Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Sex Transm Dis. 2011 Feb;38(2):96-101. doi: 10.1097/OLQ.0b013e3181f07abe.
Alcohol use has been linked to risky sexual practices among adolescents. However, limited research on alcohol use and risky sexual behavior has been conducted on African-American female adolescents. This study examined high quantity of alcohol as a longitudinal predictor of risky sexual behavior and sexually transmitted diseases (STDs) among African-American female adolescents, a high-risk population for STDs.
Three hundred ninety-three adolescent females, 15 to 21 years, were assessed on sociodemographics, alcohol use, and risky sexual behaviors. Participants also provided 2 swab specimens that were assayed for STDs. High quantity of alcohol use was defined as ≥ 3 drinks in 1 sitting.
Binary generalized estimating equation models were conducted assessing the impact of alcohol use at baseline on risky sexual behavior and STDs over a 12-month period. Age, intervention group, and baseline outcome measures were entered as covariates. The results indicated that high quantity of alcohol use predicted positive TV test results, inconsistent condom use, high sexual sensation seeking, multiple sexual partners, sex while high on alcohol or drugs, and having anal sex over a 12-month follow-up period.
These findings suggest that HIV/STD-related behavioral interventions for African-American adolescents should discuss the link between alcohol and HIV/STD-risk behavior. A deeper understanding is paramount to the development of efficacious prevention programs at individual and community levels.
饮酒与青少年的危险性行为有关。然而，针对非裔美国少女的饮酒与危险性行为的研究有限。本研究考察了大量饮酒对非裔美国少女的危险性行为和性传播疾病（STD）的纵向预测作用，这些少女是 STD 的高危人群。
393 名 15 至 21 岁的青少年女性接受了社会人口统计学、饮酒和危险性行为的评估。参与者还提供了 2 个拭子样本，用于检测 STD。大量饮酒定义为一次饮酒≥3 杯。
进行二元广义估计方程模型评估了基线时饮酒对 12 个月内危险性行为和 STD 的影响。年龄、干预组和基线结果测量被作为协变量输入。结果表明，大量饮酒可预测阳性电视检测结果、避孕套使用不一致、高性感觉寻求、多个性伴侣、酒后或吸毒后发生性行为以及在 12 个月的随访期间发生肛交。
这些发现表明，针对非裔美国青少年的艾滋病毒/性病相关行为干预措施应讨论酒精与艾滋病毒/性病风险行为之间的联系。深入了解这一点对于在个人和社区层面制定有效的预防计划至关重要。
