Sexual temptation: substance abuse, no sex, safe sex, risky sex, and STDs
-
Toto Sutarso
,
Denny R. Anerin
Abstract
Background
University students’ substance abuse and risky sex contribute to sexually transmitted diseases (STDs).
Purpose
We develop and empirically test a formative theoretical model of sexual temptation involving substance abuse (cigarettes, alcohol, and marijuana), safe sexual behavior (use of condom/barrier for oral and vaginal intercourse), risky sexual behavior (unprotected sex and multiple sexual partners), and STDs: gonorrhea, HIV, and genital herpes. We simultaneously explore these constructs, controlling membership in social groups (fraternity/sorority, varsity athlete, and club sports) and perceived norm of substance abuse.
Methods
A total of 687 American university students completed the National College Health Assessment (NCHA). We use structural equation modeling (SEM) to test the goodness of fit between our formative theoretical model and actual data.
Results
Results reveal the following discoveries: membership in campus social groups is positively associated with STDs, whereas perceived norm of peer substance abuse is negatively related to STDs. Under the influence of substance abuse, we test three outcomes of sexual temptation as related to STDs. Those who have no sex do not contract STDs. For those who fall into temptation and have sex, substance abuse is more strongly related to risky sex which leads to STDs than safe sex which does not. Those engaging in risky sex have significantly higher cognitive impairment than those practicing safe sex.
Conclusions
Substance abuse contributes to STDs through risky sex only. Those having risky sex suffer higher cognitive impairment than those practicing safe sex. We provide novel implications to policy makers, practitioners, and researchers.
Compliance with ethical standards, human and animal rights, and informed consent: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration, as revised in 2000. Informed consent was obtained from participants in this study.
Funding: The authors received no funding.
Conflict of interest: The authors declare that they have no conflict of interest.
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- Sexual temptation: substance abuse, no sex, safe sex, risky sex, and STDs
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Articles in the same Issue
- Social impact of menstrual problems among adolescent school girls in rural Tamil Nadu
- Healthcare seeking behaviour of students living on their own compared to those living in the parental home: a cross-sectional study
- Case Report
- Oral submucous fibrosis in a school-going Indian adolescent boy
- Prevalence and determinants of susceptibility to cigarette smoking among non-smoking senior secondary school students in Ilorin, North Central Nigeria
- Sexual temptation: substance abuse, no sex, safe sex, risky sex, and STDs
- Knowledge of hepatitis B virus infection and its control practices among dental students in an Indian city
- Sexual and reproductive health priorities of adolescent girls in Lagos, Nigeria: findings from free-listing interviews
