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Metrics details. Psychoactive substance use is a public health challenge among young people in informal settlements. Though rarely examined, psychoactive substance use is linked to sexual expectancies and inhibitions, and consequently high-risk sexual behaviours.
This study examined the association between sexual expectancies and inhibitions, and high-risk sexual behaviours among young psychoactive substance users PSUs in informal settlements in Kampala, Uganda. This cross-sectional study recruited young PSUs from informal settlements in Kampala. Respondent driven sampling was used to recruit respondents. Data were analysed using the Stata 14 software. Of the study participants, The belief that psychoactive substance use improves sexual performance PR 1.
The belief that a psychoactive substance user under the influence of psychoactive substances is more likely to engage in sex PR 1. The belief that one easily forgets to use a condom when under the influence of psychoactive substances was positively associated with inconsistent condom use PR 1.
Psychoactive substance use expectancies associated with high-risk sexual behaviours included the belief that psychoactive substances improve sexual performance and improve confidence in approaching a sexual partner. Psychoactive substance use inhibitions associated with high-risk sexual behaviours included an increased likelihood of engaging in sexual intercourse, difficulties in refusing to engage in sexual intercourse, and forgetting to use condoms while intoxicated.