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Longitudinal associations between adolescent alcohol use and adulthood sexual risk behavior and sexually transmitted infection in the United States: Assessment of differences by race

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  • Khan, M.R.
  • Berger, A.T.
  • Wells, B.E.
  • Cleland, C.M.

Abstract

Objectives. We examined race differences in the longitudinal associations between adolescent alcohol use and adulthood sexually transmitted infection (STI) risk in the United States. Methods. We estimated multivariable logistic regression models using Waves I (1994-1995: adolescence) and III (2001-2002: young adulthood) of the National Longitudinal Study of Adolescent Health (n=10783) to estimate associations and assess differences between Whites and African Americans. Results. In adjusted analyses, adolescent alcohol indicators predicted adulthood inconsistent condom use for both races but were significantly stronger, more consistent predictors of elevated partnership levels for African Americans than Whites. Among African Americans but not Whites, self-reported STI was predicted by adolescent report of any prior use (adjusted odds ratio [AOR]=1.47; 95% confidence interval [CI]=1.00, 2.17) and past-year history of getting drunk (AOR=1.53; 95% CI=1.01, 2.32). Among Whites but not African Americans, biologically confirmed STI was predicted by adolescent report of past-year history of getting drunk (AOR=1.68; 95% CI=1.07, 2.63) and consistent drinking (AOR=1.65; 95% CI=1.03, 2.65). Conclusions. African American and White adolescent drinkers are priority populations for STI prevention. Prevention of adolescent alcohol use may contribute to reductions in adulthood STI risk.

Suggested Citation

  • Khan, M.R. & Berger, A.T. & Wells, B.E. & Cleland, C.M., 2012. "Longitudinal associations between adolescent alcohol use and adulthood sexual risk behavior and sexually transmitted infection in the United States: Assessment of differences by race," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 867-876.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300373_4
    DOI: 10.2105/AJPH.2011.300373
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    Cited by:

    1. T. Wing Lo & John W. L. Tse & Christopher H. K. Cheng & Gloria H. Y. Chan, 2019. "The Association between Substance Abuse and Sexual Misconduct among Macau Youths," IJERPH, MDPI, vol. 16(9), pages 1-17, May.
    2. Greene, Alison & Korchmaros, Josephine D., 2022. "Engaging parents and caregivers of system-involved youth in a sexual health intervention," Children and Youth Services Review, Elsevier, vol. 137(C).
    3. Ritchwood, Tiarney D. & Ford, Haley & DeCoster, Jamie & Sutton, Marnie & Lochman, John E., 2015. "Risky sexual behavior and substance use among adolescents: A meta-analysis," Children and Youth Services Review, Elsevier, vol. 52(C), pages 74-88.

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