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Table 2 Sexual behavioral correlates of sexual debut while using drugs or alcohol among 943 sexually active university students

From: Factors associated with alcohol and/or drug use at sexual debut among sexually active university students: cross-sectional findings from Lebanon

Behavioral correlates

Sexual debut while on drugs or alcohol

Odds ratio

Adjusted odds ratio by sex

Adjusted odds ratio1

No

Yes

n

%

n

%

OR (95% CI)

P-value

A-OR (95% CI)

P-value

A-OR (95% CI)

P-value

Engagement in first oral sex with

Familiar partner2

617

80.2

54

56.3

1.00

-

1.00

-

1.00

-

Unfamiliar partner

152

19.7

42

43.7

3.15 (2.03, 4.90)

<0.0001

2.67 (1.66-4.28)

<0.0001

2.56 (1.57-4.16)

<0.0001

Engagement in first anal sex with

Familiar partner

201

79.1

16

72.7

1.00

-

1.00

-

1.00

-

Unfamiliar partner

53

20.9

6

27.3

1.42 (0.53, 3.81)

0.48

1.18 (0.41, 3.37)

0.72

1.27 (0.44, 3.71)

0.66

Engagement in first vaginal sex with

Familiar partner

383

75.2

46

53.5

1.00

-

1.00

-

1.00

-

Unfamiliar partner

126

24.8

40

46.5

2.64 (1.65, 4.22)

<0.0001

2.10 (1.24, 3.51)

<0.0001

2.05 (1.2, 3.49)

0.01

Level of consent at sexual debut

Willing

515

83.9

72

81.8

1.00

-

1.00

-

1.00

-

Not willing3

19

3.09

3

3.4

1.13 (0.33, 3.91)

0.85

1.34 (0.38, 4.72)

0.65

1.96 (0.51, 7.5)

0.33

Persuaded

59

9.61

6

6.8

0.73 (0.30, 1.75)

0.48

0.85 (0.35, 2.05)

0.71

0.98 (0.39, 2.45)

0.97

Expected to

21

3.42

7

8.0

2.38 (0.98, 5.81)

0.06

2.18 (0.89, 5.36)

0.09

2.42 (0.94, 6.2)

0.07

Paid for sex

No

739

89.6

87

84.5

1.00

-

1.00

-

1.00

-

Yes

86

10.4

16

15.5

1.58 (0.88, 2.81)

0.12

1.11 (0.61, 2.03)

0.72

1.10 (0.59, 2.04)

0.75

Condom usage

Always have

136

22.0

28

30.8

1.00

-

1.00

-

1.00

-

Not always

481

78.0

63

69.2

0.64 (0.39, 1.03)

0.07

0.72 (0.44, 1.17)

0.18

0.63 (0.37, 1.05)

0.08

Condom use at most recent sex

Yes

345

56

54

59.3

1.00

-

1.00

-

1.00

-

No

271

44

37

40.7

0.87 (0.56, 1.36)

0.55

1.03 (0.65, 1.62)

0.91

0.99 (0.61, 1.58)

0.95

Number of lifetime sexual partners

1-2

302

49.8

25

28.7

1.00

-

1.00

-

1.00

-

3-5

181

29.9

36

41.4

2.40 (1.39, 4.13)

0.002

2.14 (1.23, 3.71)

0.01

1.85 (1.05, 3.25)

0.03

6-10

68

11.2

11

12.7

1.95 (0.91, 4.16)

0.08

1.70 (0.79, 3.67)

0.17

1.31 (0.60, 2.89)

0.49

11 +

55

9.1

15

17.2

3.29 (1.63, 6.64)

<0.001

2.97 (1.45, 5.99)

0.003

2.06 (0.98, 4.29)

0.05

Ever experienced an unplanned pregnancy

No

790

95.5

100

96.1

1.00

-

1.00

-

1.00

-

Yes

37

4.5

4

3.9

0.85 (0.29, 2.44)

0.76

1.02 (0.35, 2.97)

0.96

0.95 (0.31, 2.88)

0.93

Ever done something sexual didn’t want to do

No

585

71.2

61

59.2

1.00

-

1.00

-

1.00

-

Yes

203

24.7

33

32.0

1.56 (0.99, 2.45)

0.05

1.92 (1.21, 3.01)

<0.001

1.74 (1.07, 2.82)

0.02

Don’t know/remember

34

4.1

9

8.8

2.54 (1.16, 5.54)

0.01

2.58 (1.17, 5.67)

0.01

2.32 (1.02, 5.23)

0.04

Ever been in relationship moving too fast physically

No

462

56.4

68

65.4

1.00

-

1.00

-

1.00

-

Yes

357

43.6

36

34.6

0.68 (0.44, 1.04)

0.08

0.76 (0.49, 1.18)

0.23

0.86 (0.55, 1.34)

0.52

Ever subjected to sexual abuse and/or harassment

No

650

81.7

86

84.3

1.00

-

1.00

-

1.00

-

Yes

146

18.3

16

15.7

0.83 (0.47, 1.45)

0.51

1.08 (0.60, 1.93)

0.79

0.91 (0.49, 1.65)

0.74

Extent worried about doing more sexually than intended due to alc/drugs

Not worried at all

422

57.2

46

46

1.00

-

1.00

-

1.00

-

Not too worried

202

27.4

37

37

1.68 (1.05, 2.67)

0.03

1.59 (0.99, 2.53)

0.06

1.27 (0.78, 2.05)

0.32

Somewhat worried

74

10

10

10

1.24 (0.59, 2.56)

0.56

1.36 (0.65, 2.82)

0.41

1.09 (0.51, 2.29)

0.83

Very worried

40

5.4

7

7

1.6 (0.68, 3.78)

0.28

1.88 (0.78, 4.46)

0.15

1.63 (0.67, 3.96)

0.28

  1. 1Controlling for sex, nationality, current relationship status, living abroad after the age of 12, and spirituality.
  2. 2Familiar partner = serious partner, friend, or marital spouse. Unfamiliar partner = random partner or sex worker.
  3. 3Not willing = tricked, forced or coerced (received money, food, clothing, gifts).
  4. Bolded p-values are statistically significant at critical α=0.05.