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Published on: January 7, 2019
College drinking and sexual health behaviors at a rural northeastern institution: Implications for tailored
Patricia A Goodhines1, Krutika Rathod1, Liliana L Herakova2
1Department of Psychology, University of Maine, Orono, Maine, USA.
Objective:
College students experience elevated rates of alcohol and sexual risk behaviors, but underrepresentation of rural institutions precludes tailored intervention. This study characterizes prevalence and short-term alcohol-sex risk at a rural institution.
Participants:
Undergraduates at a rural northeastern university.
Method:
Online health behavior surveys at Time 1 (T1; N = 327) and Time 2 (T2; n = 150, Minterval=34 ± 7 days).
Results:
75% reported lifetime, 73% past-year, and 65% past-month drinking at T1. Despite past-month sexual risk behavior (48% without barrier, 31% under influence of alcohol/drugs, 12% without querying STI status), only 23% endorsed past-year STI testing. Drinking students were more likely than non-drinking peers to endorse all sexual risk behaviors. T1 drinking was associated with T2 sex, sex under the influence of alcohol/drugs, and unprotected sex.
Conclusions:
College drinking predicted short-term sexual risk behaviors at this rural institution, suggesting potential unique risk mechanisms. Findings may inform multilevel, culture-centered intervention for students attending rural universities.
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