Journal of Behavioral Medicine

, Volume 18, Issue 1, pp 81–95 | Cite as

Alcohol use and contraception in first sexual experiences

  • Barbara C. Leigh
  • John Schafer
  • Mark T. Temple


Recent research has suggested that the use of alcohol or drugs in conjunction with sexual intercourse is associated with nonuse of contraception, particularly in first intercourse experiences. This paper reports findings from a nationally representative sample of adolescents and young adults aged 18–30 who were asked a number of questions about the circumstances and characteristics of the first time they had intercourse. Results showed that drinking at the time of first intercourse was more prevalent among those who first had sex prior to 1985; moreover, members of this cohort were less likely to use condoms or other forms of birth control at the time of first intercourse. Drinking was associated with nonuse of contraception only among those who had their first sexual experience prior to 1985. The results are discussed in terms of historical changes in the sexual climate of the AIDS era.

Key words

alcohol contraception national sample sexual intercourse 


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  1. Aral, S. O., and Holmes, K. K. (1990). Epidemiology of sexually transmitted diseases. In Holmes, K. K. et al. (eds.),Sexually Transmitted Diseases. McGraw-Hill, New York.Google Scholar
  2. Bentler, P. M., and Newcomb, M. D. (1986). Personality, sexual behavior, and drug use revealed through latent variable methods.Clin. Psychol. Rev. 6: 363–385.Google Scholar
  3. Biglan, A., Metzler, C. W., Wirt, R., Ary, D., Noell, J., Ochs, L., French, C., and Hood, D. (1990). Social and behavioral factors associated with high-risk sexual behavior among adolescents.J. Behav. Med. 13: 245–261.PubMedGoogle Scholar
  4. Cates, W. (1991). Teenagers and sexual risk taking: The best of times and the worst of times.J. Adolesc. Health Care 12: 84–94.Google Scholar
  5. Coles, R., and Stokes, G. (1985).Sex and the American Teenager, Harper & Row, New York.Google Scholar
  6. Cooper, M. L., Peirce, R. S., and Huselid, R. F. (1994). Substance use and sexual risk taking among black and white adolescents.Health Psychol. 13: 251–262.PubMedGoogle Scholar
  7. Curran, J. W., Jaffe, H. W., Hardy, A. M., Morgan, W. M., Selik, R., and Dondero, T. J. (1988). Epidemiology of HIV infection and AIDS in the United States.Science 239: 610–616.PubMedGoogle Scholar
  8. Donovan, J. E., and Jessor, R. (1985). Structure of problem behavior in adolescence and young adulthood.J. Consult. Clin. Psychol. 53: 890–904.PubMedGoogle Scholar
  9. Donovan, J. E., Jessor, R., and Costa, F. M. (1988). Syndrome of problem behavior in adolescence: A replication.J. Consult. Clin. Psychol. 56: 762–765.PubMedGoogle Scholar
  10. Ehrhardt, A. A., and Wasserheit, J. N. (1991). Age, gender and sexual risk behaviors for sexually transmitted disease in the United States. In Wasserheit, J. N., Aral, S. O., Holmes, K. K., and Hitchcock, P. J. (eds.),Research Issues in Human Behavior and Sexually Transmitted Diseases in the AIDS Era, American Society for Microbiology, Washington, DC.Google Scholar
  11. Elliot, D. S., and Morse, B. J. (1989). Delinquency and drug use as risk factors in teenage sexual activity.Youth Society 21: 32–60.Google Scholar
  12. Flanigan, B. J., and Hitch, M. A. (1986). Alcohol use, sexual intercourse, and contraception: An exploratory study.J. Alcohol Drug Educ. 31(3): 6–40.PubMedGoogle Scholar
  13. Haavio-Mannila, E., Kontula, O., Weinberg, M. S., and Sprecher, S. (1990). Sex, alcohol and gender: A study of Finnish university students.Nordisk Sexol. 8: 268–281.Google Scholar
  14. Hayes, C. D. (ed.) (1987).Risking the Future, National Academy Press, Washington, DC.Google Scholar
  15. Howard, J., Taylor, J. A., Ganikos, M. L., Holder, H. D., Godwin, D. F., and Taylor, E. D. (1988). An overview of prevention research: Issues, answers, and new agendas.Public Health Rep. 103: 674–683.PubMedGoogle Scholar
  16. Jessor, R., and Jessor, S. (1977).Problem Behavior and Psychosocial Development: A Longitudinal Study of Youth, Academic, New York.Google Scholar
  17. Keller, S. E., Bartlett, J. A., Schleifer, S. J., Johnson, R. L., Pinner, E., and Delaney, B. (1991). HIV-relevant sexual behavior among a healthy inner-city heterosexual adolescent population in an endemic area of HIV.J. Adoles. Health 121: 44–48.Google Scholar
