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Comparison of Substance Use Typologies as Predictors of Sexual Risk Outcomes in African American Adolescent Females

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Abstract

African American female adolescents have a disproportionate risk of sexually transmitted infections (STIs) and other adverse sexual health outcomes. Both alcohol and marijuana use have been shown to predict sexual risk among young African American women. However, no studies have attempted to differentiate alcohol and marijuana typologies use as predictors of sexual risk outcomes exclusively among adolescents who use these substances. This study compared recent alcohol and/or marijuana use as predictors of sexual risk outcomes over 18 months among 182 African American female adolescents. African American females (14–20 years) completed interviews at baseline, 6-, 12-, and 18-months. At each assessment, pregnancy testing was conducted and self-collected vaginal swab specimens were assayed for Trichomonas vaginalis, Chlamydia trachomatis, and Neisseria gonorrhoeae using DNA amplification. Logistic subject-specific random-intercept models compared sexual risk outcomes during follow-up among adolescents who reported recent use of alcohol only (AO), marijuana only (MO) or both substances (A + M) at the baseline assessment. Relative to baseline AO use, baseline MO use predicted condom non-use at last sex. Relative to AO use, A + M use predicted pregnancy. Relative to MO use, A + M use predicted pregnancy and acquisition of T. vaginalis and any STI. The results suggest that African American female adolescents who use A + M may represent a priority population for STI, HIV, and pregnancy prevention efforts.

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References

  • Berger, A. T., Khan, M. R., & Hemberg, J. L. (2012). Race differences in longitudinal associations between adolescent personal and peer marijuana use and adulthood sexually transmitted infection risk. Journal of Addictive Diseases, 31, 130–142. doi:10.1080/10550887.2012.665691.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bryan, A. D., Schmiege, S. J., & Magnan, R. E. (2012). Marijuana use and risky sexual behavior among high-risk adolescents: Trajectories, risk factors, and event-level relationships. Developmental Psychology, 48, 1429–1442. doi:10.1037/a0027547.

    Article  PubMed  Google Scholar 

  • Caliendo, A. M., Jordan, J. A., Green, A. M., Ingersoll, J., Diclemente, R. J., & Wingood, G. M. (2005). Real-time PCR improves detection of Trichomonas vaginalis infection compared with culture using self-collected vaginal swabs. Infectious Diseases in Obstetrics and Gynecology, 13, 145–150. doi:10.1080/10647440500068248.

    Article  PubMed  PubMed Central  Google Scholar 

  • Centers for Disease Control and Prevention. (2010a). The role of STD detection and treatment in HIV prevention. CDC fact sheet. Retrieved from http://www.cdc.gov/std/hiv/stdfact-std-hiv.htm.

  • Centers for Disease Control and Prevention. (2010b). Leading causes of death by age group, black females–United States, 2010. Retrieved from http://www.cdc.gov/women/lcod/2010/WomenBlack_2010.pdf.

  • Centers for Disease Control and Prevention. (2012). Sexually transmitted disease surveillance 2011. Atlanta: Department of Health and Human Services.

    Google Scholar 

  • Chun, T. H., Spirito, A., Hernandez, L., Fairlie, A. M., Sindelar-Manning, H., Eaton, C. A., & Lewander, W. J. (2010). The significance of marijuana use among alcohol-using adolescent emergency department patients. Academic Emergency Medicine, 17, 63–71. doi:10.1111/j.1553-2712.2009.00615.x.

    Article  PubMed  PubMed Central  Google Scholar 

  • Connell, C. M., Gilreath, T. D., & Hansen, N. B. (2009). A multiprocess latent class analysis of the co-occurrence of substance use and sexual risk behavior among adolescents. Journal of Studies on Alcohol and Drugs, 70, 943–951.

