TY - JOUR
T1 - Relationship of alcohol use and risky sexual behavior
T2 - A review and analysis of findings
AU - Halpern-Felsher, Bonnie L.
AU - Millstein, Susan G.
AU - Ellen, Jonathan M.
N1 - Funding Information:
This article was supported in part by grants from the National Institute of Alcohol Abuse and Alcoholism (ROIAA09185), the Maternal and Child Health Bureau (MCJ000978A), the National Institutes for Allergies and Infectious Diseases (AI3499), and the Centers for Disease Control (R30/CCR903352).
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 1996/11
Y1 - 1996/11
N2 - In this review article, three methodologic approaches that have been used to examine the association between adolescents' alcohol use and their involvement in risky sex are discussed: global correlation studies, situational covariation studies, and event analyses. The strengths and limitations of each of these research methods are discussed. An extensive review of the most rigorous studies, which used event analysis to examine the alcohol-risky sex link, reveals positive results for first-time sexual events but equivocal findings for other types of sexual relationships. It is argued that differences in the types of sexual relationships studied have been confounded, limiting our ability to evaluate the extent to which alcohol has a causal influence on adolescents' condom use. It is suggested that future investigations consider the nature of the sexual relationship, and go beyond studying the length or status of the relationship to explore how variation in relationship dimensions such as trust and intimacy affect adolescents' sexual behavior.
AB - In this review article, three methodologic approaches that have been used to examine the association between adolescents' alcohol use and their involvement in risky sex are discussed: global correlation studies, situational covariation studies, and event analyses. The strengths and limitations of each of these research methods are discussed. An extensive review of the most rigorous studies, which used event analysis to examine the alcohol-risky sex link, reveals positive results for first-time sexual events but equivocal findings for other types of sexual relationships. It is argued that differences in the types of sexual relationships studied have been confounded, limiting our ability to evaluate the extent to which alcohol has a causal influence on adolescents' condom use. It is suggested that future investigations consider the nature of the sexual relationship, and go beyond studying the length or status of the relationship to explore how variation in relationship dimensions such as trust and intimacy affect adolescents' sexual behavior.
KW - Adolescent relationships
KW - Alcohol use
KW - Condom use
KW - Risky sexual behavior
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U2 - 10.1016/S1054-139X(96)00024-9
DO - 10.1016/S1054-139X(96)00024-9
M3 - Review article
C2 - 8934293
AN - SCOPUS:0030297140
VL - 19
SP - 331
EP - 336
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
SN - 1054-139X
IS - 5
ER -