The co-occurrence of substance use and high-risk behaviors

Baskin‐Sommers, Arielle; Sommers, Ira

doi:10.1016/j.jadohealth.2005.07.010

Cited by 159 publications

(131 citation statements)

References 11 publications

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“…Another possible explanation for this co-variation is that intoxication with substances, such as alcohol or drugs, may have disorganizing effects on cognitive functions leading to poor decision-making on involvement with RSB [40,41]. In Cambodia, visits to sex workers after drinking parties are a social activity involving male friends [42], and this might also explain the relation between substance use and RSB among unmarried young people in this study.…”

Section: Discussionmentioning

confidence: 89%

Factors Associated with Risky Sexual Behavior among Unmarried Most-at-Risk Young People in Cambodia

Yi¹,

Tuot²,

Yung³

et al. 2014

AJPHR

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Background: Recent surveys suggest that adolescents and young adults in Southeast Asian nations are at great risks of sexual reproductive health issues. This study explored factors associated with risky sexual behavior (RSB) among unmarried most-at-risk young people in Cambodia. Methods: A two-stage cluster sampling method was used to select 1,204 boys and 1,166 girls aged 10-24 from 252 hotspots in the capital city and seven provinces. A five-item scale was constructed to measure RSB. All variables were entered simultaneously in multivariate logistic regression models if they were significantly associated with RSB in bivariate analyses. Results: Of total, 37.7% of boys and 18.5% of girls had sexual intercourse in the past three months; of them, 69.6% of boys and 52.5% of girls were involved in commercial sex. Only 43.3% of boys and 6.5% of girls reported always using condom with unpaid regular partners in the past three months. Among sexually active girls, 43.5% reported having been pregnant and of them, 42.4% reported having induced abortion as a result of their most recent pregnancy. After adjustment, boys with higher levels of RSB were significantly more likely to live in an urban area, to have completed ≥ 9 years of formal education, and to be not currently living with parents. In contrast, girls with higher levels of RSB were significantly less likely to have completed ≥ 9 years of formal education and to have both parents alive. Both boys and girls with higher levels of RSB were significantly more likely to be in the age group of 20-24, to be not currently in school, to be employed, to becurrent alcohol drinkers, to becurrent heavy alcohol drinkers, to be current illicit drug users, and to have been tested for HIV. Conclusions: Unmarried young people in this study are exposed to several sexual reproductive health problems such as HIV and sexually transmitted infections, unwanted pregnancy, and unsafe abortion. These findings suggest the need for research and prevention programs for these key populations taking into account risk factors identified in this study.

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Section: Discussionmentioning

confidence: 89%

Factors Associated with Risky Sexual Behavior among Unmarried Most-at-Risk Young People in Cambodia

Yi¹,

Tuot²,

Yung³

et al. 2014

AJPHR

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“…21,22 Other methamphetamine-associated sexual risks include being pregnant or getting someone pregnant 23 and early age of sexual debut. 24 Girls also appear to have more psychiatric problems related to methamphetamine use than boys, 25 and greater treatment-seeking for methamphetamine.…”

Section: Health Concerns Among Incarcerated Female Adolescentsmentioning

confidence: 99%

Methamphetamine Use and High-Risk Sexual Behaviors among Incarcerated Female Adolescents with a Diagnosed STD

Steinberg

Grella²,

Boudov

et al. 2011

J Urban Health

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Juvenile detention settings provide an important venue for addressing the health-related needs of adolescent populations, who often have high rates of sexually transmitted diseases (STDs) and concomitant drug use. This study examines factors associated with methamphetamine use and risky sexual behaviors among 539 incarcerated female adolescents between ages 12-18 years with an STD diagnosis. Data were obtained from interviews with detainees receiving STD case management services within a California juvenile detention facility in January 2006-June 2007. High-risk behaviors characterized the sample, such as low use of condoms consistently (43.3%), prior STD infection (25%), pregnancy history (26%), arrest charge for prostitution or drug use (23%), and a history of prostitution (18%). Half of the sample reported weekly alcohol or drug use; most commonly used drugs were marijuana (37%), alcohol (21%), and methamphetamine (16%). In multivariate analysis, African Americans had a lower odds of methamphetamine use (odds ratio [OR]=.163) compared with whites. Detainees who reported inconsistent condom use had over twice the odds of methamphetamine use (OR=2.7) compared with consistent condom users. In addition, those who reported alcohol use had twice the odds of methamphetamine use (2.0). There was a significant interaction between Latina ethnicity and having an arrest charge for drugs or prostitution; Latinas who had this charge had over 11 times the odds of using methamphetamine compared with those with other arrest charges (OR=11.28). A better understanding of the relationship between drug use and sexual risk behaviors of STD-positive incarcerated female adolescents can inform the development of appropriate corrections and community-based interventions serving this segment of high-risk adolescents.

