Alcohol use, condom use and partner type among heterosexual adolescents and young adults.

Cooper, Melanie M.

doi:10.15288/jsa.2000.61.413

Cited by 89 publications

(89 citation statements)

References 15 publications

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“…Indeed, the fact that risk behav iors themselves are related to one another in complex ways suggests the need to move toward multivariate models in which alcohol use is embedded within a network of inter related risk behaviors (cf., Cooper and Orcutt, 2000).…”

Section: Recommendations For Future Research and Intervention Effortsmentioning

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: Recommendations For Future Research and Intervention Effortsmentioning

confidence: 99%

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

Cooper

2002

J. Stud. Alcohol Suppl.

816

844

View full text Add to dashboard Cite

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“…The primary focus for the present study is to characterize the role of partner type as a potential moderator of the alcohol-risky sex association. Several studies suggest that the association of alcohol use to high risk sexual behavior may vary as a function of relationship characteristics (Cooper & Orcutt, 2000;Corbin & Fromme, 2002;Fortenberry, Orr, Katz, Brizendine, & Blythe, 1997;Seage et al, 1998;Testa & Collins, 1997). For example, Corbin and Fromme (2002) found that relationship duration moderated the effect of alcohol use on condom use among college students, with alcohol effects observed for first time sexual encounters, but not for encounters that occurred with the same partner later in the relationship.…”

Section: Alcohol Use Partner Type and Risky Sexual Behavior Among Cmentioning

confidence: 99%

Alcohol use, partner type, and risky sexual behavior among college students: Findings from an event-level study

Brown

Vanable

2007

Addictive Behaviors

211

190

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Alcohol use is prevalent among college students and may contribute to elevated rates of sexual risk taking. Using event-level data, the hypothesis that partner type would moderate the effect of alcohol consumption on condom use was tested. Sexually active college students (N = 330; 67% female) reported on characteristics of their most recent sexual encounter, including partner type, alcohol use, and condom use, along with measures of sex-related alcohol expectancies, sensation seeking, and typical alcohol use. Unprotected vaginal sex (UVS) was reported by 39% of the sample and 32% reported alcohol use prior to sex. For the complete sample, UVS was just as likely for non-drinking events as for events involving alcohol use. However, for sexual encounters involving a non-steady partner, alcohol consumption was associated with an increase in UVS, whereas rates of UVS did not vary by drinking status for encounters involving a steady partner. These effects remained in analyses that controlled for sex-related alcohol expectancies, sensation seeking, and typical alcohol use. Findings confirm that the effects of alcohol vary according to the context in which it is used. Keywords alcohol; partner type; risky sexual behavior; condom use; HIV Alcohol Use, Partner Type, and Risky Sexual Behavior Among College Students: Findings from an Event-Level StudyAlcohol use is highly prevalent among college students and may contribute to elevated rates of sexual risk taking (Cerwonka, Isbell, & Hansen, 2000;Hingson, Heeren, Zakocs, Kopstein, & Wechsler, 2002;Perkins, 2002;Wechsler, Lee, Kuo, & Lee, 2000). Indeed, an estimated 42% of college aged students engage in binge drinking (Wechsler, Lee, Kuo, & Lee, 2000), and as many as 400,000 college students have unprotected sex after drinking in a given year (Hingson, Heeren, Zakocs, Kopstein, & Wechsler, 2002). However, empirical research exploring the causal linkage of alcohol use to high risk sexual behavior has yielded mixed findings among college students (Anderson & Mathieu, 1998;Cooper, 2002) and other at-risk populations (Weinhardt & Carey, 2000). Global association studies that focus on overall Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. patterns of alcohol use and high-risk sexual practices suggest a positive association between drinking and sexual risk behavior (for a review, see Dingle & Oei, 1997). In contrast, eventlevel studies that link alcohol use to sexual activity for specific encounters often show no difference in condom use for drinking versus non-drinking encounters (Desiderato & Crawford, 1995;Senf & Price, 1994;Te...

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“…Data and procedures-The goal of the Adolescent Health Risk Study (AHRS) was to identify the processes that drive the relationship between alcohol use and risky sexual behavior (Cooper & Orcutt 2000;Dermen & Cooper 2000). In 1989, 2052 randomly selected black and white adolescents from the Buffalo (NY) region aged 13-19 completed a 2 hour interview and self-administered questionnaire.…”

Section: Adolescent Health Risk Studymentioning

confidence: 99%

Adolescent alcohol and tobacco use: onset, persistence and trajectories of use across two samples

et al. 2002

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Aims-We examined the alcohol-tobacco relationship using two prospective, ethnically diverse samples. Trajectories of alcohol and tobacco use are portrayed overall and by sex and ethnicity. Using prospective analyses, we examine directional influences between alcohol and tobacco use, and we characterize initiation versus persistence of drinking and smoking as a function of use of the other substance.Design, setting-Data were from the National Longitudinal Study of Adolescent Health (AddHealth) and the Adolescent Health Risk Study (AHRS). Follow-up intervals for AddHealth and AHRS were 1 and 5 years, respectively.Participants-AddHealth respondents (n = 4831) were on average 14.8 years old (48% male, 23% black, 61% white) and AHRS respondents (n = 1814) were on average 16.7 years old (47% male, 44% black, 49% white).Measurements-Two alcohol consumption variables and two smoking variables were used: drinking frequency and heavy drinking frequency, and regular (current) smoking and daily number of cigarettes.Findings-Alcohol and tobacco use exhibited monotonic increases over adolescence and young adulthood. Men and white respondents reported more use than women and black respondents. Alcohol and tobacco were moderately associated at both times. Analyses revealed that prior alcohol use predicted tobacco use more strongly than the converse. Initiation of smoking was a function of prior drinking; to a lesser extent, initiation of drinking was a function of prior smoking. Persistence of smoking was a function of prior drinking and persistence of drinking was a function of prior smoking.Conclusions-Provisional support exists for the claim that alcohol use predicts tobacco use more strongly than the converse. For both drinking and smoking, onset and persistence are predicted by prior use of the other substance, and these associations were robust across sex and ethnicity.

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Alcohol use, condom use and partner type among heterosexual adolescents and young adults.

Cited by 89 publications

References 15 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.

Alcohol use, partner type, and risky sexual behavior among college students: Findings from an event-level study

Adolescent alcohol and tobacco use: onset, persistence and trajectories of use across two samples

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