    Article  PubMed  PubMed Central  Google Scholar 

  • Conway, K. P., Vullo, G. C., Nichter, B., Wang, J., Compton, W. M., Iannotti, R. J., & Simons-Morton, B. (2013). Prevalence and patterns of polysubstance use in a nationally representative sample of 10th graders in the United States. Journal of Adolescent Health, 52, 716–723. doi:10.1016/j.jadohealth.2012.12.006.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cook, R. L., & Clark, D. B. (2005). Is there an association between alcohol consumption and sexually transmitted diseases? A systematic review. Sexually Transmitted Diseases, 32, 156–164.

    Article  PubMed  Google Scholar 

  • Cooper, M. L. (2002). Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol, Suppl. 14, 101–117.

    Article  Google Scholar 

  • Crosby, R., DiClemente, R. J., Wingood, G. M., Harrington, K., Davies, S. L., Hook, E. W., & Oh, M. K. (2002a). Predictors of infection with Trichomonas vaginalis: A prospective study of low income African-American adolescent females. Sexually Transmitted Infections, 78, 360–364.

    Article  PubMed  PubMed Central  Google Scholar 

  • Crosby, R. A., DiClemente, R. J., Wingood, G. M., Harrington, K., Davies, S., Hook, E. W., & Oh, M. K. (2002b). Psychosocial predictors of pregnancy among low-income African-American adolescent females: A prospective analysis. Journal of Pediatric and Adolescent Gynecology, 15, 293–299.

    Article  PubMed  Google Scholar 

  • DiClemente, R. J., Wingood, G., Rose, E., Latham, T., Hardin, J., & Caliendo, A. (2010). Brief cell-phone delivered counseling as a novel strategy to enhance maintenance of HIV behavioral intervention efficacy: Results from a supplemental treatment effectiveness trial. In Paper presented at the International AIDS Conference, Vienna, Austria.

  • DiClemente, R. J., Wingood, G. M., Rose, E. S., Sales, J. M., Lang, D. L., Caliendo, A. M., … Crosby, R. A. (2009). Efficacy of sexually transmitted disease/human immunodeficiency virus sexual risk-reduction intervention for African American adolescent females seeking sexual health services: A randomized controlled trial. Archives of Pediatrics and Adolescent Medicine, 163, 1112–1121. doi:10.1001/archpediatrics.2009.205.

  • DiClemente, R. J., Wingood, G. M., Sales, J. M., Brown, J. L., Rose, E. S., Davis, T. L., Caliendo, A. M., … Hardin, J. (2014). Efficacy of a telephone-delivered sexually transmitted infection/human immunodeficiency virus prevention maintenance intervention for adolescents: a randomized clinical trial. JAMA Pediatrics, 168, 938–946. doi:10.1001/jamapediatrics.2014.1436.

  • Earleywine, M., & Newcomb, M. D. (1997). Concurrent versus simultaneous polydrug use: Prevalence, correlates, discriminant validity, and prospective effects on health outcomes. Experimental and Clinical Psychopharmacology, 5, 353–364.

    Article  PubMed  Google Scholar 

  • Elkington, K. S., Teplin, L. A., Mericle, A. A., Welty, L. J., Romero, E. G., & Abram, K. M. (2008). HIV/sexually transmitted infection risk behaviors in delinquent youth with psychiatric disorders: A longitudinal study. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 901–911. doi:10.1097/CHI.0b013e318179962b.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gilchrist, L. D., Hussey, J. M., Gillmore, M. R., Lohr, M. J., & Morrison, D. M. (1996). Drug use among adolescent mothers: Prepregnancy to 18 months postpartum. Journal of Adolescent Health, 19, 337–344. doi:10.1016/S1054-139X(96)00052-3.

    Article  PubMed  Google Scholar 

  • Guo, J., Chung, I. J., Hill, K. G., Hawkins, J. D., Catalano, R. F., & Abbott, R. D. (2002). Developmental relationships between adolescent substance use and risky sexual behavior in young adulthood. Journal of Adolescent Health, 31, 354–362.

