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

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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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Problem Behavior and Psychosocial Development: A Longitudinal Study of Youth
Jessor, R., & Jessor, S. L. (1977) · Medical Entomology and Zoology · Cited by 3,304
Sensation Seeking : Beyond the Optimal Level of Arousal
Zuckerman, M. (1979) · Medical Entomology and Zoology · Cited by 2,706
A triangular theory of love.
Sternberg, R. J. (1986) · Psychological Review · doi:10.1037/0033-295x.93.2.119 · Cited by 2,614
Sensation seeking. Beyond the optimal level of arousal
Eysenck, H. J. (1980) · Personality and Individual Differences · doi:10.1016/0191-8869(80)90044-6 · Cited by 2,296
Event History Analysis : Regression for Longitudinal Event Data
Allison, P. D. (1984) · Cited by 1,711
Structure of problem behavior in adolescence and young adulthood.
Donovan, J. E., & Jessor, R. (1985) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.53.6.890 · Cited by 1,292
Problem Behavior and Psychosocial Development: A Longitudinal Study of Youth.
Crowther, B., Jessor, R., & Jessor, S. L. (1978) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2065689 · Cited by 1,137
Structure of problem behavior in adolescence and young adulthood.
Donovan, J. E., & Jessor, R. (1985) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.53.6.890 · Cited by 935
Substance use and risky sexual behavior for exposure to HIV. Issues in methodology, interpretation, and prevention.
Leigh, B., & Stall, R. (1993) · American Psychologist · doi:10.1037//0003-066x.48.10.1035 · Cited by 720
Substance use and risky sexual behavior for exposure to HIV: Issues in methodology, interpretation, and prevention.
Leigh, B. C., & Stall, R. (1993) · American Psychologist · doi:10.1037/0003-066x.48.10.1035 · Cited by 589

Show all 42 references

Research works printed but not linked: 1

Flanigan, 1986, Alcohol use, sexual intercourse, and contraceptives: An exploratory study, J Alcohol Drug Educ, 31, 6

