Diary study of substance use and unsafe sex among adolescents with substance use disorders.
Diary study of substance use and unsafe sex among adolescents with substance use disorders.
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DOI：
10.1016/j.jadohealth.2004.12.001
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发表时间：
2006-03-01
期刊：
影响因子：
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通讯作者：
Clark, Duncan B
中科院分区：
文献类型：
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作者：
Bailey, Susan L;Gao, Weihua;Clark, Duncan B
目得：本研究测试的事件水平之间的关联，物质使用和安全套的使用，以及潜在的协变量，在青少年与物质使用障碍（SUDs）。方法：共134名青少年（年龄，15-21岁），72%的SUDs，参加了电话日记数据收集的性事件超过6周的时间。事件级物质使用，合作伙伴类型，与无保护性行为相关的成本的显着性，受试者级SUD和寻求感觉的安全套使用的影响进行了测试，在随机截距逻辑回归模型。共有637个性事件可用于analysis.RESULTS：事件级酒精和药物的使用，以及受试者级SUD和感觉寻求与安全套的使用在多变量模型。然而，所有其他事件水平的措施是显着的，包括合作伙伴类型和预防获得性免疫缺陷综合征（艾滋病）的显着性之间的相互作用。预防艾滋病的重要性仅与与与固定伴侣使用避孕套有关。预防怀孕与避孕套的使用独立的合作伙伴type.CONCLUSIONS：在其他事件水平的研究，物质的使用是不相关的避孕套的使用在我们的研究。我们研究的新结果表明，即使在事件层面的物质使用和伴侣类型的背景下，预防负面结果的显着性也是安全套使用的重要预测因素。这些结果表明，对使用药物的青少年的预防工作不应侧重于预防药物使用，以防止不安全的性行为，但应强调即使与已知的合作伙伴进行不安全的性行为的潜在成本。
PURPOSE: This study tested event-level associations between substance use and condom use, as well as potential covariates, among adolescents with substance use disorders (SUDs).METHODS: A total of 134 adolescents (age, 15-21 y), 72% with SUDs, participated in telephone diary data collection of sexual events over a 6-week period. Effects on condom use of event-level substance use, partner type, salience of costs associated with unprotected sex, and subject-level SUD and sensation-seeking were tested in random intercept logistic regression models. A total of 637 sexual events were available for analysis.RESULTS: Event-level alcohol and drug use as well as subject-level SUD and sensation-seeking were not associated with condom use in multivariate models. However, all other event-level measures were significant, including an interaction between partner type and salience of preventing acquired immune deficiency syndrome (AIDS). The importance of preventing AIDS was associated only with condom use with regular partners. Prevention of pregnancy was associated with condom use independent of partner type.CONCLUSIONS: As in other event-level studies, substance use was not related to condom use in our study. Novel results in our study showed that the salience of preventing negative outcomes is a significant predictor of condom use even in the context of event-level substance use and partner type. These results suggest that prevention efforts for substance-using youth should not focus on preventing substance use as a way to prevent unsafe sex, but should emphasize the potential costs of unsafe sex even with known partners.