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Over middelengebruik en seksualiteit

Let’s talk about sex

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Dit artikel schetst in grote lijnen de relatie tussen seksueel gedrag en middelengebruik. Die relatie blijkt sterk: voor veel gebruikers spelen de verwachte seksuele effecten van een middel een belangrijke rol in hun gebruik van een bepaald middel. Seksueel riskant gedrag en ongewenste seksuele ervaringen hangen bovendien vaak samen met middelengebruik. Ook spelen verschillende gemeenschappelijke risicofactoren een rol bij riskant en ongewenst seksueel gedrag en middelengebruik. Gezien de aanzienlijke samenhang tussen riskante en problematische ervaringen op het gebied van seks en middelengebruik, ligt een samenhangende aanpak voor de hand. Vooral in het uitgaansleven, waar middelengebruik en seksuele risico’s vaak hand in hand gaan, zien de auteurs kansen voor een meer geïntegreerde benadering.

Summary

Let’s talk about sex. Substance use and sexual behavio

Ninette van Hasselt and John de Wit

This article addresses the relationship between sexual behavior and substance use. This relationship appears to be strong, and for many users the sexual effects of a substance play a major role in their use. Substance use is also related to risky sexual behavior and unwanted sexual experiences. Common risk factors partly explain the association between substance use and sexual behavior. Considering the strength of this relationship, a combined approach of sexual health promotion and prevention of substance abuse would have substantial benefits. Especially in nightlife settings, where substance use and sexual risks go hand in hand, the authors see great potential for an integrated approach.

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Notes

  1. Seksueel geweld staat voor uiteenlopende vormen van seksueel getinte, ongewenste handelingen. Aanranding, verkrachting, incest en gedwongen prostitutie vallen eronder, maar ook subtiele vormen, zoals verbale seksuele chantage of intimidatie (Movisie, 2009).

Literatuur

  • Abbey, A. (2002). Alcohol-related sexual assault: a common problem among college students. Journal of Studies on Alcohol, 63, suppl. 14, 118–128.

    Google Scholar 

  • Abbey, A. & Harnish, R.J. (1995). Perception of sexual intent: the role of gender, alcohol consumption, and rape supportive attitudes. Sex Roles, 32, 297–313.

    Article  Google Scholar 

  • Baas, I., Bakker, B., & Knoops, L. (2010). Onderzoeksrapport MSM. Middelengebruik en risicogedrag. Amsterdam: Mainline/Schorer.

    Google Scholar 

  • Baelen, L. van (2002). Interaction mechanisms within social networks of amphetamine users. Manchester: Manchester Metropolitan University.

    Google Scholar 

  • Bellis, M.A. & Hughes, K. (2004). Sex potions. Relationships between alcohol, drugs and sex. Adicciones, 16, 251-259.

    Google Scholar 

  • Bellis, M.A., Hughes, K. & Calafat, A. (2008). Sexual uses of alcohol and drugs and the associated risks: a cross-sectional study of young people in nine European studies. BMC Public Health, 8, 155.

    Article  PubMed  Google Scholar 

  • Beynon, C., McVeigh, C., McVeigh, J. & Bellis, M.A. (2008). The involvement of drugs and alcohol in drug-facilitated sexual assault. A systematic review of the evidence. Trauma, Violence, and Abuse, 9, 178-188.

    Article  PubMed  Google Scholar 

  • Bimbi, D.S., Nanin, J.E., Parsons, J.T., Vicioso, K.J., Missildine, W. & Frost, D. (2006). Assessing gay and bisexual men’s outcome expectancies for sexual risk under the influence of alcohol and drugs. Substance Use and Misuse, 41, 643-652.

    Article  PubMed  Google Scholar 

  • Bosman, I.J., Verschraagen, M. & Lusthof, K.J. (2011). Toxicological findings in cases of sexual assault in the Netherlands. Journal of Forensic Sciences, 56, 1562-1568.

    Article  PubMed  CAS  Google Scholar 

  • Buffum, J., Moser, C. & Smith, D. (1988). Street drugs and sexual function. In J.M.A. Sitsen (Ed.), Handbook of sexology, Vol. VI. The pharmacology and endocrinology of sexual function. Amsterdam: Elsevier.

  • Cagiano, R., Bera, I., Sabatini, R., Flace, P., Vermesan, D., Vermesan, H., Dragulescu, S.I., Bottalico, L. & Santacroce, L. (2008). Effects on rat sexual behaviour of acute MDMA (ecstasy) alone or in combination with loud music. European Review for Medical Pharmacological Sciences, 12, 285-292.

