The relation of alcohol and drug use during sexual activity to increased HIV risk-associated behavior was examined among 108 inner-city Black male adolescents who completed a self-administered questionnaire. Adolescents who reported a greater number of days in which they had sex while "high" reported more unprotected coitus, a greater number of coital partners, a greater number of risky coital partners, and more frequent insertive anal intercourse than did those who reported fewer days on which they had sex while high. For the most part, these relations remained significant when total frequency of sexY, a correlate of having sex while high, was included in the regression equation. The only exception was failure to use condoms. These results support the view that alcohol and drug use during sexual activity may affect the nature of the sexual behavior in which Black male adolescents engage, although it may not affect whether they use condoms.
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References
1.
Bell, T. A.
, & Holmes, K. K. (1984). Age-specific risks of syphilis, gonorrhea, and hospitalized pelvic inflammatory disease in sexually experienced U.S. women. Sexually Transmitted Diseases, 7,291-291.
2.
Bradburn, N. M.
, & Sudman, S. (1979). Improving interview method and questionnaire design. San Francisco: Jossey-Bass.
3.
Brook, J. S.
, Lukoff, 1. F., & Whiteman, M. (1977). Peer, family, and personality domains as related to adolescents' drug behavior. Psychological Reports, 41, 1095-1102.
4.
Catania, J.
, Gibson, D. R., Chitwood, D. D., & Coates, T. J. (1990). Methodological problems in AIDS behavioral research: Influences on measurement error and participation bias in studies of sexual behavior. Psychological Bulletin, 108, 339-362.
5.
Centers for Disease Control
. (1992, April). HIV/AIDS Surveillance Report. Atlanta, GA: Center for Infectious Diseases, Centers for Disease Control.
6.
Chilman, C. S.
(1979). Adolescent sexuality in a changing American society: Social and psychologicalperspectives (Publication No. [NIH] 79-1426). Bethesda, MD: Department of Health, Education, and Welfare.
7.
Cohen, J.
, & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
8.
Crowe, L. C.
, & George, W. H. (1989). Alcohol and human sexuality: Review and integration. Psychological Bulletin, 105, 374-386.
9.
Crowne, D.
, & Marlowe, D. (1964). The approval motive. New York: Wiley.
10.
Dryfoos, J. G.
(1990). Adolescents at risk. New York: Oxford University Press.
11.
Eisenberg, N.
, Miller, P. A., Shell, R., McNalley, S., & Shea, C. (1991). Prosocial development in adolescence: A longitudinal study. Developmental Psychology, 27, 849-857.
12.
Freeman, E. W.
, Rickels, K., Huggins, G. R., Mudd, E. H., Garcia, C., & Dickens, H. O. (1980). Adolescent contraceptive use: Comparisons of male and female attitudes and information. American Journal of Public Health, 70, 790-797.
13.
Goodman, E.
, & Cohall, A. T. (1989). Acquired immunodeficiency syndrome and adolescents: Knowledge, attitudes, beliefs, and behaviors in a New York City adolescent minority population. Pediatrics, 84, 36-42.
14.
Hatcher, R. A.
, Stewart, F. H., Trussell, J., Kowal, D., Guest, F., Stewart, G. K., & Cates, W. (1990). Contraceptive technology 1990-1992. New York: Irvington.
15.
Hayes, C. D.
(Ed.). (1987). Risking the future: Adolescent sexuality, pregnancy, and childbearing, Volume 1. Washington, DC: National Academy Press.
16.
Heyward, W. L.
, & Curran, J. W. (1988). The epidemiology of AIDS in the U.S. Scientific American, 259, 72-81.
17.
Hingson, R. W.
, Strunin, L., Berlin, B., & Heeren, T. (1990). Beliefs about AIDS, use of alcohol and drugs, and unprotected sex among Massachusetts adolescents. American Journal of Public Health, 80, 295-299.
18.
Hofferth, S. L.
, & Hayes, C. D. (Eds.). (1987). Risking the future: Adolescent sexuality, pregnancy, and childbearing, Volume 2. Washington, DC: National Academy Press.
19.
Jemmott, J. B. III Jemmott, L. S., & Fong, G. T. (1992a). Reducing the risk of AIDS in Black adolescents: Evidence for the generality of intervention effects. Manuscript submitted for publication.
20.
Jemmott, J. B. III
, Jemmott, L. S., & Fong, G. T. (1992b). Reductions in HIV risk-associated sexual behaviors among Black male adolescents: Effects of an AIDS prevention intervention. American Journal of Public Health, 82, 372-377.
21.
Jemmott, L. S.
, & Jemmott, J. B. III (1990). Sexual knowledge, attitudes, and risky sexual behavior among inner-city Black male adolescents. Journal of Adolescent Research, 5, 346-369.
22.
Jessor, R.
, & Jessor, S. L. (1977). Problemn behavior and psychosocial development: A longitudinal study of youth. New York: Academic Press.
