A Multiprocess Latent Class Analysis of the Co-Occurrence of Substance Use and Sexual Risk Behavior Among Adolescents
A Multiprocess Latent Class Analysis of the Co-Occurrence of Substance Use and Sexual Risk Behavior Among Adolescents
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DOI：
10.15288/jsad.2009.70.943
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发表时间：
2009-11-01
影响因子：
3.4
通讯作者：
Hansen, Nathan B.
中科院分区：
文献类型：
--
作者：
Connell, Christian M.;Gilreath, Tamika D.;Hansen, Nathan B.
目的：评估青少年药物使用模式与性行为的共同发生，并测试性别的潜在调节作用。方法：采用2005年青少年危险行为调查样本13953名高中生进行研究。在全国具有代表性的青少年样本中，进行了潜在类别分析，以检查物质使用模式与性风险行为之间的关系。最后的模型控制了人口统计协变量以及性别和药物使用类别之间的相互作用。结果：每种行为的4个类解提供了最优拟合。物质使用类别为非使用者（27%）、酒精实验者（38%）、偶尔使用多种物质者（23%）和经常使用多种物质者（13%）。性风险等级为禁欲者（53%）、一夫一妻制者（15%）、低频多伴侣者（18%）和高频多伴侣者（14%）。即使在控制人口统计协变量的情况下，物质使用类别与性行为也有很强的联系。非裔美国人不太可能使用药物，但更有可能报告性风险行为。相互作用效应表明，与男性相比，女性的药物使用与性危险行为的增加有关。结论：本研究的结果为针对多种危险行为改变的预防干预措施的发展提供了动力，也为针对特定高危人群或行为模式提供了动力。(j .螺栓。酒精药物70:943-951,2009)
Objective: To assess the co-occurrence of patterns of adolescent substance use and sexual behavior and test for potential moderating effects of gender. Method: The 2005 Youth Risk Behavior Survey sample of 13,953 high school students was used in this study. Latent class analyses were conducted to examine the relation between patterns of substance use and sexual risk behavior in a nationally representative adolescent sample. The final model controlled for demographic covariates and an interaction between gender and substance-use classes. Results: Four class solutions to each behavior provided optimal fit. Substance-use classes were nonusers (27%), alcohol experimenters (38%), occasional polysubstance users (23%), and frequent polysubstance users (13%). Sexual risk classes were abstainers (53%), monogamous (15%), low-frequency multipartner (18%), and high-frequency multipartner (14%). Substance-use class had a strong association with sexual behavior even when controlling for demographic covariates. African Americans were less likely to use substances but more likely to report sexual risk behaviors. Interaction effects indicated that substance use among females was associated with increased sexual risk behavior compared with males. Conclusions: The results of this study provide impetus for the development of preventive interventions targeting change across multiple risk behaviors, and also for targeting particular high-risk groups or patterns of behavior. (J. Stud. Alcohol Drugs 70: 943-951, 2009)