Alcohol, Helping Young Adults to Have Unprotected Sex with Casual Partners: Findings from a Daily Diary Study of Alcohol Use and Sexual Behavior
Alcohol, Helping Young Adults to Have Unprotected Sex with Casual Partners: Findings from a Daily Diary Study of Alcohol Use and Sexual Behavior
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DOI：
10.1016/j.jadohealth.2008.05.008
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发表时间：
2009-01-01
影响因子：
7.6
通讯作者：
Armeli, Stephen
中科院分区：
文献类型：
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作者：
Kiene, Susan A.;Barta, William D.;Armeli, Stephen
目的：研究事件之间的关联饮酒和无保护性行为的可能性在大学年龄的年轻人考虑上下文因素的合作伙伴类型和酒精consumed.Methods的量：一个30天的，基于网络的，结构化的每日日记被用来收集每日报告的性行为和酒精使用116性活跃的年轻人，产生2,764日记记录。每天我们都会评估前一天晚上的行为，包括饮酒量、性机会、性交、避孕套的使用以及包括性伴侣类型在内的背景因素。结果：基于多水平模型，性交事件附近饮酒增加了与无保护性行为的可能性随意但不稳定的伴侣。对于女性来说，饮酒次数与无保护措施的性行为的可能性之间存在正相关，但与稳定的性伴侣之间存在负相关。在有机会与临时伴侣发生性关系的情况下饮酒会增加发生性关系的可能性。特别是对于妇女，饮酒增加的可能性发生性行为，无论合作伙伴type.Conclusions：未能评估的上下文的酒精无保护的性行为协会的决定因素可能会导致低估的幅度，这种关联。这些数据强调了对年轻人进行干预的一个重要领域：减少与临时伴侣发生涉及酒精的性风险行为，特别是在女性中。(c)2009年，为青少年医学。All rights reserved.
Purpose: To examine the event-level association between alcohol consumption and the likelihood of unprotected sex among college-age young adults considering contextual factors of partner type and amount of alcohol consumed.Methods: A 30-day, Web-based, structured daily diary was used to collect daily reports of sexual behaviors and alcohol use from 116 sexually active young adults, yielding 2,764 diary records. Each day we assessed the prior evening's behavior regarding alcohol consumption, opportunities for sex, sexual intercourse, condom use, and contextual factors including type of sexual partner.Results: Based on multilevel models, drinking proximal to events of sexual intercourse increased the likelihood of unprotected sex with casual but not steady partners. For women there was a positive association between number of drinks and a greater likelihood of unprotected sex with casual partners but a negative association with steady partners. Drinking during situations involving opportunities for sex with casual partners increased the likelihood of sex. For women especially, drinking more increased the likelihood of sex occurring regardless of partner type.Conclusions: Failure to assess the contextual determinants of the alcohol-unprotected sex association may result in underestimates of the magnitude of this association. These data highlight an important area for intervention with young adults: reducing alcohol-involved sexual risk behavior with casual partners, especially among women. (c) 2009 Society for Adolescent Medicine. All rights reserved.