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Beliefs about AIDS, use of alcohol and drugs, and unprotected sex among Massachusetts adolescents

Author

Listed:
  • Hingson, R.W.
  • Strunin, L.
  • Berlin, B.M.
  • Heeren, T.

Abstract

In August 1988, 1,773 Massachusetts 16-19-year-olds were surveyed by telephone using anonymous random digit dialing; response rate 82 percent. Logistic regression tested whether alcohol and drug use, perceived susceptibility to human immunodeficiency virus (HIV), severity of HIV if infected, effectiveness of condoms in preventing infection, barriers to condom use, and behavioral cues such as exposure to media or personal communication about acquired immunodeficiency syndrome (AIDS) were independently related to condom use. Among sexually active respondents, (61 percent of those interviewed) 31 percent reported always using condoms. Respondents who believed condoms are effective in preventing HIV transmission and worried they can get AIDS were 3.1 and 1.8 times, respectively, more likely to use condoms all the time. Respondents who carried condoms and who had discussed AIDS with a physician were 2.7 and 1.7 times, respectively, more likely to use them. Those who believed condoms do not reduce sexual pleasure and would not be embarrassed if asked to use them were 3.1 and 2.4 times, respectively, more likely to use condoms. Teens who averaged five or more drinks daily or used marijuana in the previous month were 2.8 and 1.9 times, respectively, less likely to use condoms. Among respondents who drink and use drugs, 16 percent used condoms less often after drinking and 25 percent after drug use. Those counseling adolescents about HIV should assess and discuss beliefs outlined in the Health Belief Model, as well as their alcohol and drug use.

Suggested Citation

  • Hingson, R.W. & Strunin, L. & Berlin, B.M. & Heeren, T., 1990. "Beliefs about AIDS, use of alcohol and drugs, and unprotected sex among Massachusetts adolescents," American Journal of Public Health, American Public Health Association, vol. 80(3), pages 295-299.
  • Handle: RePEc:aph:ajpbhl:1990:80:3:295-299_0
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    Cited by:

    1. Sonenstein, Freya L., 1997. "Using Self Reports to Measure Program Impact," Children and Youth Services Review, Elsevier, vol. 19(7), pages 567-585, November.
    2. Marlène Guillon & Josselin Thuilliez, 2015. "HIV and Rational risky behaviors: a systematic review of published empirical literature (1990-2013)," Post-Print halshs-01222571, HAL.
    3. Adigun Temiloluwa Folasayo & Afolayan John Oluwasegun & Suhailah Samsudin & Siti Nor Sakinah Saudi & Malina Osman & Rukman Awang Hamat, 2017. "Assessing the Knowledge Level, Attitudes, Risky Behaviors and Preventive Practices on Sexually Transmitted Diseases among University Students as Future Healthcare Providers in the Central Zone of Mala," IJERPH, MDPI, vol. 14(2), pages 1-14, February.
    4. Inna Cintina, 2015. "The effect of minimum drinking age laws on pregnancy, fertility, and alcohol consumption," Review of Economics of the Household, Springer, vol. 13(4), pages 1003-1022, December.
    5. Rees, Daniel I. & Argys, Laura M. & Averett, Susan L., 2001. "New evidence on the relationship between substance use and adolescent sexual behavior," Journal of Health Economics, Elsevier, vol. 20(5), pages 835-845, September.
    6. Jeffrey S. DeSimone, 2010. "Binge Drinking and Risky Sex among College Students," NBER Working Papers 15953, National Bureau of Economic Research, Inc.
    7. Kenneth W. Griffin & Lawrence M. Scheier & Bianca Acevedo & Jerry L. Grenard & Gilbert J. Botvin, 2011. "Long-Term Effects of Self-Control on Alcohol Use and Sexual Behavior among Urban Minority Young Women," IJERPH, MDPI, vol. 9(1), pages 1-23, December.
    8. Nancy Lois Ruth Anderson, 1994. "Resolutions and Risk-Taking in Juvenile Detention," Clinical Nursing Research, , vol. 3(4), pages 297-315, November.
    9. Israa Abdullah Malli & Basmah Abdullah Kabli & Lujain Ali Alhakami, 2023. "Sexually Transmitted Diseases among Saudi Women: Knowledge and Misconceptions," IJERPH, MDPI, vol. 20(6), pages 1-11, March.
    10. Gregory Phillips & Mariah M. Kalmin & Blair Turner & Dylan Felt & Rachel Marro & Paul Salamanca & Lauren B. Beach, 2018. "Condom and Substance Use at Last Sex: Differences between MSMO and MSWO High School Youth," IJERPH, MDPI, vol. 15(5), pages 1-10, May.
    11. Fertig, Angela R. & Watson, Tara, 2009. "Minimum drinking age laws and infant health outcomes," Journal of Health Economics, Elsevier, vol. 28(3), pages 737-747, May.
    12. Michael Hennessy, 1994. "Adolescent Syndromes of Risk for HIV Infection," Evaluation Review, , vol. 18(3), pages 312-341, June.
    13. repec:hal:wpaper:halshs-01222571 is not listed on IDEAS
    14. Michael Grossman & Robert Kaestner & Sara Markowitz, 2004. "Get High and Get Stupid: The Effect of Alcohol and Marijuana Use on Teen Sexual Behavior," Review of Economics of the Household, Springer, vol. 2(4), pages 413-441, September.
    15. Ritchwood, Tiarney D. & Ford, Haley & DeCoster, Jamie & Sutton, Marnie & Lochman, John E., 2015. "Risky sexual behavior and substance use among adolescents: A meta-analysis," Children and Youth Services Review, Elsevier, vol. 52(C), pages 74-88.
    16. Alex Acworth & Nicolas de Roos & Hajime Katayama, 2012. "Substance use and adolescent sexual activity," Applied Economics, Taylor & Francis Journals, vol. 44(9), pages 1067-1079, March.
    17. Moore, Kristin A. & Sugland, Barbara W., 1997. "Using Behavioral Theories to Design Abstinence Programs," Children and Youth Services Review, Elsevier, vol. 19(5-6), pages 485-500.
    18. Rashad, Inas & Kaestner, Robert, 2004. "Teenage sex, drugs and alcohol use: problems identifying the cause of risky behaviors," Journal of Health Economics, Elsevier, vol. 23(3), pages 493-503, May.
    19. Clark, Jean N. & Van Eck, Richard N. & King, Alfreda & Glusman, Brenda & McCain-Williams, Annie & Van Eck, Sandra & Beech, Frances, 2000. "HIV/AIDS education among incarcerated youth," Journal of Criminal Justice, Elsevier, vol. 28(5), pages 415-433.
    20. Lanier, Mark M. & Gates, Scott, 1996. "An empirical assessment of the AIDS Risk Reduction Model (ARRM) employing ordered probit analyses," Journal of Criminal Justice, Elsevier, vol. 24(6), pages 537-547.

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