The association of sexual risk behaviors and problem drug behaviors in high school students

Shrier, Lydia A.; Emans, S. Jean; Woods, Elizabeth R.; DuRant, Robert H.

doi:10.1016/s1054-139x(96)00180-2

Cited by 175 publications

(134 citation statements)

References 16 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).…”

Section: Discussionmentioning

confidence: 81%

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: 81%

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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“…[9][10][11] American Indian youth are no exception. 3 Among sexually active youth the number of sexual partners, substance use during sex, and not using condoms have been associated with HIV/AIDS infection.…”

Section: Sexual Behavior and Hiv/aidsmentioning

confidence: 99%

“…Although national data on sexually active youths' number of recent sexual partners are not available, evidence suggests that the number of partners may increase HIV risk when no protective measures are taken. 9 Unfortunately, American Indian youth, as youth from other ethnic backgrounds, are inconsistent and infrequent users of protection. 12,13 .…”

Section: Sexual Behavior and Hiv/aidsmentioning

confidence: 99%

“…15 Studies in the general adolescent population show that condom use is less likely when youth are under the influence of substances. 9 According to a national survey of adolescents aged 15 to 24, 11% report having used alcohol or drugs during the most recent sexual intercourse. 14 Studies among American Indian adults have linked substance use to less condom use, especially by females.…”

Section: Sexual Behavior and Hiv/aidsmentioning

confidence: 99%

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HIV/AIDS Protective Factors among Urban American Indian Youths

Marsiglia¹,

Nieri²,

Stiffman³

2006

hpu

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This research examined how family and individual factors influence three HIV/AIDS risk behaviors: having more than one sexual partner in the last three months, substance use at last sexual intercourse, and condom non-use at last sexual intercourse. The sample includes 89 sexually active American Indian adolescents living in a large Southwestern city. Logistic regression results revealed that family communication acts as a protective factor against HIV risk through a lower reported substance use during last sexual intercourse, but it did not appear to affect the number of multiple recent sex partners. Family and personal involvement in American Indian cultural activities, both low on average, had no effect on the outcomes. This study helps to fill the gap in knowledge on sexual health risk and protective factors among American Indian adolescents, an understudied group, and provides implications for intervention with American Indian youths and their families. Keywords HIV/AIDS; family context; protective factors; American Indian youthWhile there is a growing body of research on HIV/AIDS in the general population, less is known about the protective and risk factors associated with HIV/AIDS infection among youth in general 1 and American Indian youth in particular. Relative to other ethnic groups, American Indians have received minimal attention because they have had low rates of infection since the early days of the epidemic. [2][3][4] Yet, recently, rates of infection among American Indians have begun to increase, especially among youth, who make up a large portion of the American Indian population. 2,3 The change in rates raises questions about this group's vulnerability to HIV/AIDS and marks a need to better understand the factors that may lead to or prevent behaviors associated with disease contraction in this group. Toward that end, this study uses a sample of sexually active, urban American Indian youth and explores the influence of family and individual factors on behaviors associated with HIV/ AIDS risk: having multiple recent sexual partners, substance use during sex, and unprotected sex. Some researchers have described HIV as the new smallpox, an epidemic which could wipe out entire American Indian communities in a way reminiscent of the epidemics caused by early European colonization. 2,3 The fact that many American Indian communities present risk factors commonly associated with HIV infection contributes to the level of concern. For example, American Indians report high rates of substance use, especially alcohol use, 2,4,7,8 and high rates of sexually transmitted diseases. 4,7 Furthermore, American Indians face high rates of poverty and low rates of educational achievement which may constitute barriers to prevention and access to health services. 3,6,7 On the other hand, the community's past low levels of infection necessitate further research to identify possible protective factors. Once these protective factors are identified and better understood, they can be integrated into effective and cu...

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“…Drug use is a determinant of high-risk behavior and infection, [28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47] and substantial proportions of the US prison population report a history of heavy drug and alcohol use. 48 The effect of incarceration on STI/HIV risk may differ by drug use status.…”

mentioning

confidence: 99%