Prevalence of Intoxicating Substance Use Before or During Sex Among Young Adults: A Systematic Review and Meta-Analysis.

Drug use before or during sex is a high-risk sexual behavior associated with adverse health risks and outcomes, such as increasing the likelihood of overdoses and of acquiring sexually-transmitted diseases. This systematic review and meta-analysis of three scientific databases examined the prevalence of the use of intoxicating substances, those tending to excite or stupefy the user on a psychoactive level, before or during sex, among young adults (18-29 years old). A total of 55 unique empirical studies met the inclusion criteria (48,145 individuals; 39% males), were assessed for risk of bias using the tools of Hoy et al. (2012), and were analyzed via a generalized linear mixed-effects model. The results produced a global mean prevalence of this sexual risk behavior of 36.98% (95% CI: 28.28%, 46.63%). Nonetheless, significant differences were identified between different intoxicating substances, with the use of alcohol (35.10%; 95% CI: 27.68%, 43.31%), marijuana (27.80%; 95% CI: 18.24%, 39.92%), and ecstasy (20.90%; 95% CI: 14.34%, 29.45%) significantly more prevalent than that of cocaine (4.32%; 95% CI: 3.64%, 5.11%), heroin (.67%; 95% CI: .09%, 4.65%), methamphetamine (7.10%; 95% CI: 4.57%, 10.88%), and GHB (6.55%; 95% CI: 4.21%, 10.05%). Moderator analyses showed that the prevalence of alcohol use before or during sex differed according to geographical sample origin, and increased as the proportion of ethnic whites in samples increased. The remaining demographic (e.g., gender, age, reference population), sexual (e.g., sexual orientation, sexual activity), health (e.g., drug consumption, STI/STD status), methodological (e.g., sampling technique), and measurement (e.g., timeframe) variables that were examined did not moderate prevalence estimates. Implications for sexual development interventions were discussed.

Measurement Invariance and Latent Mean Differences Between American, Spanish and Chinese Adolescents Using the Social AnxietyScale for Adolescents (SAS-A) / Análisis de Invarianza y Diferencias de Medias Latentes Entre Adolescentes Americanos, Españoles y Chinos Usando la Escala deAnsiedad Social para Adolescentes (SAS-A)

Background: Social anxiety is one of the most prevalent disorders amongadolescents (Stein et al., 2017). The main aim of this study was to analyzethe equivalence of scores on the Social Anxiety Scale for Adolescents(SAS-A) using structural equation modeling and identify differences inlatent means of social anxiety in China, Spain, and the USA. Method:Random sampling was used to recruit participants, which included 536Chinese (46% girls), 1,178 Spanish (55.3% girls) and 866 North American(55.1% girls) adolescents. The participants’ ages ranged between 14 and17 years old. Results: The SAS-A three-factor correlated model of socialanxiety remained invariant between the Spanish and North Americanadolescents, but results could not be replicated in the Chinese adolescents[M2 = ΔS-Bχ2 (Δdf, p) = 4732.56 (36, < .01)]. Analyses of latent differencesbetween Spain and the USA showed that Spanish adolescents had higherscores than North Americans for Fear of Negative Evaluation (TS = -9.630;d = .44) and for Social Avoidance and General Anxiety towards people(TS = -2.717; d = .12). Conclusions: The results are interpreted accordingto the cultural traits of individualism-collectivism and self-construal, andpractical implications are discussed.

Antecedentes: la ansiedadsocial es uno de los trastornos con mayor prevalencia en adolescentes(Stein et al., 2017). Así, el propósito principal de este estudio fue analizarla invarianza de la Escala de Ansiedad Social para Adolescentes (SAS-A) mediante un modelo de ecuaciones estructurales y examinar las diferenciasde medias latentes en ansiedad social en adolescentes de China, España y EE.UU. Método: los participantes se seleccionaron a través de muestreoaleatorio: 534 chinos (46% chicas), 1.178 españoles (55,3% chicas) y866 norteamericanos (55,1% chicas), con edades comprendidas entre los14 y 17 años. Resultados: las puntuaciones del modelo de tres factorescorrelacionados de ansiedad social de la SAS-A resultaron invariantesentre adolescentes españoles y norteamericanos, pero estos resultados nofueron replicados en adolescentes chinos [M2 = ΔS-Bχ2 (Δdf, p) = 4732.56(36, < .01)]. El análisis de medias latentes entre España y EE.UU. mostróque los adolescentes españoles manifestaban niveles más altos de Miedoante las evaluaciones negativas (TS = -9.630; d = .44) y Evitación social yansiedad general hacia las personas (TS = -2.717; d = .12).Conclusiones: estos hallazgos fueron interpretados atendiendo al de individualismo-colectivismo y las concepciones culturales de la propia persona, analizandosus implicaciones prácticas.

Factor Invariance of the Trait Meta-Mood Scale-24 in a Sample of Chilean Adolescents.

The purpose of this study is to adapt the Trait Meta-Mood Scale-24 (TMMS-24; Fernández-Berrocal, Extremera, & Ramos, 2004, Spanish short version of the TMMS, Salovey, Mayer, Goldman, Turvey, & Palfai, 1995) to the Chilean adolescent population (13-17 years), analyzing the psychometric properties of the instrument through confirmatory factor analyses, factor invariance analysis, and latent mean differences. For this purpose, a sample of 3,255 secondary and high school students, between 12 and 18 years old (M = 15.28, SD = 1.24), were recruited. The results confirm the measurement invariance and structure of TMMS-24 scores by sex and age. The results of the latent mean analysis show the existence of significant differences associated with sex and age in the TMMS-24 attention to feelings factor. The adequate psychometric properties of the TMMS-24 show that it is valid for the Chilean adolescent population, thus covering the existing gap in this context.