Using marijuana, drinking alcohol or a combination of both: the association of marijuana, alcohol and sexual risk behaviour among adolescents

Storholm, Erik D.; Ewing, Brett; Holliday, Stephanie Brooks; Stein, Bradley D.; Meredith, Lisa S.; Shadel, William G.; D’Amico, Elizabeth J.

doi:10.1071/sh16218

Cited by 12 publications

(10 citation statements)

References 42 publications

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“…Similar to evidence that the effects of substance use on sexual behavior are potentiated when alcohol and cannabis are combined, [2][3][4] we found that combined use of these substances was associated with lower levels of internal consent feelings. Specifically, people felt relatively less safe/comfortable when both alcohol and cannabis were involved; they also rated these sexual events as less consensual.…”

Section: Discussionsupporting

confidence: 83%

“…Based on the potentiating effects of combined use of alcohol and cannabis on subjective intoxication ratings 29 and on other aspects of sexual behavior, [2][3][4] we expected people's sexual consent during sexual events with combined use to differ from events that involved only one of these substances or neither. However, given the mixed and limited findings across studies on substance use and sexual consent, we approached these preliminary data in an exploratory manner and did not make directional hypotheses.…”

Section: Present Studymentioning

confidence: 99%

“…2 The effects of substance use on sexual behavior are potentiated when substances are combined. Compared with no substance use and alcohol or cannabis use alone, combined use is associated with greater odds of casual sex, 2 multiple sexual partners, 3 and condomless sex. 4 However, no researchers to our knowledge have assessed event-level effects of combined use of alcohol and cannabis on sexual consent-a construct for which substance use is highly relevant.…”

Section: Introductionmentioning

confidence: 97%

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Internal and external sexual consent during events that involved alcohol, cannabis, or both

Willis

Marcantonio

2021

Sex. Health

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Background Substance-involved sexual activity is common. Even though people recognise that substance-related impairment can be a barrier to people’s ability to consent to sexual activity, most do not believe that substance use automatically negates sexual consent. We extended previous work on substance-related effects on internal and external consent by investigating sexual events that involved alcohol, cannabis, or both. Methods: For 28 days, 113 participants (MAge = 29.2 years, 57.5% women, 70.8% White) responded to three surveys per day on their personal devices. At time points when participants reported having engaged in partnered sexual activity, they were asked to report their alcohol use, cannabis use, internal consent feelings, and external consent communication. Results: Across 1189 partnered sexual events, 31.5% involved alcohol, cannabis, or both. Sexual events that involved combined use were associated with diminished feelings of safety/comfort and feelings that the sexual act was consensual, compared with events that involved neither substance. Greater levels of alcohol consumption were descriptively associated with lower ratings of internal sexual consent. Conclusions: We found that combined use of alcohol and cannabis may lead to lower internal sexual consent than using either substance alone – potentially due to greater levels of impairment associated with polysubstance use. Sexual health education programs should consider more nuanced approaches to teaching people how to navigate substance use and sexual consent.

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Section: Discussionsupporting

confidence: 83%

Section: Present Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

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Internal and external sexual consent during events that involved alcohol, cannabis, or both

Willis

Marcantonio

2021

Sex. Health

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“…However, among Hispanic/Latino youth this factor was associated with non-condom use. These findings have been previously reported by Storholm et al, (2018), whom discovered that adolescents who used alcohol were more likely to report not using a condom during last sex. 54% of Hispanic females who used drugs or drank alcohol during last sexual intercourse did not use a condom, compared to 46% of Hispanic males who used drugs or drank during last sexual intercourse and did not use a condom as well.…”

Section: Used Alcohol/drugs During Last Sexsupporting

confidence: 87%

“…Females who used alcohol by 7 th grade were more likely than non-initiators to report recent sexual intercourse as 10 th -grade students. Storholm et al (2018) discovered that adolescents who used marijuana and alcohol were more likely to report not using a condom during last sex and using condoms inconsistently. Kingree and Betz (2003) examined alcohol and marijuana use among black adolescent males who were detained in juvenile centers.…”

Section: Literature Reviewmentioning

confidence: 99%

Factors Associated with Condom Use among African American and Hispanic/ Latino Youth

Gleton

Jahanfar

Inungu

et al. 2019

EUROPEAN J ENV PUBLI

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Research has shown that African American and Hispanic/Latino youth are at an increased risk of contracting STIs/STDs and HIV/AIDS. Objective: The purpose of this study was to examine factors associated with condom use among African American and Hispanic/Latino youths. Results: Among African American youth, condom use was more likely among males (2.09; 95% CI:1.45-3.02) compared to females and less likely among gays/lesbians compared to heterosexuals (0.33; 95% CI: 0.12-0.90), adjusted for cofounders. Among Hispanic/Latino youth, condom use was more likely among males (1.70; 95% CI: 1.25-2.31) compared to females and less likely among gays/lesbians (0.16; 95% CI: 0.57-0.44) and those who used alcohol/drugs during last sex (0.54; 95% CI: 0.37-0.78), adjusted for cofounders. Conclusion: For both racial groups', females and those identifying as gay or lesbian were more at risk of not using condoms. For Hispanic/Latino youth who used alcohol/drugs during last sex they were more at risk of not using a condom. This study can be used to identify culturally appropriate interventions that must be implemented to encourage greater condom use amongst African American and Hispanic/Latino youth.

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Efficacy of a Family-Based Intervention for HIV Prevention with Hispanic Adolescents with Same Gender Sexual Behaviors

et al. 2021

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Using marijuana, drinking alcohol or a combination of both: the association of marijuana, alcohol and sexual risk behaviour among adolescents

Abstract: Providers should screen for both alcohol and marijuana use among adolescents and discuss how use of alcohol or alcohol in conjunction with marijuana may be associated with sexual risk behaviours.

Cited by 12 publications

References 42 publications

Internal and external sexual consent during events that involved alcohol, cannabis, or both

Internal and external sexual consent during events that involved alcohol, cannabis, or both

Factors Associated with Condom Use among African American and Hispanic/ Latino Youth

Efficacy of a Family-Based Intervention for HIV Prevention with Hispanic Adolescents with Same Gender Sexual Behaviors

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