Ritchwood Tiarney D, Ford Haley, DeCoster Jamie, Sutton Marnie, Lochman John E
Center for Health Equity Research.
University of Texas Health Sciences Center at San Antonio.
Child Youth Serv Rev. 2015 May;52:74-88. doi: 10.1016/j.childyouth.2015.03.005.
This study presents the results of a meta-analysis of the association between substance use and risky sexual behavior among adolescents. 87 studies fit the inclusion criteria, containing a total of 104 independent effect sizes that incorporated more than 120,000 participants. The overall effect size for the relationship between substance use and risky sexual behavior was in the small to moderate range (r = .22, CI = .18, .26). Further analyses indicated that the effect sizes did not substantially vary across the type of substance use, but did substantially vary across the type of risky sexual behavior being assessed. Specifically, mean effect sizes were smallest for studies examining unprotected sex (r = .15, CI = .10, .20), followed by studies examining number of sexual partners (r = .25, CI = .21, .30), those examining composite measures of risky sexual behavior (r = .38, CI = .27, .48), and those examining sex with an intravenous drug user (r = .53, CI = .45, .60). Furthermore, our results revealed that the relationship between drug use and risky sexual behavior is moderated by several variables, including sex, ethnicity, sexuality, age, sample type, and level of measurement. Implications and future directions are discussed.
本研究呈现了一项关于青少年物质使用与危险性行为之间关联的荟萃分析结果。87项研究符合纳入标准，共包含104个独立效应量，涉及超过12万名参与者。物质使用与危险性行为之间关系的总体效应量处于小到中等范围（r = 0.22，CI = 0.18，0.26）。进一步分析表明，效应量在物质使用类型之间没有显著差异，但在所评估的危险性行为类型之间存在显著差异。具体而言，研究无保护性行为的平均效应量最小（r = 0.15，CI = 0.10，0.20），其次是研究性伴侣数量的（r = 0.25，CI = 0.21，0.30）、研究危险性行为综合指标的（r = 0.38，CI = 0.27，0.48）以及研究与静脉注射吸毒者发生性行为的（r = 0.53，CI = 0.45，0.60）。此外，我们的结果显示，药物使用与危险性行为之间的关系受到几个变量的调节，包括性别、种族、性取向、年龄、样本类型和测量水平。文中讨论了研究的意义和未来方向。
