Impulsivity, alcohol use and risky sexual behaviors in college students
DOI:
https://doi.org/10.31053/1853.0605.v78.n2.29287Keywords:
alcohol, students, impulsive behavior, insecure sexAbstract
Introduction: Alcohol use in college students and related consequences, such as risky sexual behaviors, are a public health issue. Impulsivity is relevant to study alcohol use behaviors. This study aimed to analyze the effect of trait impulsivity (UPPS-P model), age of onset of alcohol use (AOA) and of sexual intercourse (AOS), alcohol use and risky sexual behavior under the influence of alcohol (RSBA). Materials and methods: 196 students (71.9% women, M age= 22.46; SD = 2.74) from the National University of Córdoba completed an online survey. We conducted bivariate and multivariate analyzes to examine the relationship between risk factors and RSBA. Results: AOA and AOS had a negative association with RSBA, while alcohol quantity and trait impulsivity was positively associated with RSBA. At the multivariate level, AOA and alcohol quantity directly influenced RSBA. The AOS and sensation seeking had an indirect effect via alcohol quantity. Discussion: This results provide evidence on the role of early initiation in alcohol use, impulsivity and alcohol use on RSBA in college students. This information can be useful for the development of preventive programs specifically designed for this population.
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1. Bravo AJ, Pilatti A, Pearson MR, Read JP, Mezquita L, Ibáñez MI, et al. Cross-cultural examination of negative alcohol-related consequences: Measurement invariance of the young adult alcohol consequences questionnaire in Spain, Argentina, and USA. Psychol Assess. 2019 May 1;31(5):631–42.
2. Pilatti A, Read JP, Pautassi RM. 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. Front Psychol. 2017 Aug 25;8(AUG).
3. Skidmore CR, Kaufman EA, Crowell SE. Substance Use Among College Students. Child Adolesc Psychiatr Clin N Am. 2016 Oct 1;25(4):735–53.
4. Merrill JE, Carey KB. Drinking over the lifespan: Focus on college ages. Alcohol Res Curr Rev. 2016;38(1):103–14.
5. Cooper ML. Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. J Stud Alcohol. 2002;63(SUPPL. 14):101–17.
6. Neal DJ, Fromme K. Event-Level Covariation of Alcohol Intoxication and Behavioral Risks During the First Year of College. J Consult Clin Psychol. 2007 Apr;75(2):294–306.
7. Fisher ML, Worth K, Garcia JR, Meredith T. Feelings of regret following uncommitted sexual encounters in Canadian university students. Cult Heal Sex. 2012 Jan;14(1):45–57.
8. Enstad F, Evans-Whipp T, Kjeldsen A, Toumbourou JW, Von Soest T. Predicting hazardous drinking in late adolescence/young adulthood from early and excessive adolescent drinking - A longitudinal cross-national study of Norwegian and Australian adolescents. BMC Public Health. 2019 Jun 21;19(1).
9. Buttmann N, Nielsen A, Munk C, Frederiksen K, Liaw K, Kjaer SK. Young age at first intercourse and subsequent risk-taking behaviour: An epidemiological study of more than 20,000 Danish men from the general population. Scand J Public Health. 2014 Aug 6;42(6):511–7.
10. Jones KA, Chryssanthakis A, Groom MJ. Impulsivity and drinking motives predict problem behaviours relating to alcohol use in University students. Addict Behav. 2014 Jan;39(1):289–96.
11. Cyders MA, Smith GT, Spillane NS, Fischer S, Annus AM, Peterson C. Integration of impulsivity and positive mood to predict risky behavior: Development and validation of a measure of positive urgency. Psychol Assess. 2007 Mar;19(1):107–18.
12. Dir AL, Coskunpinar A, Cyders MA. A meta-analytic review of the relationship between adolescent risky sexual behavior and impulsivity across gender, age, and race. Clin Psychol Rev. 2014 Nov 1;34(7):551–62.
13. Stueve A, O’Donnell LN. Early alcohol initiation and subsequent sexual and alcohol risk behaviors among urban youths. Am J Public Health. 2005 May;95(5):887–93.
