Substance use among rural adolescent virgins as a predictor of sexual initiation

Guo, Jiantong; Stanton, Bonita; Cottrell, Lesley; Clemens, Rebecca; Li, Xiaoming; Harris, Colin; Marshall, Sharon; Gibson, Catherine

doi:10.1016/j.jadohealth.2004.11.124

Cited by 24 publications

(15 citation statements)

References 6 publications

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“…The sample was representative of Latinas living in Miami-Dade County, but not the United States. Finally, correlates of sexual debut may differ depending on geographic locale (Guo et al, 2005), and results may not generalize to Latinas living in rural areas of the United States.…”

Section: Discussionmentioning

confidence: 99%

US Latina age of sexual debut: long-term associations and implications for HIV and drug abuse prevention

et al. 2010

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This cross-sectional study explored associations among (a) age of sexual debut, (b) drug abuse, and (c) sexual risk behaviors among an urban community based sample of 158 predominantly immigrant, Latina adults. Time in the United States and having a mother who used drugs during the participants' childhood or adolescence were significantly related to age of sexual debut. In turn, younger ages of sexual debut were associated with drug abuse and more sexual risk behaviors (greater number of sexual partners, more frequent alcohol and drug use before or during sex, greater levels of intoxication from alcohol or drugs during sex). Implications for HIV/AIDS and drug abuse clinical services and future research with U.S. Latina populations are discussed. KeywordsSexual debut; immigrant; Latina; Hispanic; HIV risk; drug abuse U.S. Latinas are affected disproportionately by HIV/AIDS. The rate of existing AIDS cases among Latinas is six times higher than the corresponding rate among non-Latina, White women (CDC, 2007). Engagement in sexual activity at an early age is a potential contributor to this disparity. Latino adolescents report a high prevalence rate of sexual intercourse (CDC, 2008). Such early sexual activity increases an individual's chance of exposure to HIV (Dolcini et al., 1993).This study uses retrospective responses from adult Latinas to determine if age of sexual debut is related to (a) length of time in the U.S. and (b) having a mother who abused drugs during one's youth. Latinas who report longer lengths of time in the U.S. are hypothesized to indicate earlier sexual debut. Latinas with drug abusing mothers also are hypothesized to report younger ages of sexual debut. Age of sexual debut is expected to be associated with adult drug abuse and HIV sexual risk behaviors. Latinas who report younger ages of sexual debut are hypothesized to (a) be drug abusers as adults, (b) report more sexual partners, (c) report more use of substances before sex, and (d) indicate more intoxication from alcohol or drugs before sex. The remainder of this section introduces epidemiological and sociocultural literature that informs the hypotheses of this study. Correlates of Sexual DebutLatino cultural norms, such as gender inequality and power imbalance within romantic relationships, influence the onset of sexual activity (Gilliam, Berlin, Kozloski, Hernandez, & Grundy, 2007). Latina immigrant youth often struggle with balancing cultural norms (e.g., forbidding premarital sex) with conflicting sexual expectations espoused by U.S. born peers (Raffaelli & Ontai, 2001). The cultural expectation to be submissive is theorized to impair healthy sexual decision-making (Weeks, Schensul, Williams, Singer, & Grier, 1995). Other cultural factors, such as nativity and acculturation, impact sexual initiation and risk among Latinas (Afable-Munsuz & Brindis, 2006). Highly acculturated Latina youth are more likely to be sexually active at an early age and engage in sexual risk behaviors (Gilliam et al., 2007). Decreases in familism (a ...

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Section: Discussionmentioning

confidence: 99%

US Latina age of sexual debut: long-term associations and implications for HIV and drug abuse prevention

et al. 2010

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“…At the global level, young people who use marijuana tend to engage in riskier sexual activities (Bellis et al, 2008; Guo et al, 2005; Yan, Chiu, Stoesen, & Wang, 2007) and be at a higher risk of STIs (Smith et al, 2010; Wu, Ringwalt, Patkar, Hubbard, & Blazer, 2009). Results related to condom use are mixed, but marijuana use is related to a reduced frequency of condom use in most studies (Adefuye, Abiona, Balogun, & Lukobo-Durrell, 2009; Bellis et al, 2008; Guo et al, 2005; Yan et al, 2007). …”

Section: Substance Use and Sexual Risk-takingmentioning

confidence: 99%

Do Alcohol and Marijuana Use Decrease the Probability of Condom Use for College Women?

Walsh

Fielder

Carey

et al. 2013

The Journal of Sex Research

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Alcohol and marijuana use are thought to increase sexual risk taking, but event-level studies conflict in their findings and often depend on reports from a limited number of people or on a limited number of sexual events per person. With event-level data from 1856 sexual intercourse events provided by 297 college women (Mage = 18 years; 71% White), we used multilevel modeling to examine associations between alcohol and marijuana use and condom use as well as interactions involving sexual partner type and alcohol-sexual risk expectancies. Controlling for alternative contraception use, partner type, regular levels of substance use, impulsivity and sensation-seeking, and demographics, women were no more or less likely to use condoms during events involving drinking or heavy episodic drinking (HED) than during those without drinking. However, for drinking events, there was a negative association between number of drinks consumed and condom use; additionally, women with stronger alcohol-sexual risk expectancies were marginally less likely to use condoms when drinking. Although there was no main effect of marijuana use on condom use, these data suggest that marijuana use with established romantic partners may increase risk of unprotected sex. Intervention efforts should target expectancies and emphasize the dose-response relationship of drinks to condom use.

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“…While many studies indicate that use of illegal drugs is associated with subsequent initiation of sexual intercourse (Capaldi, Crosby, and Stoolmiller, 1996; Guo et al, 2005; Mott and Haurin, 1988; Ohene et al, 2005; Rosenbaum and Kandel, 1990; Rosenthal et al, 1999; Santelli et al, 2004), no more than a few studies have examined whether early sexual experience is associated with subsequent onset of drug use among adolescents (Mott and Haurin, 1988; Poikolainen et al 2001; Stanton et al, 2001). For example, there are virtually no reports on the timing of drug use onset comparing youth with early sexual experiences to those without them; and even less particularly for minority youth.…”

Section: Introductionmentioning

confidence: 99%

Early Sexual Experience and Later Onset of Illegal Drug Use Among African American Students on HBCU Campuses

Wang

Storr

Browne

et al. 2010

Substance Use & Misuse

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Few studies examine whether early sexual experience is associated with subsequent illegal drug use among adolescents. A sample of 7,372 African-American students who had not used illegal drugs before the age of 14 were identified in the dataset of the 2001 Historically Black Colleges and Universities (HBCU) Substance Use Survey. Using self-reported ages of onset, discrete-time survival models estimated the hazard of illegal drug use onset after age 13 subsequent to first sexual intercourse. Early sex was modestly associated with subsequent illegal drug initiation, particularly among females. Drug prevention services should be provided to youth engaged in early sexual activity.

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Substance use among rural adolescent virgins as a predictor of sexual initiation

Cited by 24 publications

References 6 publications

US Latina age of sexual debut: long-term associations and implications for HIV and drug abuse prevention

US Latina age of sexual debut: long-term associations and implications for HIV and drug abuse prevention

Do Alcohol and Marijuana Use Decrease the Probability of Condom Use for College Women?

Early Sexual Experience and Later Onset of Illegal Drug Use Among African American Students on HBCU Campuses

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