Early age of first drunkenness as a factor in college students' unplanned and unprotected sex attributable to drinking
Early age of first drunkenness as a factor in college students' unplanned and unprotected sex attributable to drinking
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DOI：
10.1542/peds.111.1.34
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发表时间：
2003-01-01
期刊：
影响因子：
8
通讯作者：
Wechsler, H
中科院分区：
文献类型：
--
作者：
Hingson, R;Heeren, T;Wechsler, H
目标。开始饮酒的早期年龄与成年人经历酒精依赖的可能性更大，即使在不依赖酒精的人中也经常大量饮酒，以及酒后机动车撞车、意外伤害和肢体打架的风险增加。这项研究探索了年轻时第一次喝醉是否与大学生报告他们因饮酒而发生计划外或无保护的性行为的可能性更大有关。1999年，来自128所美国高校的11739名四年制全日制大学生完成了一项自填式调查，询问他们饮酒习惯，以及自学年开始以来，饮酒是否导致他们：1)进行计划外性行为或2)性行为时不使用防护措施。在大学生中，即使在控制了年龄、种族/民族、婚姻状况、父母饮酒史、首次吸烟年龄和大麻使用情况后，在13岁之前首次饮酒的大学生发生计划外性行为的几率是19岁或以上从未饮酒的大学生的2.0倍，因为饮酒而发生无保护措施性行为的几率是从未饮酒的大学生的2.2倍。在进一步控制了酒精依赖史和酗酒频率后，那些在13岁之前首次饮酒的人发生计划外性行为的几率是饮酒前的1.5倍，因为饮酒而发生无保护措施性行为的几率是饮酒前的1.7倍。推迟首次醉酒年龄的临床、教育、法律和社区干预需要与防止美国大学生之间无计划和无保护的性行为的努力相结合。
Objective. Early age of drinking onset has been associated with a greater likelihood among adults of experiencing alcohol dependence, frequent heavy drinking even among nondependent drinkers, and an increased risk of motor vehicle crashes, unintentional injuries, and physical fights after drinking. This study explores whether first getting drunk at a younger age is associated with a greater likelihood of college students reporting that they had unplanned or unprotected sexual intercourse because of their drinking.Methodology. In 1999 11 739 full-time 4-year college students from 128 randomly selected US colleges and universities completed a self-administered survey that asked them about their drinking practices and whether their drinking had caused them, since the beginning of the school year, to: 1) engage in unplanned sexual intercourse or 2) not use protection when having sex.Results. Among college students who drink, those first drunk before age 13 compared with those never drank until age 19 or older had a 2.0 times greater odds of having unplanned sex and a 2.2 times greater odds of having unprotected sex reportedly because of drinking, even after controlling for age, race/ethnicity, marital status, parental drinking history, age of first smoking, and marijuana use. After further controlling for history of alcohol dependence and frequency of heavy drinking those first drunk before age 13 had a 1.5 times greater odds of unplanned sex and a 1.7 times greater odds of unprotected sex reportedly because of drinking.Conclusions. Clinical, educational, legal, and community interventions to delay age of first getting drunk need to be coupled with efforts to prevent unplanned and unprotected sexual intercourse among US college students.