    CAS  Google Scholar 

  • Calafat, A., Juan, M., Becoña, E., Mantecón, A. & Ramón, A. (2010). Risky behavior and drug use in the recreational nightlife context. A gender perspective. Psychology in Spain, 14, 57-63.

    Google Scholar 

  • Carey, J.W., Mejia, R., Bingham, T., Ciesielski, C., Gelaude, D., Herbst, J.H., Sinunu, M., Sey, E., Prachand, N., Jenkins, R.A. & Stall, R. (2009). Drug use, high-risk sex behaviors, and increased risk for recent HIV infection among men who have sex with men in Chicago and Los Angeles. AIDS and Behavior, 13, 1084-1096.

    Article  PubMed  Google Scholar 

  • Clerkx, M., Groot, R. de & Prins, F. (red.) (2011). Grensoverschrijdend gedrag van pubers. Apeldoorn: Garant.

    Google Scholar 

  • Conrod, P.J., Steward, S.H., Comeau, N. & Maclean, A.M. (2006). Efficacy of cognitive-behavioral interventions targeting personality risk factors for youth alcohol misuse. Journal of Clinical Child and Adolescent Psychology, 35, 490-504.

    Article  Google Scholar 

  • Corcoran, K.J. & Thomas, L.R. (1991). The influence of observed alcohol consumption on perceptions of initiation of sexual activity in a college dating situation. Journal of Applied Social Psychology, 21, 500-507.

    Article  Google Scholar 

  • Crowe, L.C., & George, W.H. (1989). Alcohol and human sexuality: review and integration. Psychological Bulletin, 105, 374-386.

    Article  PubMed  CAS  Google Scholar 

  • Decorte, T. (1999). Informal control mechanisms among cocaine and crack users in the metropolitan area of Antwerp (Belgium). Proefschrift. Leuven: Katholieke Universiteit Leuven.

    Google Scholar 

  • Dermen, K.H. & Cooper, M.L. (2000). Inhibition conflict and alcohol expectancy as moderators of alcohol’s relationship to condom use. Experimental and Clinical Psychopharmacology, 8, 198-206.

    Article  PubMed  CAS  Google Scholar 

  • Doekhie, J., Nabben, T. & Korf, D.J. (2010). NL.Trendwatch. Gebruikersmarkt uitgaansdrugs in Nederland 2008-2009. Amsterdam: Rozenberg.

    Google Scholar 

  • Finkelhor, D. & Asdigian, N. (1996). Risk factors for youth victimization: beyond a lifestyles theoretical approach. Violence and Victims, 11, 3-20.

    PubMed  CAS  Google Scholar 

  • Fisher, D.G., Reynolds, G.L., Ware, M.R. & Napper, L.E. (2011). Methamphetamine and Viagra use: relationship to sexual risk behaviors. Archives of Sexual Behavior, 40, 273-279.

    Article  PubMed  Google Scholar 

  • George, W.H. & Stoner, S.A. (2000). Understanding acute alcohol effects on sexual behavior. Annual Review of Sex Research, 11, 92-124.

    PubMed  CAS  Google Scholar 

  • George, W.H., Cue, K.L., Lopez, P.A., Crowe, L.C., & Norris, J. (1995). Selfreported alcohol expectancies and postdrinking sexual inferences about women. Journal of Applied Social Psychology, 25, 164-186.

    Article  Google Scholar 

  • George, W.H., Davis, K.C., Norris, J., Heiman, R.J., Schacht, R.L., Stoner, S.A., Hendershot, C.S. & Kajumulo, K.F. (2011). Women’s sexual arousal: effects of high alcohol dosages and self-control instructions. Hormones and Behavior, 59, 730-738.

    Article  PubMed  CAS  Google Scholar 

  • George, W.H., Gournic, S.J., & McAfee, M.P. (1988). Perceptions of postdrinking female sexuality: effects of gender, beverage choice, and drink payment. Journal of Applied Social Psychology, 18, 1295-1317.

    Article  Google Scholar 

  • Gijs, L., Gianotten, W., Vanwesenbeeck, I. & Weijenborg, P. (2009). Seksuologie. Houten: Bohn Stafleu van Loghum.

