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Cited by 241Adolescent Sexual and Reproductive HealthSubstance Abuse Treatment and OutcomesSexuality, Behavior, and Technology

Relationship of alcohol use and risky sexual behavior: A review and analysis of findings

Halpern-Felsher, Bonnie L., Millstein, Susan G., Ellen, Jonathan M.·1996·Journal of Adolescent Health
DOI 10.1016/s1054-139x(96)00024-9
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Abstract

In this review article, three methodologic approaches that have been used to examine the association between adolescents' alcohol use and their involvement in risky sex are discussed: global correlation studies, situational covariation studies, and event analyses. The strengths and limitations of each of these research methods are discussed. An extensive review of the most rigorous studies, which used event analysis to examine the alcohol-risky sex link, reveals positive results for first-time sexual events but equivocal findings for other types of sexual relationships. It is argued that differences in the types of sexual relationships studied have been confounded, limiting our ability to evaluate the extent to which alcohol has a causal influence on adolescents' condom use. It is suggested that future investigations consider the nature of the sexual relationship, and go beyond studying the length or status of the relationship to explore how variation in relationship dimensions such as trust and intimacy affect adolescents' sexual behavior.

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Crossref · 10.1016/s1054-139x(96)00024-9

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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 Halpern-Felsher et al., 1996

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Authors
Halpern-Felsher, B. L., Millstein, S. G., & Ellen, J. M.
Affiliations
University of California, San Francisco (US)
ORCID
Ellen, Jonathan M.
Venue
Journal of Adolescent Health
Publisher
Elsevier BV
Published
1996-11
Volume
19
Issue
5
Pages
331-336
ISSN
1054-139X (ISSN-L)
DOI
10.1016/s1054-139x(96)00024-9
OpenAlex
W2034597056
Cited by
241
References
42
Citations by year
2025: 2 · 2023: 3 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 6 · 2018: 8 · 2017: 10 · 2016: 8 · 2015: 20 · 2014: 12 · 2013: 12 · 2012: 15
FWCI
1.19
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 (5r01aa009185-03)
  • U.S. Public Health Service (MCJ000978A)
  • National Institute on Alcohol Abuse and Alcoholism (R01 AA09185)
  • National Institute of Allergy and Infectious Diseases (AI-3499)
Topics
  • Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
Keywords
adolescent alcohol use, sexual risk behavior, condom use, event analysis, sexual relationships, confounding
MeSH terms
Adolescent, Adolescent Behavior, Alcohol Drinking, Humans, Research Design, Risk Factors, Risk-Taking, Sexual Behavior, Sexual Partners, Time Factors, Condoms

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