AIDS and Behavior

, Volume 20, Issue 4, pp 821–832 | Cite as

Heterogeneity in the Relationship of Substance Use to Risky Sexual Behavior Among Justice-Involved Youth: A Regression Mixture Modeling Approach

  • Sarah J. SchmiegeEmail author
  • Angela D. Bryan
Original Paper


Justice-involved adolescents engage in high levels of risky sexual behavior and substance use, and understanding potential relationships among these constructs is important for effective HIV/STI prevention. A regression mixture modeling approach was used to determine whether subgroups could be identified based on the regression of two indicators of sexual risk (condom use and frequency of intercourse) on three measures of substance use (alcohol, marijuana and hard drugs). Three classes were observed among n = 596 adolescents on probation: none of the substances predicted outcomes for approximately 18 % of the sample; alcohol and marijuana use were predictive for approximately 59 % of the sample, and marijuana use and hard drug use were predictive in approximately 23 % of the sample. Demographic, individual difference, and additional sexual and substance use risk variables were examined in relation to class membership. Findings are discussed in terms of understanding profiles of risk behavior among at-risk youth.


Substance use Risky sexual behavior Justice-involved youth HIV/AIDS prevention Regression mixture modeling 



This research was supported by a Grant from the National Institute on Drug Abuse awarded to the second author (R01 DA019139) and by NIH/NCATS Colorado CTSI Grant Number UL1 TR001082, which provided support to the first author’s time in developing the manuscript. Contents are the authors’ sole responsibility and do not necessarily represent official NIH views.


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Biostatistics and Informatics, Colorado School of Public HealthUniversity of Colorado Anschutz Medical CampusAuroraUSA
  2. 2.Department of Psychology and NeuroscienceUniversity of Colorado-BoulderBoulderUSA

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