Adolescent substance use and sexual risk-taking behavior
Adolescent substance use and sexual risk-taking behavior
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DOI：
10.1016/s1054-139x(00)00169-5
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发表时间：
2001-03-01
影响因子：
7.6
通讯作者：
Brown, SA
中科院分区：
文献类型：
--
作者：
Tapert, SF;Aarons, GA;Brown, SA
目的：研究青少年物质使用和依赖性的关系，在青春期后期和青年adult.Methods的性冒险行为：我们前瞻性地研究了自我报告的性行为和物质参与问卷调查的样本中的青年在药物滥用治疗方案和比较样本的社会人口学相似的社区青年没有从媒体广告招募的物质使用障碍的历史。在初次评估后2年、4年和6年收集了性行为和物质参与的评估（78%白色，51%女性），因为他们从青春期中期过渡到青年期（平均年龄从15.5岁到21.5岁），使用卡方、方差分析和多变量方差分析方法比较两个样本。高风险的性行为和物质参与的连续指标进行了分析与多元regression.Results：发病年龄较早的性活动，更多的性伴侣，不一致的使用避孕套，更多的性传播疾病（STD），和更大的流行率的人类免疫缺陷病毒检测报告的青年在临床治疗样本相对于社会人口可比的非滥用社区青年。在女性中发现性传播疾病的发病率很高，报告怀孕的滥用药物女性多于社区女性。物质参与继续与高风险的性行为在整个过渡到年轻adult.Conclusions：青年确定与物质问题更有可能在青春期从事危险的性行为，并继续危险的性行为的程度，物质问题持续存在。减少风险教育应包括青少年药物滥用治疗。(C)青少年医学协会，2001年。
Purpose: To examine the relationship of adolescent substance use and dependence to sexual risk-taking behavior in late adolescence and young adulthood.Methods: We prospectively examined self-reported sexual behaviors and substance involvement questionnaires in a sample of youth in substance abuse treatment programs and a comparison sample of sociodemographically similar community youths without histories of substance use disorders recruited from media ads. Assessments of sexual behaviors and substance involvement (78% white, 51% female) were collected at 2, 4, and 6 years after initial assessments, as they transitioned from middle adolescence to young adulthood (from age 15.5 to age 21.5 years, on average).The two samples were compared using Chi-square, analysis of variance, and multivariate analysis of variance approaches. Continuous indicators of high-risk sexual behaviors and substance involvement were analyzed with multiple regression.Results: Earlier age of onset to sexual activity, more sexual partners, less consistent use of condoms, more sexually transmitted diseases (STDs), and greater prevalence of human immunodeficiency Virus testing were reported by youth in the clinical treatment sample relative to sociodemographically comparable nonabusing community youth. High rates of STDs were found among females, and more substance-abusing females reported pregnancies than community females. Substance involvement continued to be associated with high-risk sexual behavior throughout the transition into young adulthood.Conclusions: Youth identified with substance problems are more likely to engage in risky sexual behaviors during adolescence and to continue risky sexual behaviors to the extent that substance problems persist. Risk reduction education should be included with adolescent substance abuse treatment. (C) Society for Adolescent Medicine, 2001.