Skip Navigation

Center on Alcohol Marketing and Youth

Drinking and Risky Sexual Behavior


Sexual Assault

Risky Sexual Behavior

              Percentage of Youth Age 18-25 with a STI by drinking pattern 2005

Updated December 2015

Drinking and Risky Sexual Behavior (printer-friendly version)


1 Calculated from YRBS public use data. Accessed October 12, 2015 at:

2 Anderson JE, Mueller TE. (2008). Trends in sexual risk behavior and unprotected sex among high school students, 1991-2005: The role of substance use. Journal of School Health, 78(11):575-580.

3 Stueve, A. and O'Donnell, L. N. (2005). Early alcohol initiation and subsequent sexual and alcohol risk behaviors among urban youths. American Journal of Public Health. 95(5):887-893.

4 Kann, L., Kinchen, S., & Shanklin, S. L. Flint, K. H., Hawkins, M. A., Harris, W. A. et al. (2014). Youth Risk Behavior Surveillance — United States, 2013. Morbidity and Mortality Weekly Report, 63(No. SS-4).  Accessed October 11, 2015 at

5 Sexual assault was measured using the revised Sexual Experiences Survey. Kingree, J. B. and Thompson, M. (2015). A Comparison of Risk Factors for Alcohol-Involved and Alcohol-Uninvolved Sexual Aggression Perpetration. Journal of Interpersonal Violence, 30(9):1478–1492.

6 US Department of Justice Office of Justice Programs. (2014). Rape and Sexual Assault Victimization among College-Age Females, 1995–2013.  Accessed November 7, 2015 at:

7 Hingson, R. W., Zha, W., and Weitzman, E. R. (2009). Magnitude of and Trends in Alcohol-Related Mortality and Morbidity among U.S. College Students Ages 18-24, 1998-2005. Journal of Studies on Alcohol Drugs, 16:12-20.

8 Bryan, A. E. B., Norris, J., Abdallah, D. A., Stappenbeck, C. A., Morrison, D. M., Davis, K. C., George, W. H., Danube, C. L., and Zawacki, T. (2015). Longitudinal Change in Women’s Sexual Victimization Experiences as a Function of Alcohol Consumption and Sexual Victimization History: A Latent Transition Analysis. Psychology of Violence, Advance online publication.

9 Kerr, D. C., Washburn, I. J., Morris, M. K., Lewis, K. A., and Tiberio, S. S.  (2015). Event-Level Associations of Marijuana and Heavy Alcohol Use With Intercourse and Condom Use.  Journal of Studies on Alcohol and Drugs, 76(5): 733-737.

10 Substance Abuse and Mental Health Services Administration. The NSDUH Report: Sexually Transmitted Diseases and Substance Use. Rockville, MD: Office of Applied Studies; March 20, 2007.  Accessed November 20, 2015 at:

11 Livingston, J. A., Testa, M., Windle, M., and Bay-Cheng L. Y. (2015). Sexual Risk at First Coitus: Does Alcohol Make a Difference? Journal of Adolescence, 43:148–158.