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Sex while intoxicated: A meta-analysis comparing heterosexual and sexual minority youth

Herrick, AL and Marshal, MP and Smith, HA and Sucato, G and Stall, RD (2011) Sex while intoxicated: A meta-analysis comparing heterosexual and sexual minority youth. Journal of Adolescent Health, 48 (3). 306 - 309. ISSN 1054-139X

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Background: The social marginalization and victimization experienced by sexual minority youth (SMY) may lead to increased risk behaviors and higher rates of negative health outcomes compared with their heterosexual peers. Methods: We conducted a meta-analysis to examine whether SMY reported higher rates of sex while intoxicated. Studies that report rates of substance use during sex in both SMY and heterosexual youth and had a mean participant age of 18 or less were included in our meta-analysis. Effect sizes were extracted from six studies (nine independent data sets and 24 effect sizes) that met study criteria and had high inter-rater reliability (.98). Results: Results indicated that SMY were almost twice as likely to report sex while intoxicated as compared with heterosexual peers. A random-effects meta-analysis showed a moderate ([overall weighted effect OR] = 1.91, p < .0001) weighted effect size for the relationship between sexual orientation and the use of drugs at the time of sexual intercourse, with the mean effect size for each study ranging from 1.21 to 3.50 and individual effect sizes ranging from .35 to 9.86. Discussion: Our findings highlight the need for healthcare providers to screen SMY for participation in substance use during sexual intercourse and to offer risk reduction counseling during office visits. © 2011 Society for Adolescent Health and Medicine.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Herrick, ALalh75@pitt.eduALH75
Marshal, MPmpm1@pitt.eduMPM1
Smith, HA
Sucato, G
Stall, RDrstall@pitt.eduRSTALL
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 1 March 2011
Date Type: Publication
Journal or Publication Title: Journal of Adolescent Health
Volume: 48
Number: 3
Page Range: 306 - 309
DOI or Unique Handle: 10.1016/j.jadohealth.2010.07.008
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 1054-139X
MeSH Headings: Adolescent; Adolescent Behavior; Alcoholic Intoxication; Bisexuality--psychology; Female; Heterosexuality--psychology; Homosexuality, Female--psychology; Homosexuality, Male--psychology; Humans; Linear Models; Male; Risk-Taking; Sexual Behavior; Young Adult
PubMed ID: 21338904
Date Deposited: 12 Jun 2013 21:27
Last Modified: 02 Feb 2019 15:55


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