Reproductive Health Characteristics of Marijuana And Cocaine Users: Results from the 2002 National Survey of Family Growth
Article first published online: 2 AUG 2011
Copyright © 2011 by the Guttmacher Institute
Perspectives on Sexual and Reproductive Health
Volume 43, Issue 3, pages 164–172, September 2011
How to Cite
van Gelder, M. M.H.J., Reefhuis, J., Herron, A. M., Williams, M. L. and Roeleveld, N. (2011), Reproductive Health Characteristics of Marijuana And Cocaine Users: Results from the 2002 National Survey of Family Growth. Perspectives on Sexual and Reproductive Health, 43: 164–172. doi: 10.1363/4316411
- Issue published online: 1 SEP 2011
- Article first published online: 2 AUG 2011
CONTEXT: Illicit drug use is associated with risky sexual behaviors in adolescents and young adults. However, few studies have examined these associations among drug users of all reproductive ages, using a control group of nonusers.
METHODS: Associations between marijuana and cocaine use, and outcomes related to sexual behaviors and reproductive health, were assessed using data from the 2002 National Survey of Family Growth. Overall, 4,928 men and 7,643 women aged 15–44 were interviewed. Chi-square tests, t tests and multivariable logistic regression analyses were used; in supplementary analyses, men and women were stratified by age-group (25 or younger, and older than 25), to capture the understudied older adults who use drugs.
RESULTS: Twenty-seven percent of men and 16% of women reported use of marijuana or cocaine in the last year. Drug users were younger than nonusers at first vaginal sex (mean, 15.2–16.1 vs. 17.3–17.5 years) and were more likely to have engaged in risky sexual behaviors in the last year, including having had sex with a nonmonogamous partner (odds ratios, 3.3–5.2 for men and 2.9–6.5 for women), while high on alcohol or drugs (10.1–18.0 and 8.1–24.2), or in exchange for money or drugs (2.7–2.8 and 2.3–9.2). They also were more likely to have undergone STD testing or treatment. Drug use was associated with risky sexual behaviors in both age-groups.
CONCLUSION: Programs aimed at reducing sexual risks among drug users should address the behaviors of men and women of all reproductive ages.