    Article  PubMed  Google Scholar 

  • Hendershot, C. S., Magnan, R. E., & Bryan, A. D. (2010). Associations of marijuana use and sex-related marijuana expectancies with HIV/STD risk behavior in high-risk adolescents. Psychology of Addictive Behaviors, 24, 404–414. doi:10.1037/a0019844.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hodder, S. L., Justman, J., Haley, D. F., Adimora, A. A., Fogel, C. I., Golin, C. E., … HIV Prevention Trials Network Domestic Prevention in Women Working Group. (2010). Challenges of a hidden epidemic: HIV prevention among women in the United States. Journal of Acquired Immune Deficiency Syndromes, 55(Suppl. 2), S69–S73. doi:10.1097/QAI.0b013e3181fbbdf9.

  • Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2012). Monitoring the future national results on adolescent drug use: Overview of key findings, 2011. Ann Arbor: Institute for Social Research, University of Michigan.

    Google Scholar 

  • Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2013). Monitoring the future national results on adolescent drug use: Overview, key findings on adolescent drug use, 2012. Ann Arbor: Institute for Social Research, University of Michigan.

    Google Scholar 

  • Khan, M. R., Berger, A. T., Wells, B. E., & Cleland, C. M. (2012). Longitudinal associations between adolescent alcohol use and adulthood sexual risk behavior and sexually transmitted infection in the United States: Assessment of differences by race. American Journal of Public Health, 102, 867–876. doi:10.2105/AJPH.2011.300373.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kingree, J. B., Braithwaite, R., & Woodring, T. (2000). Unprotected sex as a function of alcohol and marijuana use among adolescent detainees. Journal of Adolescent Health, 27, 179–185.

    Article  PubMed  Google Scholar 

  • Kingree, J. B., & Thompson, M. (2007). Sexually-related expectancies for alcohol use and marijuana use among juvenile detainees. Addictive Behaviors, 32, 1936–1942. doi:10.1016/j.addbeh.2006.12.020.

    Article  PubMed  Google Scholar 

  • Krashin, J. W., Koumans, E. H., Bradshaw-Sydnor, A. C., Braxton, J. R., Evan Secor, W., Sawyer, M. K., & Markowitz, L. E. (2010). Trichomonas vaginalis prevalence, incidence, risk factors and antibiotic-resistance in an adolescent population. Sexually Transmitted Diseases, 37, 440–444. doi:10.1097/OLQ.0b013e3181cfcd8c.

    PubMed  Google Scholar 

  • Miller, W. C., Swygard, H., Hobbs, M. M., Ford, C. A., Handcock, M. S., Morris, M., … Udry, J. R. (2005). The prevalence of trichomoniasis in young adults in the United States. Sexually Transmitted Diseases, 32, 593–598.

  • Seth, P., Sales, J. M., DiClemente, R. J., Wingood, G. M., Rose, E., & Patel, S. N. (2011a). Longitudinal examination of alcohol use: A predictor of risky sexual behavior and Trichomonas vaginalis among African-American female adolescents. Sexually Transmitted Diseases, 38, 96–101. doi:10.1097/OLQ.0b013e3181f07abe.

    Article  PubMed  Google Scholar 

  • Seth, P., Wingood, G. M., DiClemente, R. J., & Robinson, L. S. (2011b). Alcohol use as a marker for risky sexual behaviors and biologically confirmed sexually transmitted infections among young adult African-American women. Women’s Health Issues, 21, 130–135. doi:10.1016/j.whi.2010.10.005.

    Article  PubMed  PubMed Central  Google Scholar 

  • Shillington, A. M., & Clapp, J. D. (2001). Substance use problems reported by college students: Combined marijuana and alcohol use versus alcohol-only use. Substance Use and Misuse, 36, 663–672.

    Article  PubMed  Google Scholar 

  • Shillington, A. M., & Clapp, J. D. (2002). Beer and bongs: Differential problems experienced by older adolescents using alcohol only compared to combined alcohol and marijuana use. American Journal of Drug and Alcohol Abuse, 28, 379–397.

    Article  PubMed  Google Scholar 

  • Simons, J., Correia, C. J., & Carey, K. B. (2000). A comparison of motives for marijuana and alcohol use among experienced users. Addictive Behaviors, 25, 153–160.

