The use of the Risky Sex Scale among adolescents receiving treatment services for substance use problems

Factor structure and predictive validity

Jonathan G. Tubman, Sabrina E. Des Rosiers, Seth J Schwartz, Thomas O'Hare

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

This study evaluated the use of the Risky Sex Scale (RSS; T. O'Hare, 2001) among youth in outpatient treatment for substance use problems. An ethnically diverse sample of 394 adolescents (280 males; Mage = 16.33 years, SDage = 1.15) was recruited from 2 treatment sites. The study was guided by two aims. First, a confirmatory factor analysis was conducted on RSS item responses. Findings replicated the factor structure identified in previous studies of undergraduate students cited for campus alcohol violations. Second, structural equation modeling was used to document associations between RSS subscales and self-reported substance use and sexual risk behaviors. The risky sex expectancies subscale was significantly associated with co-occurring alcohol use and sex, alcohol use at last intercourse, and alcohol use during the prior 30 days. The risky sexual behaviors subscale was significantly associated with co-occurring drug use and sex, condom use at last intercourse, and unprotected intercourse during the prior 30 days. The factor structure of the RSS was consistent across age group (12-16 and 16-18 years) and across gender, and the links between the RSS subscales and health risk behaviors varied somewhat by gender but not by age group. These findings suggest that the RSS is an appropriate brief screening tool for predicting health risk behaviors among adolescents in substance abuse treatment.

Original languageEnglish
Pages (from-to)359-365
Number of pages7
JournalJournal of Substance Abuse Treatment
Volume43
Issue number3
DOIs
StatePublished - Oct 1 2012

Fingerprint

Risk-Taking
Alcohols
Sexual Behavior
Age Groups
Hares
Health
Condoms
Therapeutics
Statistical Factor Analysis
Substance-Related Disorders
Outpatients
Students
Pharmaceutical Preparations

Keywords

  • Adolescent
  • Gender
  • Risky sex expectancies, Sexual risk behavior
  • Screening tool
  • Substance abuse
  • Treatment

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology
  • Phychiatric Mental Health
  • Medicine (miscellaneous)

Cite this

The use of the Risky Sex Scale among adolescents receiving treatment services for substance use problems : Factor structure and predictive validity. / Tubman, Jonathan G.; Des Rosiers, Sabrina E.; Schwartz, Seth J; O'Hare, Thomas.

In: Journal of Substance Abuse Treatment, Vol. 43, No. 3, 01.10.2012, p. 359-365.

Research output: Contribution to journalArticle

@article{9324c3d826624e0d944812e5658acdcc,
title = "The use of the Risky Sex Scale among adolescents receiving treatment services for substance use problems: Factor structure and predictive validity",
abstract = "This study evaluated the use of the Risky Sex Scale (RSS; T. O'Hare, 2001) among youth in outpatient treatment for substance use problems. An ethnically diverse sample of 394 adolescents (280 males; Mage = 16.33 years, SDage = 1.15) was recruited from 2 treatment sites. The study was guided by two aims. First, a confirmatory factor analysis was conducted on RSS item responses. Findings replicated the factor structure identified in previous studies of undergraduate students cited for campus alcohol violations. Second, structural equation modeling was used to document associations between RSS subscales and self-reported substance use and sexual risk behaviors. The risky sex expectancies subscale was significantly associated with co-occurring alcohol use and sex, alcohol use at last intercourse, and alcohol use during the prior 30 days. The risky sexual behaviors subscale was significantly associated with co-occurring drug use and sex, condom use at last intercourse, and unprotected intercourse during the prior 30 days. The factor structure of the RSS was consistent across age group (12-16 and 16-18 years) and across gender, and the links between the RSS subscales and health risk behaviors varied somewhat by gender but not by age group. These findings suggest that the RSS is an appropriate brief screening tool for predicting health risk behaviors among adolescents in substance abuse treatment.",
keywords = "Adolescent, Gender, Risky sex expectancies, Sexual risk behavior, Screening tool, Substance abuse, Treatment",
author = "Tubman, {Jonathan G.} and {Des Rosiers}, {Sabrina E.} and Schwartz, {Seth J} and Thomas O'Hare",
year = "2012",
month = "10",
day = "1",
doi = "10.1016/j.jsat.2012.01.002",
language = "English",
volume = "43",
pages = "359--365",
journal = "Journal of Substance Abuse Treatment",
issn = "0740-5472",
publisher = "Elsevier Inc.",
number = "3",