23.
Johnson, J. H.
, & McCutheon, S. (1981). Correlates of pessimism: A study of the Beck Hopelessness Scale. Journal of Youth andAdolescence, 10, 169-172.
24.
Kandel, D. B.
(1990). Early onset of adolescent sexual behavior and drug involvement. Journal of Marriage and the Family, 52, 783-798.
25.
Kauth, M. R.
, St. Lawrence, J. S., & Kelly, J. A. (in press). Reliability of retrospective assessments of sexual HIV risk behavior: A comparison of biweekly, three-month, and twelve-month self reports. AIDS Education and Prevention.
26.
Keller, S. E.
, Barlett, J. A., Schleifer, S. J., Johnson, R. L., Pinner, E., & Delaney, B. (1991). HIV-relevant sexual behavior among a healthy inner-city heterosexual adolescent population in an endemic area of HIV. Journal of Adolescent Health Care, 21, 44-48.
27.
Kelly, J. A.
, St. Lawrence, J. S., & Brasfield, T. L. (1991). Predictors of vulnerability to AIDS risk behavior relapse. Journal of Consulting and Clinical Psychology, 59, 163-166.
28.
Kelly, J. A.
, St. Lawrence, J. S., Brasfield, T. L., Lemke, A., Amidei, T., Roffman, R. E., Hood, H. V., Smith, J., Kilgore, H., & McNeil, C., Jr. (1990). Psychological factors that predict AIDS high-risk versus AIDS precautionary behavior. Journal of Consulting and Clinical Psychology, 58, 117-120.
29.
Kelly, J.
, St. Lawrence, J., Hood, H., & Brasfield, T. (1989). Behavioral intervention to reduce AIDS risk activities. Journal of Consulting and Clinical Psychology, 57,60-67.
30.
Koch, P. B.
(1988). The relationship of first intercourse to later sexual functioning concems of adolescents. Journal of Adolescent Research, 3, 345-362.
31.
Leigh, B. C.
(1990). The relationship of substance use during sex to high-risk sexual behavior. Journal of Sex Research, 27, 199-214.
32.
Martin, J.
(1990). Drug use and unprotected anal intercourse among gay men. Health Psychology, 9, 450-465.
33.
McFarland, S. G.
, & Sparks, C. M. (1985). Age, education, and the internal consistency of personality scales. Journal of Personality and Social Psychology, 49, 1692-1702.
34.
Miller, H. G.
, Turner, C. F., & Moses, L. E. (1990). AIDS: The second decade. Washington, DC: National Academy Press.
35.
Penkower, L.
, Dew, M. A., Kingsley, L., Becker, J. T., Satz, P., Schaerf, F. W., & Sheridan, K. (1991). Behavioral, health, and psychosocial factors and risk for HIV infection among sexually active homosexual men: The Multicenter AIDS Cohort Study. American Journal of Public Health, 81, 194-196.
36.
Pleck, J. H.
(1989). Correlates of Black adolescent males' condom use. Journal of Adolescent Research, 4, 247-253.
37.
Reinisch, J. M.
, Sanders, S. A., & Ziemba-Davis, M. (1988). The study of sexual behavior in relation to the transmission of human immunodeficiency virus: Caveats and recommendations. American Psychologist, 43, 921-927.
38.
Samuel, W.
(1980). Mood and personality correlates of IQ by race and sex of subject. Journal of Personality and Social Psychology, 38,993-1004.
39.
Siegel, K.
, Mesagno, F. P., Chen, J. Y., & Christ, G. (1989). Factors distinguishing homosexual males practicing risky and safer sex. Social Science and Medicine, 28, 561-569.
40.
Stall, R.
, McKusick, L., Wiley, J., Coates, T. J. & Ostrow, D. G. (1986). Alcohol and drug use during sexual activity and compliance with safe sex guidelines for AIDS: The AIDS Behavioral Research Project. Health Education Quarterly, 13, 359-371.
41.
Stiffman, A. R.
, & Earls, F. (1990). Behavioral risks for human immunodeficiency virus infection in adolescent medical patients. Pediatrics, 85, 303-310.
42.
Turner, C. F.
, Miller, H. G., & Moses, L. E. (Eds.). (1989).AIDS, sexualbehavior and intravenous drug use. Washington, DC: National Academy Press.
43.
Tyler, F. B.
(1978). Individual psychosocial competence: A personality configuration. Educational and Psychological Measurement, 38, 309-343.
44.
Valdiserri, R. O.
, Lyter, D., Leviton, L. C., Callahan, C. M., Kingsley, L. A., & Rinaldo, C. R. (1988). Variables influencing condom use in a cohort of gay and bisexual men. American Journal of Public Health, 78, 801-805.
45.
Weddle, K. D.
, McKenry, P. C., & Leigh, G. K. (1988). Adolescent sexual behavior: Trends and issues in research. Journal of Adolescent Research, 3, 245-257.
