Alcohol and illicit drug consumption and the association with risky sexual behaviour among Swedish youths visiting youth health clinics

Strandberg, Anna K.; Skoglund, Charlotte; Gripenberg, Johanna; Kvillemo, Pia

doi:10.1177/1455072519845970

Cited by 15 publications

(19 citation statements)

References 49 publications

(64 reference statements)

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“…Concerning the variables, despite the item of alcohol consumption being designed primarily for clinical purposes and perhaps too rough, it still yielded similar results as studies using AUDIT-C in the youth clinic setting ( 10 ). A strength of our study is the collection and reporting of data on non-binary and transgendered people, often excluded in research explained by small numbers, but sometimes also on ignorance when collecting and reporting data ( 40 ).…”

Section: Discussionmentioning

confidence: 65%

Violence and sexual risk taking reported by young people at Swedish youth clinics

Hammarström

Alehagen

Kilander

2022

ujms

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Background: Early identification of sexual risk taking and exposure to violence is fundamental when seeking to strengthen young people’s health. The purpose of this study was to study factors associated with sexual risk taking and ill health, as well as to study gender differences, and the associations amongst exposure to multiple forms of violence, sexual risk taking and ill health. Methods: This was a cross-sectional study based on data from 3,205 young people answering a questionnaire belonging to the Sexual health Identification Tool (SEXIT 2.0), during consultations at 12 youth clinics in Sweden. The analyses are based on descriptive statistics and nominal multiple regression analysis. Results: Male, transgender and non-binary youths reported significantly more events of sexual risk taking and ill health compared to women. Those who reported sexual initiation before the age of 15 (OR 2.87, CI 1.81–4.56), three or more sexual partners in the past 12 months (OR 2.68, CI 1.70–4.22) and to have ever experienced an unintended pregnancy (OR 2.29, CI 1.32–3.97) were more than twice as likely to report exposure to physical, emotional and sexual violence. Transgender, non-binary youths and women were more exposed to multiple violence (OR 3.68, 13.50) compared to men. Conclusions: Transgender and non-binary youths are exposed to significantly more violence compared to women and men. Experiences of sexual risk taking and ill health demonstrated strong associations with exposure to multiple violence.

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Section: Discussionmentioning

confidence: 65%

Violence and sexual risk taking reported by young people at Swedish youth clinics

Hammarström

Alehagen

Kilander

2022

ujms

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“…In Sweden, alcoholic beverages can be legally purchased from the age of 20, and in bars and restaurants, alcoholic beverages may be ordered from the age of 18. Nevertheless, in a national survey of adolescents aged 15-16 years, 40% reported use of alcohol during the past year [ 6 ], and Strandberg and coworkers [ 7 ] found that, among adolescents and young adults aged 15–27 years visiting youth health clinics in Stockholm, Sweden, 62% reported a “risky alcohol use.” In a longitudinal study, Danielsson et al found that one episode or more of heavy drinking, i.e., binge drinking, predicted continued irregular heavy drinking two years later in boys, and the same trend was shown for girls [ 8 ]. Binge drinking is an important aspect of risky alcohol use, strongly linked to fights and withdrawal symptoms.…”

Section: Introductionmentioning

confidence: 99%

Risky Alcohol Use and Comorbidity in a Swedish Adolescent Emergency Psychiatric Inpatient Population

Eberhard

Rask

Höglund

et al. 2021

Journal of Addiction

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Introduction. Underage drinking is associated with poor mental health. Early detection for risky alcohol use is recommended, although less implemented in adolescent care. The objective of this study was to investigate the prevalence of risky alcohol use and psychiatric comorbidity. Methods. Over a nine-month period, 145 eligible adolescents admitted to the child and adolescent emergency unit in Malmö, Sweden, were offered computerized screening with Alcohol Use Disorder Identification Test-Consumption (AUDIT-C) and Drug Use Disorders Identification Test (DUDIT). Results. Ninety-six patients (73 girls and 23 boys) agreed to participate. The most common diagnoses were affective disorder (41%) and anxiety disorder (27%). Risky alcohol use was found among 33% of the girls and 22% of the boys ( p = 0.45 ) and did not differ between diagnostic categories. There was a positive correlation between AUDIT-C and DUDIT scores ( p = 0.019 ). Among adolescents with risky alcohol use, 33% of the girls and 60% of the boys also had a risky drug use. Conversely, 47% of the girls and 60% of the boys with risky drug use also had a risky alcohol use. Conclusion. In view of the poor prognosis of risky alcohol use in adolescents, alcohol and drug habits should be assessed when adolescents seek psychiatric emergency care.

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“…Changes in sexual risk behaviours will be measured by multiple choice questions on sexual behaviour under the influence of alcohol and/or other substances and unprotected sex, previously used in a survey among Swedish visitors at youth health clinics in Stockholm County. 86 Changes in perceived peer pressure will be measured by two items retrieved and adapted from the peer pressure inventory. 87 Perfectionism will be measured by two subscales of the Frost Multidimensional Perfectionism Scale.…”

Section: Methodsmentioning

confidence: 99%

Effects of an automated digital brief prevention intervention targeting adolescents and young adults with risky alcohol and other substance use: study protocol for a randomised controlled trial

et al. 2020

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IntroductionAdolescence and young adulthood is a period in life when individuals may be especially vulnerable to harmful substance use. Several critical developmental processes are occurring in the brain, and substance use poses both short-term and long-term risks with regard to mental health and social development. From a public health perspective, it is important to prevent or delay substance use to reduce individual risk and societal costs. Given the scarcity of effective interventions targeting substance use among adolescents and young adults, cost-effective and easily disseminated interventions are warranted. The current study will test the effectiveness of a fully automated digital brief intervention aimed at reducing alcohol and other substance use in adolescents and young adults aged 15 to 25 years.Methods and analysisA two-arm, double-blind, randomised controlled trial design is applied to assess the effectiveness of the intervention. Baseline assessment, as well as 3-month and 6-month follow-up, will be carried out. The aim is to include 800 participants with risky substance use based on the screening tool CRAFFT (Car,Relax, Alone, Forget, Friends, Trouble). Recruitment, informed consent, randomisation, intervention and follow-up will be implemented online. The primary outcome is reduction in alcohol use, measured by Alcohol Use Disorders Identification Test total score. Secondary outcomes concern binge drinking, frequency of alcohol consumption, amount of alcohol consumed a typical day when alcohol is consumed, average daily drinks per typical week, other substance use, mental health, sexual risk behaviours and perceived peer pressure. Moreover, the study involves analyses of potential moderators including perfectionism, openness to parents, help-seeking and background variables.Ethics and disseminationThe study was approved by the Swedish Ethical Review Authority (no. 2019–03249). The trial is expected to expand the knowledge on digital preventive interventions for substance using adolescents and young adults. Results will be disseminated in research journals, at conferences and via the media.Trial registration number24 September 2019, ISRCTN91048246; Pre-results.

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Alcohol and illicit drug consumption and the association with risky sexual behaviour among Swedish youths visiting youth health clinics

Cited by 15 publications

References 49 publications

Violence and sexual risk taking reported by young people at Swedish youth clinics

Violence and sexual risk taking reported by young people at Swedish youth clinics

Risky Alcohol Use and Comorbidity in a Swedish Adolescent Emergency Psychiatric Inpatient Population

Effects of an automated digital brief prevention intervention targeting adolescents and young adults with risky alcohol and other substance use: study protocol for a randomised controlled trial

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