HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Lowry, R Articles by Kolbe, L J Search for Related Content PubMed PubMed Citation Articles by Lowry, R Articles by Kolbe, L J

Substance use and HIV-related sexual behaviors among US high school students: are they related?

R Lowry, D Holtzman, B I Truman, L Kann, J L Collins and L J Kolbe

Division of Adolescent and School Health Centers for Disease Control and Prevention, Atlanta, GA 30333.

OBJECTIVES. This study was undertaken to examine whether use of alcohol, cigarettes, marijuana, cocaine, and other illicit drugs is related to the likelihood of sexual behaviors that increase risk for human immunodeficiency virus (HIV) infection among youth. METHODS. The 1990 national Youth Risk Behavior Survey was used to collect self-reported information about a broad range of health risk behaviors from a representative sample of 11,631 high school students in the United States. RESULTS. Students who reported no substance use were least likely to report having had sexual intercourse, having had four or more sex partners, and not having used a condom at last sexual intercourse. Adjusted for age, sex, and race/ethnicity, odds ratios for each of these sexual risk behaviors were greatest among students who had used marijuana, cocaine, or other illicit drugs. Students who had used only alcohol or cigarettes had smaller but still significant increases in the likelihood of having had sexual intercourse and of having had four or more sex partners. CONCLUSIONS. HIV prevention programs for youth should recognize that substance use may be an important indicator of risk for HIV infection and acquired immunodeficiency syndrome through its association with unsafe sexual behaviors.

This article has been cited by other articles:

				J. A. Lehrer, L. A. Shrier, S. Gortmaker, and S. Buka Depressive Symptoms as a Longitudinal Predictor of Sexual Risk Behaviors Among US Middle and High School Students Pediatrics, July 1, 2006; 118(1): 189 - 200. [Abstract] [Full Text] [PDF]

				S. M. Blake, R. Ledsky, C. Goodenow, R. Sawyer, D. Lohrmann, and R. Windsor Condom Availability Programs in Massachusetts High Schools: Relationships With Condom Use and Sexual Behavior Am J Public Health, June 1, 2003; 93(6): 955 - 962. [Abstract] [Full Text] [PDF]

				D. W. Brook, J. S. Brook, T. Pahl, and I. Montoya The Longitudinal Relationship Between Drug Use and Risky Sexual Behaviors Among Colombian Adolescents Arch Pediatr Adolesc Med, November 1, 2002; 156(11): 1101 - 1107. [Abstract] [Full Text] [PDF]

				B. W. Fletcher and C. E. Grella Preface to the Jar Special Issue: The Drug Abuse Treatment Outcome Studies for Adolescents Journal of Adolescent Research, November 1, 2001; 16(6): 537 - 544. [PDF]

				S. Ramrakha, A. Caspi, N. Dickson, T. E Moffitt, and C. Paul Psychiatric disorders and risky sexual behaviour in young adulthood: cross sectional study in birth cohort BMJ, July 29, 2000; 321(7256): 263 - 266. [Abstract] [Full Text]