STD-/HIV-related sexual risk behaviors and substance use among U.S. rural adolescents. J Natl Med Assoc 2007 Dec;99(12):1386-94
Date
01/31/2008Pubmed ID
18229775Pubmed Central ID
PMC2575928Scopus ID
2-s2.0-37349090458 (requires institutional sign-in at Scopus site) 67 CitationsAbstract
OBJECTIVES: The present study aims to examine the relationship between substance use and HIV/sexually transmitted disease (STD)-related sexual risk behaviors among a national sample of sexually active adolescents in rural settings.
METHODS: Participants included 9th-12th grade rural adolescents (N=5,745) who completed the 2003 national Youth Risk Behavior Survey. The independent variables were six substance use behaviors, including alcohol, marijuana, tobacco and cocaine use. The dependent variables were unprotected sex and the number of recent sexual partners. Univariate and multivariate logistic regression models were examined.
RESULTS: Smoking > or =3 days during the past 30 days was associated with unprotected sex. Alcohol or drug use before last sexual intercourse, having ever used marijuana, having ever used cocaine and drinking alcohol during the past 30 days were associated with having multiple sexual partners.
CONCLUSIONS: Results from the current study highlighted the need to provide youth with increased STD/HIV prevention knowledge in rural areas. Our finding confirmed that in order to achieve more effective STD/HIV prevention among high-risk substance-abusing youth, more intensive and better-tailored efforts will be needed to promote sexual risk reduction.
Author List
Yan AF, Chiu YW, Stoesen CA, Wang MQMESH terms used to index this publication - Major topics in bold
AdolescentAge Factors
Child
Female
HIV Infections
Health Surveys
Humans
Male
Prevalence
Risk Factors
Risk Reduction Behavior
Risk-Taking
Rural Population
Sexual Behavior
Sexually Transmitted Diseases
Substance-Related Disorders
United States
