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01-12-2009

Regression Mixture Models of Alcohol Use and Risky Sexual Behavior Among Criminally-Involved Adolescents

Authors: Sarah J. Schmiege, Michael E. Levin, Angela D. Bryan

Published in: Prevention Science | Issue 4/2009

Abstract

Adolescents involved with the criminal justice system engage in high levels of both risky sexual behavior and alcohol use. Yet a strong relationship between the two constructs has not been consistently observed, possibly due to heterogeneity in the data. Regression mixture models were estimated in the current study to address such potential heterogeneity. Criminally-involved adolescents (n = 409) were clustered into latent classes based on patterns of the regression of two measures of risky sexual behavior, condom use and frequency of intercourse, on alcohol use. A three-class solution emerged where alcohol use did not significantly predict either risky sex outcome for approximately 25% of the sample; alcohol use negatively predicted condom use and positively predicted frequency of intercourse for approximately 38% of participants; and alcohol use negatively predicted condom use but not frequency of intercourse for the remaining participants. These classes were then distinguished on the basis of five covariates previously found to influence either alcohol use, risky sexual behavior, or the relationship between the two: self-esteem, gender, participant age, relationship status, and impulsivity/sensation-seeking. High self-esteem, being female, being older, and being in a relationship predicted membership in the class with no observed relationship of alcohol use to risky sex, relative to the other classes. Implications of the present findings are discussed in terms of exploring different risky sex and alcohol use patterns within criminally involved adolescents, as well as understanding the effectiveness of interventions for subgroups of individuals.

These exclusionary criteria are consistent with other research in this domain (e.g., Bryan et al. 2007; Kingree and Phan 2002; Tubman and Langer 1995) and are based on the match to the research question of the present study. Specifically, the study is exploring whether there is unidentified heterogeneity in the data with different subgroups of individuals who both drink alcohol and have sexual intercourse who do or do not show the positive relationship between alcohol use and risky sex. We acknowledge that this approach necessarily overestimates the proportion of individuals for whom alcohol use predicts risky sexual behavior, as individuals lacking experience with both alcohol and sexual behavior would not be expected to demonstrate a relationship between the two. Including these double-abstainers certainly would have increased the number who emerged in the “no relationship” class; however, the later characterization of this class based on the covariates would not be as meaningful because it would be impossible to distinguish those who did not exhibit a relationship between the two due to zero scores on both constructs from those who truly did not demonstrate a relationship between the two constructs based on the theoretical rationale suggested by the covariates that emerged as significant.

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Title: Regression Mixture Models of Alcohol Use and Risky Sexual Behavior Among Criminally-Involved Adolescents
Authors: Sarah J. Schmiege
Michael E. Levin
Angela D. Bryan
Publication date: 01-12-2009
Publisher: Springer US
Published in: Prevention Science / Issue 4/2009
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI: https://doi.org/10.1007/s11121-009-0135-z

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Regression Mixture Models of Alcohol Use and Risky Sexual Behavior Among Criminally-Involved Adolescents

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