Clustering of Sex and Substance Use Behaviors in Adolescence
Clustering of Sex and Substance Use Behaviors in Adolescence
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DOI：
10.3109/10826084.2015.1014059
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发表时间：
2015-09-19
影响因子：
2
通讯作者：
McAloney, Kareena
中科院分区：
文献类型：
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作者：
McAloney, Kareena
背景资料：青少年经常尝试使用药物和性活动，这可能会影响他们的健康和福祉，并建立有害的行为模式，并持续到成年。虽然物质使用和性行为的参与经常同时发生，但很少有研究调查这些行为是否在青春期集中。目的：调查北方爱尔兰青少年性活动和物质使用的聚集性。方法：来自875名参加2008年北方爱尔兰生活和时代调查的年轻人（16岁）的数据被用来研究使用比值/预期比率方法的聚类。探讨了聚类中的性别差异。结果如下：饮酒是最普遍的风险行为（75%），其次是吸烟，性交，非法物质使用和溶剂使用最不普遍。超过40%的年轻人参与了多种风险行为（2种或更多）。几种行为组合在统计上是聚集的，对于大多数报告的流行率低于预期，然而，参与所有五种风险行为的发生率比预期高得多，特别是男性青年。结论：虽然危险行为的实验通常被认为是青春期发育适当的，但重要的是要了解年轻人如何经历这些行为，以及参与药物使用和性行为导致多重风险暴露的可能性。这些发现突出了药物使用和性行为的聚集，并表明性别参与多种风险行为的脆弱性的变化。
Background: Adolescents often experiment with substance use and sexual activity, which can impact upon their health and well-being, and establish harmful patterns of behavior which continue into adulthood. While substance use and participation in sexual behaviors often co-occur, few studies have examined whether these behaviors cluster in adolescence. Objective: To investigate clustering of sexual activity and substance use among youth in Northern Ireland. Method: Data from 875 young people (aged 16) who participated in the 2008 Northern Ireland Life and Times Survey were used to investigate clustering using the Odds/Expected ratio method. Gender differences in clustering were explored. Results: Alcohol consumption was the most prevalent risk behavior (75%), followed by cigarette smoking, sexual intercourse, illicit substance use, and solvent use the least prevalent. Over 40% of young people participated in multiple risk behaviors (2 or more). Several behavior combinations were statistically clustered, for most the reported prevalence was lower than expected, however, participation in all five risk behaviors occurred at a much higher rate than expected, particularly for male youth. Conclusions: While experimentation with risky behaviors is often considered developmentally appropriate in adolescence it is important to understand how young people experience these behaviors, and the potential for multiple risk exposures as a result of participation in substance use and sexual behaviors. These findings highlight the clustering of substance use and sexual behaviors, and indicate variations in vulnerability to participation in multiple risk behaviors by gender.