Sex While Intoxicated: A Meta-Analysis Comparing Heterosexual and Sexual Minority Youth |
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| Authors: | Amy L. Herrick Michael P. Marshal Helen A. Smith Gina Sucato Ron D. Stall |
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| Affiliation: | 1. Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania;2. Center for Research on Health and Sexual Orientation, University of Pittsburgh, Pittsburgh, Pennsylvania;3. Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania;4. Division of Adolescent Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania;1. Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia;2. Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, District of Columbia;3. George Washington Cancer Center, George Washington University, Washington, District of Columbia;4. Emory College of Arts and Sciences, Emory University, Atlanta, Georgia;5. Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia;1. Public Health Institute, Liverpool John Moores University, Exchange Station, Liverpool, L2 2QP, UK;2. School of Natural Sciences and Psychology, Liverpool John Moores University, Byrom Street, Liverpool, L3 3AF, UK |
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| Abstract: | BackgroundThe 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.MethodsWe 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).ResultsResults 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.DiscussionOur 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. |
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