Substance abuse and sexual frequency among youths: implications for sexually-transmitted infections in Nigeria
Accepted: 25 April 2022
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Substance use is one of the key factors that predispose young people to sexually frequent behaviors. This study therefore investigates the implications of substance abuse and sexual frequency for sexually transmitted infections among Nigerian youths. The study used quantitative data from the National HIV/AIDS and Reproductive Health Survey (NARHS Plus II, 2012). The data for the study were analyzed using three levels of statistical analysis while, two statistical techniques were used and five models were constructed to test the formulated hypotheses The study reveals that the estimate incidence of relative risk (IRR) of substance abuse on sexual frequency confirmed a positive significant effects for both adjusted and unadjusted data (Smoking cigarette, unadjusted OR=.19 P-value=.000, adjusted OR=.33 P-value=.000; consuming alcohol everyday unadjusted OR=1.07 P-value=.000, adjusted OR=1.40 P-value=.000). While a significant relationship between substance abuse, sexual frequency, and likelihood of contracting STIs was established in the study (Pvalue<. 005). The study concludes that there is need for education on substance abuse among young people.
Li, S.D., Zhang, X., Tang, W., & Xia, Y. Predictors and implications of synthetic drug use among adolescents in the gambling capital of China. SAGE Open 2017 .
Ritchwood, T., Ford, H., DeCoster, J., Sutton, M., & Lochman, J. Risky sexual behavior and substance use among adolescents: A meta-analysis. Child. Youth Serv. Rev. 2015 52, 74–88.
Graves, K.L. & Leigh, B.C. The relationship of substance use to sexual activity among young adults in the United States. Fam. Plan. Perspect. 1995, 27, 18–33.
Cooper, M. L. Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence. J Stud Alcohol Suppl 2002:101–17 pmid: 12022716
Levitt, A. & Cooper, M. L. Daily Alcohol Use and Romantic Relationship Functioning: Evidence of Bidirectional, Gender-, and Context-Specific Effects. Pers Soc Psychol B 2010; 36:1706–22
Ramrakha, S., Paul, C., Bell, M. L., Dickson, N., Moffitt, T. E., & Caspi. The relationship between multiple sex partners and anxiety, depression, and substance dependence disorders: a cohort study. Arch Sex Behav 2013; 42:863–72 pmid: 23400516
Halpern Felsher, B. L., Millstein, S. G., Ellen, J. M. Relationship of alcohol use and risky sexual behavior: A review and analysis of findings. J Adolescent Health 1996; 19:331–36
Kiene, S. M., Barta, W. D., Tennen, H., & Armeli, S. (2009). Alcohol, helping young adults to have unprotected sex with casual partners: findings from a daily diary study of alcohol use and sexual behavior. J Adolesc Health 2009; 44:73–80 pmid: 19101461
Swartz, L. H., Sherman, C. A., Harvey, S. M., Blanchard, J., Vawter, F., & Gau, J. Midlife women online: evaluation of an internet-based program to prevent unintended pregnancy & STIs. Journal of women & aging 2011; 23:342–59
Eisenberg, M. (2017). Regular marijuana use linked to more sex, study finds. Retrieved on July 11, 2019, from https://www.sciencedaily.com/releases/2017/10/171027085539.htm
Ritchwood, T.; Ford, H.; DeCoster, J.; Sutton, M.; & Lochman, J. Risky sexual behavior and substance use among adolescents: A meta-analysis. Child. Youth Serv. Rev. 2015, 52, 74–88.
Brown, B.B.. Adolescents’ relationship with peer. In Handbook of Adolescent Psychology, 2nd ed.; Lerner, R.M., Steinberg, L., Eds.; John Wiley Sons: Hoboken, NJ, USA, 2004 363–394.
Rose, R.J. How do adolescents select their friends? A behavior-genetic perspective. In Paths to Successful Development: Personality and the Life Course; Pulkkinen, L., Caspi, A., Eds.; Cambridge University Press: Cambridge, UK, 2002 p. 106–125.
Khan, M.R.; Berger, A.T.; Wells, B.E.& Cleland, C.M. Longitudinal associations between adolescent alcohol use and adulthood sexual risk behavior and sexually transmitted infection in the United States: Assessment of differences by race. Am. J. Public Health, 2012; 102, 867–876.
Whitbeck, L.B.; Yoder, K.A.; Hoyt, D.R. & Conger, R.D. Early adolescent sexual activity: A developmental study. J. Marriage Fam. 1999; 61, 934–946.
Perkins, D.F.; Luster, T.; Villarruel, F.A. & Small, S. An ecological, risk-factor examination of adolescents’ sexual activity in three ethnic groups. J. Marriage Fam. 1998; 60, 660–673.
Baskin-Sommers, A. & Sommers, I. The co-occurrence of substance use and high-risk behaviors. J. Adolesc. Health, 2006; 38, 609–611.
Leigh, B.C. & Stall, R. Substance use and risky sexual behavior for exposure to HIV: Issues in methodology, interpretation, and prevention. Am. Psychol. 1993; 48, 1035–1045.
Santelli, J.S.; Robin, L.; Brener, N.D. & Lowry, R. Timing of alcohol and other drug use and sexual risk behaviors among unmarried adolescents and young adults. Fam. Plan. Perspect. 2001; 33, 200–205.
Tapert, S.F.; Aarons, G.; Sedlar, G. & Brown, S. Adolescent substance use and sexual risk-taking behavior. J. Adolesc. Health, 2001; 28, 181–189.
