Alcohol use and protective sexual behaviors among high-risk adolescents
Alcohol use and protective sexual behaviors among high-risk adolescents
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DOI：
10.15288/jsad.2007.68.327
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发表时间：
2007-05-01
影响因子：
3.4
通讯作者：
Cooper, M. Lynne
中科院分区：
文献类型：
--
作者：
Bryan, Angela;Ray, Lara A.;Cooper, M. Lynne
目的：本研究旨在通过在高风险青少年样本中使用前瞻性方法，在全球和事件分析水平上检查酒精和安全套使用之间的关联，从而提高我们对酒精和安全套使用之间关系的调节影响的理解。研究人员检查了以下潜在的调节因素：与性有关的酒精预期、性别、关系类型、酒精使用水平和寻求冲动感觉。方法：有犯罪行为的青少年（N = 300）完成了酒精使用、避孕套使用、个性和酒精预期的测量；267名（89%）参与者在6个月后完成了行为评估。结果：在全球水平的分析中，酒精相关的性增强期望有显著的调节作用，因此酒精和避孕套使用之间的关系是负的，并且只有在性增强期望较高的个体中才显著。在有限的时间范围内，在6个月的随访中，基线时的冲动感觉寻求与避孕套的使用呈负相关。在事件水平上，存在性别与酒精的相互作用，即男性的酒精使用与避孕套使用无关，但在女性中存在强烈的负相关。结论：本研究通过超越主要影响并对调节变量进行经验驱动的多层次检查，有助于理解酒精使用和避孕套使用之间的关系。结果支持在人类免疫缺陷病毒/性传播疾病预防活动中纳入根据具体情况减少酒精风险的内容。
Objective: This study seeks to advance our understanding of moderating influences on the relationship between alcohol and condom use by examining their association at both the global and event levels of analysis using a prospective approach within a sample of high-risk adolescents. The following potential moderators were examined: sex-related alcohol expectancies, gender, relationship type, level of alcohol use, and impulsive sensation seeking. Method: Criminally involved adolescents (N = 300) completed measures of alcohol use, condom use, personality, and alcohol expectancies; 267 (89%) participants completed a behavioral assessment 6 months later. Results: At the global level of analysis, there was a significant moderating effect of alcohol-related sexual-enhancement expectancies, such that the relationship between alcohol and condom use was negative and significant only among individuals with higher sexual-enhancement expectancies. At the time-limited global level, impulsive sensation seeking at baseline was negatively associated with condom use at 6-month follow-up. At the event level, there was a Gender x Alcohol interaction such that alcohol use was unrelated to condom use among males but was strongly and negatively related among females. Conclusions: This study makes a contribution to the understanding of the relationship between alcohol use and condom use by looking beyond main effects and conducting an empirically driven and multilevel examination of moderating variables. Results support the inclusion of situation-specific alcohol risk-reduction content in human immunodeficiency virus/sexually transmitted disease-prevention activities.