The Association of Substance Use Before Sex and Condomless Sex: The Moderating Effects of Sexual Risk Behaviors, Perceived Sex Approval, and HIV/STI Risk Perception Among Youth.

IF 2 3区 社会学 Q2 SOCIAL ISSUES
Youth & Society Pub Date : 2025-04-01 Epub Date: 2024-08-31 DOI:10.1177/0044118x241273406
Sarah Khreizat, David Cordova, José Bauermeister, Jorge Delva, Torsten B Neilands, Sydni Warner, Miguel Ángel Cano, Cherrie B Boyer
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引用次数: 0

Abstract

Youth are disproportionately affected by substance use and associated sexual risk behaviors, increasing STI and HIV susceptibility. This study analyzed the interplay between alcohol/drug use before sex (ABS/DBS), perceived sex approval (e.g., perceived familial or peer approval in engaging in sex), and HIV/STI risk perception among youth aged 13-21 (n = 150). We assessed how these factors influenced condomless vaginal/anal sex (VAS) and oral sex practices. Results showed significant interactions between perceived sex approval and lifetime ABS for lifetime condomless VAS, and between HIV/STI risk perception and lifetime ABS for current condomless oral sex. These findings underline the influence of perceived sex approval and HIV/STI risk perception on youth's sexual behaviors. Implications for targeted interventions are discussed.

性行为前物质使用与无安全套性行为的关联:青少年性风险行为、性认同感知和HIV/STI风险感知的调节作用。
青少年不成比例地受到药物使用和相关性危险行为的影响,增加了性传播感染和艾滋病毒的易感性。本研究分析了13-21岁青少年(n = 150)在性行为前使用酒精/药物(ABS/DBS)、感知性认可(例如,感知家庭或同伴参与性行为的认可)和艾滋病毒/性传播感染风险感知之间的相互作用。我们评估了这些因素如何影响无套阴道/肛交(VAS)和口交行为。结果显示,感知性认同与终身无安全套口交的终生ABS之间存在显著的交互作用,HIV/STI风险感知与当前无安全套口交的终生ABS之间存在显著的交互作用。这些发现强调了性认同认知和艾滋病毒/性传播感染风险认知对青少年性行为的影响。讨论了有针对性干预措施的影响。
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来源期刊
Youth & Society
Youth & Society Multiple-
CiteScore
5.30
自引率
0.00%
发文量
41
期刊介绍: For thirty-five years, Youth & Society has provided educators, counsellors, researchers, and policy makers with the latest research and scholarship in this dynamic field. This valuable resource examines critical contemporary issues and presents vital, practical information for studying and working with young people today. Each quarterly issue of Youth & Society features peer-reviewed articles by distinguished scholars and practitioners from a variety of disciplines and fields, including: sociology, public health, social work, education, criminology, psychology, anthropology, human services, and political science.
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