Alcohol use and risky sexual Behavior among college students and youth: Evaluating the evidence
Alcohol use and risky sexual Behavior among college students and youth: Evaluating the evidence
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DOI：
10.15288/jsas.2002.s14.101
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发表时间：
2002-03-01
期刊：
影响因子：
--
通讯作者：
Cooper, ML
中科院分区：
文献类型：
--
作者：
Cooper, ML
目的：在两个分析水平上评估饮酒与危险性行为之间的实证关系。全球关联测试从事一种行为的人是否更有可能从事另一种行为，而特定事件的关联测试在特定场合从事一种行为的可能性是否随着在同一场合从事另一种行为的不同而变化。方法：对大学生和青年人群中饮酒与危险性行为关系的研究进行综述。重点介绍了过去10年发表的、使用事件级方法或随机抽样的研究。结果：研究结果在不同的分析水平上大体上是一致的，但不同类型的危险行为有所不同。饮酒与性行为的决定和不分青红皂白的危险性行为(例如，有多个或随意的性伴侣)密切相关，但与保护性行为(例如，使用避孕套)。此外，在人与人之间和人内的分析中都发现了饮酒、性交决定和不分青红皂白的行为之间的联系。对事件特征的分析表明，这些关系不能用饮酒者和不饮酒者之间稳定的个体差异充分解释，事件特征分析表明，在年轻人中，饮酒与保护行为的降低、第一次性交经历以及平均发生在较长时间之前的事件之间的相关性更强。结论。未来旨在减少潜在性行为中酒精使用的努力可能会减少某些形式的危险性行为。但不太可能直接影响保护行为。
Objective, To evaluate the empirical associations between alcohol use and risky sex at two levels of analysis. Global associations test whether individuals who engage in one behavior are more likely to engage in the other, whereas event-specific associations test whether the likelihood of engaging in one behavior on a given occasion varies as a function of engaging in the other on that same occasion. Method: Studies examining the association between drinking and risky, sex in samples of college students and youth were reviewed. Those published in the past 10 years and using event-level methodology or random sampling were emphasized. Result : Findings were generally consistent across levels of analysis, but differed across types of risky behaviors. Drinking was strongly related to the decision to have sex and to indiscriminate forms of risky sex (e.g., having multiple or casual sex partners), but was in consistently related to protective behaviors (e.g.. condom use). Moreover, the links among alcohol use, the decision to hake sex and indiscriminate behaviors were found in both between-persons and within-persons analyses. suggesting that these relationships cannot be adequately explained by stable individual differences between people who do and do not drink, Analysis of e vent characteristics showed that drinking was more strongly associated with decreased protective behaviors among younger individuals, on first intercourse experiences and for events that Occurred on average longer ago. Conclusions. Future efforts aimed at reducing alcohol use in potentially sexual situations may decrease some forms of risky sex. but are less likely to affect protective behaviors directly.