    Book  Google Scholar 

  • Graaf, H. de, Kruijer, H., Acker, J. van & Meijer, S. (2012). Seks onder je 25e, 2. Seksuele gezondheid van jongeren in Nederland anno 2012. Delft: Eburon.

    Google Scholar 

  • Groot, I. de & Land, M. van der (2012). Ingenomen en uitgehaald. Alcohol en geweld in Amsterdamse uitgaanssettings. Amsterdam: Vrije Universiteit.

    Google Scholar 

  • Gross, A.M., Bennett, T., Sloan, L., Marx, B.P. & Juergens, J. (2001). The impact of alcohol and alcohol expectancies on male perception of female sexual arousal in a date rape analog. Experimental and Clinical Psychopharmacology, 9, 380-388.

    Article  PubMed  CAS  Google Scholar 

  • Halkitis, P.N. & Palamar, J. (2006). GHB use among gay and bisexual men. Addictive Behaviors, 31, 2135-2139.

    Article  PubMed  Google Scholar 

  • Hall, J. & Moore, C. (2008). Drug facilitated sexual assault: a review. Journal of Forensic and Legal Medicine, 15, 291-297.

    Article  PubMed  CAS  Google Scholar 

  • Hammink, A. & Schrijvers, C. (2012). Preventie van GHB gebruik in Nederland. Onderzoek naar de kenmerken van GHB gebruikers, in het bijzonder van hangjongeren en thuisgebruikers. Rotterdam: IVO.

    Google Scholar 

  • Harreveld, C. (2008). Ongewenste seks tijdens het uitgaan: wanneer ‘ja’ tot spijt leidt en ‘nee’ niet wordt gerespecteerd. Masterthesis. Utrecht: Universiteit Utrecht.

    Google Scholar 

  • Henderson, V.R., Hennessy, M., Barrett, D.W., Curtis, B., McCoy-Roth, M., Trentacoste, N. & Fishbein, M. (2003). When risky is attractive: sensation seeking and romantic partner selection. Personality and Individual Differences, 38, 311-325.

    Article  Google Scholar 

  • Hitner, J.B. & Swickert, R. (2006). Sensation seeking and alcohol use: a metaanalytic review. Addictive Behaviors, 31, 1383-1401.

    Article  Google Scholar 

  • Hittner, J.B. & Schachner, E.R. (2012). Meta-analysis of the association between ecstasy use and risky sexual behavior. Addict Behaviors, 37, 790-796.

    Article  Google Scholar 

  • Jackson, C., Geddes, R., Haw, S. & Frank, J. (2012). Interventions to prevent substance use and risky sexual behaviour in young people: a systematic review. Addiction, 107, 733-747.

    Article  PubMed  Google Scholar 

  • Jackson, C., Sweeting, H. & Haw, S. (2012). Clustering of substance use and sexual risk behaviour in adolescence: Analysis of two cohort studies. BMJ Open, 2, e000661.

    Article  PubMed  Google Scholar 

  • Jessor, R. & Jessor, S.L. (1977). Problem behavior and psychosocial development: a longitudinal study of youth. New York: Academic Press.

    Google Scholar 

  • Kalichman, S.C. & Cain, D. (2004). A prospective study of sensation seeking and alcohol use as predictors of sexual risk behaviors among men and women receiving sexually transmitted infection clinic services. Psychology of Addictive Behaviors, 18, 367-373.

    Article  PubMed  Google Scholar 

  • Knibbe, R.A., Oostveen, T. & Goor, I. van de (1991). Young people’s alcohol consumption in public drinking places: Reasoned behavior or related to the situation? British Journal of Addiction, 86, 1425-1433.

    Article  PubMed  CAS  Google Scholar 

  • Korf, D.J. (2002). GHB tussen extase en narcose. Amsterdam: Rosenberg.

    Google Scholar 

  • Kuyper, L., Wit, J. de & Adam, P. (2010). Laat je nu horen! Een onderzoek naar grensoverschrijdende seksuele ervaringen en gedragingen onder jongeren. Utrecht: Universiteit Utrecht.

    Google Scholar 

  • Kuyper, L., Wit, J. de, Adam, P., Woertman, L., & Berlo, W. van (2011). Het vervolg op ‘Laat je nu horen!’ Utrecht: Rutgers WPF.

    Google Scholar 

  • Laar, M.W. van, Cruts, A.A.N., Ooyen-Houben, M.M.J. van, Meijer, R.F., Croes, E.A., Brunt, T. & Ketelaars, A.P.M. (2011). Nationale Drug Monitor. Jaarbericht 2010. Utrecht: Trimbos-Instituut.

