Even though widespread efforts have focused on educating young adults about
HIV and AIDS, many individuals continue to engage in behaviors that place
them at risk. These behaviors include frequent experimentation with alcohol
and other drugs prior to sex, engaging in sexual activity with different p
artners, and inconsistent safe sex practices (Butcher et al. 1991). The com
bination of these risky behaviors causes increased concern about the spread
of HIV among those of college age. This study focused on two behaviors by
examining the relationship between substance use during adolescence and ear
ly initiation of sexual activity in a sample of 950 subjects aged 19-21 in
a mid-sized southern city. Results indicate that early use of alcohol and m
arijuana relates to earlier initiation of sexual activity and subsequent ri
sky sexual behavior among young adults. Also, gender differences were obser
ved for frequent users of marijuana and alcohol with males engaging in risk
ier sexual practices. Recommendations for interventions are made.