Crack cocaine use and high-risk behaviors among sexually active black adolescents.
J Adolesc Health
; 14(4): 295-300, 1993 Jun.
Article
en En
| MEDLINE
| ID: mdl-8347641
ABSTRACT
PIP: Researchers combined data from two surveys conducted in the summer of 1988 to examine the association between sexually transmitted diseases (STD) risk behaviors and crack cocaine use among sexually active, black teenagers. All of the subjects lived in an inner city neighborhood in the San Francisco Bay Area in California. The Centers for Disease Control had earlier found a large increase in gonorrhea among black teenagers in San Francisco. Crack users were more likely the nonusers to have sexual intercourse under the influence of drugs or alcohol (43% vs. 11% for boys and 46% vs. 14% for girls; p .001), to take part in sexual acts placing them at risk for STD in exchange for money or drugs (29% vs. 4% for boys and 25% vs. 0 for girls; p .001), and to have more sexual partners in the last year (11.1 vs. 5.3 partners for boys; p .01 and 4.5 vs. 2.5 partners for girls; insignificant). Female nonusers were more likely to have used a condom during last sexual intercourse than were female crack users (39% vs. 18%; p .01). For both groups of boys, condom use during the last sexual act was at the same low rate (about 25%). Approximately 63% of all adolescents admitted to having at least one sexual risk behavior. Crack cocaine use and having at least one relative who used drugs were the greatest predictors of STD risk behavior (odds ratios, 2.2 and 1.97; p .001 and .01, respectively). An urban anthropology study in the same neighborhoods showed that the teenagers lived in an area conducive to high-risk behaviors including drug use common among friends and relatives, more than one sexual partner/year, high prevalence of STDs, and low condom use. The findings from these studies indicated that public health workers planning to implement interventions to prevent or reduce the risk of teenage drug use and/or HIV infection must consider both individual and environmental influences.
Palabras clave
Acquired Immunodeficiency Syndrome; Adolescents; Age Factors; Alcohol Drinking; Americas; Behavior; Biology; Blacks; California; Comparative Studies; Cultural Background; Demographic Factors; Developed Countries; Diseases; Drug Usage; Ethnic Groups; Family And Household; Friends And Relatives; Geographic Factors; Gonorrhea; Hiv Infections; Infections; North America; Northern America; Population; Population At Risk; Population Characteristics; Premarital Sex Behavior; Reproductive Tract Infections; Research Methodology; Research Report; Residence Characteristics; Risk Factors; Sampling Studies; Sex Behavior; Sexually Transmitted Diseases; Spatial Distribution; Studies; Surveys; United States; Viral Diseases; Youth
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Asunción de Riesgos
/
Conducta Sexual
/
Negro o Afroamericano
/
Conducta del Adolescente
/
Cocaína Crack
/
Trastornos Relacionados con Sustancias
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Adolesc Health
Asunto de la revista:
PEDIATRIA
Año:
1993
Tipo del documento:
Article
Pais de publicación:
Estados Unidos