未婚青少年和青壮年中酒精和其他药物使用和性危险行为的时机。

John S. Santelli, Leah Robin, N. Brener, Richard Lowry
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引用次数: 176

摘要

虽然在一些研究中,年轻人使用酒精和药物与性风险行为有关,但缺乏关于药物使用时间与性风险行为之间关系的详细数据。方法采用1992年青少年危险行为调查(家庭补充)中7441名14-22岁未婚青年的横断面数据进行分析。最后性交时的酒精和其他药物使用情况、过去30天内的药物使用情况(最近使用情况)、曾经使用的不同药物的数量(终生使用情况)以及开始使用酒精的年龄都在这里进行了检查。通过多变量回归分析评估的结果变量是最后一次性交时使用避孕套和在过去三个月内有不止一个性伴侣。结果未使用安全套与终生物质使用规模密切相关,或者与开始饮酒的年龄密切相关。一旦控制了曾经使用过的物质的数量,最后一次性交时使用的物质和最近使用的物质都与最后一次性交时使用避孕套的可能性无关。在青年男女中,最近的物质使用和最后性交时的酒精或毒品使用都与在过去三个月内有一个以上的性伴侣密切相关。仅对女性来说,终生使用也增加了最近有多个伴侣的可能性。结论酒精和其他药物使用与两种性行为(避孕套使用和多性伴侣)之间的关系提示了不同的影响机制和不同的预防策略的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Timing of alcohol and other drug use and sexual risk behaviors among unmarried adolescents and young adults.
CONTEXT Although alcohol and drug use by young people has been associated with sexual risk behavior in some research, detailed data are lacking on the timing of substance use in relationship to sexual risk-taking. METHODOLOGY Cross-sectional data on 7,441 unmarried young people aged 14-22 from the 1992 Youth Risk Behavior Survey (household supplement) were used in the analysis. Alcohol and other drug use at last sexual intercourse, substance use in the past 30 days (recent use), the number of different substances ever used (lifetime use) and age at initiation of alcohol use are examined here. The outcome variables assessed through multivariate regression analyses were condom use at last intercourse and more than one sexual partner in the past three months. RESULTS Failure to use a condom was strongly associated with the lifetime substance-use scale or, alternatively, with age at initiation of alcohol. Once the number of substances ever used was controlled for, neither substance use at last sexual intercourse nor recent use was associated with the likelihood of using a condom at last coitus. Among young men and women, recent substance use and use of either alcohol or drugs at last intercourse were both strongly associated with having had more than one sexual partner in the past three months. For females only, lifetime use also increased the probability of recent multiple partners. CONCLUSIONS The relationships between alcohol and other drug use and two sexual behaviors--condom use and multiple partners-suggest distinct mechanisms of influence and the need for different prevention strategies.
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