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Substance use and HIV-related sexual behaviors among US high school students: Are they related?

Author

Listed:
  • Lowry, R.
  • Holtzman, D.
  • Truman, B.I.
  • Kann, L.
  • Collins, J.L.
  • Kolbe, L.J.

Abstract

Objectives. This study was undertaken to examine whether use of alcohol, cigarettes, marijuana, cocaine, and other illicit drugs is related to the likelihood of sexual behaviors that increase risk for human immunodeficiency virus (HIV) infection among youth. Methods. The 1990 national Youth Risk Behavior Survey was used to collect self-reported information about a broad range of health risk behaviors from a representative sample of 11 631 high school students in the United States. Results. Students who reported no substance use were least likely to report having had sexual intercourse, having had four or more sex partners, and not having used a condom at last sexual intercourse. Adjusted for age, sex, and race/ethnicity, odds ratios for each of these sexual risk behaviors were greatest among students who had used marijuana, cocaine, or other illicit drugs. Students who had used only alcohol or cigarettes had smaller but still significant increases in the likelihood of having had sexual intercourse and of having had four or more sex partners. Conclusions. HIV prevention programs for youth should recognize that substance use may be an important indicator of risk for HIV infection and acquired immunodeficiency syndrome through its association with unsafe sexual behaviors.

Suggested Citation

  • Lowry, R. & Holtzman, D. & Truman, B.I. & Kann, L. & Collins, J.L. & Kolbe, L.J., 1994. "Substance use and HIV-related sexual behaviors among US high school students: Are they related?," American Journal of Public Health, American Public Health Association, vol. 84(7), pages 1116-1120.
    • Handle: RePEc:aph:ajpbhl:1994:84:7:1116-1120_4
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    Citations

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    Cited by:

    1. Rees, Daniel I. & Argys, Laura M. & Averett, Susan L., 2001. "New evidence on the relationship between substance use and adolescent sexual behavior," Journal of Health Economics, Elsevier, vol. 20(5), pages 835-845, September.
    2. Jeffrey S. DeSimone, 2010. "Binge Drinking and Risky Sex among College Students," NBER Working Papers 15953, National Bureau of Economic Research, Inc.
    3. Bisakha Sen & Susan Averett & Laura Argys & Daniel Rees, 2009. "The effect of substance use on the delinquent behaviour of adolescents," Applied Economics Letters, Taylor & Francis Journals, vol. 16(17), pages 1721-1729.
    4. Michael Grossman & Robert Kaestner & Sara Markowitz, 2004. "Get High and Get Stupid: The Effect of Alcohol and Marijuana Use on Teen Sexual Behavior," Review of Economics of the Household, Springer, vol. 2(4), pages 413-441, September.
    5. 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.
    6. Matthias Niklowitz & Dominique Eich-Höchli, 1997. "Besteht ein Zusammenhang von Alkoholkonsum und sexuellem Risikoverhalten? Eine Diskussion konzeptioneller Aspekte am Beispiel HIV-infizierter Männer mit homosexuellem Verhalten," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 42(5), pages 286-297, September.
    7. Carroll Chapman, Shawna L. & Wu, Li-Tzy, 2013. "Substance use among adolescent mothers: A review," Children and Youth Services Review, Elsevier, vol. 35(5), pages 806-815.
    8. Rashad, Inas & Kaestner, Robert, 2004. "Teenage sex, drugs and alcohol use: problems identifying the cause of risky behaviors," Journal of Health Economics, Elsevier, vol. 23(3), pages 493-503, May.

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