Association between cannabis use and sexual behavior among adolescents aged 12-15?years in 21 low- and middle-income countries.
Por:
Smith L, Jackson SE, Jacob L, Grabovac I, Nisbet LA, López-Sánchez GF, McDermott D, Salmeron AG, Yang L and Koyanagi A
Publicada:
1 dic 2019
Ahead of Print:
1 ago 2019
Resumen:
AIMS: To investigate the relationship between cannabis use and two sexual behaviors (ever had sex, multiple partners) in a large representative sample of adolescents aged 12-15?years from 21 low- and-middle income countries. METHODS: Data from 84,867 adolescents aged 12-15?years participating in the Global School-based Student Health Survey were analyzed. Participants reported lifetime frequency of cannabis use (analyzed as 0, 1-2, 3-19 or?=?20 times), whether they had ever had sexual intercourse (yes/no) and, if yes, their lifetime number of sexual partners. We used multivariable logistic regression to analyze associations, adjusting for a range of relevant covariates. RESULTS: 12.7% of the sample reported having had sexual intercourse, and of these adolescents, 53.1% had had multiple sexual partners. The prevalence of lifetime cannabis use of 1-2 times, 3-19 times, and?=?20 times were 1.1%, 1.2%, and 0.4%, respectively. Those who reported using cannabis 1-2 times, 3-9 times, and?=?20 times had 2.32 (95%CI?=?1.47-3.65), 2.34 (95%CI?=?1.34-4.07), and 5.45 (95%CI?=?2.22-13.40) times higher odds of having had sexual intercourse than those who had never used cannabis. Among those who had ever had sexual intercourse, the respective odds ratios (95%CIs) for having multiple sexual partners were 1.56 (0.93-2.62), 1.70 (0.92-3.14), and 5.66 (2.97-10.82). There were no significant interactions by sex for these associations. CONCLUSIONS: Adolescents from LMIC who use cannabis are more likely to have ever had sexual intercourse than those who do not. Among those who have had sexual intercourse, those who use cannabis are more likely to have had multiple sexual partners.
Filiaciones:
Smith L:
The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK
Jackson SE:
Department of Behavioural Science and Health, University College London, London, UK
Jacob L:
Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux 78180, France
Grabovac I:
Department of Social and Preventive Medicine, Center of Public Health, Medical University of Vienna, Vienna, Austria
Nisbet LA:
School of Life Sciences, Department of Forensic and Investigative Sciences, Anglia Ruskin University, Cambridge, UK
López-Sánchez GF:
Faculty of Sport Sciences, University of Murcia, Spain
McDermott D:
School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, UK
Salmeron AG:
Polibienestar Research Institute, University of Valencia, Valencia, Spain
Yang L:
Department of Cancer Epidemiology and Prevention Research, Alberta Health Services, Holy Cross Centre, Calgary, Alberta, Canada
Koyanagi A:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Sant Boi de Llobregat, Barcelona, Spain
ICREA, Pg. Lluís Companys 23, Barcelona, Spain
Green Accepted, Green Submitted
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