{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:39:24Z","timestamp":1792787964838,"version":"4.5.0"},"reference-count":48,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T00:00:00Z","timestamp":1698710400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Drug Prevention and Information Programme of the European Union","award":["JUST\/2010\/DPIP\/AG\/0914-30-CE-0379823\/00-48"],"award-info":[{"award-number":["JUST\/2010\/DPIP\/AG\/0914-30-CE-0379823\/00-48"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Research indicates that among the risks associated with young people\u2019s alcohol and illicit drug use are sexual risks. However, insights into co-occurrence of substance use and sexual risks in adolescent samples and possible differences across countries are limited. Methods: A sample of 1449 adolescents from Belgium, Sweden, the Czech Republic, and Germany screened positive for risky alcohol\/illicit drug use in a web-based intervention against alcohol and illicit drug use. They also reported incidents of sex while being drunk and\/or high on drugs, condomless sex on these occasions, and sexualized touching and sexual victimization while being drunk or high on drugs. Results: In the sample, 21.5% of the participants reported sexualized touching, 9.9% being victim to sexual assault, and 49.8% having had sex while being drunk and\/or high on drugs; of the latter, 48.3% had condomless sex. Reports on having had sex while being drunk and\/or high on drugs were associated with higher levels of past 30-day binge drinking. Being a victim of sexual assault was associated with past 30-day binge drinking only in young men. Conclusion: When devising preventive interventions against risky substance use in adolescents, an additional focus should be set on integrating steps against sexual risks.<\/jats:p>","DOI":"10.3390\/ijerph20217002","type":"journal-article","created":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T12:53:32Z","timestamp":1698756812000},"page":"7002","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Risky Sexual Behaviour and Sexual Victimization among Young People with Risky Substance Use in Europe\u2014Perspectives from Belgium, Sweden, the Czech Republic, and Germany"],"prefix":"10.3390","volume":"20","author":[{"given":"Christiane","family":"Baldus","sequence":"first","affiliation":[{"name":"German Centre for Addiction Research in Childhood and Adolescence (DZSKJ), University Medical Centre Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6406-4685","authenticated-orcid":false,"given":"Tobias H.","family":"Elg\u00e1n","sequence":"additional","affiliation":[{"name":"STAD, Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, 11364 Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8699-7117","authenticated-orcid":false,"given":"Veerle","family":"Soyez","sequence":"additional","affiliation":[{"name":"Department of Psychology, Vrije Universiteit Brussel, 1050 Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanne","family":"T\u00f8nnesen","sequence":"additional","affiliation":[{"name":"Clinical Health Promotion Centre, Lund University, 22185 Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3367-0815","authenticated-orcid":false,"given":"Nicolas","family":"Arnaud","sequence":"additional","affiliation":[{"name":"German Centre for Addiction Research in Childhood and Adolescence (DZSKJ), University Medical Centre Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ladislav","family":"Csemy","sequence":"additional","affiliation":[{"name":"Public Mental Health Research Program, National Institute of Mental Health, 25067 Klecany, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rainer","family":"Thomasius","sequence":"additional","affiliation":[{"name":"German Centre for Addiction Research in Childhood and Adolescence (DZSKJ), University Medical Centre Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,10,31]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1093\/alcalc\/agz068","article-title":"Associations Between Alcohol Policies and Adolescent Alcohol Use: A Pooled Analysis of GSHS and ESPAD Data","volume":"54","author":"Noel","year":"2019","journal-title":"Alcohol Alcohol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1177\/1078390319858658","article-title":"Substance Use Patterns Among Adolescents: A Latent Class Analysis","volume":"26","author":"Lee","year":"2020","journal-title":"J. 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