Li X, Stanton B, Cottrell L, Burns J, Pack R, Kaljee L
Department of Pediatrics, School of Medicine, West Virginia University, Morgantown, West Virginia 26506-9214, USA.
J Adolesc Health. 2001 Jan;28(1):46-54. doi: 10.1016/s1054-139x(00)00173-7.
To examine the pattern of adolescent's involvement in drug-related behaviors and sexual initiation, and its relationship with: (a) age and gender, (b) sensation- seeking, (c) perceptions of peer and family risk involvement, and (d) involvement in high-risk sexual behavior.
Two hundred and sixty-one urban African-American youth, aged 9 to 15 years at baseline, who were sexually experienced by the end of the 4-year study interval. The longitudinal assessment (4 years) was focused on: (a) alcohol use, illicit drug use, and drug trafficking; (b) high-risk sex; (c) propensity to sensation seeking; and (d) perceived peer and family risk involvement.
Involvement increased over the 4-year study interval such that over half of the adolescents reported use of alcohol and/or use of marijuana in the final assessment period. For each of the three drug-related activities examined, the largest proportion of youth who engaged in sexual intercourse never engaged in drug-related activity, and the next largest proportion initiated sexual involvement before drug use. Sensation-seeking scores, which were relatively stable across time, were lower among girls, and also were lower among youth who remained uninvolved in drug-related behaviors. For all three drug-related behaviors, rates of high-risk sex were higher among youth who initiated both sex and drugs, and were lower among youth who reported engaging only in sex. Although youth who did eventually initiate drug use had higher perceived levels of family and peer drug use compared to those who remained uninvolved, these perceptions did not contribute directly to high-risk sexual behavior.
Youth who will become both sexually active and involved with drugs during adolescence are especially vulnerable to involvement in high-risk sexual behavior.
研究青少年参与与毒品相关行为和初次性行为的模式，及其与以下因素的关系：（a）年龄和性别，（b）寻求刺激，（c）对同伴和家庭涉险情况的认知，以及（d）参与高风险性行为的情况。
261名城市非裔美国青年，基线年龄为9至15岁，在4年研究期结束时已有性经历。纵向评估（4年）聚焦于：（a）饮酒、使用非法药物和贩毒；（b）高风险性行为；（c）寻求刺激的倾向；（d）对同伴和家庭涉险情况的认知。
在4年研究期内，参与情况有所增加，以至于超过半数青少年在最终评估期报告有饮酒和/或使用大麻的行为。在所研究的三项与毒品相关的活动中，进行性交的青少年中，从未参与与毒品相关活动的比例最大，其次是在使用毒品之前开始有性接触的比例。寻求刺激得分在不同时间相对稳定，女孩得分较低，未参与与毒品相关行为的青少年得分也较低。对于所有三项与毒品相关的行为，在开始性行为和使用毒品的青少年中，高风险性行为的发生率较高，而仅报告有性行为的青少年中发生率较低。尽管最终开始使用毒品的青少年比未参与的青少年认为家庭和同伴使用毒品的程度更高，但这些认知并未直接导致高风险性行为。
在青春期既会有性活动又会接触毒品的青少年尤其容易参与高风险性行为。
