scholarly journals Adolescent sibling associations among alcohol, cannabis, and sexual risk behavior: A test of interdependence

2021 ◽  
Author(s):  
Sarah Thomas ◽  
Lauren Micalizzi ◽  
Samuel N. Meisel ◽  
Dayna Price ◽  
Anthony Spirito

Although siblings are conceptualized as a salient social influence during adolescence, few studies have examined how adolescent siblings influence each other’s substance use and risky sexual behavior. This study’s objective was to investigate the influence of alcohol use days, cannabis use days, and cannabis and alcohol co-use days on the sexual risk behavior of siblings while accounting for dyadic influence. At the baseline visit for a randomized controlled trial for adolescents referred due to parents’ concerns about their substance use (“referred adolescents”; n=99; Mage=15.95), we assessed alcohol and cannabis use days as well as sexual risk behavior of the referred adolescents and their sibling (Mage=15.03). We computed the number of days in the 30 days prior to the baseline that alcohol and cannabis use occurred on the same day. Using a cross-sectional actor partner interdependence model, we tested two models of how adolescents’ substance use is associated with their own (“actor effect”) and their siblings’ (“partner effect”) sexual risk behavior—one model for alcohol and cannabis use, and one model for co-use. Results indicated for referred adolescents and their siblings, within an individual, greater alcohol, cannabis, and co-use was significantly associated with sexual risk behavior (actor effects). Furthermore, more sibling co-use days were positively associated with referred adolescent sexual risk behavior (partner effect), representing interdependence. These findings confirm the influence siblings have on one another’s risky behavior in adolescence and have implications for prevention and intervention efforts for adolescent substance use.

2019 ◽  
Vol 30 (8) ◽  
pp. 786-794 ◽  
Author(s):  
Justin Knox ◽  
Vasu Reddy ◽  
Tim Lane ◽  
Gina S Lovasi ◽  
Deborah Hasin ◽  
...  

Due to the global burden of HIV, a better understanding of the relationship between substance use and HIV risk behavior is a public health priority, particularly among populations with high rates of HIV infection. The current study explored the moderating effects of psychosocial factors on the relationship between substance use and sexual risk behavior. Among 480 black South African men who have sex with men recruited using respondent-driven sampling, a cross-sectional survey was conducted that included questions about their last sexual event that involved anal sex. Substance use was not associated with unprotected anal intercourse (UAI) ( P = 0.97). The effect of substance use on UAI was modified by safer sex intentions ( P = 0.001). Among those with higher safer sex intentions, substance use was positively associated with UAI (aOR = 5.8, 95%CI = 1.6–21.3, P < 0.01). This study found that among men who have sex with men with high intentions to engage in safer sex, substance use was associated with increased risky sexual behavior.


2019 ◽  
Vol 9 (4) ◽  
pp. 343-352
Author(s):  
Wina Winingsih ◽  
Tetti Solehati ◽  
Taty Hernawaty

