Journal of Community Health

, Volume 40, Issue 2, pp 308–313 | Cite as

Self-reported Ecstasy (MDMA) Use and Past Occurrence of Sexually Transmitted Infections (STIs) in a Cohort Juvenile Detainees in the USA

  • Torrance StephensEmail author
  • Rhonda Conerly Holliday
  • Jerriyauna Jarboe
Original Paper


The current study was designed to determine the extent to which self-reported ecstasy use in a population of juvenile adolescent detainees in a southern state is associated with high-risk health behaviors pertaining to sexually transmitted infection (STI) symptomology and past history of STI occurrence. Participants were 2,260 juvenile offenders housed at selected Youth Development Campuses in the state of Georgia. Adjusted odds ratios (ORs) with 95 % confidence intervals (CIs) are presented. Juveniles who reported having used ecstasy previously were more likely to report that they had sore bumps of blisters near their sex organs before (OR 1.28, 95 % CI 0.74–2.21), with males who had used ecstasy prior incarceration being more than two times more likely to indicated that they had experienced having a drip or drainage from the penis (OR 1.76, 95 % CI 0.72–4.32), having vaginal discharge or odor from their vagina (OR 2.33, 95 % CI 1.16–4.65).


Adolescents Ecstasy (MDMA) Sexually transmitted infections (STIs) Juvenile detainees 



This research was funded by the National Institute on Alcohol Abuse and Alcoholism (1 R01 AA11767).


