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The present study examined differences in sexual risk behaviors between adolescents with a substance use disorder (SUD) and co\u2010occurring posttraumatic stress disorder (PTSD) versus those with an SUD and another co\u2010occurring psychiatric disorder. Participants were 269 adolescents who met the clinical screening criteria for an SUD and at least one psychiatric disorder. Bivariate comparisons and generalized linear models were used to compare sexual risk behaviors in participants with co\u2010occurring PTSD (30.0%) and those with a different psychiatric disorder (70.0%). Participants with co\u2010occurring PTSD were twice as likely to have multiple sex partners during the same period compared to those without PTSD, odds ratio (<jats:italic>OR<\/jats:italic>) = 2.35, <jats:italic>p<\/jats:italic> =\u00a0.012. They also reported, on average, over twice the incidence rate of unprotected sexual encounters, incidence rate ratio (<jats:italic>IRR<\/jats:italic>) = 2.06, <jats:italic>p<\/jats:italic> =\u00a0.034, and a 51.0% higher incidence of sexual risk behaviors, <jats:italic>IRR<\/jats:italic> = 1.51, <jats:italic>p<\/jats:italic> =\u00a0.008, than participants without co\u2010occurring PTSD. The results suggest dually diagnosed adolescents with co\u2010occurring PTSD are more likely to engage in sexual risk behaviors than those with a different co\u2010occurring disorder, placing them at higher risk for adverse health effects, such as sexually transmitted infections and unplanned pregnancies. As such, this population is likely to benefit from targeted trauma\u2010informed sexual health education programs focused on sexual risk reduction.<\/jats:p>","DOI":"10.1002\/jts.23086","type":"journal-article","created":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T15:49:18Z","timestamp":1722440958000},"page":"1028-1034","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Examining the association between posttraumatic stress disorder and sexual risk\u2010taking in dually diagnosed adolescents"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4736-7677","authenticated-orcid":false,"given":"Aakanksha","family":"Lahoti","sequence":"first","affiliation":[{"name":"Department of Counseling Psychology and Human Services University of Oregon  Eugene Oregon USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8742-5313","authenticated-orcid":false,"given":"Lauren M.","family":"Berny","sequence":"additional","affiliation":[{"name":"Department of Counseling Psychology and Human Services University of Oregon  Eugene Oregon USA"},{"name":"Prevention Science Institute University of Oregon  Eugene Oregon USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5313-0664","authenticated-orcid":false,"given":"Emily E.","family":"Tanner\u2010Smith","sequence":"additional","affiliation":[{"name":"Department of Counseling Psychology and Human Services University of Oregon  Eugene Oregon USA"},{"name":"Prevention Science Institute University of Oregon  Eugene Oregon USA"},{"name":"HEDCO Institute for Evidence\u2010Based Educational Practice University of Oregon  Eugene Oregon USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,31]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.2005.66.82"},{"key":"e_1_2_9_3_1","unstructured":"American Psychiatric Association. 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