  18. Kraft, P., Rise, J., and Traeen, B. (1990). The HIV epidemic and changes in the use of contraception among Norwegian adolescents.AIDS 4: 673–678.PubMedGoogle Scholar
  19. Leigh, B. C., and Morrison, D. M. (1991). Alcohol consumption and sexual risk-taking in adolescents.Alcohol Health Res. World 15(2): 58–63.Google Scholar
  20. Leigh, B. C., and Stall, R. (1993). Substance abuse and risky sexual behavior for exposure to HIV: Issues in methodology, interpretation, and prevention.Am. Psychol. 48: 1035–1045.PubMedGoogle Scholar
  21. Leishman, K. (1987). Heterosexuals and AIDS.Atlantic Monthly Feb.: 39–58.Google Scholar
  22. MacDonald, N. E., Wells, G. A., Fisher, W. A., Warren, W. K., King, M. A., Doherty, J. A., and Bowie, W. R. (1990). High-risk STD/HIV behavior among college students.JAMA 263(23): 3155–3159.PubMedGoogle Scholar
  23. Martin, J. L. (1990). Drug use and unprotected anal intercourse among gay men.Health Psychol. 9: 450–465.PubMedGoogle Scholar
  24. Martin, J. E., Trocki, K., and Temple, M. (1990, August). Drinking, drug use, and other correlates of unsafe sexual behavior among college students. Presented at the Annual Meeting of the American Public Health Association, New York.Google Scholar
  25. Masters, W. H., Johnson, V. E., and Kolodny, R. C. (1988).Crisis: Heterosexual Behavior in the Age of AIDS, Grove, New York.Google Scholar
  26. Miller, H. G., Turner, C. F., and Moses, L. E. (eds.) (1990).AIDS: The Second Decade, National Academy Press, Washington, DC.Google Scholar
  27. Morrison, D. M. (1985). Adolescent contraceptive behavior: A review.Psychol. Bull. 98: 538–568.PubMedGoogle Scholar
  28. Mott, F. L., and Haurin, R. J. (1988). Linkages between sexual activity and alcohol and drug use among American adolescents.Family Plan. Perspect. 20: 128–136.Google Scholar
  29. Muthen, B. (1988).LISCOMP: Analysis of Linear Structural Equations with a Comprehensive Measurement Model, Scientific Software, Inc., Mooresville, IN.Google Scholar
  30. New ads link aloohol and AIDS (1991).Prevention File, Winter: 21.Google Scholar
  31. Newcomb, M. D., and Bentler, P. M. (1988).Consequences of Adolescent Drug Use, Sage, Newbury Park, CA.Google Scholar
  32. Orr, D. P., Beiter, M., and Ingersoll, G. (1991). Premature sexual activity as an indicator of psychosocial risk.Pediatrics 87: 141–147.PubMedGoogle Scholar
  33. Osgood, D. W., Johnston, L. D., O'Malley, P. M., and Bachman, J. G. (1988). The generality of deviance in late adolescence and early adulthood.Am. Sociol. Rev. 53: 81–93.Google Scholar
  34. Ostrow, D. (1986). Barriers to the recognition of links between drug and alcohol abuse and AIDS. InAcquired Immune Deficiency Syndrome and Chemical Dependence, DHHS Publ. ADM 877-1513, USGPO, Washington, DC, pp. 15–20.Google Scholar
  35. Robertson, J. A., and Plant, M. A. (1988). Alcohol, sex and risks of HIV infection.Drug Alcohol Depend. 22: 75–78.PubMedGoogle Scholar
  36. Sonenstein, F. L., Pleck, J. H., and Ku, L. C. (1989). Sexual activity, condom use and AIDS awareness among adolescent males.Family Plan. Perspect. 21: 152–158.Google Scholar
  37. Teenagers told using drugs risks AIDS (1990).ADAMHA News Sept.–Oct.: 21–22.Google Scholar
  38. Temple, M. T., and Leigh, B. C. (1992). Alcohol consumption and unsafe sexual behavior in discrete events.J. Sex. Res. 29: 207–219.Google Scholar
  39. Temple, M. T., Leigh, B. C., and Schafer, J. (1993). Unsafe sexual behavior and alcohol use at the event level: Results of a national survey.AIDS 6: 393–401.Google Scholar
  40. Trocki, K. (1991). Association of alcohol use and sexual behavior in a national survey of adolescents. Presented at the Annual Meeting of the Research Society on Alcoholism, Marco Island, FL.Google Scholar
  41. Wilson, G. T. (1981). The effects of alcohol on human sexual behavior. In Mello, N. (ed.),Advances in Substance Abuse, Vol. 2, JAI Press, Greenwich, CT, pp. 1–40.Google Scholar
  42. Zabin, L. S., Hardy, J. B., Smith, E. A., and Hirsch, M. B. (1986). Substance use and its relation to sexual activity among inner-city adolescents.J. Adolesc. Health Care 7: 320–333.PubMedGoogle Scholar
  43. Zucker, R., Battistich, V., and Langer, G. (1981). Sexual behavior, sex-role adaptation and drinking in young women.J. Stud. Alcohol 42: 457–465.PubMedGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1995

Authors and Affiliations

  • Barbara C. Leigh
    • 1
  • John Schafer
    • 1
  • Mark T. Temple
    • 1
  1. 1.Alcohol Research GroupBerkeley

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