Department of Population and Community Health, School of Public Health, University of North Texas Health Science Center, Fort Worth, TX, United States.
Department of Population and Community Health, School of Public Health, University of North Texas Health Science Center, Fort Worth, TX, United States.
Addict Behav. 2024 Aug;155:108040. doi: 10.1016/j.addbeh.2024.108040. Epub 2024 Apr 15.
This study examined daily associations between alcohol use, cannabis use, and simultaneous alcohol and cannabis/marijuana (SAM) use with the likelihood of hooking up (uncommitted sexual encounter that may or may not include intercourse).
We used a longitudinal measurement burst ecological momentary assessment (EMA) design with 3-week EMA bursts with daily measurements repeated quarterly across 12 months. 1,009 (57 % female, Mean age = 20.00 [SD = 3.21]) Texan adolescents and young adults ages 15-25 participated in the study. Mixed effects logistic regression models were estimated using maximum likelihood estimation to evaluate the associations between substance use and hooking up.
Within-person results indicated that participants were more likely to hook up on days with alcohol use and on days with cannabis use, but not on days with SAM use. Participants were also more likely to hook up on drinking days with higher-than-usual alcohol use. Between-person results indicated that participants who used alcohol more often or cannabis more often on average were more likely to hook up, and participants who tended to drink more on drinking days were more likely to hook up.
Given the significant daily-level associations between alcohol and cannabis use and hooking up behavior, public health initiatives should focus on developing interventions to reduce alcohol and cannabis use and promote safer hooking up behavior among adolescents and young adults.
本研究考察了饮酒、吸食大麻和同时饮酒与吸食大麻/大麻（SAM）与发生随意性行为（可能包括或不包括性交的无承诺性行为）的可能性之间的日常关联。
我们使用了纵向测量爆发式生态瞬时评估（EMA）设计，每隔 3 周进行一次 EMA 爆发，在 12 个月内每季度进行一次每日测量。1009 名（57%为女性，平均年龄为 20.00[SD=3.21]）德克萨斯州青少年和 15-25 岁的年轻人参加了这项研究。使用最大似然估计对混合效应逻辑回归模型进行了估计，以评估物质使用与随意性行为之间的关联。
个体内结果表明，参与者在饮酒日和吸食大麻日更有可能发生随意性行为，但在 SAM 使用日则不然。参与者在饮酒日饮酒量高于平常时也更有可能发生随意性行为。个体间结果表明，平均而言，饮酒或吸食大麻更频繁的参与者更有可能发生随意性行为，而在饮酒日饮酒量较大的参与者更有可能发生随意性行为。
鉴于饮酒和吸食大麻与随意性行为之间存在显著的日常关联，公共卫生计划应重点制定干预措施，以减少青少年和年轻人的饮酒和吸食大麻行为，并促进更安全的随意性行为。
