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1.
Aggress Violent Behav ; 40: 83-90, 2018.
Article in English | MEDLINE | ID: mdl-30713462

ABSTRACT

According to the Confluence Model of Sexual Violence, men with a strong impersonal sex orientation (i.e., greater engagement in sexual activities with more casual sexual partners) are at increased risk of perpetrating sexual violence. Research from a variety of countries and samples has supported this proposition, finding that men who perpetrate sexual violence are also more likely to engage in risky sexual behavior. The present article reviews this literature, synthesizing research findings from both psychology and public health domains utilizing both domestic and international samples. In particular, this review focuses on the associations between men's perpetration of sexual violence and their sexual partners, condom use, and sexually transmitted infection status, as well as provides recommendations for future research directions and prevention and intervention programming.

2.
Psychol Women Q ; 41(1): 100-113, 2017 Mar.
Article in English | MEDLINE | ID: mdl-29720782

ABSTRACT

First-time sexual intercourse with a new male partner, relative to other sexual encounters, is associated with heightened risk to women for contracting sexually transmitted infections. Little is known, however, about women's condom-related decision-making processes during these first-time sexual encounters. In the present study, we surveyed a community sample of 179 women aged 18-30 about their alcohol consumption, desire to use a condom, perception of their partner's desire to use a condom, condom-insistence conflict, and condom-decision abdication and use during their most recent alcohol-involved first-time sexual encounter with a new partner. With structural equation modeling we tested a cognitive mediation model with various configurations of alcohol effects on abdication and condom use (direct, indirect, moderator). A moderated mediation model fit the data best. Women experienced elevated condom-insistence conflict when they wanted to use a condom and perceived their partner did not; conflict, in turn, was associated with higher likelihood of abdication and lower likelihood of condom use. Higher alcohol intoxication attenuated the associations of desire to use a condom, and perceived partner's desire to use a condom, with conflict. Results support an alcohol myopia-conflict inhibition-reduction model and emphasize the importance of sex education programs that teach young women not only about condom-related assertiveness and the effects of alcohol, but also prepare them to respond to experiences of conflict that arise during sexual encounters.

3.
Psychol Violence ; 6(2): 271-279, 2016 Apr.
Article in English | MEDLINE | ID: mdl-27213101

ABSTRACT

OBJECTIVE: Women's alcohol consumption and vulnerability to sexual victimization (SV) are linked, but findings regarding the nature and direction of the association are mixed. Some studies have found support for the self-medication hypothesis (i.e., victimized women drink more to alleviate SV-related distress); others have supported routine activity theory (i.e., drinking increases SV vulnerability). In this study, we aimed to clarify the interplay between women's prior SV, typical drinking, and SV experiences prospectively over one year. METHOD: Participants (N = 530) completed a baseline survey and weekly follow-up surveys across Months 3, 6, 9, and 12. RESULTS: Latent class analysis (LCA) suggested that women could be classified as victimized or non-victimized at each assessment month; 28% of participants were classified as victimized at one or more assessment months. Latent transition analysis (LTA) revealed that childhood sexual abuse and adult SV history each predicted greater likelihood of being victimized during the year. Typical drinking during a given assessment month was associated with (1) greater likelihood of victimized status at that assessment month and (2) greater likelihood of having transitioned into (or remained in) the victimized status since the previous assessment month. Furthermore, victimized status at a given assessment month predicted a higher quantity of subsequent drinking. CONCLUSION: These findings indicate a reciprocal relationship between typical drinking and SV, supporting both the self-medication hypothesis and routine activity theory, and suggesting that hazardous drinking levels may be one important target for both SV vulnerability reduction and interventions for women who have been sexually victimized.

4.
Pers Soc Psychol Bull ; 42(3): 385-99, 2016 Mar.
Article in English | MEDLINE | ID: mdl-26865292

ABSTRACT

To determine how naturally arising affect alters judgment, we examined whether (a) affective states exert a specific, rather than a general, influence on valenced-specific judgments; (b) neutral affect is associated with increased neutral judgments, independent of positive, negative, and ambivalent affects, and whether neutral judgments are associated with behavioral disengagement; and (c) the informational value of naturally arising states may be difficult to alter via salience and relevance manipulations. The results support several conclusions: (a) Affective states exerted a judgment-specific effect-positive affect was most strongly associated with positive judgments, negative affect with negative judgments, and neutral affect with neutral judgments. (b) Neutral affect influenced judgments, taking into account positive, negative, and ambivalent affects; and neutral judgments predicted behavioral disengagement. (c) With the exception of negative affect, naturally arising affective states typically influenced judgments regardless of their salience and relevance.


