Introduction: College students, a subpopulation of emerging adults, are particularly vulnerable to exhibit substance abuse and risky sexual behaviors. These behaviors put people at risk for sexually transmitted infections and/or unwanted pregnancy. Aim: To examine, in college students, whether the pattern of substance use (i.e., alcohol versus co-use of alcohol and marijuana) and the level of impulsivity are associated with the frequency of risky sexual behaviors with occasional partners. Method: A sample of 467 college students completed an online survey that assessed the frequency of risky sexual behaviors, past-year alcohol and marijuana use and trait-like impulsivity. Results: Alcohol/marijuana co-users, compared with alcohol users, reported a higher average of sexual partners per year and greater feelings of regret following careless sexual encounters. Co-users with medium or high levels in lack of perseverance and lack of premeditation (i.e., two facets of impulsivity) reported higher frequency of sexual encounters than alcohol users and/or students with low impulsivity. Conclusions: Findings suggest substance co-use, alongside different facets of impulsivity, are associated with greater frequency of specific risky sexual behaviors. These findings could better inform interventions aimed at prevent risky sexual behaviors in Argentinean college students.

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Keywords:
Risky sexual behaviors, substance co-use, trait-like impulsivity, sexual onset, college students, alcohol, marijuana

07_RSP_28(2)_21012_Conductas

American Psychological Association (2017). Ethical Principles of Psychologists and Code of Conduct. http://www.apa.org/ethics/code/ethics-code-2017.pdf

Arnett, J. J., Žukauskienė, R., & Sugimura, K. (2014). The new life stage of emerging adulthood at ages 18-29 years: Implications for mental health. The Lancet Psychiatry, 1(7), 569-576. https://doi.org/10.1016/S2215-0366(14)00080-7

Boisvert, I., Boislard, M. A., & Poulin, F. (2017). Early sexual onset and alcohol use and misuse from adolescence into young adulthood. Journal of Adolescent Health, 61(4), 514-520. https://doi.org/10.1016/j.jadohealth.2017.04.013

Buckner, J. D., Lewis, E. M., Shah, S. M., & Walukevich, K. A. (2018). Risky sexual behavior among cannabis users: The role of protective behavioral strategies. Addictive Behaviors, 81, 50-54. https://doi.org/10.1016/j.addbeh.2018.01.039

Cándido, A., Orduña, E., Perales, J. C., Verdejo-García, A., & Billieux, J. (2012). Validation of a short Spanish version of the UPPS-P impulsive behaviour scale. Trastornos Adictivos, 14(3), 73-78.

Celio, M. A., Mastroleo, N. R., Barnett, N. P., Colby, S. M., Kahler, C. W., Operario, D., & Monti, P. M. (2019). Mechanisms of behavior change in a brief dual-target motivational intervention: Reduction in alcohol use mediates intervention effects on risky sex. Psychology of Addictive Behaviors, 33(4), 349-359. https://doi.org/10.1037/adb0000461

Centros para el Control y la Prevención de Enfermedades (2018). Hoja informativa de los CDC. Información para los adolescentes y adultos jóvenes: Cómo mantenerse sano y prevenir las enfermedades de transmisión sexual. https://www.cdc.gov/std/spanish/stdfact-teens-spa.htm

Chacón-López, H., Caurcel-Cara, M. J., & Romero-Barriga, J. F. (2019). Sexting en universitarios: relación con edad, sexo y autoestima. Suma Psicológica, 26(1), 1-8. https://doi.org/10.14349/sumapsi.2019.v26.n1.1

Chung, T., Ye, F., Hipwell, A. E., Stepp, S. D., Miller, E., Borrero, S., & Hawk, M. (2017). Alcohol and marijuana use in pathways of risk for sexually transmitted infection in white and black adolescent females. Substance Abuse, 38(1), 77-81. https://doi.org/10.1080/08897077.2016.1263591

Clark, D. A., Donnellan, M. B., Durbin, C. E., Nuttall, A. K., Hicks, B. M., & Robins, R. W. (2020). Sex, drugs, and early emerging risk: Examining the association between sexual debut and substance use across adolescence. PLoS ONE, 15(2), e0228432. https://doi.org/10.1371/journal.pone.0228432

Conde, K., & Cremonte, M. (2015). Calidad de los datos de encuestas sobre consumo de alcohol en estudiantes universitarios. Cadernos de Saúde Pública, 31, 39-47. https://doi.org/10.1590/0102-311X00061114

