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Abstract
Few studies examine whether early sexual experience is associated with subsequent illegal drug use among adolescents. A sample of 7,372 African American students who had not used illegal drugs before the age of 14 were identified in the dataset of the 2001 Historically Black Colleges and Universities (HBCU) Substance Use Survey. Using self-reported ages of onset, discrete-time survival models estimated the hazard of illegal drug use onset after age 13 subsequent to first sexual intercourse. Early sex was modestly associated with subsequent illegal drug initiation, particularly among females. Drug use prevention services should be provided to youth engaged in early sexual activity.
RÉSUMÉ
Précoce Expérience Sexuelle e L’utilisation Ultérieure de Drogues Illicites chez Etudiants Africains-Américains données Historiquement Noires et des Collèges et Universités (HBCU)
Peu d’études abordent si l’expérience sexuelle précoce est associée à l’utilisation ultérieure de drogues illicites chez les adolescents. Un échantillon de 7372 étudiants africains-américains qui n’avaient pas consommé de drogues illégales avant l’âge de 14 ans ont été identifiées dans l’ensemble de données de 2001 historiquement noires et des Collèges et Universités (HBCU) Substance Use Survey. Utilisant l’auto-âge ont déclaré de leur apparition, discret-modèles de survie temps estimé le risque d’apparition de drogues illégales, après 13 ans à la suite de premières relations sexuelles. La sexualité était faiblement associée à l’initiation ultérieure de drogues illicites, en particulier chez les femmes. Services de prévention de la toxicomanie devrait être fournie aux jeunes engagés dans l’activité sexuelle précoce.
Mots-clés: Afro-Américains, les toxicomanies, le comportement sexuel; Sexe
RESUMEN
Experiencia Sexual Temprana e Inicio Posterior en el Uso de Drogas entre estudiantes Afro-Americanos en Colegios y Universidades Históricamente para Negros
Solo unos cuantos estudios examinan si tener experiencia sexual temprana se asocia con subsecuente uso ilegal de drogas entre adolescentes. Una muestra de 7,372 estudiantes Africano Americanos que no uso drogas antes de los 14 años de edad fueron identificados en la base de datos de la Encuesta sobre el Uso de Drogas en Colegios y Universidades Históricamente para Negros (HBCU, por sus siglas en ingles). Utilizando edades de inicio reportadas por los participantes, análisis de sobrevida con tiempo discreto estimaron el riesgo de iniciar el uso ilegal de drogas subsecuente a la primera relación sexual. Se encontró que tener relaciones sexuales tempranas se asocia modestamente con el inicio subsecuente en el uso de drogas, particularmente entre mujeres. Servicios de prevención del uso de drogas deberían ser proporcionados a jóvenes con experiencias sexuales tempranas.
Palabras clave: Africano Americanos; Abuso de substancias; Conducta sexual; Género
THE AUTHORS
Dr. Yan Wang is a faculty member at the Department of Pediatrics, University of Maryland School of Medicine. Among Dr. Wang's research interests are as follows: risky health behaviors among children, adolescents, and young adults; prevention intervention trials; and application of statistical methods to psychosocial research.
Dr. Carla Storr recently joined the faculty at the University of Maryland School of Nursing in Baltimore as a professor. Among Dr. Storr's research interests is the exploration of early childhood markers or signs that might discriminate between differing levels or degrees of involvement with drugs or other psychiatric disorders.
Dr. Dorothy Browne is a professor and the Dean of the Ethelyn Strong School of Social Work, Norfolk State University. She has over 10 years of experience managing and directing research investigations. Her research interests include adolescent health, adolescent risk behaviors (violence, substance use, early sexual behavior), and health disparities associated with drug taking and related risk behaviors. Her publications reflect her research interests and include topics such as youth and family violence, substance use among African American adolescents, the role of cultural factors (discrimination and ethnic identity) in violence and substance use, and conducting community-based research in African American communities.
Dr. Fernando A. Wagner is a professor of public health research methods at the School of Community Health and Policy and the Director of the Prevention Sciences Research Center at Morgan State University, with extensive experience in community-based research as well as drug use epidemiology. Dr. Wagner has led research in Mexico and the United States for over 25 years. Dr. Wagner also serves as mentor for minority researchers and graduate students.