Gillmore M R, Butler S S, Lohr M J, Gilchrist L
School of Social Work, University of Washington, Seattle.
Fam Plann Perspect. 1992 Nov-Dec;24(6):255-61, 268.
A study of the relationship between substance use and risky sexual behavior was conducted among 241 unmarried pregnant adolescents aged 17 and younger who lived in a metropolitan area in the Northwest. The respondents had comparable or higher lifetime use rates for all substances than did women in a national sample of high school seniors, even though the pregnant adolescents were younger. Ninety-four percent had used alcohol, 78% marijuana, 30% cocaine and 30% stimulants, compared with 92%, 48%, 14% and 23%, respectively, among women in the national sample. Among the pregnant adolescents, 84% had had more than one sexual partner, 39% had had a sexually transmitted disease and 60% had used contraceptives during less than half of their sexual encounters. At the bivariate level, use of cigarettes and alcohol in general and use of alcohol and drugs during sex were positively associated with risky sexual behavior. However, when other characteristics associated with risky sexual behavior--family bonding, parental monitoring, commitment to conventional values, peer associations, self-esteem and delinquent activities--were included in the multivariate analysis, the effect of substance use disappeared.
对居住在西北部一个大都市地区的241名17岁及以下未婚怀孕青少年进行了一项关于物质使用与危险性行为之间关系的研究。尽管这些怀孕青少年年龄更小，但他们所有物质的终身使用率与全国高中高年级女生样本中的女性相当或更高。94%的人使用过酒精，78%使用过大麻，30%使用过可卡因，30%使用过兴奋剂，相比之下，全国样本中的女性分别为92%、48%、14%和23%。在怀孕青少年中，84%有不止一个性伴侣，39%患有性传播疾病，60%在不到一半的性接触中使用过避孕药具。在双变量层面，一般的香烟和酒精使用以及性行为期间的酒精和药物使用与危险性行为呈正相关。然而，当多变量分析中纳入与危险性行为相关的其他特征——家庭关系、父母监督、对传统价值观的认同、同伴交往、自尊和违法行为——时，物质使用的影响消失了。
