Evidence map›Paper›PMID 30957674›Full record

ArticleSubstance use & misuse2019

The Role of Pregnancy Concerns in the Relationship between Substance Use and Unprotected Sex among Adolescents.

Allyson L Dir, Leslie A Hulvershorn, Matthew C Aalsma

Abstract read
In one paragraph

Article in Substance use & misuse, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Allyson L Dira Department of Pediatrics, Section of Adolescent Medicine , Indiana University School of Medicine , Indianapolis , IN , USA.
Leslie A Hulvershornb Adolescent Behavioral Health Research Program , Indiana University School of Medicine , Indianapolis , IN , USA.
Matthew C Aalsmaa Department of Pediatrics, Section of Adolescent Medicine , Indiana University School of Medicine , Indianapolis , IN , USA.

Funding

Neural Response to Risky Decision Making in Youth at High Risk for Substance Use Disorders and HIVR01DA039764 · NIDA · INDIANA UNIVERSITY INDIANAPOLIS · PI HULVERSHORN, LESLIE A. · 2016 to 2021
$3.3M
NIDA NIH HHS R01 DA039764
6 · The paper itself

Abstract

backgroundSubstance use and unprotected sex are prevalent among adolescents. The link between substance use and unprotected sex is well-established. Research has also highlighted how adolescents' attitudes and risk perceptions regarding unprotected sex, including concerns about pregnancy ("Getting pregnant would force me to grow up too fast"), are associated with unprotected sex and unplanned pregnancy. However, less research has examined the potential relationship between pregnancy concerns and substance use among adolescents.

objectivesThe study prospectively examined (1) differences in pregnancy concerns across patterns of substance use and (2) whether pregnancy concerns mediate the relationship between substance use and later unprotected sex among a sample of middle and high school students.

method98 adolescents [M(SD) age = 14.28(1.68), 59.4% female, 59.4% black/African American] completed self-report measures of marijuana and alcohol use, pregnancy concerns, and unprotected sex across three time points over 6 months (T1-T3).

resultsSubstance users (alcohol/marijuana) reported fewer pregnancy concerns compared to non-substance users (t = 2.99, p = .04). Pregnancy concerns at T2 mediated the relationship between T1 lifetime substance use and later unprotected sex (T3) (indirect effect: b = 0.10, CI[.01-.41]; direct effect: b = 0.15, p = .32), controlling for gender, age, and race. More frequent substance use (T1) was related to fewer pregnancy concerns at T2 (b = -0.10, p = .04); fewer pregnancy concerns were related to increased likelihood of later unprotected sex (b = -1.02, p = .02).

conclusionsFindings offer new insight into associations between substance use and unprotected sex and suggest that substance use and sexual health interventions should target pregnancy concerns.

Indexed as

Risk-TakingAdolescentAdolescent BehaviorAlcohol DrinkingFemaleHealth Knowledge, Attitudes, PracticeHumansMalePregnancyPregnancy, UnplannedStudentsSubstance-Related DisordersUnsafe SexAdolescent substance usepregnancy concernssexual attitudesunprotected sex

Identifiers

PMID30957674
PMCPMC6498425

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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.