  1. 1.
    Centers for Disease Control and Prevention. (2007). HIV/AIDS surveillance report, 2005 (Vol. 17, Rev. ed.). Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.
  2. 2.
    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.CrossRefPubMedGoogle Scholar
  3. 3.
    Bair, R. M., Baillargeon, J. G., Kelly, P. J., et al. (2005). Prevalence and risk factors for hepatitis C virus infection among adolescents in detention. Archives of Pediatrics and Adolescent Medicine, 159(11), 1015–1018.CrossRefPubMedGoogle Scholar
  4. 4.
    Castrucci, B. C., & Martin, S. L. (2002). The association between substance use and risky sexual behaviors among incarcerated adolescents. Maternal and Child Health Journal, 6(1), 43–47.CrossRefPubMedGoogle Scholar
  5. 5.
    Kingree, J. B., & Betz, H. (2003). Risky sexual behavior in relation to marijuana and alcohol use among African-American, male adolescent detainees and their female partners. Drug and Alcohol Dependence, 72(2), 197–203.CrossRefPubMedGoogle Scholar
  6. 6.
    Lammers, C., Ireland, M., Resnick, M., & Blum, R. (2000). Influences on adolescents’ decision to postpone onset of sexual intercourse: A survival analysis of virginity among youths aged 13 to 18 years. Journal of Adolescent Health, 26(1), 42–48.CrossRefPubMedGoogle Scholar
  7. 7.
    Robertson, A. A., Stein, J. A., & Baird-Thomas, C. (2006). Gender differences in the prediction of condom use among incarcerated juvenile offenders: Testing the information-motivation-behavior skills (IMB) model. Journal of Adolescent Health, 38(1), 18–25.CrossRefPubMedGoogle Scholar
  8. 8.
    Lucenko, B. A., Malow, R. M., Sanchez-Martinez, M., et al. (2003). Negative affect and HIV risk in alcohol and other drug (AOD) abusing adolescent offenders. Journal of Child & Adolescent Substance Abuse., 13(1), 1–17.CrossRefGoogle Scholar
  9. 9.
    Cohen, D. A., Farley, T. A., Taylor, S. N., et al. (2002). When and where do youths have sex? The potential role of adult supervision. Pediatrics, 110(6), e66.CrossRefPubMedGoogle Scholar
  10. 10.
    Robillard, A. G., Conerly, R. C., Braithwaite, R. L., et al. (2005). c. American Journal of Health Studies, 20(1/2), 106–114.Google Scholar
  11. 11.
    SAMHSA. (2008). Results from the 2007 national survey on drug use and health: National findings. NSDUH series H-34, DHHS publication no. SMA 08-4343. Rockville, MD: Office of Applied Studies, Substance Abuse and Mental Health Services Administration.Google Scholar
  12. 12.
    SAMHSA. (2006). Results from the 2005 national survey on drug use and health: National findings office of applied studies. Rockville, MD: Substance Abuse and Mental Health Services Administration.Google Scholar
  13. 13.
    Puente, C. P., Gutierrez, J. L. G., Abellan, I. C., & Lopez, A. L. (2008). Sensation seeking, attitudes toward drug use, and actual use among adolescents: Testing a model for alcohol and ecstasy use. Substance Use and Misuse, 43, 1615–1627.CrossRefPubMedGoogle Scholar
  14. 14.
    Martins, S. S., & Alexandre, P. K. (2009). The association of ecstasy use and academic achievement among adolescents in two U.S. national surveys. Addictive Behaviors, 34, 9–16.CrossRefPubMedCentralPubMedGoogle Scholar
  15. 15.
    Martins, S. S., Ghandour, L. A., & Chilcoat, H. D. (2007). Pathways between ecstasy initiation and other drug use. Addictive Behaviors, 32, 1511–1518.CrossRefPubMedCentralPubMedGoogle Scholar
  16. 16.
    Martins, S. S., Mazzotti, G., & Chilcoat, H. D. (2006). Recent-onset ecstasy use: Association with deviant behaviors and psychiatric comorbidity. Experimental and Clinical Psychopharmacology., 14, 275–286.CrossRefPubMedGoogle Scholar
  17. 17.
    Martins, S. S., Storr, C. L., Alexandre, P. K., & Chilcoat, H. D. (2008). Adolescent ecstasy and other drug use in the national survey of parents and youth: The role of sensation-seeking, parental monitoring and peer’s drug use. Addictive Behaviors, 33, 919–933.CrossRefPubMedCentralPubMedGoogle Scholar
  18. 18.
    National Institute of Drug Abuse. (2006). MDMA (ecstasy) abuse. Retrieved from
  19. 19.
    Montgomery, C., & Fisk, J. E. (2008). Ecstasy-related deficits in the updating component of executive processes. Human Psychopharmacology: Clinical and Experimental, 23, 495–511.CrossRefGoogle Scholar
  20. 20.
    Cowan, R. L., Joers, J. M., & Dietrich, M. S. (2009). N-acetylaspartate (NAA) correlates inversely with cannabis use in a frontal language processing region of neocortex in MDMA (ecstasy) polydrug users: A 3 T magnetic resonance spectroscopy study. Pharmacology, Biochemistry and Behavior, 92, 105–110.CrossRefPubMedGoogle Scholar
  21. 21.
    Schierenbeck, T., Riemann, D., Berger, M., & Hornyak, M. (2008). Effect of illicit recreational drugs upon sleep: Cocaine, ecstasy and marijuana. Sleep Medicine Reviews, 12, 381–389.CrossRefPubMedGoogle Scholar
  22. 22.
    Connor, T. J. (2004). Methylenedioxymethamphetamine (MDMA, ‘ecstasy’): A stressor on the immune system. Immunology, 111, 357–367.CrossRefPubMedCentralPubMedGoogle Scholar
  23. 23.
    Buchert, R., Obrocki, J., Thomasius, R., Vaterlein, O., Petersen, K., Jenicke, L., et al. (2001). Long-term effects of ‘ecstasy’ abuse on the human brain studied by FDG PET. Nuclear Medicine Communications, 22, 889–897.CrossRefPubMedGoogle Scholar
  24. 24.
    Shafer, M. A., Hilton, J. F., Ekstrand, M., et al. (1993). Relationship between drug use and sexual behaviors and the occurrence of sexually transmitted diseases among high-risk male youth. Sexually Transmitted Diseases, 20, 307–313.CrossRefPubMedGoogle Scholar
  25. 25.
    Canterbury, R. J., McGarvey, E. L., Sheldon-Keller, A. E., Waite, D., Reams, P., & Koopman, C. (1995). Prevalence of HIVrelated risk behaviors and STDs among incarcerated adolescents. Journal of Adolescent Health, 17, 173–177.CrossRefPubMedGoogle Scholar
  26. 26.
    Lawrence, J. S., Snodgrass, C. E., Robertson, A., & Baird-Thomas, C. (2008). Minimizing the risk of pregnancy, sexually transmitted diseases, and HIV among incarcerated adolescent girls. Criminal Justice and Behavior, 35(12), 1500–1514.CrossRefGoogle Scholar
  27. 27.
    Teplin, L. A., Mericle, A. A., McClelland, G. M., & Abram, K. M. (2003). HIV and AIDS risk behaviors in juvenile detainees: Implications for public health policy. American Journal of Public Health, 93, 906–912.CrossRefPubMedCentralPubMedGoogle Scholar
  28. 28.
    von Sydowb, K., Liebb, R., Pfisterb, H., et al. (2002). Use, abuse and dependence of ecstasy and related drugs in adolescents and young adults—A transient phenomenon? Results from a longitudinal community study. Drug and Alcohol Dependence, 66(2), 147–159.CrossRefGoogle Scholar
  29. 29.
    Kim, J., Fan, B., Liu, X., et al. (2011). Ecstasy use and suicidal behavior among adolescents: Findings from a national survey. Suicide and Life-Threatening Behavior., 41(4), 435–444.CrossRefPubMedCentralPubMedGoogle Scholar
  30. 30.
    Ochs, E. P., & Binik, Y. M. (1999). The use of couple data to determine the reliability of self-reported sexual behavior. Journal of Sex Research, 36, 374–384.CrossRefGoogle Scholar
  31. 31.
    Jaccard, J., & Wan, C. K. (1995). A paradigm for studying the accuracy of self-reports of risk behavior relevant to AIDS: Empirical perspectives on stability, recall bias, and transitory influences. Journal of Applied Social Psychology, 25, 1831–1858.CrossRefGoogle Scholar
  32. 32.
    Stephens, T. T., Watkins, J., Taylor, S., Braithwaite, R., et al. (1997). Perceptions of vulnerability to AIDS among African American men: Considerations for primary preventive counseling for undergraduates. Social Behavior and Personality, 25(1), 77–91.CrossRefGoogle Scholar
  33. 33.
    Fettes, D. L., Aarons, G. A., & Green, A. E. (2013). Higher Rates of adolescent substance use in child welfare versus community populations in the United States. Journal of Study of Alcohol and Drugs., 74(6), 825–834.Google Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Torrance Stephens
    • 1
    • 2
    Email author
  • Rhonda Conerly Holliday
    • 3
  • Jerriyauna Jarboe
    • 4
  1. 1.Department of PsychologyClark Atlanta UniversityAtlantaUSA
  2. 2.Department of Political ScienceClark Atlanta UniversityAtlantaUSA
  3. 3.Preventive MedicineMorehouse School of MedicineAtlantaUSA
  4. 4.Department of BiologyClark Atlanta UniversityAtlantaUSA

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