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Sanchez, M. (1999) · Clinics in Dermatology · doi:10.1016/s0738-081x(99)00034-6 · Cited by 9
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Deering, K., TYNDALL, M. W., & Koehoorn, M. W. (2010) · PubMed · Cited by 9
Targeting vulnerable populations: a synthetic review on alcohol use and risky sexual behaviour among migrant populations
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“These studies still fail to describe what happens on an event-by-event basis, and thus do not determine whether the occasions characterised by unprotected intercourse were the same occasions during which alcohol was consumed [37].”
Background
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Lees, B., Mewton, L. R., Stapinski, L. A., Squeglia, L. M., Rae, C. D., & Teesson, M. (2018) · BMJ Open · doi:10.1136/bmjopen-2018-023629 · Cited by 9
“behaviours (22, 23) , injuries (24, 25) and increased risk of being a victim of assault or accidental death (26,”
Background
Prevalence and correlates of alcohol use and subsequent sexual activity among adult males in a rural community of ethnic minorities in Yunnan Province, China
-, L. (2012) · BioScience Trends · doi:10.5582/bst.2012.v6.6.288 · Cited by 9
“Sexual risk practices due to alcohol use and/or abuse have been studied extensively in many countries but not in China (5-9).”
Background
Mechanisms of behavior change in a brief dual-target motivational intervention: Reduction in alcohol use mediates intervention effects on risky sex.
Celio, M. A., Mastroleo, N. R., Barnett, N. P., Colby, S. M., Kahler, C. W., Operario, D., & Monti, P. M. (2019) · Psychology of Addictive Behaviors · doi:10.1037/adb0000461 · Cited by 10
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Bonomo, Y. (2003) · Annals of the Academy of Medicine Singapore · doi:10.47102/annals-acadmedsg.v32n1p29 · Cited by 9
Sexual risky behaviour among Slovak adolescents and young adults: social and psychological factors
Kalina, O. (2012) · University of Groningen research database (University of Groningen / Centre for Information Technology) · Cited by 9
Binge Drinking and Unsafe Sex: A Study of Narcology Hospital Patients from St. Petersburg, Russia
Raj, A., Cheng, D. M., Krupitsky, E. M., Levenson, S., Egorova, V. Y., Meli, S. M., Zvartau, E. E., & Samet, J. H. (2009) · Substance Abuse · doi:10.1080/08897070903040923 · Cited by 8
“Despite reported associations between alcohol use and unsafe sex in the medical literature ( 21 , 22 , 23 ) in this Russian cohort of narcology hospital patients with unsafe sex in the past 6 months, binge drinking was not associated with an increased odds of same-day unprotected sex.”
Background
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Saftner, M. A., Pruitt, K. S., & McRee, A. (2019) · The Journal of School Nursing · doi:10.1177/1059840519849097 · Cited by 8
Neural Bases of Addiction‐Related Impairments in Response Inhibition
Garavan, H., Potter, A., Brennan, K., & Foxe, J. J. (2015) · Wiley eBooks · doi:10.1002/9781118472415.ch2 · Cited by 8
Alcohol Use and Sexual Behavior among “Black” Adolescents
Strunin, L. (1999) · Substance Use & Misuse · doi:10.3109/10826089909039421 · Cited by 7
Hazardous Alcohol Use, Impulsivity, and HIV‐Risk Behavior Among HIV‐Positive Russian Patients With a History of Injection Drug Use
Chavez, K., Palfai, T. P., Cheng, D. M., Blokhina, E. A., Gnatienko, N., Quinn, E. K., Krupitsky, E. M., & Samet, J. H. (2020) · American Journal on Addictions · doi:10.1111/ajad.13112 · Cited by 6
Consommation problématique de substances psychoactives et comportements sexuels à risque chez les adolescents admis en centre jeunesse
Lambert, G., Haley, N., Tremblay, C. G., Frappier, J., Roy, É., & Otis, J. (2016) · Drogues santé et société · doi:10.7202/1035552ar · Cited by 6
“Divers auteurs ont mis en évidence que la consommation d’alcool et de drogue était associée à un plus grand risque de rapports sexuels non désirés et non protégés (Gagnon et Rochefort, 2010 ; Kingree et al., 2000 ; Halpern-Felsher et al., 1996).”
Background
Intoxication at Last Sexual Intercourse and Unprotected Sex among HIV-Positive and HIV-Negative Individuals in Uganda: An Event-Level Analysis
Kerridge, B. T., Tran, P. D., & Hasin, D. S. (2014) · AIDS and Behavior · doi:10.1007/s10461-014-0854-4 · Cited by 6
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Sexual Intercourse Experience and Engagement in Unprotected Sex in Adolescent MDMA Users in Taiwan
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School contextual factors and race differences in adolescent sexual behaviors
Eitle, D. J., & Thorsen, M. L. (2018) · International Journal of Sexual Health · doi:10.1080/19317611.2018.1502226 · Cited by 5
Co-occurrence of Alcohol, Tobacco and Other Drugs Among Secondary School Students in Kiambu and Nairobi Counties Kenya
Oteyo, J. S., Kariuki, M. W., & Mwenje, M. (2013) · Kenyatta University Institutional Repository (Kenyatta University) · Cited by 5
Risky Sexual Behaviors as a Transaction of Individual Differences and Situational Context
Smith, M. S., & South, S. C. (2023) · Archives of Sexual Behavior · doi:10.1007/s10508-023-02592-9 · Cited by 4
“Hypothesis 3 We predicted that event-level alcohol use and positive affect would associate significantly and positively with risky sex (Blood & Shrier, 2013; Halpern-Felsher et al., 1996; Schroder et al., 2009).”
Background
Pattern of Risky Sexual Behaviors in Opioid-dependent Egyptian Adults
Elhammady, M., Mobasher, M. W., & Moselhy, H. F. (2013) · Addictive Disorders & Their Treatment · doi:10.1097/adt.0b013e3182898216 · Cited by 4
CONSEQUENCES OF RISKY BEHAVIOR FOR THE PHYSICAL AND MENTAL HEALTH OF ADOLESCENTS.
Станиславовна, Р. А. (2020) · Cited by 4
Osobine ličnosti, pol i starost kao prediktori zdravstveno-rizičnih ponašanja
Obradović, B., & Dinić, B. M. (2010) · Primenjena psihologija · doi:10.19090/pp.2010.2.137-153 · Cited by 4
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Scheidell, J. D., Dyer, T. V., Severe, M., Tembunde, Y., Young, K. E., & Khan, M. R. (2020) · Perspectives on Sexual and Reproductive Health · doi:10.1363/psrh.12129 · Cited by 4
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Social policy
Vassall, A., Remme, M., & Watts, C. (2012) · Cambridge University Press eBooks · doi:10.1017/cbo9781139236805.008 · Cited by 2

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 › Medicine › Public Health, Environmental and Occupational Health › 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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Relationship of alcohol use and risky sexual behavior: A review and analysis of findings

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