ArticleSubstance abuse treatment, prevention, and policy2014
Substance use and risky sexual behaviours among street connected children and youth in Accra, Ghana.
Article in Substance abuse treatment, prevention, and policy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.
- Substance use among young people in sub-Saharan Africa: a systematic review and meta-analysis.Frontiers in psychiatry · 2024Pooled it
- Recovery Capital and Family Support Among Incarcerated Men with a History of Psychoactive Substance Use in a Single Romanian Penitentiary: A Qualitative Study.Healthcare (Basel, Switzerland) · 2026Article
- Sex Differences in the Factors Associated With Lifetime Alcohol, Tobacco and Cannabis Use Among Ghanaian University Students: A Cross-Sectional Study.Public health challenges · 2026Article
- Substance Use in Sports: A Cross-Sectional Study Among Professional Footballers in Accra, Ghana.Health science reports · 2026Article
- Transactional sex and intersecting vulnerabilities: a multicountry cross-sectional study of pregnant and parenting adolescents in sub-Saharan Africa.BMJ public health · 2026Article
- Towards an understanding of community-engaged efforts in addressing the youth substance use in the Democratic Republic of the Congo.BMC public health · 2025Article
- Improving outcomes for people who are homeless and have severe mental illness in Ethiopia, Ghana and Kenya: overview of the HOPE programme.Epidemiology and psychiatric sciences · 2025Article
- Substance Use and Risky Sexual Behavior Among Adolescents: A Cross-National Clustered Analysis of 35 European and North American Countries.International journal of sexual health : official journal of the World Association for Sexual Health · 2025Article
- Reliability and Intra Urban Variability of a Quality of Life Index: Findings of Pilot Studies of Young Women in Kampala, Uganda.The East African health research journal · 2025Article
- Psychosocial and behavioral factors associated with HIV among adolescent girls and young women in DREAMS districts in South Africa: cross-sectional survey.Frontiers in public health · 2025Article
- Associations of tobacco and alcohol use with sexual behaviors among adolescents in 59 countries: a population-based study.BMC public health · 2024Article
- Article
- Effectiveness of a school-based behavioural change intervention in reducing chronic disease risk factors in Chandigarh, India: a cluster-randomised controlled trial.The Lancet regional health. Southeast Asia · 2024Article
- Sexual Behaviors in Iranian Working Children and the Correlated Risk Factors: Result of the Large-Scale Rapid Assessment and Response (RAR) Survey.International journal of sexual health : official journal of the World Association for Sexual Health · 2024Article
- Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta-analysis.Health science reports · 2023Review
- Article
- Article
- Lifetime alcohol-use prevalence and correlated factors among street children in Iran.Brain and behavior · 2022Article
- Substance use and substance use disorders in Africa: An epidemiological approach to the review of existing literature.World journal of psychiatry · 2022Review
- Migration, personal physical safety and economic survival: drivers of risky sexual behaviour among rural-urban migrant street youth in Kampala, Uganda.BMC public health · 2022Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResearch on street children and youth has shown that this population is at high risk for substance use. Though risky sexual behaviours have been investigated and widely reported among street youth in resource constrained-settings, few studies have explored the relationship between substance use and other risk behaviours. This study was therefore conducted to examine the association between substance use and risky sexual behaviours among homeless youth in Ghana.
methodA cross-sectional survey of a convenient sample of 227 (122 male and 105 female) street connected children and youth was conducted in Ghana in 2012. Using self-report measures, the relationship between substance use and risky sexual behaviours was examined using logistic regression.
resultsSubstance use was relatively high as 12% and 16.2% reported daily use of alcohol and marijuana respectively. There were age and sex differences in substance use among the sample. As compared to males, more females had smoked cigarettes, used alcohol and marijuana. While alcohol use decrease with age, marijuana use on the other hand increases with age. Results from multivariate analysis revealed that having ever drunk alcohol and alcohol use in the past one month were independently associated with all the four indices of risky sexual behaviour (ever had sex, non-condom use, multiple sexual partners and survival sex). Both marijuana use and smoking of cigarettes were associated with having ever had sex, multiple sexual partners and survival sex. Other drug use was independently associated with non-condom use.
conclusionSubstance use seems to serve as a possible risk factor for sexual risk behaviours among homeless youth. Harm reduction interventions are needed to prevent street children and youth from engaging in substance use and risky sexual behaviours. Such programmes should pay special attention to females and younger children who are highly susceptible to the adverse conditions on the street.
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Registered trials
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 OpenQuestion graph.