Sex differences in alcohol and other substance use in sexual contexts among adolescents: an observational study

被引：1

作者：

Gonzalez-Casals, Helena ^{[1
,2
,3
]}

Espelt, Albert ^{[4
,5
]}

Bosque-Prous, Marina ^{[3
,4
,5
]}

Roges, Judit ^{[3
,4
,6
]}

Robles-Munoz, Marina ^{[3
,4
]}

Colom, Joan ^{[7
]}

Casabona, Jordi ^{[1
,2
,5
]}

Belza, Maria Jose ^{[5
,8
]}

Folch, Cinta ^{[1
,2
,5
]}

机构：

[1] Ctr Estudis Epidemiol Infecc Transmissio Sexual &, Dept Salut, Generalitat Catalunya, Carretera Canyet S-N, Badalona 08916, Spain

[2] Inst Invest Germans Trias I Pujol IGTP, Campus Can Ruti, Badalona, Spain

[3] Univ Oberta Catalunya, Fac Hlth Sci, Res Grp Epidemiol & Publ Hlth Digital Hlth Context, Rambla Poblenou 156, Barcelona 08018, Spain

[4] Univ Autonoma Barcelona UAB, Dept Psychobiol & Methodol Hlth Sci, Res Grp Epidemiol & Publ Hlth Digital Hlth Context, C Ca nAltayo S-N, Bellaterra 08193, Spain

[5] Ctr Invest Biomed Red Epidemiol & Salud Publ CIBER, Ave Monforte Lemos,3-5,Pabellon 11,Planta 0, Madrid 28029, Spain

[6] Univ Vic, Univ Cent Catalunya UV UCC, Fac Hlth Sci Manresa, Res Grp Epidemiol & Publ Hlth Digital Hlth Context, Ave Univ 4-6, Manresa 08242, Spain

[7] Agencia Salut Publ Catalunya, Subdireccio Gen Addicc, VIH, Infecc Transmissio Sexual & Hepatitis Vir, Barcelona, Spain

[8] Inst Salud Carlos III, Escuela Nacl Sanidad, Madrid, Spain

来源：

SEXUAL HEALTH | 2025年 / 22卷 / 02期

关键词：

adolescents; alcohol use in sexual contexts; axes of inequality; gender differences; other substance use in sexual contexts; sexual risk behaviours; socioeconomic inequalities; substance use in sexual contexts; RISK BEHAVIORS; PREVALENCE; CONSUMPTION; VIOLENCE; HEALTH; BRAIN; RATIO;

D O I：

10.1071/SH24153

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background There is a co-occurrence of adolescents' substance use and sexual practices, with an important impact on their health and health behaviours; however, limited research is conducted with adolescents. The aim of this study was to estimate the prevalence of substance use (alcohol and/or other substances) in sexual contexts and to identify its associated factors among adolescents, comparing boys and girls. Methods Cross-sectional study with data from 6352 adolescents aged 14-18 years from the DESKcohort project. Prevalence of alcohol and/or other substance use in sexual contexts (OSUSC) stratified by sex were calculated, according to axes of inequality, psychosocial factors, and sexual health and health variables. Poisson regression models with robust variance were calculated to analyse potential associations with independent variables. Results Girls (51.4% of the sample) reported a higher prevalence of alcohol use in sexual contexts than boys (43.9% vs 33.9%, P < 0.001), whereas OSUSC was reported by 12-14% of adolescents. Alcohol and/or OSUSC were associated to several risk practices, such as having multiple sexual partners and inconsistent condom use, for both sexes. Also, sexual minority orientation students, natives, and students with disadvantaged socioeconomic positions (SEPs) presented higher prevalences of substance use in sexual contexts. Conclusions These findings suggest that substance use in sexual contexts reflects a broader pattern of co-occurring risky behaviours rather than intentional sexualised substance use. Some vulnerable groups include girls, adolescents with a minority sexual orientation, and students with disadvantaged SEPs. These findings underscore the need for holistic interventions targeting adolescents' health, addressing substance use and sexual risk behaviours simultaneously to reduce potential consequences such as unplanned pregnancies and sexually transmitted infections.

引用

页数：17

共 53 条

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