Subject(s)
Affect , Judgment , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Young Adult
5.
J Sex Res ; 53(4-5): 601-13, 2016.
Article in English | MEDLINE | ID: mdl-26421647

ABSTRACT

In-the-moment ambivalence about having sex may influence sexual decisions but has rarely been examined. We investigated how ambivalence about sex might be related to intentions to abdicate sexual decisions to a male partner and to engage in unprotected sex in a community sample of young women. Predictors of abdication and unprotected sex intentions included partner type (new casual versus previous relationship), sexual double standard (SDS) endorsement, and two types of ambivalence. After completing a SDS endorsement measure, women (N = 360) projected themselves into a hypothetical sexual situation and completed dependent measures. In the new casual partner condition, SDS endorsement indirectly negatively predicted unprotected sex intentions through its associations with ambivalence and abdication. In both partner conditions SDS endorsement positively predicted abdication, which then positively predicted unprotected sex intentions. Ambivalence indirectly predicted unprotected sex intentions through its negative association with abdication intentions. Results suggest the importance of ambivalence for sexual decisions and the complexity of understanding the sexual decision making processes for women who endorse the SDS.


Subject(s)
Decision Making , Sexual Behavior/psychology , Sexual Partners/psychology , Unsafe Sex/psychology , Women/psychology , Adult , Female , Humans , Young Adult
6.
Health Psychol ; 35(2): 178-86, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26348499

ABSTRACT

OBJECTIVE: This study is a novel investigation of (a) the utility of the Theory of Planned Behavior (TPB) to predict men's condom use resistance (CUR; i.e., attempts to avoid condom use with a partner who wants to use one and (b) the effects of alcohol on endorsement of TPB-CUR constructs. METHOD: Using an alcohol administration protocol, a between- and within-subjects experiment was conducted with a community sample of 312 young male nonproblem drinkers who have sex with women. After assessing endorsement of TPB-CUR constructs (e.g., attitudes, norms, self-efficacy, control, and intentions) in a sober state, beverage condition was experimentally manipulated between subjects and endorsement of TPB-CUR constructs was reassessed. RESULTS: Analyses included repeated measures multivariate analyses of variance (MANOVAs) with beverage condition (no alcohol vs. alcohol) as the between-subjects factor and time (prebeverage vs. postbeverage) as the within-subjects factor. Between-subjects, intoxicated participants reported significantly stronger CUR intentions, more favorable CUR attitudes and normative perceptions, and greater CUR self-efficacy than sober participants. There were significant within-subject changes for CUR intentions, attitudes, normative perceptions, and self-efficacy. Neither between- nor within-subjects effects were found for CUR control. An exploratory multigroup path analysis indicated that the relationships among the TPB-CUR constructs were similar for alcohol and no alcohol groups. CONCLUSIONS: Findings indicated that alcohol intoxication increased men's CUR intentions and self-efficacy and led to more positive CUR attitudes and norms, yet had no effect on CUR control. Future research should examine whether there are similar effects of intoxication on TPB constructs related to other sexual risk behaviors.


Subject(s)
Alcohol Drinking/psychology , Condoms/statistics & numerical data , Sexual Behavior/psychology , Adult , Attitude , Humans , Intention , Male , Multivariate Analysis , Psychological Theory , Risk-Taking , Self Efficacy , Social Norms , Social Perception , Young Adult
7.
AIDS Behav ; 20 Suppl 1: S147-57, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26156881

ABSTRACT

Recent scientific evidence demonstrates that many young men commonly resist condom use with their female sex partners and that both alcohol intoxication and a history of sexual aggression may increase the risk of condom use resistance (CUR). Using a community sample of heterosexual male non-problem drinkers with elevated sexual risk (N = 311), this alcohol administration study examined the direct and indirect effects of intoxication and sexual aggression history on men's CUR intentions through a sexual risk analogue. State impulsivity, CUR-related attitudes, and CUR-related self-efficacy were assessed as mediators. Results demonstrated that alcohol intoxication directly increased CUR intentions, and sexual aggression history both directly and indirectly increased CUR intentions. These findings highlight the importance of addressing both alcohol use and sexual aggression in risky sex prevention programs, as well as indicate the continued worth of research regarding the intersection of men's alcohol use, sexual aggression, and sexual risk behaviors, especially CUR.


Subject(s)
Aggression , Alcohol Drinking/psychology , Alcoholic Intoxication , Condoms/statistics & numerical data , HIV Infections/prevention & control , Impulsive Behavior , Intention , Adult , Cognition , Female , HIV Infections/psychology , Humans , Male , Models, Psychological , Risk-Taking , Safe Sex/psychology , Safe Sex/statistics & numerical data , Self Efficacy , Sexual Behavior/psychology , Sexual Partners , Social Values , Young Adult
8.
Psychol Violence ; 6(4): 586-595, 2016 Oct.
Article in English | MEDLINE | ID: mdl-28239507

