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Explaining associations between adolescent substance use and condom use.

Alison Parkes1, Daniel Wight, Marion Henderson

  • 1MRC Social and Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom. alison-p@msoc.mrc.gla.ac.uk

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|January 30, 2007
PubMed
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Adolescent substance use is linked to lower condom use, with psychosocial factors and multiple partners being key explanations beyond just being intoxicated during sex.

Area of Science:

  • Public Health
  • Adolescent Health
  • Sexual Health

Background:

  • Adolescent substance use is a significant public health concern.
  • Substance use is often associated with risky sexual behaviors, including lower condom use.
  • Understanding the factors contributing to this association is crucial for effective prevention strategies.

Purpose of the Study:

  • To investigate the multifaceted explanations for the association between adolescent substance use and reduced condom use.
  • To differentiate the roles of substance-specific effects, psychosocial factors, and sexual behaviors in this relationship.

Main Methods:

  • Longitudinal data collected from 25 Scottish schools on substance use (alcohol, tobacco, cannabis) and psychosocial factors at ages 14 and 16.
  • Sexual behaviors, including condom use, were assessed at age 16 among adolescents reporting intercourse more than once (n=1322).

Related Experiment Videos

  • Logistic regression analysis was employed to examine associations, adjusting for relevant covariates.

    • Main Results:

    • Regular use of alcohol, tobacco, or cannabis at ages 14 or 16 was significantly associated with lower condom use at age 16.
    • Adjusting for psychosocial factors and sexual behaviors substantially attenuated the observed associations between substance use and condom use.
    • While intoxication during intercourse was a factor, psychosocial influences (e.g., attitudes to risk, peer norms) and number of sexual partners were also significant explanations.

    Conclusions:

    • The link between adolescent substance use and lower condom use is complex and not solely explained by intoxication.
    • Psychosocial factors and having multiple sexual partners play a substantial role in explaining condom non-use among adolescent substance users.
    • Interventions should address a range of factors, including psychosocial elements and sexual behaviors, in addition to substance use, to improve condom use rates.