Alcohol Use Problems and Sexual Risk Among Young Adult African American Mothers

Andrea Swartzendruber, Jessica M. Sales, Eve S. Rose, Ralph J. DiClemente

Research output: Contribution to journalArticlepeer-review


Studies have documented high levels of alcohol use and sexual risk among young mothers. We examined parenting satisfaction and self-efficacy in relation to alcohol use problems and sexual risk among 346 young African American women enrolled in an HIV prevention trial, 41 % (n = 141) of whom were mothers. Among mothers, greater parenting satisfaction was associated with a reduced likelihood of problematic alcohol use, having multiple sex partners, and testing positive for Trichomonas vaginalis. Relative to non-parenting women, mothers reported lower condom use. Compared to non-parenting women, mothers with the highest parenting satisfaction reported fewer alcohol use problems; mothers with the lowest parenting satisfaction reported lower condom use and were more likely to have multiple partners and test positive for T. vaginalis. Parenting self-efficacy was not associated with the outcomes examined. Future research investigating relationships between parenting satisfaction, alcohol use and sexual risk may be useful for improving multiple maternal health outcomes.

Original languageEnglish (US)
Pages (from-to)74-83
Number of pages10
JournalAIDS and Behavior
StatePublished - Jan 1 2016


  • African American
  • Alcohol
  • Mothers
  • Sexual risk behavior
  • Sexually transmitted infections

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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