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Risky sexual behavior and substance use among adolescents: A meta-analysis

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  • Ritchwood, Tiarney D.
  • Ford, Haley
  • DeCoster, Jamie
  • Sutton, Marnie
  • Lochman, John E.

Abstract

This study presents the results of a meta-analysis of the association between substance use and risky sexual behavior among adolescents. 87 studies fit the inclusion criteria, containing a total of 104 independent effect sizes that incorporated more than 120,000 participants. The overall effect size for the relationship between substance use and risky sexual behavior was in the small to moderate range (r=.22, CI=.18, .26). Further analyses indicated that the effect sizes did not substantially vary across the type of substance use, but did substantially vary across the type of risky sexual behavior being assessed. Specifically, mean effect sizes were the smallest for studies examining unprotected sex (r=.15, CI=.10, .20), followed by studies examining number of sexual partners (r=.25, CI=.21, .30), those examining composite measures of risky sexual behavior (r=.38, CI=.27, .48), and those examining sex with an intravenous drug user (r=.53, CI=.45, .60). Furthermore, our results revealed that the relationship between drug use and risky sexual behavior is moderated by several variables, including sex, ethnicity, sexuality, age, sample type, and level of measurement. Implications and future directions are discussed.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:cysrev:v:52:y:2015:i:c:p:74-88
    DOI: 10.1016/j.childyouth.2015.03.005
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    2. Hargrove, Emily M. & Stults, Brian J. & Hay, Carter & Meldrum, Ryan C., 2023. "Sleep duration as a mediator of the effects of risk factors for substance use," Journal of Criminal Justice, Elsevier, vol. 88(C).
    3. Mónica L. Caudillo, 2019. "Advanced School Progression Relative to Age and Early Family Formation in Mexico," Demography, Springer;Population Association of America (PAA), vol. 56(3), pages 863-890, June.
    4. Emanuel Adrian Sârbu & Marius Marici & Simona Bostan & Liviu Gavrila-Ardelean, 2023. "Physical and Recreational Activities, Sedentary Screen Time, Time Spent with Parents and Drug Use in Adolescents," IJERPH, MDPI, vol. 20(2), pages 1-13, January.
    5. Ekundayo Opeyemi Oyewunmi & Babalola Oyeyemi Bukola, 2020. "Sexual Risk Behaviour: The Roles of Impulsivity, Family Type and Peer Pressure Among Undergraduate Students in Nigeria," European Review of Applied Sociology, Sciendo, vol. 13(20), pages 15-23, June.
    6. Wiese, Amanda L. & Sease, Thomas B. & Joseph, Elizabeth D. & Becan, Jennifer E. & Knight, Kevin & Knight, Danica K., 2023. "Avoidance self-efficacy: Personal indicators of risky sex and substance use among at-risk youth," Children and Youth Services Review, Elsevier, vol. 147(C).
    7. Nwabuzor Ogbonnaya, Ijeoma & Villodas, Miguel T. & Ciro, Dianne & Turnlund Carver, Ann, 2022. "Cumulative victimization and number of sexual partners among youth involved with child welfare: Externalizing and internalizing problems as mediators," Children and Youth Services Review, Elsevier, vol. 138(C).
    8. Alyssa Lozano & Tae Kyoung Lee & Elliott R. Weinstein & Yannine Estrada & Beck Graefe & Maria I. Tapia & Guillermo Prado, 2023. "Trajectories of Drug Use and Depressive Symptoms among Latinx Youth and Sexual Minority Youth," IJERPH, MDPI, vol. 20(10), pages 1-13, May.
    9. Wu, Shiyou & Yan, Shi & Marsiglia, Flavio F. & Perron, Brian, 2020. "Patterns and social determinants of substance use among Arizona Youth: A latent class analysis approach," Children and Youth Services Review, Elsevier, vol. 110(C).
    10. Ball, Jude & Grucza, Richard & Livingston, Michael & ter Bogt, Tom & Currie, Candace & de Looze, Margaretha, 2023. "The great decline in adolescent risk behaviours: Unitary trend, separate trends, or cascade?," Social Science & Medicine, Elsevier, vol. 317(C).

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