{
  "abstract": "Background Risky sexual behaviours (RSB) and attention deficit hyperactivity disorder (ADHD) are both major concerns among university students. However, their association remains insufficiently understood. This study aimed to evaluate the relationship between ADHD symptoms and a broad range of RSB in university students.Methods A total of 13 085 French students enrolled in the i-Share (Internet-based Students’ Health Research Enterprise study (mean age: 20.6 years, SD=2.4) completed self-reported questionnaires assessing ADHD symptoms (Adult Self-Report Scale V.1.1), RSB, sociodemographic characteristics and alcohol and cannabis use. Logistic and Poisson regression models were used to examine the cross-sectional associations between ADHD symptoms and RSB, adjusting for relevant confounders.Results A high level of ADHD symptoms was observed in 5.3% of students. In multivariable models, ADHD symptoms were associated with a wide range of RSB, including early first sexual intercourse (adjusted odds ratio (aOR) 1.26; 95% CI 1.06 to 1.51), inconsistent condom use in the last 12 months (aOR 1.26; 95% CI 1.05 to 1.51), diagnosis of a sexually transmitted infection in the last 12 months (aOR 1.49; 95% CI 1.08 to 2.07) and having had a higher number of sexual partners in the last 12 months (adjusted incidence rate ratio 1.20; 95% CI 1.14 to 1.27). Among female students, ADHD symptoms were associated with lower current use of any form of contraception (aOR 0.59; 95% CI 0.48 to 0.71), and higher odds of having ever used emergency contraception (aOR 1.22; 95% CI 1.02 to 1.47), and having ever had an abortion (aOR 1.77; 95% CI 1.21 to 2.58).Conclusions University students with a high level of ADHD symptoms are at increased risk of engaging in a wide range of RSB. Targeted preventive strategies may be particularly beneficial for this population.",
  "authors": [
    {
      "affiliations": [
        "INSERMU1219 / Université de Bordeaux, Bordeaux Population Health Research Centre, Bordeaux, Nouvelle-Aquitaine, France"
      ],
      "name": "Claudine Offranc"
    },
    {
      "affiliations": [
        "INSERMU1219 / Université de Bordeaux, Bordeaux Population Health Research Centre, Bordeaux, Nouvelle-Aquitaine, France"
      ],
      "name": "Charline Galesne"
    },
    {
      "affiliations": [
        "INSERMU1219 / Université de Bordeaux, Bordeaux Population Health Research Centre, Bordeaux, Nouvelle-Aquitaine, France"
      ],
      "name": "Mélissa Macalli"
    },
    {
      "affiliations": [
        "INSERMU1219 / Université de Bordeaux, Bordeaux Population Health Research Centre, Bordeaux, Nouvelle-Aquitaine, France"
      ],
      "name": "Sherazade Kinouani"
    },
    {
      "affiliations": [
        "INSERMU1219 / Université de Bordeaux, Bordeaux Population Health Research Centre, Bordeaux, Nouvelle-Aquitaine, France"
      ],
      "name": "Noelia Retuerto"
    },
    {
      "affiliations": [
        "Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy",
        "Child and Adolescent Neuropsychiatric Unit, Pediatric Hospital \"A. Cao\", Asl Cagliari, Cagliari, Italy"
      ],
      "name": "Sara Carucci"
    },
    {
      "affiliations": [
        "Service Médecine Psychologique de l'Enfant et de l'Adolescent, Centre Hospitalo-Universitaire de Montpellier, Montpellier, France",
        "Centre for Research in Epidemiology and Population Health, INSERM U 1018, Villejuif, France"
      ],
      "name": "Diane Purper-Ouakil"
    },
    {
      "affiliations": [
        "The Hague, PsyQ Expertise Center Adult ADHD, The Hague, Netherlands",
        "Amsterdam UMC, Vrije Universiteit, Amsterdam, Netherlands"
      ],
      "name": "Sandra Kooij"
    },
    {
      "affiliations": [
        "Centre for Innovation in Mental Health, School of Psychology, Faculty of Environmental and Life Sciences, and Clinical and Experimental Sciences (CNS and Psychiatry), Faculty of Medicine, University of Southampton, Southampton, UK",
        "Solent NHS Trust, Southampton, UK",
        "Hassenfeld Children's Hospital at NYU Langone, New York University Child Study Center, New York, New York, USA",
        "Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham, UK",
        "DiMePRe-J-Department of Precision and Regenerative Medicine-Jonic Area, University of Bari \"Aldo Moro\", Bari, Italy"
      ],
      "name": "Samuele Cortese"
    },
    {
      "affiliations": [
        "INSERMU1219 / Université de Bordeaux, Bordeaux Population Health Research Centre, Bordeaux, Nouvelle-Aquitaine, France",
        "CHU de Bordeaux, Bordeaux, France"
      ],
      "name": "Christophe Tzourio"
    },
    {
      "affiliations": [
        "INSERMU1219 / Université de Bordeaux, Bordeaux Population Health Research Centre, Bordeaux, Nouvelle-Aquitaine, France",
        "Centre Hospitalier Perrens, Bordeaux, France",
        "Research Unit on Children’s Psychosocial Maladjustment, Montreal, Quebec, Canada"
      ],
      "name": "Cedric Galera"
    }
  ],
  "title": "Attention deficit hyperactivity disorder symptoms and risky sexual behaviours in university students:the i-Share study",
  "uid": "8395b0df-bb47-5f3e-8073-575b1d5c17b4"
}