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Cited by 284Adolescent Sexual and Reproductive HealthSubstance Abuse Treatment and OutcomesHIV, Drug Use, Sexual Risk

Developmental relationships between adolescent substance use and risky sexual behavior in young adulthood

GUO, J, CHUNG, I, HILL, K, HAWKINS, J, CATALANO, R, ABBOTT, R·2002·Journal of Adolescent Health
DOI 10.1016/s1054-139x(02)00402-0
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Abstract

Purpose To examine the developmental relationship between adolescent substance use and risky sexual behavior in young adulthood. A gender-balanced, ethnically diverse urban sample of 808 children in Seattle was surveyed at age 10 years in 1985 and followed prospectively to age 21 years in 1996. Semiparametric group-based modeling was used to determine trajectory groups of binge-drinking, cigarette smoking, marijuana use, and the use of other illicit drugs. Negative binomial regressions and logistic regressions were used to examine whether these trajectory groups predicted the number of sex partners and condom use at age 21 years. Specific forms of adolescent substance use significantly predicted risky sexual behavior at age 21 years, after other substance use and early measures of sexual behavior were controlled. Early binge-drinkers had significantly more sex partners than nonbinge-drinkers. Late onset binge-drinkers and marijuana users had significantly more sex partners and were less likely to use condoms consistently than those who did not binge drink or use marijuana. Experimenters in cigarette smoking, who did not escalate smoking, were more likely to use condoms consistently than nonsmokers. In contrast, the use of other illicit drugs in adolescence did not predict risky sexual behavior at age 21 years. The effects of adolescent substance use on risky sexual behavior at age 21 years differed for youths with developmentally different substance use trajectories in this urban sample disproportionately drawn from high crime neighborhoods. To prevent risky sexual behavior among young adults, attention should be paid to binge-drinking and marijuana use during adolescence.

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  • Relationship characteristics, partner trust and intimacy, and patterns of substance misuse may matter more for sexual risk behaviour than substance use itself.

    “the nature of the relationship, its length and partners' experiences of trust and intimacy (Halpern-Felsher et al., 1996) and patterns of substance misuse (such as binge-drinking and marijuana use; Guo et al., 2002) may be more important in sexual risk behaviour than simply use of substances.”

    From Screening and Brief Intervention for Substance Misuse: Does It Reduce Aggression and HIV-Related Risk Behaviours? (2015) · cites this paper as Guo et al., 2002

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Authors
GUO, J., CHUNG, I., HILL, K., HAWKINS, J., CATALANO, R., & ABBOTT, R.
Affiliations
University of Washington (US)
Corresponding author
GUO, J
ORCID
CHUNG, I
Venue
Journal of Adolescent Health
Publisher
Elsevier BV
Published
2002-10
Volume
31
Issue
4
Pages
354-362
ISSN
1054-139X (ISSN-L)
DOI
10.1016/s1054-139x(02)00402-0
OpenAlex
W2076497570
Cited by
284
References
32
Citations by year
2025: 3 · 2024: 3 · 2023: 3 · 2022: 2 · 2021: 7 · 2020: 12 · 2019: 15 · 2018: 7 · 2017: 11 · 2016: 15 · 2015: 23 · 2014: 20 · 2013: 26 · 2012: 17
FWCI
16.28
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Adolescent Health (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (1r03da013382-01)
  • National Institute on Drug Abuse (1R03DA13382-01, R01 DA09679, R01DA009679)
Topics
  • Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords
adolescent substance use, sexual risk behavior, early adulthood, binge drinking, cannabis use, cigarette smoking, illicit drug use, substance use trajectories, condom use, number of sexual partners, urban youth, high-crime neighborhoods, sexual behavior prevention
MeSH terms
Adolescent, Adult, Child, Female, Humans, Human Development, Male, Prospective Studies, Regression Analysis, Risk-Taking, Sexual Behavior, Sexual Partners, Washington, Condoms, Substance-Related Disorders, Safe Sex

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