}

TY - JOUR

T1 - The use of the Risky Sex Scale among adolescents receiving treatment services for substance use problems

T2 - Factor structure and predictive validity

AU - Tubman, Jonathan G.

AU - Des Rosiers, Sabrina E.

AU - Schwartz, Seth J

AU - O'Hare, Thomas

PY - 2012/10/1

Y1 - 2012/10/1

N2 - This study evaluated the use of the Risky Sex Scale (RSS; T. O'Hare, 2001) among youth in outpatient treatment for substance use problems. An ethnically diverse sample of 394 adolescents (280 males; Mage = 16.33 years, SDage = 1.15) was recruited from 2 treatment sites. The study was guided by two aims. First, a confirmatory factor analysis was conducted on RSS item responses. Findings replicated the factor structure identified in previous studies of undergraduate students cited for campus alcohol violations. Second, structural equation modeling was used to document associations between RSS subscales and self-reported substance use and sexual risk behaviors. The risky sex expectancies subscale was significantly associated with co-occurring alcohol use and sex, alcohol use at last intercourse, and alcohol use during the prior 30 days. The risky sexual behaviors subscale was significantly associated with co-occurring drug use and sex, condom use at last intercourse, and unprotected intercourse during the prior 30 days. The factor structure of the RSS was consistent across age group (12-16 and 16-18 years) and across gender, and the links between the RSS subscales and health risk behaviors varied somewhat by gender but not by age group. These findings suggest that the RSS is an appropriate brief screening tool for predicting health risk behaviors among adolescents in substance abuse treatment.

AB - This study evaluated the use of the Risky Sex Scale (RSS; T. O'Hare, 2001) among youth in outpatient treatment for substance use problems. An ethnically diverse sample of 394 adolescents (280 males; Mage = 16.33 years, SDage = 1.15) was recruited from 2 treatment sites. The study was guided by two aims. First, a confirmatory factor analysis was conducted on RSS item responses. Findings replicated the factor structure identified in previous studies of undergraduate students cited for campus alcohol violations. Second, structural equation modeling was used to document associations between RSS subscales and self-reported substance use and sexual risk behaviors. The risky sex expectancies subscale was significantly associated with co-occurring alcohol use and sex, alcohol use at last intercourse, and alcohol use during the prior 30 days. The risky sexual behaviors subscale was significantly associated with co-occurring drug use and sex, condom use at last intercourse, and unprotected intercourse during the prior 30 days. The factor structure of the RSS was consistent across age group (12-16 and 16-18 years) and across gender, and the links between the RSS subscales and health risk behaviors varied somewhat by gender but not by age group. These findings suggest that the RSS is an appropriate brief screening tool for predicting health risk behaviors among adolescents in substance abuse treatment.

KW - Adolescent

KW - Gender

KW - Risky sex expectancies, Sexual risk behavior

KW - Screening tool

KW - Substance abuse

KW - Treatment

UR - http://www.scopus.com/inward/record.url?scp=84866533057&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84866533057&partnerID=8YFLogxK

U2 - 10.1016/j.jsat.2012.01.002

DO - 10.1016/j.jsat.2012.01.002

M3 - Article

VL - 43

SP - 359

EP - 365

JO - Journal of Substance Abuse Treatment

JF - Journal of Substance Abuse Treatment

SN - 0740-5472

IS - 3

ER -