Race, ethnicity, substance use, and unwanted sexual intercourse among adolescent females in the United States

• Authors: Nancy Thompson, Emory University; Robin E. McGee, Emory University; Darren Mays, Georgetown University Medical Center
• Journal Title: Western Journal of Emergency Medicine
• Volume: Volume 13, Number 3
• Publisher: West JEM | 2012-08-01, Pages 283-288
• Type of Work: Article | Final Publisher PDF
• Publisher DOI: http://doi.org/10.5811/westjem.2012.3.11774
• Subjects: Sociology, Ethnic and Racial Studies; Health Sciences, Public Health; Sociology, Public and Social Welfare

Abstract

Introduction: The purpose of this study was to examine racial/ethnic disparities in being forced to have sexual intercourse against one's will, and the effect of substance use on these disparities. Methods: We analyzed data from adolescent women participating in the Youth Risk Behavior Survey. Bivariate associations and logistic regression models were assessed to examine associations among race/ethnicity, forced sex, and substance use behaviors. Results: Being forced to have intercourse against one's will and substance use behaviors differed by race/ethnicity. African Americans had the highest prevalence of having been forced to have sexual intercourse (11.2%). Hispanic adolescent women were the most likely to drink (76.1%), Caucasians to binge drink (28.2%), and African Americans to use drugs (44.3%). When forced sexual intercourse was regressed onto both race/ethnicity and substance use behaviors, only substance use behaviors were significantly associated with forced sexual intercourse. Conclusion: Differences in substance use behaviors account for the racial/ethnic differences in the likelihood of forced sexual intercourse. Future studies should explore the cultural and other roots of the racial/ethnic differences in substance use behavior as a step toward developing targeted interventions to prevent unwanted sexual experiences.