Turchik, J.A.; Garske, J.P.; Probst, D.R. & Irvin, C.R. Personality, sexuality, and substance use as predictors of sexual risk taking in college students. J. Sex Res. 2010; 47, 411–419.
Clarke, R. V. and Cornish, D. B. (1985). Modelling offender’ decisions: a framework for research and policy. Crime and Justice. 1985; 6, 147-185
Hedstrom, P., & Stern, C. Rational choice and sociology. In L. Blume & S. Durlauf (Eds.), The New Palgrave dictionary of economics. Basingstoke: 2008 Palgrave Macmillan.
Crenshaw, M. How terrorists think: What psychology can contribute to understanding terrorism. In L. Howard (Ed.), Terrorism: Roots, impact, responses.1992 New York: Praeger.
Sandler, T., and Lapan. H. E. The calculus of dissent: An analysis of terrorists' choice of targets. Synthese, 1988; 76, 245-261.
Wilson, M. A. Toward a model of terrorist behavior in hostage-taking incidents. Journal of Conflict Resolution, 2000; 44, 403-324.
Cohen, L.E., &Felson, M. Social change and crime rate trends: A routine activity approach. American Sociological Review, 1979; 44, 588 - 608.
Felson, M., & Cohen, L. E. (1980). Human ecology and crime: A routine activity approach. Human Ecology, 1980; 8(4), 389–405.
Gottfredson, M. R., & Hirschi, T. A. A general theory of crime. Stanford, CA: 1990 Stanford University Press.
Cullen, F.T., Agnew, R. & Wilcox, P. Criminological Theory: Past to Present (5th Ed.). New York: 2014, Oxford University Press.
Register CA, Williams DR & Grimes PW Adolescent Drug Use and Educational Attainment Education. Economics 2001 9: ( 1)
Abot, I Substance use among students & out of school youth in Urban Area of Nigeria World Health Organization (2005)
Li X, Stanton, B, Cottrell, L, Burns, J, Pack, R & Kaljee, L. Patterns of initiation of sex and drug-related activities among urban low income African-American Adolescents. Journal of Adolescent Health. 2001; 28(1)
Madhavika B. Nayak, Racheal A. Korcha and ivek Benagal. Alcohol use, mental health and HIV related risk behaviour among adult men in Karnataka. AIDS and Behaviour. 2010: 14.Supplement 1.
World Health Organization Alcohol Use and Sexual Risk Behaviour: A Cross-Cultural Study In Eight Countries 2005, Geneva
Habtamu D, Adamu A. Assessment of sexual and reproductive health status of street children in Addis Ababa. J Sex Transm Dis, 2013:1–20.
Robinson, T., Thompson, T. and Bain, B. Sexual risk-taking behavior and HIV knowledge of Kingston's street boys. Journal of HIV / AIDS Prevention and Education for Adolescents and Children, 2001 4(2-3):127-47.
David Doku. Substance use and risky sexual behaviours among sexually experienced Ghanaian youth BMC Public Health . 2012, 12:571 http://www.biomedcentral.com/1471-2458/12/571
Oppong Asante waku, Meyer-Weitz Anna a & Petersen Inge. Substance use and risky sexual behaviours among street connected children and youth in Accra, Ghana. Substance Abuse Treatment, Prevention, and Policy 2014, 9:45 http://www.substanceabusepolicy.com/content/9/1/45.
Graves Karen L and. Leigh Barbara C. The Relationship of Substance Use to Sexual Activity Among Young Adults in the United States. Family Planning Perspectives. 1995: 27(1)
Singh S. K & Das Arup (2011) Interface of Alcohol And Risky Sexual Behaviour Among Adolescents and youth in Low Income Slums of Mumbai, India. The Journal of Family Welfare 2011: 57(2)
Leigh BC. The relationship of substance use during sex to high-risk sexual behavior. Journal of Sex Research. 1990;27:199–213
Sun, A. J., & Eisenberg, M. L. Association between marijuana use and sexual frequency in the United States: A population-based study. The Journal of Sexual Medicine, 2017: 14(11), 1342–1347. https://doi.org/10.1016/j.jsxm.2017.09.005.
Probs, C., Manthey, J., Martinez, A., & Rehm, J. Alcohol use disorder severity and reported reasons not to seek treatment: A cross-sectional study in European primary care practices. Substance Abuse Treatment, Prevention, and Policy, 2015: 10, 1–10. https:// doi.org/10.1186/s13011-015-0028-z.
Nicholson, K. L., & Balster, R. L. GHB: A new and novel drug of abuse. Drug and Alcohol Dependence, 2001 63, 1–22. https://doi.org/10.1016/S0376-8716(00)00191-5
Stall R, McKusick L, Wiley J, Coates TJ, & Ostrow DG. Alcohol and drug use during sexual activity and compliance with safe sex guidelines for AIDS: the AIDS Behavioral Research Project. 1986 Health Educ Q. ;13(4):359-71.
Swartzendruber A, Sales J, Brown J, DiClemente R, Rose E. patterns of recent alcohol and marijuana use as predictors of condom use, pregnancy and sexually transmitted infections during 18-months of follow-up among African-American female adolescents. Sex Transm Infect. 2013;89(Suppl 1):A148–A148.
Substance use and other risk factors for unprotected sex: results from an event-based study of homeless youth.Tucker JS, Ryan GW, Golinelli D, Ewing B, Wenzel SL, Kennedy DP, Green HD Jr, Zhou A AIDS Behav. 2012 Aug; 16(6):1699-707.
Copyright (c) 2023 the Authors
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.