Alcohol use and contraception in first sexual experiences

Leigh, Barbara C.; Schafer, John; Temple, Mark

doi:10.1007/bf01857707

Cited by 18 publications

(10 citation statements)

References 27 publications

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“…Although gender differences have been reported (e.g., Cooper and Orcutt, 1997), they have not been consistently observed across different behaviors or across different studies inves tigating the same behavior (e.g., Dermen and Cooper, 2000). Evidence on race differences is inconclusive because of the small number of studies that have included black youth and because few black adolescents and young adults drink in sexual situations Leigh et al, 1995).…”

Section: Discussionmentioning

confidence: 99%

Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence.

Cooper

2002

J. Stud. Alcohol Suppl.

816

844

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ABSTRACT.Objective: To evaluate the empirical associations between alcohol use and risky sex at two levels of analysis. Global associations test whether individuals who engage in one behavior are more likely to engage in the other, whereas event-specific associations test whether the likelihood of engaging in one behavior on a given occasion varies as a function of engaging in the other on that same occasion. Method: Stud ies examining the association between drinking and risky sex in samples of college students and youth were reviewed. Those published in the past 10 years and using event-level methodology or random sampling were emphasized. Results: Findings were generally consistent across levels of analysis, but differed across types of risky behaviors. Drinking was strongly related to the decision to have sex and to indiscriminate forms of risky sex (e.g., having multiple or casual sex partners), but was in consistently related to protective behaviors (e.g., condom use). More over, the links among alcohol use, the decision to have sex and indis criminate behaviors were found in both between-persons and within-persons analyses, suggesting that these relationships cannot be adequately explained by stable individual differences between people who do and do not drink. Analysis of event characteristics showed that drinking was more strongly associated with decreased protective behav iors among younger individuals, on first intercourse experiences and for events that occurred on average longer ago. Conclusions: Future efforts aimed at reducing alcohol use in potentially sexual situations may de crease some forms of risky sex, but are less likely to affect protective behaviors directly. (J.

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Section: Discussionmentioning

confidence: 99%

Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence.

Cooper

2002

J. Stud. Alcohol Suppl.

816

844

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“…Coleman (2001a), however, in reviewing these studies, found inconsistency in their findings. Indeed, numerous studies of this nature, in contrast to the global correlation studies, failed to find an association between alcohol use and risky sex (e.g., Halpern-Flesher et al, 1996;Jacobson, Aldana, & Beaty, 1994;Leigh, Schafer, & Temple, 1995;Stall & Leigh, 1994;Temple, Leigh, & Schafer, 1993). In view of the evidence derived from event-specific studies, it is clearly presumptuous to argue that alcohol use, per se, always increases the likelihood of risky sexual behavior.…”

Section: Introductionmentioning

confidence: 94%

A Qualitative Study of the Relationship Between Alcohol Consumption and Risky Sex in Adolescents

Coleman¹,

Cater²

2005

Arch Sex Behav

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This study examined how alcohol consumption over a single session can affect the likelihood of risky sex in adolescents. Risky sexual behavior, as defined in this study, included sexual intercourse without the use of contraception or aNY sexual behavior that was subsequently regretted. In-depth interviews were conducted with 64 adolescents (aged 14-17 years). Data were analyzed following the principles of Interpretative Phenomenological Analysis. The impact of alcohol consumption upon risky sexual behavior was found to operate through a "continuum of influence." The 5 effects or explanations within this continuum, possibly determined through the level of inebriation, are summarized as follows: (1) alcohol affecting young people's assessment of a person's sexual attractiveness; (2) alcohol used as an "excuse" for socially unacceptable behavior; (3) increased confidence and lowering of inhibitions; (4) impaired judgment in accurately recognizing and controlling a potentially risky situation; and (5) complete loss of control, memory loss, and "black-out." These explanations were ordered with increasing significance. That is, impaired judgment (Explanation 4) and complete loss of control (Explanation 5) arguably represented the most significant effects of drinking alcohol upon risky sexual behavior. For those participants who reported both risky and non-risky sexual behavior, risky events were more likely to occur when alcohol consumption had increased and when the impaired judgment and complete loss of control explanations were applicable. The implications of understanding this complex relationship are outlined, and they will be of interest to academics, practitioners, and policy-makers in the alcohol and sex fields.

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“…Alcohol use in adolescence is associated with the four leading causes of death within this age group: motor-vehicle crashes, other unintentional injuries, homicide and suicide; (CDC, 2004). Numerous studies have found that adolescent drinkers are at increased risk of engaging in violent and aggressive behaviors (DuRant et al, 1997; Grunbaum et al, 1998; White et al, 1999; Swahn et al, 2004), increased sexual activity and unsafe sexual practices (Graves and Leigh, 1995; Leigh et al, 1995; Duncan et al, 1999; Cooper, 2002) and sexual victimization (Kreiter et al, 1999; Champion et al, 2004). Adolescent alcohol use may also have deleterious effects on psycho-social development.…”

Section: Introductionmentioning

confidence: 99%

Geographic clustering of underage drinking and the influence of community characteristics

Reboussin

Preisser

Song

et al. 2010

Drug and Alcohol Dependence

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The aim of this paper was to examine the extent to which underage drinking clusters geographically in a sample of communities, and to investigate the manner in which community-level contexts are related to this process. We used data from a randomized community trial of underage drinking to provide the first quantitative estimates of the magnitude of the geographic clustering of underage drinking based upon pairwise odds ratios (PWORs). The Enforcing Underage Drinking Laws Randomized Community Trial provided data from repeated cross-sectional samples of youth aged 14-20 from 68 communities surveyed in 2004, 2006, and 2007 (n=18, 730). Past 30-day drinking, binge drinking, getting drunk, experiencing non-violent consequences as a result of drinking and making a purchase attempt all significantly clustered within-communities with PWORs ranging from 1.05 to 1.21. After adjustment for individual-level characteristics, results remained relatively unchanged. However, there was evidence that the magnitude of the clustering varied as a function of neighborhood disadvantage, neighborhood disorder, and family structure. Clustering of drunkenness and experiencing non-violent consequences as a result of drinking was greatest in the least economically disadvantaged and least disordered communities with the greatest percentage of married couple families. The clustering of making a purchase attempt, however, was greatest in more disordered communities, specifically the largest communities with the highest degree of residential mobility and housing density. These findings that clustering of underage drinking behaviors varies by community context has the potential for identifying the types of communities to target for underage drinking behavior-specific preventive interventions.

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Alcohol use and contraception in first sexual experiences

Cited by 18 publications

References 27 publications

Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence.

Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence.

A Qualitative Study of the Relationship Between Alcohol Consumption and Risky Sex in Adolescents

Geographic clustering of underage drinking and the influence of community characteristics

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