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Safe-Sex Knowledge, Sexual Behavior, and Drug Use A thesis

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Kropp, Silvera, & Lavack, 2004).<br />

Self-esteem might also deter an individual from getting tested for STIs. Low selfesteem<br />

has been correlated with negative self-image <strong>and</strong> failure to seek adequate health<br />

care in general, even in addition to reduced condom self-efficacy (Brafford & Beck,<br />

1991).<br />

Risky <strong>Behavior</strong>s<br />

Low self-esteem has been shown to lead to risky behavior (e.g., alcoholism.) In<br />

work carried out by Steffenhagen & Steffenhagen (1985), low self-esteem was<br />

determined to be a cause of alcoholism, via depression. Low self-esteem plays a role in<br />

fostering behaviors that can be self-detrimental, directly <strong>and</strong> indirectly. Leigh (1993)<br />

found that respondents were more likely to engage in high-risk behaviors, such as<br />

unprotected sex, when they are under the influence of drugs or alcohol. One risky<br />

behavior can often lead to or be associated with another.<br />

<strong>Drug</strong> <strong>and</strong> alcohol use may actually contribute to less knowledge about STIs.<br />

Though, it is uncertain whether this impacts the source of knowledge regarding safe-sex<br />

practices. People who smoke <strong>and</strong> drink alcohol are less knowledgeable about HIV/AIDS<br />

than non-smokers <strong>and</strong> those who do not drink alcohol, according to work by Yi (1998).<br />

Furthermore, those studied who use marijuana have less knowledge than those<br />

individuals who never use marijuana.<br />

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