Adolescent substance use and sexual risk-taking behavior

Tapert, Susan F.; Aarons, Gregory A.; Sedlar, Georganna; Brown, Sandra A.

doi:10.1016/s1054-139x(00)00169-5

Cited by 396 publications

(315 citation statements)

References 23 publications

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“…Results are also consistent with the literature demonstrating a positive association between alcohol-dependence symptoms and greater engagement in HIV risk-taking behaviors (Irwin et al, 2006;Tapert et al, 2001). Interestingly, these fi ndings suggest that peer descriptive norms regarding alcohol involvement may infl uence risky sexual behaviors both directly and indirectly.…”

Section: Discussionsupporting

confidence: 89%

“…Indeed, the literature suggests that descriptive peer norms infl uence ADS (e.g., Larimer et al, 2004) and that ADS is related to engagement in risky sexual behaviors in both heterosexual (Tapert et al, 2001) and sexual minority samples (Irwin et al, 2006). Given these observations, it is reasonable to hypothesize that perceptions of acceptable drinking behaviors may correlate with perceptions of permissive sexual norms through common associations between alcohol misuse and associated risk behaviors, particularly in peer groups that engage in greater alcohol consumption.…”

mentioning

confidence: 99%

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Does Sexual Self-Concept Ambiguity Moderate Relations Among Perceived Peer Norms for Alcohol Use, Alcohol-Dependence Symptomatology, and HIV Risk-Taking Behavior?

Talley

Brown

Stevens

et al. 2014

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: The current study examines the relation between peer descriptive norms for alcohol involvement and alcoholdependence symptomatology and whether this relation differs as a function of sexual self-concept ambiguity (SSA). This study also examines the associations among peer descriptive norms for alcohol involvement, alcohol-dependence symptomatology, and lifetime HIV risk-taking behavior and how these relations are infl uenced by SSA. Method: Women between ages 18 and 30 years (N = 351; M = 20.96, SD = 2.92) completed an online survey assessing sexual self-concept, peer descriptive norms, alcohol-dependence symptomatology, and HIV risk-taking behaviors. Structural equation modeling was used to test hypotheses of interest. Results: There was a signifi cant latent variable interaction between SSA and descriptive norms for peer alcohol use. There was a stronger positive relationship between peer descriptive norms for alcohol and alcohol-dependence symptomatology when SSA was higher compared with when SSA was lower. Both latent variables exhibited positive simple associations with alcohol-dependence symptoms. Peer descriptive norms for alcohol involvement directly and indirectly infl uenced HIV risk-taking behaviors, and the indirect infl uence was conditional based on SSA. Conclusions: The current fi ndings illustrate complex, nuanced associations between perceived norms, identity-related self-concepts, and risky health behaviors from various domains. Future intervention efforts may be warranted to address both problem alcohol use and HIV-risk engagement among individuals with greater sexual self-concept ambiguity. (J.

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Section: Discussionsupporting

confidence: 89%

mentioning

confidence: 99%

Does Sexual Self-Concept Ambiguity Moderate Relations Among Perceived Peer Norms for Alcohol Use, Alcohol-Dependence Symptomatology, and HIV Risk-Taking Behavior?

Talley

Brown

Stevens

et al. 2014

J. Stud. Alcohol Drugs

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“…Studies have also demonstrated a longer-term association [46,49]. For example, Stueve and O'Donnell [47] in a study of urban minority adolescents found that early adolescent drinking was associated with midadolescent sexual risk-taking.…”

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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“…23 Psychiatric distress is also associated with substance use, [24][25][26] which is correlated with increased sexual risk behavior and STIs. 6,[27][28][29][30] Depressive symptoms have been associated with STI in many studies 14,15,31,32 but not all. 19 Prolonged depressed mood is the hallmark of depression; 90% to 95% of adolescents and young adults with major depressive disorder report depressed mood for at least 2 weeks (the rest meet the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) 9 criteria for major depressive disorder with the symptom of anhedonia).…”

mentioning

confidence: 99%

Affect and Sexual Behavior in Adolescents: A Review of the Literature and Comparison of Momentary Sampling With Diary and Retrospective Self-Report Methods of Measurement

2005

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ABSTRACT. Objective. Assessment of mental health is important in understanding sexual risk behavior in adolescents, yet few studies have examined how affect is directly related to sexual behavior. Momentary sampling (MS) methods permit real-time assessment of affect in relation to specific events and embed the collected data in the context of the respondent's moment-to-moment life. The objectives of this study were to review the literature on affect and sexual behavior and to compare the feasibility and acceptability of MS with diaries and retrospective self-report as a means of collecting temporally relevant data on affect and sexual behavior in adolescents.Methods. Sexually active, nondepressed adolescent outpatients who were aged 15 to 18 years were randomly assigned to a schedule of the 3 methods of data collection for 2 weeks each. All participants completed a retrospective self-report by interview at the end of each 2-week period. In the diary arm, participants completed twicedaily paper-and-pencil diary cards, which were returned by mail. In the MS arm, participants used 2-way pagers to respond to several random pages per day. Primary outcomes included rates of completion (diaries vs MS reports) and the participants' tolerance of and preferences for the methods. A secondary outcome was the agreement in means for positive and negative affect and in report of days on which substance use and sexual activity occurred. Associations of affect with contextual factors and with sexual activity were also explored in the MS arm.Results. Ten youths completed 30 of 30 retrospective self-reports (100%, 3 per participant, by design), 254 of 280 diaries (91%; mean: 25.4 per participant), and 442 of 600 MS reports (74%; mean: 44.2 per participant). Most participants preferred the MS method to the diaries or retrospective self-report. Affect scores and reports of sexual activity and substance use were correlated among the methods. Measured with MS, affect was found to differ by location, companionship, and thoughts when paged; notably, positive affect was highest when participants reported thoughts about sex. There was no difference in affect before versus after coitus. Conclusions.The results of this study suggest that MS in adolescents is feasible and preferred and provides contextual, temporally relevant, event-level data on affect and sexual activity that are not readily measured with traditional methods. Future research using MS methods will be important in increasing our understanding of the link between affect and sexual behavior and inform the development of improved risk reduction interventions for adolescents. P reventive interventions for sexually active youths have had only modest success in reducing their high risk for HIV/sexually transmitted infection (STI) and unintended pregnancy, [1][2][3] suggesting that new approaches to sexual risk reduction must be considered. Interventions that target specific groups of at-risk youths may be particularly promising. Although affect, depression, and other measures of m...

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Adolescent substance use and sexual risk-taking behavior

Cited by 396 publications

References 23 publications

Does Sexual Self-Concept Ambiguity Moderate Relations Among Perceived Peer Norms for Alcohol Use, Alcohol-Dependence Symptomatology, and HIV Risk-Taking Behavior?

Does Sexual Self-Concept Ambiguity Moderate Relations Among Perceived Peer Norms for Alcohol Use, Alcohol-Dependence Symptomatology, and HIV Risk-Taking Behavior?

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

Affect and Sexual Behavior in Adolescents: A Review of the Literature and Comparison of Momentary Sampling With Diary and Retrospective Self-Report Methods of Measurement

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