Derefinko, K. J., Peters, J. R., Eisenlohr-Moul, T. A., Walsh, E. C., Adams, Z. W., & Lynam, D. R. (2014). Relations between trait impulsivity, behavioral impulsivity, physiological arousal, and risky sexual behavior among young men. Archives of Sexual Behavior, 43(6), 1149-1158. https://doi.org/10.1007/s10508-014-0327-x

Dolphin, L., Fitzgerald, A., & Dooley, B. (2017). Risky sex behaviours among college students: The psychosocial profile. Early Intervention in Psychiatry, 12(6), 1203-1212. https://doi.org/10.1111/eip.12526

Fielder, R. L., Walsh, J. L., Carey, K. B., & Carey, M. P. (2013). Predictors of sexual hookups: A theory-based, prospective study of first-year college women. Archives of Sexual Behavior, 42(8), 1425-1441. https://doi.org/10.1007/s10508-013-0106-0

Green, K. M., Musci, R. J., Matson, P. A., Johnson, R. M., Reboussin, B. A., & Ialongo, N. S. (2017). Developmental patterns of adolescent marijuana and alcohol use and their joint association with sexual risk behavior and outcomes in young adulthood. Journal of Urban Health, 94(1), 115-124. https://doi.org/10.1007/s11524-016-0108-z

Heerwegh, D. (2009). Mode differences between face-to-face and web surveys: An experimental investigation of data duality and social desirability effects. International Journal of Public Opinion Research, 21, 111-121. https://doi.org/10.1093/ijpor/edn054

Hoyle, R. H., Fejfar, M. C., & Miller, J. D. (2000). Personality and sexual risk taking: A quantitative review. Journal of Personality, 68, 1203-1231.

Kaestle, C. E., Halpern, C. T., Miller, W. C., & Ford, C. A. (2005). Young age at first sexual intercourse and sexually transmitted infections in adolescents and young adults. American Journal of Epidemiology, 161(8), 774-780. https://doi.org/10.1093/aje/kwi095

Kerr, D. C., Washburn, I. J., Morris, M. K., Lewis, K. A., & Tiberio, S. S. (2015). Event-level associations of marijuana and heavy alcohol use with intercourse and condom use. Journal of Studies on Alcohol and Drugs, 76(5), 733-737. https://doi.org/10.15288/jsad.2015.76.733

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. Journal of Adolescent Health, 44(1), 73–80. https://doi.org/10.1016/j.jadohealth.2008.05.008

Kilwein, T. M., & Looby, A. (2018). Predicting risky sexual behaviors among college student drinkers as a function of event-level drinking motives and alcohol use. Addictive Behaviors, 76, 100-105. https://doi.org/10.1016/j.addbeh.2017.07.032

Leeman R. F., Rowland, B. H. P., Gebru, N. M., & Potenza M. N. (2019). Relationships among impulsive, addictive and sexual tendencies and behaviours: A systematic review of experimental and prospective studies in humans. Philosophical Transactions of The Royal Society B, 374, 20180129. https://doi.org/10.1098/rstb.2018.0129

Leonangeli, S., Rivarola Montejano, G., & Michelini, Y. (2021). Impulsividad, consumo de alcohol y conductas sexuales riesgosas en estudiantes universitarios. Revista de la Facultad de Ciencias Médicas de Córdoba, 78(2), 152-156. https://doi.org/10.31053/1853.0605.v78.n2.29287

Lewis, M. A., Kaysen, D. L., Rees, M., & Woods, B. A. (2010). The relationship between condom-related protective behavioral strategies and condom use among college students: Global- and event-level evaluations. Journal of Sex Research, 47(5), 471-478. https://doi.org/10.1080/00224490903132069

Li, J., Li, S., Yan, H., Xu, D., Xiao, H., Cao, Y., & Mao, Z. (2015). Early sex initiation and subsequent unsafe sexual behaviors and sex-related risks among female undergraduates in Wuhan, China. Asia-Pacific Journal of Public Health, 27(2 Suppl), 21S–9S. https://doi.org/10.1177/1010539514549186

Lynam, D. R., Smith, G. T., Whiteside, S. P., & Cyders, M. A. (2006). The UPPS-P: Assessing five personality pathways to impulsive behavior. West Lafayette, IN: Purdue University.