Remaja merupakan masa peralihan dari anak-anak menuju dewasa, pada masa ini terjadi berbagai perkembangan fisik maupun non fisik yang dapat meningkatkan hasrat seksual pada remaja. Permasalah yang sering terjadi pada remaja yaitu perilaku seksual. Konsep diri dapat mempengaruhi perilaku seseorang termasuk perilaku seksual beresiko. Remaja dengan konsep diri rendah rentan melakukan perilaku seksual beresiko tinggi. Penelitian ini bertujuan untuk mengetahui hubungan antara konsep diri dengan perilaku seksual beresiko pada remaja. Rancangan penelitian menggunakan deskriptif korelasi dengan pendekatan cross sectional. Populasi pada penelitian ini adalah 449 siswa di SMA “X” Kota Bandung, dengan teknik stratified random sampling didapatkan sampel sebanyak 212 siswa. Instrumen penelitian terdiri dari kuesioner Tennesse Self Concept Scale dan kuesioner perilaku seksual beresiko. Penelitian ini menggunakan analisa data univariat dan bivariat dengan uji spearman rank. Hasil penelitian menunjukkan bahwa 100% responden memiliki konsep diri yang tinggi, kemudian sebanyak 50,5% responden berperilaku seksual beresiko tinggi. Terdapat hubungan antara konsep diri dengan perilaku seksual beresiko (p=0,018). Disarankan kepada institusi pelayanan kesehatan untuk meningkatkan pendidikan kesehatan mengenai perilaku seksual beresiko pada remaja.   Kata kunci: konsep diri, perilaku seksual beresiko, remaja   THE RELATIONSHIP BETWEEN SELF CONCEPT WITH SEXUAL RISK BEHAVIOR IN ADOLESCENCE   ABSTRACT Adolescence is a period of transition from children to adults, during this time various physical and non-physical developments occur that can increase sexual desire in adolescents. Problem that often occurs in adolescents is sexual behavior. Self-concept can affect a person's behavior including risky sexual behavior. Teenagers with low self-concept are prone to high-risk sexual behavior. This study was descriptive correlative, design with cross sectional approach with aims to know the relationship between self concept with sexual risk behavior in adolescence at one of the high school in Bandung.  The population was 449 students, and used stratified random sampling and obtained samples as many as 212 students. This study used two instruments, Tennesse Self Concept Scale questionnaire and sexual risk behavior questionnaire. This study used univariate dan bivariate with spearman rank data analysis. The results showed that 100% of the respondents have high self concept. Then, 50.5% of respondents behave sexually at high risk. The results of bivariate analysis showed p value <0.05 (0.018) which means there was a correlation between self concept with sexual risk behavior. It is recommended to health service institutions to improve health education regarding risky sexual behavior inadolescents.   Keywords: self-concept, sexual risk behaviour,adolescence


2016 ◽  
Vol 25 (5) ◽  
pp. 409-416 ◽  
Author(s):  
Cheryl L. Somers ◽  
Angelique Day ◽  
Leann Decker ◽  
Aamena B. Saleh ◽  
Beverly A. Baroni

2010 ◽  
Vol 15 (8) ◽  
pp. 1829-1833 ◽  
Author(s):  
Christina S. Meade ◽  
Garrett M. Fitzmaurice ◽  
Amy K. Sanchez ◽  
Margaret L. Griffin ◽  
Leah J. McDonald ◽  
...  

2019 ◽  
Vol 96 ◽  
pp. 110-118
Author(s):  
Andrea Swartzendruber ◽  
Jennifer L. Brown ◽  
Jessica M. Sales ◽  
Michael Windle ◽  
Regine Haardörfer

2019 ◽  
Vol 44 (3) ◽  
pp. 375-387 ◽  
Author(s):  
Velma McBride Murry ◽  
Cady Berkel ◽  
Misha N Inniss-Thompson ◽  
Marlena L Debreaux

Abstract Objective The objective of this study was to test the effectiveness of a technology-based program to avert risky behaviors among rural African American youth. We hypothesized that the technology-based and group-based formats of the Pathways for African Americans Success (PAAS) program would lead to improvements in primary outcomes, and that the technology condition would perform at least as well as the group condition. Methods A three-arm Randomized Control Trial (RCT) ([N = 141] technology-based delivery, [N = 141] small group delivery, and [N = 136] literature control) was conducted with 421 sixth graders and their caregivers, Summer 2009–Fall 2012. Families were recruited from five rural counties in Tennessee and completed baseline, posttest [M = 14.5 (4.4) months after pretest] and long-term follow-up [M = 22.6 (3.7) months after posttest]. Structural Equation Modeling (SEM) was used to test intervention-induced changes in both parents and youths’ primary outcomes (pretest to posttest) and on secondary targeted outcome, youth sexual risk, and substance use patterns (pretest to follow-up). Results Parents in the technology condition reported significant increases in strategies to reduce risk. Youth in the technology condition experienced a significant decline in intent to engage in risk behaviors and reduction in substance use and sexual risk behavior. Youth in the group condition experienced a significant increase in affiliation with deviant peers. Conclusions This study provides evidence of the ability of eHealth to improve parenting and reduce adolescent engagement in substance use and sexual risk behavior. Suggestions for dissemination in schools and health-care systems are offered.


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