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“…Measuring contemporaneous multiple-substance use is important because it accurately represents the experiences of many substance users and may be an important focus for risk factor identification and programmatic attention. Multiple-substance use is linked to frequent substance use (Conway et al, 2013;Dierker et al, 2007), substance dependence (Whitesell et al, 2006), mental and physical health problems (Conway et al, 2013;Kandel et al, 1986), and many high-risk behaviors, including sexual risk taking (Connell et al, 2009), weapon carrying, assault, and unsafe driving behaviors (e.g., nonuse of seatbelts and speeding) (Baskin-Sommers & Sommers, 2006). The following analysis addresses gaps in the existing literature by identifying trajectories of substance use over time and their associated risk factors on adolescent substance use.…”

mentioning

confidence: 99%

Dynamic Patterns of Adolescent Substance Use: Results From a Nationally Representative Sample of High School Students

Brooks‐Russell

Conway

Liu

et al. 2015

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Use of tobacco, alcohol, marijuana, and other drugs increases during the high school years, yet little is known about individual patterns over time, particularly patterns of contemporaneous multiple-substance use. This study examined trajectories of contemporaneous substance use and how individual and social factors differentially predict patterns of substance use. Method: Longitudinal trajectories of substance use were examined in a nationally representative sample of students (N = 2,512) over a 3-year period (10th through 12th grades) using latent class analysis. Individual, parental, and peer risk factors in 10th grade were examined in relation to membership in trajectory classes. Result: A five-class model was identified: nonusers (45.5%); tobacco, alcohol, and other drug users (9.2%); alcohol and other drug users (9.2%); increasing multiple-substance users (16.7%); and decreasing multiple-substance users (19.4%). Depressive symptoms at baseline were associated with a higher likelihood of membership in all classes except the increasing multiple-substance-user class, but the association becomes insignificant when social influence factors were adjusted. Parental-monitoring knowledge was associated with a lower likelihood of membership in all classes except increasing multiple-substance-user class, whereas perceived parental disapproval was associated with a lower likelihood of membership in the tobacco, alcohol, and other drug user class. Peer substance use was associated with a higher likelihood of membership in each of the substance use classes. Conclusions: The identified longitudinal profiles highlight the pervasiveness and dynamic patterns of contemporaneous multiple-substance use during 10th through 12th grades. Negative peer influence increased risk, whereas positive parenting behaviors decreased risk. The findings are consistent with the need to foster social influences and protective factors against adolescent substance use. (J. Stud. Alcohol Drugs, 76, 962-970, 2015) Received: March 4, 2015. Revision: July 7, 2015. This research (contract number HHSN267200800009C) was supported in part by the intramural research program of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), and the National Heart, Lung and Blood Institute (NHLBI), the National Institute on Alcohol Abuse and Alcoholism (NIAAA), and the Maternal and Child Health Bureau (MCHB) of the Health Resources and Services Administration (HRSA), with supplemental support from the National Institute on Drug Abuse (NIDA). The views and opinions expressed in this article are those of the authors and do not necessarily represent the views of NIDA, the NICHD, the National Institutes of Health, or any other governmental agency.*Correspondence may be sent to Ashley Brooks-Russell at the Department of Community and Behavioral Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 13001 E. 17th Place B119, Bldg. 500, E3353, Aurora, CO 80045, or via email at...

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The co-occurrence of substance use and high-risk behaviors

Cited by 159 publications

References 11 publications

Factors Associated with Risky Sexual Behavior among Unmarried Most-at-Risk Young People in Cambodia

Factors Associated with Risky Sexual Behavior among Unmarried Most-at-Risk Young People in Cambodia

Methamphetamine Use and High-Risk Sexual Behaviors among Incarcerated Female Adolescents with a Diagnosed STD

Dynamic Patterns of Adolescent Substance Use: Results From a Nationally Representative Sample of High School Students

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