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They responded via text messaging to open\u2010ended questions about how the COVID\u201019 pandemic may have impacted the sexual behavior and alcohol use of adolescents. Conventional content analysis summarized open\u2010ended responses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>416 responses were analyzed from 335 participants (aged 15\u201330, US residents), 81 of whom provided data for both topics. Participants suggested that the pandemic affected some youths' sexual health precautions (increased and varying) and attitudes about sex (positive and negative). They discussed how adolescents met partners during the pandemic, including increased use of online platforms. Participants also suggested researchers investigate sexual risk in the realm of COVID\u201019 transmission and the practice of \u201csafe sex.\u201d Many participants believed adolescents were drinking alcohol more as a result of the pandemic, both alone and with friends; however, others perceived adolescents were drinking less. Participants proposed researchers investigate adolescent drinking habits during the pandemic, as well as how this compares to before the pandemic and the type and quantity of alcohol consumed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Young people believe adolescent sexual relationships and drinking behaviors changed due to the pandemic, though how varied. Future research could examine the contexts and individual differences that shape these varying behaviors. Overall, this study highlights the importance of directly asking youth about their pandemic experiences and the diversity of views on how the pandemic has influenced adolescent behavior.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jad.12303","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T08:26:20Z","timestamp":1707294380000},"page":"865-873","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["\u201cAn escape from the isolation\u201d: Youth thoughts about the impact of COVID\u201019 on adolescent sexual behavior and alcohol use"],"prefix":"10.1002","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5364-8017","authenticated-orcid":false,"given":"Claire D.","family":"Stout","sequence":"first","affiliation":[{"name":"Department of Psychology University of Pittsburgh Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9127-7440","authenticated-orcid":false,"given":"Michele L.","family":"Ybarra","sequence":"additional","affiliation":[{"name":"Center for Innovative Public Health Research San Clemente California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly J.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Crimes against Children Research Center University of New Hampshire Durham New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly M.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences Boston University School of Public Health Boston Massachusetts USA"},{"name":"Department of Psychiatry The Boston University Chobanian &amp; Avedisian School of Medicine Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000001427"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2022.10.007"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-021-02282-4"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-7795.2010.00721.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470479193.adlpsy002004"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2021.0541"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-7687.2010.01035.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.abrep.2021.100388"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2020.06.018"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2022.107326"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2021.06.016"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-060309"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2022.07.007"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3167\/ghs.2020.130306"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1108\/HE-01-2021-0010"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2020.08.017"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745691614535934"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0038178"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0021874"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-021-02265-5"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000001556"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/14034948221075406"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.su6901a5"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18168755"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-022-01338-z"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2011.587961"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.conx.2021.100064"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2021.01.010"},{"key":"e_1_2_9_31_1","unstructured":"Markow D. &Kim A.(2007).Internet Solutions for Kids Inc. 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