女大学生饮酒、吸毒与危险性行为之间的前瞻性关联。
Prospective associations between alcohol and drug consumption and risky sex among female college students.
作者信息
Caldeira Kimberly M, Arria Amelia M, O'Grady Kevin E, Zarate Elizabeth M, Vincent Kathryn B, Wish Eric D
机构信息
Center for Substance Abuse Research (CESAR), University of Maryland, 4321 Hartwick Rd, Suite 501, College Park, MD 20740.
出版信息
J Alcohol Drug Educ. 2009 Aug 1;53(2):nihpa115858.
Abstract
Females who ever had vaginal sex were interviewed annually in their first two years of college (n=386, ages 17 to 20 at study outset) and asked about risky sex behaviors and substance use. In year one, 60.2%(wt) had intoxicated sex, 31.4%(wt) had multiple sex partners, and 48.9%(wt) had unprotected sex (i.e., without a condom). At follow-up, high rates of persistence (86.0%, 52.7%, 78.8% respectively) and initiation (36.0%, 23.9%, 41.8%) were observed. In multiple logistic regression analyses, drug use and drinking were independently associated with having multiple sex partners. Intoxicated sex independently predicted condom non-use and multiple sex partners, and appeared to mediate the relationship between substance use and multiple sex partners. Implications for prevention and future research are discussed.
摘要
曾有过阴道性行为的女性在大学的头两年每年接受访谈（n = 386，研究开始时年龄为17至20岁），并被问及危险性行为和药物使用情况。在第一年，60.2%（加权）有醉酒性行为，31.4%（加权）有多个性伴侣，48.9%（加权）有无保护性行为（即未使用避孕套）。在随访中，观察到高持续率（分别为86.0%、52.7%、78.8%）和高起始率（分别为36.0%、23.9%、41.8%）。在多项逻辑回归分析中，药物使用和饮酒与有多个性伴侣独立相关。醉酒性行为独立预测不使用避孕套和有多个性伴侣，并且似乎介导了药物使用与多个性伴侣之间的关系。文中讨论了预防意义和未来研究方向。
相似文献
1
Prospective associations between alcohol and drug consumption and risky sex among female college students.女大学生饮酒、吸毒与危险性行为之间的前瞻性关联。
J Alcohol Drug Educ. 2009 Aug 1;53(2):nihpa115858.
2
What is the significance of black-white differences in risky sexual behavior?性行为风险方面的黑白差异有何意义？
J Natl Med Assoc. 1994 Oct;86(10):745-59.
3
Correlates of condom use and number of sexual partners among high school adolescents.高中青少年中避孕套使用情况与性伴侣数量的相关因素。
J Sch Health. 1993 Feb;63(2):91-6. doi: 10.1111/j.1746-1561.1993.tb06087.x.
4
The influence of motives on alcohol- and sex-related behaviors among female college students.动机对女大学生饮酒和性行为的影响。
Drug Alcohol Depend. 2018 Apr 1;185:120-126. doi: 10.1016/j.drugalcdep.2017.11.039. Epub 2018 Feb 6.
5
Alcohol and risky sex in athletes and nonathletes: what roles do sex motives play?运动员和非运动员中的酒精与危险性行为：性动机起了什么作用？
J Stud Alcohol Drugs. 2007 Jul;68(4):566-74. doi: 10.15288/jsad.2007.68.566.
6
Patterns of alcohol consumption and risky sexual behavior: a cross-sectional study among Ugandan university students.饮酒模式与危险性行为：乌干达大学生的一项横断面研究。
BMC Public Health. 2014 Feb 6;14:128. doi: 10.1186/1471-2458-14-128.
7
Alcohol and risky sexual behavior among heavy drinking college students.酗酒大学生的饮酒与危险性行为。
AIDS Behav. 2010 Aug;14(4):845-53. doi: 10.1007/s10461-008-9426-9. Epub 2008 Jul 22.
8
Risky drinking, risky sex: a national study of New Zealand university students.危险饮酒，危险性行为：一项针对新西兰大学生的全国性研究。
Alcohol Clin Exp Res. 2013 Nov;37(11):1971-8. doi: 10.1111/acer.12175. Epub 2013 Jul 29.
9
Interventions for alcohol-related risky sexual behaviors among college students: A systematic review.干预大学生与酒精相关的危险性行为：系统评价。
Psychol Addict Behav. 2017 Dec;31(8):944-950. doi: 10.1037/adb0000294. Epub 2017 Jun 22.
10
Unsafe sex in men who have sex with both men and women.在双性恋男性中存在的不安全的性行为。
J Acquir Immune Defic Syndr Hum Retrovirol. 1998 Apr 1;17(4):361-7. doi: 10.1097/00042560-199804010-00011.
引用本文的文献
1
Illicit substance use and attention deficit hyperactivity disorder symptoms among French university students: a multiple correspondence analysis and a cluster analysis.法国大学生中的非法药物使用与注意力缺陷多动障碍症状：多重对应分析与聚类分析
Eur Arch Psychiatry Clin Neurosci. 2025 Aug 25. doi: 10.1007/s00406-025-02092-y.
2
Psychological Distress as a Primer for Sexual Risk Taking Among Emerging Adults.心理困扰是新兴成年人进行性冒险行为的诱因。
Int J Sex Health. 2021 Jun 1;33(3):371-384. doi: 10.1080/19317611.2021.1919950. eCollection 2021.