    Article  PubMed  Google Scholar 

  • Staras, S. A., Tobler, A. L., Maldonado-Molina, M. M., & Cook, R. L. (2011). Riskier sexual partners contribute to the increased rate of sexually transmitted diseases among youth with substance use disorders. Sexually Transmitted Diseases, 38, 413–418. doi:10.1097/OLQ.0b013e31820279a7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Stoner, B. P., Whittington, W. L., Hughes, J. P., Aral, S. O., & Holmes, K. K. (2000). Comparative epidemiology of heterosexual gonococcal and chlamydial networks: Implications for transmission patterns. Sexually Transmitted Diseases, 27, 215–223.

    Article  PubMed  Google Scholar 

  • Substance Abuse and Mental Health Services Administration. (2011). The NSDUH report: Substance use among Black adolescents. Rockville, MD: Substance Abuse and Mental Health Services Administration.

    Google Scholar 

  • Substance Abuse and Mental Health Services Administration. (2013). Results from the 2012 national survey on drug use and health: Summary of national findings. NSDUH series H-46, HHS publication no. (SMA) 13-4795. Rockville, MD: Substance Abuse and Mental Health Services Administration.

  • Sumnall, H. R., Beynon, C. M., Conchie, S. M., Riley, S. C. E., & Cole, J. C. (2007). An investigation of the subjective experiences of sex after alcohol or drug intoxication. Journal of Psychopharmacology, 21, 525–537. doi:10.1177/0269881106075590.

    Article  PubMed  Google Scholar 

  • Sussman, S., Pokhrel, P., Ashmore, R. D., & Brown, B. B. (2007). Adolescent peer group identification and characteristics: A review of the literature. Addictive Behaviors, 32, 1602–1627. doi:10.1016/j.addbeh.2006.11.018.

    Article  PubMed  PubMed Central  Google Scholar 

  • Swartzendruber, A., Sales, J. M., Brown, J. L., DiClemente, R. J., & Rose, E. S. (2014). Typologies of recent alcohol and marijuana use uniquely predict sexual risk outcomes among African American female adolescents. Manuscript submitted for publication.

  • Van Der Pol, B., Ferrero, D. V., Buck-Barrington, L., Hook, E., Lenderman, C., Quinn, T., … Jones, R. B. (2001). Multicenter evaluation of the BDProbeTec ET system for detection of Chlamydia trachomatis and Neisseria gonorrhoeae in urine specimens, female endocervical swabs, and male urethral swabs. Journal of Clinical Microbiology, 39, 1008–1016. doi:10.1128/JCM.39.3.1008-1016.2001.

  • Weinstock, H., Berman, S., & Cates, W. (2004). Sexually transmitted diseases among American youth: Incidence and prevalence estimates, 2000. Perspectives on Sexual and Reproductive Health, 36, 6–10. doi:10.1363/psrh.36.6.04.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA, 30322, USA

    Andrea Swartzendruber, Jessica M. Sales, Jennifer L. Brown, Ralph J. DiClemente & Eve S. Rose

  2. Centers for AIDS Research, Emory University, Atlanta, GA, USA

    Andrea Swartzendruber, Jessica M. Sales, Jennifer L. Brown & Ralph J. DiClemente

  3. Division of Infectious Diseases, Epidemiology, and Immunology, Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA

    Ralph J. DiClemente

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  1. Andrea Swartzendruber
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  2. Jessica M. Sales
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  3. Jennifer L. Brown
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  4. Ralph J. DiClemente
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  5. Eve S. Rose
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Correspondence to Andrea Swartzendruber.

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Swartzendruber, A., Sales, J.M., Brown, J.L. et al. Comparison of Substance Use Typologies as Predictors of Sexual Risk Outcomes in African American Adolescent Females. Arch Sex Behav 45, 63–72 (2016). https://doi.org/10.1007/s10508-015-0518-0

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  • DOI: https://doi.org/10.1007/s10508-015-0518-0

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