a Department of Psychiatry and Neurobehavioral Sciences , University of Virginia , VA 22911 , USA.
Psychol Health. 2008;23(8):965-81. doi: 10.1080/08870440701596569.
Risk drinking, especially binge drinking, and unprotected sex may co-occur in college women and increase the risks of STI exposure and pregnancy, but the relationships among these behaviors are incompletely understood. A survey was administered to 2012 women of ages 18-24 enrolled in a public urban university. One-quarter of the college women (23%) drank eight or more drinks per week on average, and 63% binged in the past 90 days, with 64% meeting criteria for risk drinking. Nearly all sexually active women used some form of contraception (94%), but 18% used their method ineffectively and were potentially at risk for pregnancy. Forty-four percent were potentially at risk for STIs due to ineffective or absent condom usage. Ineffective contraception odds were increased by the use of barrier methods of contraception, reliance on a partner's decision to use contraception, and risk drinking, but were decreased by the use of barrier with hormonal contraception, being White, and later age to initiate contraception. In contrast, ineffective condom use was increased by reliance on a partner's decision to use condoms, the use of condoms for STI prevention only, and by risk drinking. Thirteen percent of university women were risk drinkers and using ineffective contraception, and 31% were risk drinkers and failing to use condoms consistently. Risk drinking is related to ineffective contraception and condom use. Colleges should promote effective contraception and condom use for STI prevention and consider coordinating their programs to reduce drinking with programs for reproductive health. Emphasizing the use of condoms for both pregnancy prevention and STI prevention may maximize women's interest in using them.
风险饮酒，尤其是狂饮，以及无保护性行为可能在女大学生中同时发生，增加性传播感染和怀孕的风险，但这些行为之间的关系尚未完全清楚。一项调查对一所公立城市大学的 2012 名 18-24 岁的女大学生进行了调查。四分之一的女大学生（23%）平均每周饮酒 8 杯或以上，63%在过去 90 天内狂饮，64%符合风险饮酒标准。几乎所有有性行为的女性都使用了某种形式的避孕方法（94%），但 18%的避孕方法无效，存在怀孕风险。由于避孕方法无效或缺失，44%的女性有感染性传播感染的风险。使用避孕屏障方法、依赖伴侣决定使用避孕方法和风险饮酒会增加避孕方法无效的可能性，但使用避孕屏障加激素避孕、为白人以及开始避孕的年龄较晚会降低这种可能性。相比之下，依赖伴侣决定使用避孕套、仅将避孕套用于预防性传播感染以及风险饮酒会增加避孕套使用无效的可能性。13%的女大学生是风险饮酒者和使用无效避孕方法者，31%的女大学生是风险饮酒者和未能始终使用避孕套者。风险饮酒与避孕方法无效和避孕套使用不当有关。高校应促进有效避孕和使用避孕套来预防性传播感染，并考虑协调减少饮酒的项目和生殖健康项目。强调避孕套在预防怀孕和性传播感染方面的双重作用，可能会最大限度地提高女性使用避孕套的兴趣。
