Substance use and risky sexual behavior in female adolescents

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Abstract

The purpose of this study was to elucidate the etiological pathways towards substance use and risky sexual behavior in female adolescent substance abusers. The study had three aims: (1) to determine the relations between behavioral dysregulation, negative affectivity, and childhood victimization with substance use and risky sexual behavior, (2) to determine whether these relations are mediated by internalizing symptomatology, antisocial behavior, and affiliating with an adult boyfriend; and (3) to determine whether age of menarche moderates the relation between the mediating variables and substance use and risky sexual behavior. Multiple behavioral, psychiatric interview, and self-report measures were used to index behavioral dysregulation, negative affectivity, childhood victimization, internalizing symptomatology, antisocial behavior, affiliation with adult boyfriends, substance use, and risky sexual behavior in 125 substance abusing female adolescents and 78 controls between the ages of 14–18 years. Structural equation modeling was used to determine the etiological pathways. Results indicated that behavioral dysregulation, negative affectivity, and childhood victimization were related to substance use and risky sexual behavior. Age of menarche was significantly correlated with affiliation with an older boyfriend and risky sexual behavior. Antisocial behavior mediated the associations between behavioral dysregulation, negative affectivity and childhood victimization with substance use and risky sexual behavior. Affiliation with an adult boyfriend was directly associated with substance use involvement and accounted for the relationship between chronological age and risky sexual behavior. Finally, late menarche enhanced the association between internalizing symptomatology and substance use involvement. The results highlight the importance of behavioral dysregulation, negative affectivity, and childhood victimization in predicting substance use and risky sexual behavior, as well as the finding that antisocial behavior and affiliation with an adult boyfriend may be etiologically important in predicting these outcomes. Therefore, from a prevention and treatment standpoint, behavioral and affective dysregulation, childhood victimization as well as antisocial behavior may serve as clinical ‘gateways’ for altering the developmental trajectory toward substance use and risky sexual behavior in high risk and substance abusing youth. For example, reducing dysregulation through behavior modification procedures that have been developed for conduct disordered children would appear to be a heuristic avenue of investigation emanating from the results obtained in this study.

References (48)

  • W. Cates

    The epidemiology of sexually transmitted diseases in adolescents

  • Center for Disease Control

    Selected behaviors that increase risk for HIV infection, other sexually transmitted diseases, and unintended pregnancy among high school students—United States 1991

    Morbid. Mortal. Week. Rep.

    (1992)
  • J.M. Chandy et al.

    Female daughter's of alcohol misuser: Sexual behaviors

    J. Youth Adolesc.

    (1994)
  • K. Chirgwin et al.

    HIV infection, genital ulcer, disease and crack cocaine use among patients attending a clinic for sexually transmitted diseases

    Am. J. Public Health

    (1991)
  • L.A. Clark et al.

    Temperament, personality, and the mood and anxiety disorders

    J. Abnormal Psychol.

    (1994)
  • T.V. Ellebrock et al.

    Epidemiology of women with AIDS in the United States, 1981–1990

    JAMA

    (1991)
  • D. Futterman et al.

    Management of adolescents

  • J.S. Gavaler et al.

    Sexuality of alcoholic women with menstrual cycle function: Effects of duration of alcohol abstinence

    Alcohol. Clin. Exp. Res.

    (1993)
  • H. Gayle et al.

    Epidemiology of AIDS in adolescents USA

  • W.D. Hoffman et al.

    Human Immunodeficiency virus infection in adolescents

  • Hollingshead

    Four Factor Index of Social Status

    (1975)
  • Y. Hser et al.

    Sex differences in addict careers. 1. Initiation of Use

    Am. J. Drug Alcohol Abuse

    (1987)
  • A.M. Hussong et al.

    The stress-negative affect model of adolescent alcohol use: Disaggregating negative affect

    J. Studies Alcohol

    (1994)
  • K.G. Joreskog et al.
  • Cited by (0)

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