    Google Scholar 

  • Lindgren, K.P., Parkhill, M.R., George, W.H. & Hendershot, C.S. (2008). Gender differences in perceptions of sexual intent: a qualitative review and integration. Psychology of Women Quarterly, 32, 423-439.

    Article  PubMed  Google Scholar 

  • Mattison, A.M., Mattisona, M.W.R., Wolfsona, T., Franklin, D. & & San Diego HIV Neurobehavioral Research Center (2001). Circuit party attendance, club drug use, and unsafe sex in gay men. Journal of Substance Abuse, 13, 119-126.

    Article  PubMed  CAS  Google Scholar 

  • McElrath, K. (2005). Ecstasy users’ perceptions about sexuality and sexual risk. Substance Use and Misuse, 40, 1461-1477.

    Article  PubMed  Google Scholar 

  • Mohler-Kuo, M., Dowdall, G., Koss, M. & Wechsler, H. (2004). Correlates of rape while intoxicated in a national sample of college women. Journal of Studies on Alcohol, 65, 37-45.

    PubMed  Google Scholar 

  • Movisie (2009). Factsheet: seksueel geweld: feiten en cijfers. Utrecht: Movisie.

    Google Scholar 

  • Mustanski, B. (2008). Moderating effects of age on the alcohol and sexual risk taking association: an online daily diary study of men who have sex with men. AIDS and Behavior, 12, 118-126.

    Article  PubMed  Google Scholar 

  • NCASA (1999). Dangerous liaisons: SUBSTANCE abuse and sex. New York: National Center on Addiction and Substance Abuse, Columbia University.

    Google Scholar 

  • Németh, Z., Kun, B. & Demetrovics, Z. (2010). The involvement of gammahydroxybutyrate in reported sexual assaults: a systematic review. Journal of Psychopharmacology, 24, 1281-1287. DOI 10.1177/0269881110363315.

    Article  PubMed  Google Scholar 

  • Newcomb, M.E., Clerkin, E.M. & Mustanski, B. (2011). Sensation seeking moderates the effects of alcohol and drug use prior to sex on sexual risk in young men who have sex with men. AIDS and Behavior, 15, 565–575.

    Article  PubMed  Google Scholar 

  • Nicholson, K.L. & Balster, R.L. (2001). GHB: a new and novel drug of abuse. Drug and Alcohol Dependence, 63, 1-22.

    Article  PubMed  CAS  Google Scholar 

  • Norris, J. & Cubbins, L.A. (1992). Dating, drinking, and rape: effects of victim’s and assailant’s alcohol consumption on judgments of their behavior and traits. Psychology of Women Quarterly, 16, 179–191.

    Article  Google Scholar 

  • Norris, J., Davis, K.C., George, W.H., Martell, J. & Heiman, J.R. (2004). Victim’s response and alcohol-related factors as determinants of women’s responses to violent pornography. Psychology of Women Quarterly, 28, 59–69.

    Article  Google Scholar 

  • Ostrow, D.G., Plankey, M.W., Cox, C., Li, X., Shoptaw, S., Jacobson, L.P. & Stall, R.C. (2009). Specific sex drug combinations contribute to the majority of recent HIV seroconversions among MSM in the MACS. Journal of Acquired Immune Deficiency Syndromes, 51, 349–355.

    Article  PubMed  Google Scholar 

  • Peugh, J. & Belenko, S. (2001). Alcohol, drugs and sexual function: a review. Journal of Psychoactive Drugs, 33, 223–232.

    Article  PubMed  CAS  Google Scholar 

  • Poel, A. van der, Doekhie, J., Verdurmen, J., Wouters, M., Korf, D. & Laar, M. van (2010). Feestmeter 2008-2009. Uitgaan en middelengebruik onder bezoekers van party’s en clubs. Utrecht: Trimbos-instituut.

    Google Scholar 

  • Portegijs, W., Hermans, B. & Lalba, V. (2006). Emancipatiemonitor 2006. Veranderingen in de leefsituatie en levensloop. Den Haag: Sociaal en Cultureel Planbureau.

    Google Scholar 

  • Proudfoot, P., Heubeck, B., Ward, J. & Degenhardt, L. (2011). Ecstasy use, outcome expectancies, and sexual risk taking. Australian Psychologist, 46, 219–228.

