Increased Partner Risk Characteristic Among Adolescents Using Alcohol In the Moment.
Increased Partner Risk Characteristic Among Adolescents Using Alcohol In the Moment.
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DOI：
10.1097/olq.0000000000000481
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发表时间：
2016-09
影响因子：
3.1
通讯作者：
Komro KA
中科院分区：
文献类型：
--
作者：
Staras SA;Livingston MD;Komro KA
酒精是性传播疾病（STD）获得的公认风险因素，但其机制尚不清楚。潜在地，在性行为前两小时饮酒的青少年（当时使用）有更危险的性伴侣。我们使用多变量逻辑回归分析，以探讨在当时的酒精使用和合作伙伴的风险特征之间的关联报告，主要是17-18岁的青少年最初从芝加哥公立小学的代表性样本招募的最近的性别。我们创建了三个复合合作伙伴风险概况：合作伙伴熟悉度风险（偶然和意外），合作伙伴背景风险（年龄不一致和在公共场合见面），以及使用除合作伙伴饮酒外的所有措施的总体风险。与不饮酒的青少年相比，报告任何饮酒的青少年更有可能报告偶然[校正比值比（AOR）=3.2，95% CI = 2.1至4.9）]，意外（AOR=1.6，95% CI = 1.0 - 2.5），年龄不一致（AOR=3.0，95% CI=2.0 - 4.6），或在公共合作伙伴中遇到（AOR=1.4，95% CI = 1.0 - 2.1）。对于每一个复合指标，伴侣风险特征的数量报告与青少年饮酒的百分比呈线性增加（Cochran-Armitage趋势P<0.0001）。与零特征相比，此刻饮酒与报告一个（AOR=2.8，95% CI=1.7，4.5），两个（AOR=4.6，95% CI=2.7，7.6）或三到四个特征（AOR=7.1，95% CI=3.3，15.3）的几率增加相关。我们的研究结果扩展了先前研究中报告的当前饮酒和伴侣风险之间的联系，以涵盖青少年的一般性经历和其他伴侣特征，包括高度相关的复合特征。对于主要是17-18岁的青少年最近的性接触，使用任何酒精的青少年有一个危险的性伴侣的可能性是非用户的两到三倍。
Alcohol is a recognized risk factor for sexually transmitted diseases (STD) acquisition, but the mechanism is unclear. Potentially, adolescents using alcohol in the two hours before sex (in-the-moment use) have riskier sexual partners. We used multivariable logistic regression to examine the association between in-the-moment alcohol use and partner risk characteristics reported for the most recent sex among primarily 17-18 year old adolescents originally recruited from a representative sample of Chicago public elementary schools. We created three composite partner risk profiles: partner familiarity risk (casual and unexpected), partner context risk (age discordance and met in public), and overall risk using all measures except partner alcohol use. Teens who reported any in-the-moment alcohol use were more likely than non-drinking teens to report casual [Adjusted Odds Ratio (AOR)=3.2, 95% CI = 2.1 to 4.9)], unexpected (AOR=1.6, 95% CI = 1.0 to 2.5), age discordant (AOR=3.0, 95% CI=2.0 to 4.6), or met in public partners (AOR=1.4, 95% CI = 1.0 to 2.1). For each composite measure, the number of partner risk characteristics reported increased linearly with the percent of teens drinking in-the-moment (Cochran-Armitage trend P<0.0001). Compared to zero characteristics, in-the-moment alcohol use was associated with increased odds of reporting one (AOR=2.8, 95% CI=1.7, 4.5), two (AOR=4.6, 95% CI=2.7, 7.6), or three to four characteristics (AOR=7.1, 95% CI=3.3, 15.3). Our findings expand the link between in-the-moment alcohol use and partner risk reported in prior studies to encompass adolescents’ general sexual experiences and additional partner characteristics including the highly associated composite characteristics. For primarily 17-18 year olds’ most recent sexual encounter, adolescents using any alcohol in-the-moment were two to three times more likely than non-users to have a risky sex partner.