingestions included ethanol (74%), marijuana (20%), ecstasy (19%), and medications (15%). Over one third of patients had ingested two or more substances. Ninety percent of patients were brought to the ED by the emergency medical services; 63% of these activations were by non-acquaintances. Of the 47% of youth who presented with a decreased level of consciousness, half had a Glasgow Coma Scale less than 13. The Canadian Triage and Acuity Scale score was 1 or 2 for 44% of patients. Sixtyeight percent received IV fluids, 42% received medication, and 4% were intubated. The admission rate was 9%. Conclusions: Youth who presented to the ED for substance use represented a socially vulnerable population whose use of recreational substances resulted in high medical acuity and significant morbidity. Improved clinical identification of such high-risk youth and subsequent design of interventions to address problematic substance use and social issues are urgently needed to complement the acute medical care that youth receive. RÉSUMÉObjectifs: L'étude décrite ici avait pour buts de caractériser les drogues utilisées par les jeunes traités dans un service des urgences (SU), de relever les descripteurs démographiques et de décrire la morbidité et la mortalité aiguës, associées à cette utilisation. Méthode: Les auteurs ont procédé à un examen rétrospectif des dossiers médicaux de tous les jeunes âgés de 10 à 16 ans, qui ont été traités dans un service des urgences pédiatriques pour des troubles liés à la consommation de drogues à usage récréatif (n = 641), sur une période de 2 ans, se terminant le 31 décembre 2009. Résultats: L'âge médian était de 15 ans, et 56% des malades étaient de jeunes filles. Dans 6% des cas, il s'agissait de sansabris, et 21% des patients étaient sous la tutelle de l'État. Les drogues le plus souvent consommées étaient l'alcool éthylique (74%), la marijuana (20%), l'ecstasy (19%) et les médicaments (15%). Dans plus du tiers des cas, les personnes avaient fait usage d'au moins deux drogues. Quatre-vingt-dix pour cent des jeunes ont été transportés au SU par les services médicaux d'urgence et, dans 63% des cas, les appels avaient été faits par des inconnus. Parmi les 47% de jeunes souffrant d'une altération de l'état de conscience, la moitié avait une cote inférieure à 13 sur l'échelle de Glasgow. Par ailleurs, 44% des patients ont obtenu une cote de 1 ou 2 sur l'Échelle canadienne de triage et de gravité. Enfin, i...

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The association between substance use, unplanned sexual intercourse and other sexual behaviours among adolescent students

Cited by 165 publications

References 24 publications

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

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

Social Norms and Beliefs Regarding Sexual Risk and Pregnancy Involvement among Adolescent Males Treated for Dating Violence Perpetration

What are kids getting into these days? A retrospective chart review of substance use presentations to a Canadian pediatric emergency department

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