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

Abstract

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.

HIV/AIDS Knowledge, Attitude and Practice among Dilla University Students, Ethiopia

“…Furthermore, university students in Uganda experience low self-efficacy 29 and lack of skills to use condom properly 30,31 . In addition, many studies report drug abuse as a growing practice in universities 2,31,32 , which is one of the predisposing factors for risky sexual behaviours 2,[33][34][35][36][37][38] .…”

A diathesis-stress model of engagement in risky behaviors in Chinese adolescents

“…Consequently, adolescents often engage in an inconsistent array of such behaviors rather than in just behaviors that fall into one particular category (Jessor, 1993). Further, the utilization of any given type of risky behavior increases the likelihood of engaging in other types of risky behaviors (e.g., Cooper, 2002;Graber & Brooks-Gunn, 1995). The co-occurrence of multiple types of risky behaviors is particularly worrisome as it increases the likelihood of negative long-term consequences (e.g., drug dependency, legal troubles, and unplanned pregnancy) as well as predicts poorer psychosocial functioning throughout adulthood (Bardone, Moffit, Caspi, & Dickson, 1996;Markey, Markey, & Tinsley, 2003).…”

Translating knowledge into practice: content analysis of online resources about sexual difficulties for individuals with traumatic brain injury

“…Only a few mentioned other aspects described as important in research about TBI and sexuality, such as fatigue (Downing et al, 2013;Goldin, Cantor, Tsaousides, Spielman, & Gordon, 2014), inability to masturbate (Hibbard et al, 2000), feeling unattractive (Kreutzer & Zasler, 1989), and only one focused on risky sexual behaviour (Moreno, Gan, Zasler, & McKerral, 2014). In particular, research shows that risky sexual behaviour, defined as any behaviour increasing the probability of negative consequences associated with sexual contact, including HIV or other sexually transmitted diseases (Cooper, 2002), is associated with the presence of cognitive deficits, such as dysexecutive symptoms . Unfortunately, even when the leaflets state that there is an indirect influence of cognitive deficits on sexual issues, they do not recommend specific interventions regarding cognitive rehabilitation.…”