Sexual behavior among high school students in Brazil: alcohol consumption and legal and illegal drug use associated with unprotected sex

OBJECTIVE: Alcohol and other drug use appears to reduce decision-making ability and increase the risk of unsafe sex, leading to possible unplanned pregnancies, sexually transmitted diseases/human immunodeficiency virus/HIV transmission, and multiple sexual partners. This study aimed to test the hypo...

Full description

Bibliographic Details
Main Authors: Zila M. Sanchez, Solange A. Nappo, Joselaine I. Cruz, Elisaldo A. Carlini, Claudia M. Carlini, Silvia S. Martins
Format: Article
Language:English
Published: Elsevier España 2013-04-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322013000400489
_version_ 1811329626163642368
author Zila M. Sanchez
Solange A. Nappo
Joselaine I. Cruz
Elisaldo A. Carlini
Claudia M. Carlini
Silvia S. Martins
author_facet Zila M. Sanchez
Solange A. Nappo
Joselaine I. Cruz
Elisaldo A. Carlini
Claudia M. Carlini
Silvia S. Martins
author_sort Zila M. Sanchez
collection DOAJ
description OBJECTIVE: Alcohol and other drug use appears to reduce decision-making ability and increase the risk of unsafe sex, leading to possible unplanned pregnancies, sexually transmitted diseases/human immunodeficiency virus/HIV transmission, and multiple sexual partners. This study aimed to test the hypothesis that risky sexual behaviors among adolescents are associated with legal and illegal drug use. METHODS: A national cross-sectional survey of 17,371 high-school students was conducted in 2010. Students were selected from 789 public and private schools in each of the 27 Brazilian state capitals by a multistage probabilistic sampling method and answered a self-report questionnaire. Weighted data were analyzed through basic contingency tables and logistic regressions testing for differences in condom use among adolescents who were sexually active during the past month. RESULTS: Approximately one third of the high school students had engaged in sexual intercourse in the month prior to the survey, and nearly half of these respondents had not used a condom. While overall sexual intercourse was more prevalent among boys, unsafe sexual intercourse was more prevalent among girls. Furthermore, a lower socioeconomic status was directly associated with non-condom use, while binge drinking and illegal drug use were independently associated with unsafe sexual intercourse. CONCLUSION: Adolescent alcohol and drug use were associated with unsafe sexual practices. School prevention programs must include drug use and sexuality topics simultaneously because both risk-taking behaviors occur simultaneously.
first_indexed 2024-04-13T15:47:07Z
format Article
id doaj.art-07c67ed1aee34edb9086a13da0032390
institution Directory Open Access Journal
issn 1807-5932
1980-5322
language English
last_indexed 2024-04-13T15:47:07Z
publishDate 2013-04-01
publisher Elsevier España
record_format Article
series Clinics
spelling doaj.art-07c67ed1aee34edb9086a13da00323902022-12-22T02:40:57ZengElsevier EspañaClinics1807-59321980-53222013-04-01684489494Sexual behavior among high school students in Brazil: alcohol consumption and legal and illegal drug use associated with unprotected sexZila M. SanchezSolange A. NappoJoselaine I. CruzElisaldo A. CarliniClaudia M. CarliniSilvia S. MartinsOBJECTIVE: Alcohol and other drug use appears to reduce decision-making ability and increase the risk of unsafe sex, leading to possible unplanned pregnancies, sexually transmitted diseases/human immunodeficiency virus/HIV transmission, and multiple sexual partners. This study aimed to test the hypothesis that risky sexual behaviors among adolescents are associated with legal and illegal drug use. METHODS: A national cross-sectional survey of 17,371 high-school students was conducted in 2010. Students were selected from 789 public and private schools in each of the 27 Brazilian state capitals by a multistage probabilistic sampling method and answered a self-report questionnaire. Weighted data were analyzed through basic contingency tables and logistic regressions testing for differences in condom use among adolescents who were sexually active during the past month. RESULTS: Approximately one third of the high school students had engaged in sexual intercourse in the month prior to the survey, and nearly half of these respondents had not used a condom. While overall sexual intercourse was more prevalent among boys, unsafe sexual intercourse was more prevalent among girls. Furthermore, a lower socioeconomic status was directly associated with non-condom use, while binge drinking and illegal drug use were independently associated with unsafe sexual intercourse. CONCLUSION: Adolescent alcohol and drug use were associated with unsafe sexual practices. School prevention programs must include drug use and sexuality topics simultaneously because both risk-taking behaviors occur simultaneously.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322013000400489Sexual Risky BehaviorBinge DrinkingIllegal Drug UseSchool SurveyAdolescents
spellingShingle Zila M. Sanchez
Solange A. Nappo
Joselaine I. Cruz
Elisaldo A. Carlini
Claudia M. Carlini
Silvia S. Martins
Sexual behavior among high school students in Brazil: alcohol consumption and legal and illegal drug use associated with unprotected sex
Clinics
Sexual Risky Behavior
Binge Drinking
Illegal Drug Use
School Survey
Adolescents
title Sexual behavior among high school students in Brazil: alcohol consumption and legal and illegal drug use associated with unprotected sex
title_full Sexual behavior among high school students in Brazil: alcohol consumption and legal and illegal drug use associated with unprotected sex
title_fullStr Sexual behavior among high school students in Brazil: alcohol consumption and legal and illegal drug use associated with unprotected sex
title_full_unstemmed Sexual behavior among high school students in Brazil: alcohol consumption and legal and illegal drug use associated with unprotected sex
title_short Sexual behavior among high school students in Brazil: alcohol consumption and legal and illegal drug use associated with unprotected sex
title_sort sexual behavior among high school students in brazil alcohol consumption and legal and illegal drug use associated with unprotected sex
topic Sexual Risky Behavior
Binge Drinking
Illegal Drug Use
School Survey
Adolescents
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322013000400489
work_keys_str_mv AT zilamsanchez sexualbehavioramonghighschoolstudentsinbrazilalcoholconsumptionandlegalandillegaldruguseassociatedwithunprotectedsex
AT solangeanappo sexualbehavioramonghighschoolstudentsinbrazilalcoholconsumptionandlegalandillegaldruguseassociatedwithunprotectedsex
AT joselaineicruz sexualbehavioramonghighschoolstudentsinbrazilalcoholconsumptionandlegalandillegaldruguseassociatedwithunprotectedsex
AT elisaldoacarlini sexualbehavioramonghighschoolstudentsinbrazilalcoholconsumptionandlegalandillegaldruguseassociatedwithunprotectedsex
AT claudiamcarlini sexualbehavioramonghighschoolstudentsinbrazilalcoholconsumptionandlegalandillegaldruguseassociatedwithunprotectedsex
AT silviasmartins sexualbehavioramonghighschoolstudentsinbrazilalcoholconsumptionandlegalandillegaldruguseassociatedwithunprotectedsex