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Journal of Correctional Health Care
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Co-Occurring Sexual Risk and Substance Use Behaviors Among Incarcerated Adolescents

Cynthia Rosengard, PhD, MPH

Division of General Internal Medicine, Rhode Island Hospital, Providence, cynthia_rosengard{at}brown.edu

L. A. R. Stein, PhD

Department of Psychiatry, Center for Alcohol, Brown University Medical School, Providence, Rhode Island, Rhode Island Training School, Cranston

Nancy P. Barnett, PhD

Department of Psychiatry, Center for Alcohol, Brown University Medical School, Providence, Rhode Island

Peter M. Monti, PhD

Department of Psychiatry, Center for Alcohol, Brown University Medical School, Providence Veterans Administration Medical Center, Providence, Rhode Island

Charles Golembeske, PhD

Department of Psychiatry, Center for Alcohol, Brown University Medical School, Providence, Rhode Island, Rhode Island Training School, Cranston

Rebecca Lebeau-Craven, MPH

Department of Psychiatry, Center for Alcohol, Brown University Medical School, Providence, Rhode Island

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.

Key Words: adolescents • sexual risk • substance use • incarcerated populations • correctional health

Journal of Correctional Health Care, Vol. 12, No. 4, 279-287 (2006)
DOI: 10.1177/1078345806296169
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