Sexual behavior among high school students in Brazil: alcohol consumption and legal and illegal drug use associated with unprotected sex

Sexual behavior among high school students in Brazil: alcohol consumption and legal and illegal drug use associated with unprotected sex

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OBJECTIVE: Alcohol and other drug use appears to reduce decision-making ability and increase the risk of unsafe sex, leading to possible unplanned pregnancies, sexually transmitted diseases/human immunodeficiency virus/HIV transmission, and multiple sexual partners.This study aimed to test the hypothesis that risky sexual behaviors among adolescents are associated with legal and illegal drug use.METHODS: A national cross-sectional survey product of 17,371 high-school students was conducted in 2010.Students were selected from 789 public and private schools in each of the 27 Brazilian state capitals by a multistage probabilistic sampling method and answered a self-report questionnaire.

Weighted data were analyzed through basic contingency tables and logistic regressions testing for differences in condom use among adolescents who were sexually active during the past month.RESULTS: Approximately one third of the high school students had engaged in sexual intercourse in the month prior to the survey, and nearly half of these respondents had not used a condom.While overall sexual intercourse was more prevalent among boys, unsafe sexual intercourse was more prevalent among girls.Furthermore, a lower socioeconomic status was directly associated with non-condom use, while binge drinking and illegal drug use were independently associated with unsafe sexual intercourse.

CONCLUSION: Adolescent alcohol and drug use were associated with unsafe miracle academy clothing sexual practices.School prevention programs must include drug use and sexuality topics simultaneously because both risk-taking behaviors occur simultaneously.