Magnusson, B. M., Crandall, A., & Evans, K. (2019). Early sexual debut and risky sex in young adults: The role of low self-control. BMC Public Health, 19(1), 1483. https://doi.org/10.1186/s12889-019-7734-9

Magnusson, B. M., Masho, S. W., & Lapane, K. L. (2012). Early age at first intercourse and subsequent gaps in contraceptive use. Journal of Women’s Health, 21(1), 73-79. https://doi.org/10.1089/jwh.2011.2893

Magnusson, B. M., Nield, J. A., & Lapane, K. L. (2015). Age at first intercourse and subsequent sexual partnering among adult women in the United States, a cross-sectional study. BMC Public Health, 15(1), 98.  https://doi.org/10.1186/s12889-015-1458-2

Ministerio de Salud de la Nación (2012). Lineamientos para la atención del consumo episódico excesivo de alcohol en adolescentes.

Ministerio de Salud y Desarrollo Social (2019). Boletín sobre el VIH, sida e ITS en la Argentina, XXII(36). https://bancos.salud.gob.ar/recurso/boletin-sobre-el-vih-sida-e-its-en-la-argentina-ndeg-36

O’Hara, R. E., & Cooper, M. L. (2015). Bidirectional associations between alcohol use and sexual risk-taking behavior from adolescence into young adulthood. Archives of Sexual Behavior, 44(4), 857-871. https://doi.org/10.1007/s10508-015-0510-8

Organización Mundial de la Salud (2019). Infecciones de transmisión sexual. https://bit.ly/39sxKjV

Organización Panamericana de la Salud  (2017). Virus de la inmunodeficiencia humana (VIH) e infecciones de transmisión sexual (ITS) en las Américas. https://bit.ly/3EK6NX1

Oswalt, S. B., Cameron, K. A., & Koob, J. J. (2005). Sexual regret in college students. Archives of Sexual Behavior, 34(6), 663-669. https://doi.org/10.1007/s10508-005-7920-y

Pedersen, E. R., D’Amico, E. J., LaBrie, J. W., Farris, C., Klein, D. J., & Griffin, B. A. (2019). An online alcohol and risky sex prevention program for college students studying abroad: Study protocol for a randomized controlled trial. Addiction Science & Clinical Practice, 14(1), 1-18. https://doi.org/10.1186/s13722-019-0162-4

Pilatti, A., Read, J. P., & Pautassi, R. M. (2017). ELSA 2016 cohort: Alcohol, tobacco, and marijuana use and their association with age of drug use onset, risk perception, and social norms in Argentinean college freshmen. Frontiers in Psychology, 8, 1452. https://doi.org/10.3389/fpsyg.2017.01452

Renfro, K. J., Haderxhanaj, L., Coor, A., Eastman-Mueller, H., Oswalt, S., Kachur, R., Habel, M. A., Becasen J. S., & Dittus, P. J. (2020). Sexual-risk and STI-testing behaviors of a national sample of non-students, two-year, and four-year college students. Journal of American College Health. https://doi.org/10.1080/07448481.2020.1756830

Shorey, R. C., Cohen, J. R., Kolp, H., Fite, P. J., Stuart, G. L., & Temple, J. R. (2019). Predicting sexual behaviors from mid-adolescence to emerging adulthood: The roles of dating violence victimization and substance use. Preventive Medicine, 129, 105844. https://doi.org/10.1016/j.ypmed.2019.105844

Shrestha, R., Karki, P., & Copenhaver, M. (2016). Early Sexual Debut: A Risk Factor for STIs/HIV Acquisition Among a Nationally Representative Sample of Adults in Nepal. Journal of Community Health, 41(1), 70-77. https://doi.org/10.1007/s10900-015-0065-6

Simons, J. S., Maisto, S. A., & Wray, T. B. (2010). Sexual risk taking among young adult dual alcohol and marijuana users. Addictive Behaviors, 35(5), 533-536. https://doi.org/10.1016/j.addbeh.2009.12.026

Simons, J. S., Simons, R. M., Maisto, S. A., Hahn, A. M., & Walters, K. J. (2018). Daily associations between alcohol and sexual behavior in young adults. Experimental and Clinical Psychopharmacology, 26(1), 36-48. https://doi.org/10.1037/pha0000163

Walsh, J. L., Fielder, R. L., Carey, K. B., & Carey, M. P. (2014). Do alcohol and marijuana use decrease the probability of condom use for college women? The Journal of Sex Research, 51(2), 145-158. https://doi.org/10.1080/00224499.2013.821442

Zapolski, T. C., Cyders, M. A., & Smith, G. T. (2009). Positive urgency predicts illegal drug use and risky sexual behavior. Psychology of Addictive Behaviors, 23(2), 348-354. https://doi.org/10.1037/a0014684