3
Time Goes Back-Time Perspective in Polish Men with Compulsive Sexual Behavior Disorder and Risky Sexual Behavior.时间回溯——波兰强迫性性行为障碍和高危性行为男性的时间视角。
Int J Environ Res Public Health. 2023 Mar 11;20(6):4954. doi: 10.3390/ijerph20064954.
4
Polysubstance use among young adults and differences in negative alcohol-related sexual experiences.年轻人的多种物质使用与负面的酒精相关的性经历的差异。
Addict Behav. 2023 Mar;138:107571. doi: 10.1016/j.addbeh.2022.107571. Epub 2022 Dec 2.
5
Patterns of University Students' Risky Sexual Experiences and Their Characteristics.大学生危险性行为模式及其特征。
Int J Environ Res Public Health. 2022 Oct 31;19(21):14239. doi: 10.3390/ijerph192114239.
6
Conformity motives for alcohol use are associated with risky sexual behavior among alcohol-dependent patients in residential substance abuse treatment.在住院药物滥用治疗中，酒精使用的从众动机与酒精依赖患者的危险性行为有关。
J Subst Use. 2017;22(5):469-473. doi: 10.1080/14659891.2016.1245792. Epub 2016 Dec 5.
7
The understudied half of undergraduates: Risky sexual behaviors among community college students.被忽视的大学生群体：社区大学生的危险性行为。
J Am Coll Health. 2020 Apr;68(3):302-312. doi: 10.1080/07448481.2018.1549554. Epub 2019 Jan 24.
8
Graduate degree completion: Associations with alcohol and marijuana use before and after enrollment.研究生学位完成情况：与入学前后酒精和大麻使用的关联。
Addict Behav Rep. 2018 Dec 19;9:100156. doi: 10.1016/j.abrep.2018.100156. eCollection 2019 Jun.
9
Sexual orientation and sex-related substance use: The unexplored role of bisexuality.性取向和与性相关的物质使用：双性恋的未知角色。
Behav Res Ther. 2019 Apr;115:55-63. doi: 10.1016/j.brat.2018.12.012. Epub 2018 Dec 24.
10
Social and behavioural factors associated with risky sexual behaviours among university students in nine ASEAN countries: a multi-country cross-sectional study.社会和行为因素与九个东盟国家大学生危险性行为的关联：一项多国家横断面研究。
SAHARA J. 2018 Dec;15(1):71-79. doi: 10.1080/17290376.2018.1503967.
本文引用的文献
1
Interview Mode and Measurement of Sexual Behaviors: Methodological Issues.性行为的访谈模式与测量：方法学问题
J Sex Res. 1999 Feb;36(1):16-24. doi: 10.1080/00224499909551963.
2
Drug exposure opportunities and use patterns among college students: results of a longitudinal prospective cohort study.大学生的药物接触机会和使用模式：一项纵向前瞻性队列研究的结果。
Subst Abus. 2008;29(4):19-38. doi: 10.1080/08897070802418451.
3
Evidence against alcohol as a proximal cause of sexual risk taking among college students.反对酒精是大学生性冒险行为直接原因的证据。
J Sex Res. 2008 Apr-Jun;45(2):118-28. doi: 10.1080/00224490801987408.
4
Reasons to have sex, personal goals, and sexual behavior during the transition to college.进入大学期间的性行为原因、个人目标及性行为
J Sex Res. 2007 Aug;44(3):240-9. doi: 10.1080/00224490701443759.
5
Alcohol use, expectancies, and sexual sensation seeking as correlates of HIV risk behavior in heterosexual young adults.饮酒、预期以及性冒险倾向与异性恋年轻成年人中艾滋病病毒风险行为的相关性。
Psychol Addict Behav. 2007 Sep;21(3):365-72. doi: 10.1037/0893-164X.21.3.365.
6
Drinking in conjunction with sexual experiences among at-risk college student drinkers.高危大学生饮酒者的饮酒行为与性经历的关联
J Stud Alcohol Drugs. 2007 Sep;68(5):697-705. doi: 10.15288/jsad.2007.68.697.
7
No strings attached: the nature of casual sex in college students.毫无附加条件：大学生随意性行为的本质。
J Sex Res. 2006 Aug;43(3):255-67. doi: 10.1080/00224490609552324.
8
American College Health Association National College Health Assessment Spring 2006 Reference Group data report (abridged).美国大学健康协会2006年春季全国大学健康评估参考组数据报告（节略版）
J Am Coll Health. 2007 Jan-Feb;55(4):195-206. doi: 10.3200/JACH.55.4.195-206.
9
The effects of acute alcohol consumption, cognitive reserve, partner risk, and gender on sexual decision making.急性酒精摄入、认知储备、伴侣风险及性别对性决策的影响。
J Stud Alcohol. 2006 Jan;67(1):113-21. doi: 10.15288/jsa.2006.67.113.
10
Why are young college women not using condoms? Their perceived risk, drug use, and developmental vulnerability may provide important clues to sexual risk.为什么年轻的女大学生不使用避孕套？她们对风险的认知、药物使用情况以及发育易损性可能为性风险提供重要线索。
Arch Psychiatr Nurs. 2006 Feb;20(1):32-40. doi: 10.1016/j.apnu.2005.08.008.
Zotero 插件