Sexual Risk Behaviors and Current Substance Use Among Sexually Active Adolescents in the United States: Differences by Sex, Race, and Sexual Identity.

Precious Patrick Edet, Hannah K Allen, Ruaa Al Juboori, Azad R Bhuiyan, Andrew Yockey

Abstract read

In one paragraph

Article in Journal of prevention (2022), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Precious Patrick EdetWilliam Magee Institute for Student Wellbeing, University of Mississippi, University, MS, 38677, USA. [email protected].ORCID http://orcid.org/0009-0007-9405-5852

Hannah K AllenWilliam Magee Institute for Student Wellbeing, University of Mississippi, University, MS, 38677, USA.ORCID http://orcid.org/0000-0001-9742-4018

Ruaa Al JubooriWilliam Magee Institute for Student Wellbeing, University of Mississippi, University, MS, 38677, USA.ORCID http://orcid.org/0000-0002-8804-3755

Azad R BhuiyanDepartment of Epidemiology and Biostatistics, Jackson State University, Jackson, MS, 39213, USA.ORCID http://orcid.org/0000-0002-3631-5296

Andrew YockeyWilliam Magee Institute for Student Wellbeing, University of Mississippi, University, MS, 38677, USA.ORCID http://orcid.org/0009-0005-3951-0715

Funding

NIMH NIH HHS R25MH083620-14Office of National Drug Control Policy CDS9923G0006Office of National Drug Control Policy CDS9924G0017

6 · The paper itself

Abstract

Substance use and high-risk sexual behaviors remain pressing public health challenges among U.S. adolescents, with tobacco, alcohol, and marijuana being the most used substances. While previous research has shown an association between substance use and risky sexual behavior, there is limited data on how these associations vary based on demographic modifiers such as race, sex, and sexual identity among sexually active adolescents. This study explores the association between current substance use (cigarettes, e-cigarettes, alcohol, and marijuana) and high-risk sexual behaviors (having multiple sexual partners and lack of condom use), examining how these associations vary by race, sex, and sexual identity. The 2023 Youth Risk Behavior Survey (YRBS) data was analyzed for 5420 adolescents attending U.S. public and private high schools. Multiple Logistic regression was used to examine associations, and interaction effects for race, sex, and sexual identity were introduced to the model to determine variations in associations. Overall adjusted analyses revealed current use of cigarette, e-cigarette, and alcohol was associated with higher likelihood of having multiple (2 or more) sexual partners in the past 3 months. Additionally, current marijuana use was associated with a higher likelihood of not using a condom during last sexual intercourse. A statistically significant interaction was observed only for the association between current marijuana use and condomless sex during last sexual intercourse (p = 0.010). Stratified analyses indicated that this association varied by sexual identity and was stronger among heterosexual students compared to Lesbian, Gay, Bisexual, Queer, and other (LGBQ+) students. Results confirm the link between substance use and high-risk sexual behavior among youth, reinforcing our need for increased programming around substance use prevention and sexual health education. Heterosexual youth may be at increased risk for high-risk sexual behavior associated with their marijuana use, calling for tailored interventions that target the unique needs of this demographic subgroup.

Indexed as

Adolescent BehaviorRisk-TakingSexual BehaviorSubstance-Related DisordersAdolescentFemaleHumansMaleRacial GroupsSurveys and QuestionnairesUnited StatesAdolescentsPreventionSexual behaviorSubstance useUnited StatesYRBS

Identifiers

PMID41604127

DOI10.1007/s10935-026-00898-7

PMCPMC13283188

What Socratic holds

Textmetadata

LicenceCC BY

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.