Incarcerated adolescents report greater sexual risk than do nonincarcerated peers. High-risk sexual behavior is associated with substance use. To determine how much sexual risk is combined with substance use, 167 incarcerated adolescents reported on their sexual risk behavior in the year before incarceration that involved alcohol or marijuana. For each risk behavior, marijuana use was more likely than was alcohol use. Marijuana use was more common for higher risk behaviors than for lower risk behaviors. Periods of incarceration provide opportunities for intervening on HIV-relevant risk behaviors among adolescents. The context of substance use within high-risk sexual situations ought to be a focus of interventions for incarcerated adolescents.
American Academy of Pediatrics’ Committee on Adolescence. (2001). Health care for children and adolescents in the juvenile correctional care system. Pediatrics, 107(4), 799-803.
2.
Babor, T. F., WebbC., Burleson, J. A., & KaminerY. (2002). Subtypes of classifying adolescents with marijuana use disorders: Construct validity and clinical implications. Addiction, 97, 58-69.
3.
BryanA., & StallingsC. (2002). A case control study of adolescent risky sexual behavior and its relationship to personality dimensions, conduct disorder, and substance use. Journal of Youth and Adolescence, 31(5), 387-396.
4.
Castrucci, B. C., & Martin, S. L. (2002). The association between substance use and risky sexual behaviors among incarcerated adolescents. Maternal and Child Health Journal, 6(1), 43-47.
5.
Corbin, W. R., & FrommeK. (2002). Alcohol use and serial monogamy as risks for sexually transmitted diseases in young adults. Health Psychology, 21(3), 229-236.
6.
DennisM., Titus, J. C., DiamondG., DonaldsonJ., Godley, S. H., Tims, F. M., et al. (2002). The Cannabis Youth Treatment (CYT) experiment: Rationale, study design and analysis plans. Addiction, 97(Suppl. 1), 16-34.
7.
DevieuxJ., MalowR., Stein, J. A., Jennings, T. E., Lucenko, B. A., AverhartC., et al. (2002). Impulsivity and HIV risk among adjudicated alcohol and other drug-abusing adolescent offenders. AIDS Education and Prevention, 14(Suppl. B), 24-35.
8.
Durant, L. E., & Carey, M. P. (2000). Self-administered questionnaires versus face-to-face interviews in assessing sexual behavior in young women. Archives of Sexual Behavior, 29(4), 309-322.
9.
First, M. B., GibbonM., SpitzerR., Williams, J. B. W., & Benjamin, L. S. (1996). User’s guide for the Structured Clinical Interview for DSM-IV Axis I disorders: Research version. Arlington, VA: American Psychiatric Publishing.
10.
GaryF., YarandiH., VerboskyS., LopezL., CampbellD., & Scruggs, F. C. (2000). Reduction of high-risk behaviors among incarcerated youth: A challenge in prevention. Journal of National Black Nurses Association, 11(1), 36-42.
11.
Gillmore, M. R., Morrison, D. M., LoweryC., & Baker, S. A. (1994). Beliefs about condoms and their association with intentions to use condoms among youths in detention. Journal of Adolescent Health, 15, 228-237.
12.
Harwell, T. S., TrinoR., RudyB., YorkmanS., & Gollub, E. L. (1999). Sexual activity, substance use, and HIV/STD knowledge among detained male adolescents with multiple versus first admissions. Sexually Transmitted Diseases, 26, 265-271.
13.
JaccardJ., McDonaldR., Wan, C. K., Dittus, P. J., & QuinlanS. (2002). The accuracy of self-reports of condom use and sexual behavior. Journal of Applied Social Psychology, 32(9), 1863-1905.
14.
Katz, B. P., Fortenberry, J. D., Zimet, G. D., Blythe, M. J., & Orr, D. P. (2000). Partner-specific relationship characteristics and condom use among young people with sexually transmitted diseases. Journal of Sex Research, 37(1), 69-75.
15.
Kingree, J. B., BraithwaiteR., & WoodringT. (2002). Unprotected sex as a function of alcohol and marijuana use among adolescent detainees. Journal of Adolescent Health, 27, 179-185.
16.
MaguraS., Kang, S. Y., & Shapiro, J. L. (1994). Outcomes of intensive AIDS education for male adolescent drug users in jail. Journal of Adolescent Health, 15, 457-463.
17.
Misovich, S. J., Fisher, J. D., & Fisher, W. A. (1997). Close relationship and elevated HIV risk behavior: Evidence and possible underlying psychological processes. Review of General Psychology, 1, 72-107.
18.
Morris, R. E., Baker, C. J., ValentineM., & Pennisi, A. J. (1998). Variations in HIV risk behaviors of incarcerated juveniles during a four-year period: 1989-1992. Journal of Adolescent Health, 23, 39-48.
19.
NagamuneN., & Bellis, J. M. (2002). Decisional balance of condom use and depressed mood among incarcerated male adolescents. Acta Medica Okayama, 56(6), 287-294.
20.
Otto-Salaj, L. L., Gore-FeltonC., McGarveyE., & Canterbury, R. J., II. (2002). Psychiatric functioning and substance use: Factors associated with HIV risk among incarcerated adolescents. Child Psychiatry and Human Development, 33(2), 91-106.
21.
Peres, C. A., Peres, R. A., da SilveiraF., PaivaV., Hudes, E. S., & HearstN. (2002). Developing an AIDS prevention intervention for incarcerated male adolescents in Brazil. AIDS Education and Prevention, 14(Suppl. B), 36-44.
22.
Rickman, R. L., LodicoM., DiClemente, R. J., MorrisR., BakerC., & HuscroftS. (1994). Sexual communication is associated with condom use by sexually active incarcerated adolescents. Journal of Adolescent Health, 15(5), 383-388.
23.
RosengardC., Adler, N. E., Gurvey, J. E., Dunlop, M. B., Tschann, J. M., Millstein, S. G., et al. (2001). Protective role of health values in adolescents’ future intentions to use condoms. Journal of Adolescent Health, 29, 200-207.
24.
RosengardC., Adler, N. E., Millstein, S. G., Gurvey, J. E., & Ellen, J. M. (2004). Adolescents’ delay in initiating sexual intercourse with new partners. Sexually Transmitted Infections, 80(2), 130-137.
25.
RosengardC., Stein, L. A., Colby, S. M., Barnett, N. P., Monti, P. M., GolembeskeC., et al. (2005, June). Randomized clinical trial of motivational enhancement of substance use treatment among incarcerated adolescents: Reductions in sexual HIV risk behaviors involving substance use. Paper presented at the National HIV Prevention Conference, Atlanta, GA.
26.
Snyder, H. N. (2002). Juvenile arrests, 2000 (Office of Juvenile Justice and Delinquency Prevention Bulletin, NCJ 191729). Washington, DC: U.S. Department of Justice.
27.
Stein, L. A. R., KatzB., Colby, S. M., Barnett, N. P., GolembeskeC., Lebeau-CravenR., et al. (in press). Validity of a brief alcohol expectancy questionnaire for adolescents: AEQ-AB. Journal of Child and Adolescent Substance Abuse.
28.
TorrealdayO., Stein, L. A. R., Colby, S. M., Barnett, N. P., Monti, P. M., GolembeskeC., et al. (in press). Validity of a brief marijuana effects expectancy questionnaire for adolescents: MEEQ-B. Journal of Child and Adolescent Substance Abuse.
29.
Wood, V. D., & ShoroyeA. (1993). Sexually transmitted disease among adolescents in the juvenile justice system of the District of Columbia. Journal of the National Medical Association, 85(6), 435-439.
