Measures Key Response Variables The key response variables in this study were as follows: However, according to a recent systematic review on interventions to prevent substance use and risky sexual behavior in young people 31 , the interventions that addressed multiple domains of risk individual and peer, family, school, and community and protective factors against risky behavior were more promising than programs that addressed just one domain school, individual, or family. A national survey among high school students in Argentina showed a less worrisome situation than observed in the present study. Bralock A, Koniak-Griffin D. AIDS epidemic trends after the introduction of antiretroviral therapy in Brazil. At this stage, adolescents seek new experiences that generate pleasure, but the feeling of omnipotence can trigger a lack of awareness of the consequences of their actions. However, it is important to note that studies about condom use and its association with drug use among adolescents in Latin America are not common. Adolescents who used any illegal drugs or engaged in binge drinking during the past month were less likely to use a condom during sexual intercourse in the same period prior to the survey. The authors suggest that school prevention programs must include drug use and sexuality topics simultaneously, as both risk-taking behaviors are prevalent among high school students and occurred during the same month.
Sexual uses of alcohol and drugs and the associated health risks: The outcome variable of interest was unsafe sexual intercourse during the past month. Alcohol use and risky sexual behavior among college students and youth: Additionally, the question about a fictitious drug allowed us to drop the questionnaires with shown biased information. However, according to a recent systematic review on interventions to prevent substance use and risky sexual behavior in young people 31 , the interventions that addressed multiple domains of risk individual and peer, family, school, and community and protective factors against risky behavior were more promising than programs that addressed just one domain school, individual, or family. Statistical analysis Analyses were conducted on data weighted to correct for unequal probabilities of selection into the sample. This scale was used to sort participants into standardized subgroups labeled from A to E in which A was the highest economic group. The ABEP index 17 is based on the educational level of the head of the household, possession of various types of household goods e. The spread of HIV has become a serious public health concern and must be considered among adolescents, as adolescence is the stage of life when risky sexual behaviors start 13 , Specific interventions should focus on improving the decision-making skills of adolescents, including techniques to negotiate safer sex behaviors among girls. Socio-demographic variables included gender, age, type of school public or private , and socioeconomic status SES. Argentina, ] Arch Argent Pediatr. In contrast, the risk-taking behavior theory might explain why the same group of youth expose themselves to different risks. The students answered if they had sexual intercourse in the month prior to the survey and if they had sexual intercourse without condom use in the month prior to the survey yes or no answer. Binge drinking BD in the past month was defined as at least one episode of consumption of five or more servings of alcoholic beverages on the same occasion, as used in the ESPAD survey Long-term effects of self-control on alcohol use and sexual behavior among urban minority young women. While the overall prevalence of sexual intercourse was higher among boys, unsafe sexual intercourse was more prevalent among girls. Binge drinking and illegal drug use were independently associated with unsafe sex, even when controlling for obvious confounders age, gender, and SES. However, there are relatively few studies on interventions to reduce the association between substance use and sexual risk. Moreover, in this British study, early alcohol use was associated with early sexual activity onset, primarily among girls 5. Footnotes No potential conflict of interest was reported. Because this study did not collect information on variables such as school policies against alcohol consumption, other drug use, and sexual behaviors, it is not possible to control the analysis for the influence of school prevention programs on binge drinking, other drug use, and unsafe sex. The Alcohol Myopia Theory 8 appears to be appropriate and to explain the unsafe sex that occurs after the use of psychotropic drugs taken to facilitate a sexual encounter. In addition, we did not measure the propensity of the students for risk-taking behaviors such as impulsivity; for example, highly impulsive youth might bond and mingle with other highly impulsive youth and thus engage more frequently in alcohol and other drug use and in unsafe sex practices. These findings suggest that there is an urgent need for developing culturally tailored intervention programs aimed at reducing the risk behaviors identified in this study. However, the levels of participation were larger than those obtained in the US Monitoring the Future study 32 , considering that almost all of the students that were invited to participate agreed to participate.
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