title: Two-Year Trajectories of Sexual Risk Behaviors Among Drug-Using Adolescents and Emerging Adults in an Urban Community.
abstract: Among 14-24 year-olds who used drugs and were recruited from an emergency department, we examined 2-year trajectories of sexual risk behaviors. We hypothesized that those in higher risk trajectories would have more severe substance use, mental health concerns, and dating violence involvement at baseline. Analyses identified three behavioral trajectories. Individuals in the highest risk trajectory had a more severe profile of baseline alcohol use, marijuana use, dating violence involvement, and mental health problems. Future research will examine longitudinal differences in risk factors across trajectories. Understanding risk factors for sexual risk behavior trajectories can inform the delivery and tailoring of prevention interventions.
authors.affiliation: Department of Psychiatry, Addiction Center, University of Michigan, Ann Arbor, MI, USA. erinbona@med.umich.edu.
authors.forename: Erin E
authors.initials: EE
authors.lastname: Bonar
authors.affiliation: Department of Psychiatry, Addiction Center, University of Michigan, Ann Arbor, MI, USA.|Injury Center, University of Michigan, Ann Arbor, MI, USA.
authors.forename: Maureen A
authors.initials: MA
authors.lastname: Walton
authors.affiliation: Injury Center, University of Michigan, Ann Arbor, MI, USA.|Institute for Research on Women & Gender, University of Michigan, Ann Arbor, MI, USA.|Department of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
authors.forename: Quyen M
authors.initials: QM
authors.lastname: Epstein-Ngo
authors.affiliation: Injury Center, University of Michigan, Ann Arbor, MI, USA.|School of Public Health, University of Michigan, Ann Arbor, MI, USA.
authors.forename: Marc A
authors.initials: MA
authors.lastname: Zimmerman
authors.affiliation: Department of Psychiatry, Addiction Center, University of Michigan, Ann Arbor, MI, USA.|VA Ann Arbor Center for Clinical Management Research, Ann Arbor, MI, USA.
authors.forename: Frederic C
authors.initials: FC
authors.lastname: Blow
authors.affiliation: Injury Center, University of Michigan, Ann Arbor, MI, USA.|Department of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.|School of Public Health, University of Michigan, Ann Arbor, MI, USA.|Department of Emergency Medicine, Hurley Medical Center, Flint, MI, USA.
authors.forename: Rebecca M
authors.initials: RM
authors.lastname: Cunningham
mesh_terms: D000293:Adolescent; D000428:Alcohol Drinking / Q000453:epidemiology*; D004636:Emergency Service, Hospital; D005260:Female; D015658:HIV Infections; D006801:Humans; D007398:Interpersonal Relations; D000066511:Intimate Partner Violence / Q000706:statistics & numerical data*; D008297:Male; D000074609:Marijuana Use / Q000453:epidemiology*; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology*; D000066608:Underage Drinking / Q000706:statistics & numerical data; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D014505:Urban Population / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Adolescents; Drug use; Longitudinal trajectories; Sexual risk