Early Alcohol Initiation and Subsequent Sexual and Alcohol Risk Behaviors Among Urban Youths

Stueve, Ann; OʼDonnell, Lydia

doi:10.2105/ajph.2003.026567

Cited by 292 publications

(237 citation statements)

References 36 publications

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“…According to recent Monitoring the Future data, 33.1% of eighth graders reported ever drinking alcohol, and 14.8% reported ever being drunk (Johnston et al, 2012). Early initiation into drinking is a public health concern given its association with adult alcohol use disorder (AUD) and other negative consequences including unintentional injuries, risky sexual behavior, and drinking and driving (Dawson et al, 2008;Grant et al, 2001;Hingson et al, 2000;Stueve and O'Donnell, 2005;Zakrajsek and Shope, 2006). Moreover, for each year that drinking initiation is delayed, the odds of subsequent development of alcohol dependence are decreased by 5%-9% (Grant et al, 2001).…”

Section: Abstract Objectivementioning

confidence: 99%

Alcohol-Specific Parenting as a Mechanism of Parental Drinking and Alcohol Use Disorder Risk on Adolescent Alcohol Use Onset

Handley

Chassin

2013

J. Stud. Alcohol Drugs

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ABSTRACT. Objective:The primary aim of the current study was to examine three dimensions of alcohol-specifi c parenting (anti-alcohol parenting strategies, parental legitimacy in regulating adolescent drinking, and parental disclosure of negative alcohol experiences) as mechanisms in the prospective relations between parental drinking and alcohol use disorder (recovered, current, and never diagnosed) and adolescent alcohol use initiation. Method: Participants were from an ongoing longitudinal study of the intergenerational transmission of alcoholism. Structural equation modeling was used to test a maternal model (n = 268 adolescents and their mothers) and a paternal model (n = 204 adolescents and their fathers) of alcohol-specifi c parenting. Results: Results indicated that higher levels of drinking among mothers and current alcohol use disorder among fathers were related to more frequent parental disclosure of personal negative experiences with alcohol. Maternal disclosure of negative alcohol experiences mediated the effect of maternal drinking on adolescent onset of alcohol use such that more disclosure predicted a greater likelihood of adolescent drinking initiation at follow-up over and above general parenting. In addition, currently alcoholic mothers were perceived as having less legitimate authority to regulate adolescent drinking, and low levels of legitimacy among fathers was predictive of drinking onset among adolescents. Conclusions: Alcohol-specifi c parenting is a distinct and infl uential predictor of adolescent alcohol use initiation that is partially shaped by parents' own drinking experiences. Moreover, parental conversations about their own personal experiences with alcohol may not represent a form of parent-child communication about drinking that deters adolescent drinking. (J. Stud. Alcohol Drugs, 74, 684-693, 2013)

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Section: Abstract Objectivementioning

confidence: 99%

Alcohol-Specific Parenting as a Mechanism of Parental Drinking and Alcohol Use Disorder Risk on Adolescent Alcohol Use Onset

Handley

Chassin

2013

J. Stud. Alcohol Drugs

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“…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. Those who initiated alcohol use by seventh grade were more likely to engage in unprotected sexual intercourse, have multiple sexual partners, be intoxicated or high during sexual intercourse, and become pregnant through mid-adolescence.…”

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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“…A focus of previous research has been on correlates of adolescent sexual risk behaviors. [24][25][26] A broader view of adolescent sexuality is called for, given the range of behaviors in which young girls engage. 21 Notwithstanding overall low levels of risk behaviors, our urban, early adolescent girls embraced deviant beliefs, expectations, and practices that have implications for their exposure to and protection from HIV infection.…”

Section: Discussionmentioning

confidence: 99%

HIV Risk-Related Attitudes, Interpersonal Influences, and Intentions Among At-Risk Urban, Early Adolescent Girls

Noia¹

2008

ajhb

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Objective-To examine correlates of sexual experimentation and risk among urban, early adolescent girls (N = 236, 12.38 ± 1.2 years).Methods-Measures of HIV risk-related attitudes, interpersonal influences, and intentions were compared based on girls' degree of sexual experimentation and risk.Results-Girls in high sexual experimentation and risk groups scored highest on deviant peer norms; endorsements of risky behaviors; and inability to refuse unprotected sex, offset negative partner influences, avoid intercourse, and assert sexual desires. Greater experimentation occurred among girls with older versus same-age or younger partners. Conclusions-Risk correlates should be considered in designing HIV prevention programs. Keywords early adolescent females; HIV infection risks; psychosocial influencesOne half of new HIV infections in the United States occur among adolescents, with teenaged girls accounting for 60% of new infections. 1 Heterosexual contact is the primary source of exposure in 79% of these cases. 1 Because most young women contract HIV via sexual transmission, an understanding of HIV risk-related attitudes, interpersonal influences, and intentions associated with adolescent girls' sexual behaviors is essential to the development of responsive HIV prevention programs and services for meeting the needs of this population.Sexual activity is inherently problematic for young girls who are unready for responsible sexual decision making. 2 Young girls are more likely than older girls to engage in impulsive sexual behavior and less likely to practice safer sex. 2 Relative to girls who delay sexual activity, those who initiate sex are at greater risk for HIV due to their potentially greater number of sexual partners and unprotected sexual contacts. 2 Age imbalances that typically attend girls' relationships add to HIV infection risks. Age norms for dating encourage girls to seek out older partners who may hold more power in the relationship due to their maturity and greater life experience. 3 Adolescent girls with older boyfriends have a higher rate of sexual activity and are more likely to have sex under the influence of alcohol or drugs than are girls with similarly aged boyfriends. [4][5][6] Developmental factors may also make early adolescent girls less capable of communicating with their partners NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript about prior sexual experiences, discussing abstinence, and negotiating safer sex practices. 4,7,8 Not infrequently, young girls overestimate the type and appropriateness of peer sexual behavior. Early adolescents who perceive that most of their friends are having sex are more likely to intend to initiate intercourse and to engage in it. 9 Early adolescents who do not endorse protective attitudes (ie, personal and peer norms supportive of refraining from sex) initiate intercourse more frequently than do early adolescents who endorse such attitudes. 10,11 Youths who believe that their friends do not use condoms are less likely to use ...

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Early Alcohol Initiation and Subsequent Sexual and Alcohol Risk Behaviors Among Urban Youths

Abstract: Prevention programs should address combined risks of early alcohol use and sexual intercourse, especially where levels of HIV and other sexually transmitted infections are elevated.

Cited by 292 publications

References 36 publications

Alcohol-Specific Parenting as a Mechanism of Parental Drinking and Alcohol Use Disorder Risk on Adolescent Alcohol Use Onset

Alcohol-Specific Parenting as a Mechanism of Parental Drinking and Alcohol Use Disorder Risk on Adolescent Alcohol Use Onset

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

HIV Risk-Related Attitudes, Interpersonal Influences, and Intentions Among At-Risk Urban, Early Adolescent Girls

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