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Substance Use Disorders and HIV/AIDS Risk Behaviors in Youth After Juvenile Detention: A 16-Year Longitudinal Study

NCJ Number
Journal of Adolescent Health Volume: 73 Issue: 4 Dated: OCT 2023 Pages: P640-649
Marquita L. Stokes; Karen M. Abram; David A. Aaby; Leah J. Welty; Nicholas S. Meyerson; Chad J. Zawitz; Linda A. Teplin
Date Published
October 2023
10 pages

This longitudinal study explored substance use disorders and HIV/AIDS risk behaviors in youth post–juvenile detention.


This study examined the association between substance use disorders (SUDs) and HIV/AIDS risk behaviors in detained youth as they age and found that youth had greater odds of engaging in every risk behavior when they had an SUD compared with when they did not have an SUD. The researchers undertook a prospective longitudinal study of a stratified random sample of 1,829 youth aged 10 to 18 years at baseline, sampled between November 1995 and June 1998 from the Cook County Juvenile Temporary Detention Center, Chicago, Illinois, and reinterviewed up to 13 times (to median age 32); 17,766 interviews overall. For example, SUD was associated with condomless vaginal sex with a high-risk partner (OR: 2.28, 95% CI: 1.84-2.82). SUD was also associated with multiple partners, although the strength varied by time and sex (e.g., 16 years after baseline, OR: 3.58, 95% CI: 2.46-5.23 females; OR: 2.07, 95% CI: 1.48-2.88 males). Types of SUD—alcohol, comorbid alcohol and marijuana, drugs other than marijuana—were also associated with HIV/AIDS risk behaviors. SUDs and HIV/AIDS risk behaviors are linked among youth in the juvenile justice system and as they age. There is a longstanding need for targeted and integrated HIV and SUD services, but this need remains unmet. (Published Abstract Provided)