{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T05:11:11Z","timestamp":1778562671993,"version":"3.51.4"},"reference-count":66,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,8,31]],"date-time":"2024-08-31T00:00:00Z","timestamp":1725062400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R03DA04189101A1"],"award-info":[{"award-number":["R03DA04189101A1"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Youth &amp; Society"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>\n                    Youth are disproportionately affected by substance use and associated sexual risk behaviors, increasing STI and HIV susceptibility. This study analyzed the interplay between alcohol\/drug use before sex (ABS\/DBS), perceived sex approval (e.g., perceived familial or peer approval in engaging in sex), and HIV\/STI risk perception among youth aged 13\u201321 (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009150). We assessed how these factors influenced condomless vaginal\/anal sex (VAS) and oral sex practices. Results showed significant interactions between perceived sex approval and lifetime ABS for lifetime condomless VAS, and between HIV\/STI risk perception and lifetime ABS for current condomless oral sex. These findings underline the influence of perceived sex approval and HIV\/STI risk perception on youth\u2019s sexual behaviors. Implications for targeted interventions are discussed.\n                  <\/jats:p>","DOI":"10.1177\/0044118x241273406","type":"journal-article","created":{"date-parts":[[2024,8,31]],"date-time":"2024-08-31T04:54:40Z","timestamp":1725080080000},"page":"490-514","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["The Association of Substance Use Before Sex and Condomless Sex: The Moderating Effects of Sexual Risk Behaviors, Perceived Sex Approval, and HIV\/STI Risk Perception Among Youth"],"prefix":"10.1177","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9024-7364","authenticated-orcid":false,"given":"Sarah","family":"Khreizat","sequence":"first","affiliation":[{"name":"School of Social Work, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9998-1934","authenticated-orcid":false,"given":"David","family":"Cordova","sequence":"additional","affiliation":[{"name":"School of Social Work, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9276-2306","authenticated-orcid":false,"given":"Jos\u00e9","family":"Bauermeister","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Pennsylvania, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Delva","sequence":"additional","affiliation":[{"name":"School of Social Work, Boston University, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Torsten B.","family":"Neilands","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Prevention Science, University of California San Francisco, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sydni","family":"Warner","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel \u00c1ngel","family":"Cano","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Texas Southwestern Medical Center, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cherrie B.","family":"Boyer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Adolescent and Young Adult Medicine, University of California San Francisco, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,31]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Abel G. 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