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Chunk #1 — BACKGROUND AND SIGNIFICANCE

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Early drinking and its association with adolescents' participation in risky behaviors.
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Hingson et al. (2009) found an early AFD was associated with accidental injuries (e.g., falling or accidentally cutting oneself) and motor vehicle accidents. Others report an association between aggressive behavior when drinking (Ellickson et al., 2003; Hingson et al., 2009), being rebellious (King & Chassin, 2007), stealing (King & Chassin, 2007), and driving after drinking (Lynskey, Bucholz, Madden, & Heath, 2007). Adolescent drinking is also associated with an increased propensity to engage in risky sexual behaviors, such as sex with multiple partners and unplanned and unprotected intercourse.Ellickson et al. (2003) and Stueve and O’Donnell (2005) found an association between an early AFD and the co-occurrence of risky sexual behaviors such as unprotected sexual intercourse leading to early pregnancy or parenthood, multiple partners, or being drunk or high during intercourse.