    Article  Google Scholar 

  • Rehm, J., Shield, K.D., Joharchi, N. & Shuper, P.A. (2012). Alcohol consumption and the intention to engage in unprotected sex: Systematic review and metaanalysis of experimental studies. Addiction, 107, 51–59.

    Article  PubMed  Google Scholar 

  • Reingle, J., Thombs, D.L., Weiler, R.M., Dodd, V.J., O’Mara, R. & Pokorny, S.B. (2009). An exploratory study of bar and nightclub expectancies. Journal of American College Health, 57, 629–638.

    Article  PubMed  Google Scholar 

  • Roberti, J.W. (2004). A review of behavioral and biological correlates of sensation seeking. Journal of Research in Personality, 38, 256–279.

    Article  Google Scholar 

  • Schierman, M.J. & Rowland, G.L. (1985). Sensation-seeking and selection of entertainment. Personality and Individual Differences, 6, 599–603.

    Article  Google Scholar 

  • Schrijvers, C.T.M. & Schoemaker, C.G. (red.) (2008). Spelen met gezondheid. Leefstijl en psychische gezondheid van de Nederlandse jeugd. Bilthoven: RIVM.

    Google Scholar 

  • Shacham, E. & Cottler, L. (2009). Sexual risk behaviors: prevalence and reliability. Archives of Sexual Behavior, 39, 1331–1341.

    Article  PubMed  Google Scholar 

  • Shakepeare, W. (1607). MacBeth. In: The complete works of William Shakespeare. Londen: Henry Pordes.

    Google Scholar 

  • Stulhofer, A., Bacak, V., Ajdukovic, D. & Graham, C. (2010). Understanding the association between condom use at first and most recent sexual intercourse: an assessment of normative, calculative, and habitual explanations. Social Science and Medicine, 70, 2080–2084.

    Article  PubMed  Google Scholar 

  • Testa, M., Hoffman, J.H., & Livingston, J.A. (2010). Preventing college women’s sexual victimization through parent-based intervention: a randomized controlled trial. Prevention Science, 11, 308-318. DOI 10.1007/s11121-010-0168-3.

    Article  PubMed  Google Scholar 

  • Testa, M., Livingston, J.A., VanZile-Tamsen, C. & Frone, M.R. (2003). The role of women’s substance use in vulnerability to forcible and incapacitated rape. Journal of Studies on Alcohol, 64, 756–764.

    PubMed  Google Scholar 

  • Turrisi, R., Larimer, M.E., Mallett, K.A., Kilmer, J.R., Ray, A.E., Mastroleo, N.R., Giesner, I.M., Grossbard, J., Tollison, S., Lostutter, T.W. & Montoya, H. (2009). A randomized clinical trial evaluating a combined alcohol intervention for high-risk college students. Journal of Studies on Alcohol and Drugs, 70, 555–567.

    PubMed  Google Scholar 

  • Voorham, L. & Buitenhuis, S. (2012). GHB gebruikers in beeld. Een typering van de GHBgebruiker en hun bereikbaarheid. Utrecht: Trimbos-instutuut.

    Google Scholar 

  • Walby, S. & Allen, J. (2004). Domestic violence, sexual assault and stalking: findings from the British Crime Survey. Londen: Home Office.

    Google Scholar 

  • Weinhardt, L.S. & Carey, M.P. (2000). Does alcohol lead to sexual risk behavior? Findings from event-level research. Annual Review of Sexual Research, 11, 125–157.

    CAS  Google Scholar 

  • Woolf, S.E. & Maisto, S.A. (2009). Alcohol use and risk of HIV infection among men who have sex with men. AIDS and Behavior, 13, 757–782.

    Article  PubMed  Google Scholar 

  • Young, A., Grey, M., Abbey, A., Boyd, C. & McCabe, S. (2008). Alcohol-related sexual assault victimization among adolescents: prevalence, Characteristics, and correlates. Journal of Studies of Alcohol and Drugs, 69, 39–48.

    Google Scholar 

  • Zuckerman, M. (1979). Sensation seeking: beyond the optimal level of arousal. Hillsdale, NJ: Erlbaum.

    Google Scholar 

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is programmahoofd jongeren en vrije tijd bij het

is directeur van het National Centre in HIV Social Research van de

en gasthoogleraar

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van Hasselt, N., de Wit, J. Over middelengebruik en seksualiteit. VERSLAVING 9, 43–58 (2013). https://doi.org/10.1007/s12501-013-0017-1

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