14. Connor J, Gray A, Kypri K. Drinking history, current drinking and problematic sexual experiences Among university students. Aust N Z J Public Health. 2010 Oct;34(5):487–94.
15. Adams ZW, Kaiser AJ, Lynam DR, Charnigo RJ, Milich R. Drinking motives as mediators of the impulsivity-substance use relation: Pathways for negative urgency, lack of premeditation, and sensation seeking. Addict Behav. 2012 Jul;37(7):848–55.
16. Banks DE, Zapolski TCB. Impulsivity and Problem Drinking in College: Examining the Mediating Role of Sex-Related Alcohol Expectancies and Alcohol Use at Sex. Subst Use Misuse. 2017 Jul 3;52(8):992–1002.
17. American Psychological Association. Ethical principles of psychologists and code of conduct . 2017 [cited 2020 Apr 15]. Available from: https://www.apa.org/ethics/code/index
18. Engs RC, Hanson DJ. The student alcohol questionnaire: an updated reliability o f the drinking patterns, problems, knowledge, and attitude subscales ’. Psychol Reports Psychol Reports Isralowitz Gross. 1994;74:12–4.
19. Hensel D, Engs RC, Middleton MJ. Differences in drinking patterns between female nursing and nonnursing students. Nurse Educ. 2016 Jan 1;41(1):52–4.
20. Doran KA, Waldron M. Timing of First Alcohol Use and First Sex in Male and Female Adolescents. J Adolesc Heal. 2017 Nov 1;61(5):606–11.
21. Lozano ÓM, Díaz-Batanero C, Rojas AJ, Pilatti A, Fernández-Calderón F. Concordance between the original and short version of the Impulsive Behaviour Scale UPPS-P using an IRT model. Youssef G, editor. PLoS One. 2018 Mar 21;13(3):e0194390.
22. Curry I, Luk JW, Trim RS, Hopfer CJ, Hewitt JK, Stallings MC, et al. Impulsivity Dimensions and Risky Sex Behaviors in an At-Risk Young Adult Sample. Arch Sex Behav. 2018 Feb 1;47(2):529–36.
23. Derefinko KJ, Peters JR, Eisenlohr-Moul TA, Walsh EC, Adams ZW, Lynam DR. Relations between trait impulsivity, behavioral impulsivity, physiological arousal, and risky sexual behavior among young men. Arch Sex Behav. 2014 Jun 24;43(6):1149–58.
24. LaBrie JW, Kenney SR, Napper LE, Miller K. Impulsivity and alcohol-related risk among college students: Examining urgency, sensation seeking and the moderating influence of beliefs about alcohol’s role in the college experience. Addict Behav. 2014 Jan;39(1):159–64.
25. Livingston JA, Testa M, Windle M, Bay-Cheng LY. Sexual risk at first coitus: Does alcohol make a difference? J Adolesc. 2015 Aug 1;43:148–58.
26. Ait-Daoud N, Blevins D, Khanna S, Sharma S, Holstege CP, Amin P. Women and Addiction: An Update. Vol. 103, Medical Clinics of North America. W.B. Saunders; 2019. p. 699–711.
27. Shi M, Littlefield AK, Stevens AK. Investigating differences in sex, race/ethnicity, and impulsivity across substance user profiles: a person-centered approach. J Am Coll Heal. 2020 Jan 16;1–9.
28. De Almeida RMM, Broch Trentini L, Andreza Klein L, Rössler Macuglia G, Hammer C, Tesmmer M. Uso de Álcool, Drogas, Níveis de Impulsividade e Agressividade em Adolescentes do Rio Grande do Sul. Psico. 2014 Jun 16;45(1):65–72.
29. Davis CG, Thake J, Vilhena N. Social desirability biases in self-reported alcohol consumption and harms. Addict Behav. 2010 Apr;35(4):302–11.
30. Pedersen ER, D’Amico EJ, LaBrie JW, Farris C, Klein DJ, Griffin BA. An online alcohol and risky sex prevention program for college students studying abroad: Study protocol for a randomized controlled trial. Addict Sci Clin Pract. 2019 Aug 29;14(1):32.
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