Alcohol, Sex, and Screens: Modeling Media Influence on Adolescent Alcohol and Sex Co-Occurrence

Abstract

Alcohol use and sexual behavior are important risk behaviors in adolescent development, and combining the two is common. The reasoned action approach (RAA) is used to predict adolescents’ intention to combine alcohol use and sexual behavior based on exposure to alcohol and sex combinations in popular entertainment media. We conducted a content analysis of mainstream (n = 29) and Black-oriented movies (n = 34) from 2014 and 2013–2014, respectively, and 56 television shows (2014–2015 season). Content analysis ratings featuring character portrayals of both alcohol and sex within the same five-minute segment were used to create exposure measures that were linked to online survey data collected from 1,990 adolescents ages 14 to 17 years old (50.3% Black, 49.7% White; 48.1% female). Structural equation modeling (SEM) and group analysis by race were used to test whether attitudes, norms, and perceived behavioral control mediated the effects of media exposure on intention to combine alcohol and sex. Results suggest that for both White and Black adolescents, exposure to media portrayals of alcohol and sex combinations is positively associated with adolescents’ attitudes and norms. These relationships were stronger among White adolescents. Intention was predicted by attitude, norms, and control, but only the attitude–intention relationship was different by race group (stronger for Whites).

Acknowledgments

We would like to thank the coders and managers for their contributions to this project: Anna Rose Bedrosian, Sebastian Lemus Camacho, Anna Jose, Mia Leyland, Rachel MacDonald, Haley Mankin, and Jaléssa Mungin.

Funding

This study was funded by the National Institute of Child Health and Human Development (NICHD) (1R21HD079615). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NICHD.

Additional information

Funding

This study was funded by the National Institute of Child Health and Human Development (NICHD) (1R21HD079615). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NICHD.