Multivariable Correlates of Early Sexual Debut, Condom Use, and Substance Use as Predictors of STI Risk Among U.S. Adolescents: Evidence from the 2023 Youth Risk Behavior Survey Introduction Adolescents in the United States experience a disproportionately high burden of sexually transmitted infections, driven by overlapping behavioral and social factors (Centers for Disease Control and Prevention, 2024). Early sexual debut is associated with increased risk due to longer exposure to sexual activity and lower likelihood of protective behaviors. Substance use before sex further increases risk by impairing judgment and reducing condom use (Leigh & Stall, 1993). Experiences of sexual violence also contribute to vulnerability by limiting the ability to negotiate safe sex (DiClemente et al., 2005). This study examines how these factors interact to influence STI risk and whether condom use acts as a mediating pathway. Background Sexually transmitted infections (STIs) remain a major public ...
Writings in Anthropology & Public Health