ABSTRACT

OBJECTIVE: Prior research on the effects of sexual trauma has examined dissociation but not emotional numbing during sex and has relied exclusively on retrospective surveys. The present experiment examined associations among distal factors of childhood sexual abuse (CSA), adolescent/adult sexual assault (ASA), and trauma symptoms and the proximal factor of acute alcohol intoxication on in-the-moment dissociation, emotional numbing, and sexual risk intentions. METHOD: Young adult female drinkers (N = 436) at elevated sexual risk were randomized to receive alcohol (target peak breath alcohol concentration = .10%) or no alcohol. They then read an eroticized sexual scenario and reported on their dissociation and emotional numbing experiences, unprotected sex refusal self-efficacy, and unprotected sex intentions. RESULTS: Path analysis revealed that CSA was indirectly associated with increased unprotected sex intentions through increased ASA severity, increased trauma-related symptoms, increased emotional numbing, and decreased unprotected sex refusal self-efficacy. Further, alcohol intoxication was indirectly associated with increased unprotected sex intentions through increased emotional numbing and decreased unprotected sex refusal self-efficacy. CONCLUSIONS: Emotional numbing, but not dissociation, was associated with unprotected sex intentions and may be one potential target for interventions aimed at reducing HIV/STI-related risk among women with a history of sexual trauma.

9.
Violence Against Women ; 21(8): 997-1017, 2015 Aug.
Article in English | MEDLINE | ID: mdl-26048213

ABSTRACT

Sexual assault in the United States is an important public health concern. Using prospective longitudinal methods and responses from 217 community men, we examined whether background characteristics predicted subsequent sexual aggression (SA) perpetration during a 3-month follow-up period. We also examined event-specific characteristics of reported SA occurrences. Consistent with predictions, SA perpetration history, aggressive and impulsive personality traits, rape myth attitudes, and alcohol expectancies predicted SA (both non- and alcohol-involved) at follow-up. In addition, alcohol-involved assaults occurred more often with casual (vs. steady) partners but were more likely to involve condom use with casual (vs. steady) partners. Results suggest important avenues for future research and SA prevention efforts.


Subject(s)
Aggression , Alcohol Drinking , Attitude , Personality , Rape , Adult , Alcohol-Related Disorders , Condoms , Culture , Ethanol , Female , Humans , Impulsive Behavior , Longitudinal Studies , Male , Prospective Studies , Sexual Behavior , Sexual Partners , Young Adult
10.
Addict Behav ; 39(1): 153-8, 2014 Jan.
Article in English | MEDLINE | ID: mdl-24129265

ABSTRACT

Although research has consistently demonstrated that condom use self-efficacy significantly predicts condom use, there has been little investigation of whether acute alcohol intoxication moderates this relationship. Because alcohol intoxication is often associated with increased sexual risk taking, further examination of such moderating effects is warranted. Using a community sample of young heterosexual women (n=436) with a history of heavy episodic drinking, this alcohol administration experiment examined the effects of intoxication and condom use self-efficacy on women's condom negotiation and future condom use intentions. After a questionnaire session, alcohol condition (control, .10% target peak BAL) was experimentally manipulated between subjects. Participants then read and responded to a hypothetical risky sexual decision-making scenario. SEM analyses revealed that alcohol intoxication directly decreased women's intentions to use condoms in the future. Women with greater condom use self-efficacy had stronger intentions to engage in condom negotiation; however, this effect was moderated by intoxication. Specifically, the association between condom use self-efficacy and condom negotiation intentions was stronger for intoxicated women than for sober women. These novel findings regarding the synergistic effects of alcohol intoxication and condom use self-efficacy support continued prevention efforts aimed at strengthening women's condom use self-efficacy, which may reduce even those sexual risk decisions made during states of intoxication.


Subject(s)
Alcoholic Intoxication/psychology , Condoms/statistics & numerical data , Decision Making , Intention , Safe Sex/psychology , Self Efficacy , Adult , Central Nervous System Depressants/pharmacology , Decision Making/drug effects , Ethanol/pharmacology , Female , Health Knowledge, Attitudes, Practice , Humans , Safe Sex/drug effects , Women/psychology , Young Adult
11.
J Neurosci ; 27(18): 4839-49, 2007 May 02.
Article in English | MEDLINE | ID: mdl-17475792

ABSTRACT

Might increased risk taking in adolescence result in part from underdeveloped conflict-monitoring circuitry in the posterior mesofrontal cortex (PMC)? Adults and adolescents underwent functional magnetic resonance imaging during a monetary game of "chicken." As subjects watched ostensible winnings increase over time, they decided when to press a button to bank their winnings, knowing that if they did not stop pursuing money reward before a secret varying time limit, they would "bust" and either lose the money accrued on the current trial (low-penalty trials) or forfeit trial winnings plus a portion of previous winnings (high-penalty trials). Reward accrual at risk of low penalty (contrasted with guaranteed reward) activated the PMC in adults but not in adolescents. Across all subjects, this activation (1) correlated positively with age but negatively with risk exposure and (2) was greater when subjects busted on the previous low-penalty trial. Reward accrual at risk of high penalty was terminated sooner and recruited the PMC in both adults and adolescents when contrasted with guaranteed reward. Predecision PMC activation in the high-penalty trials was significantly reduced in trials when subjects busted. These data suggest that (1) under threat of an explicit severe penalty, recruitment of the PMC is similar in adolescents and adults and correlates with error avoidance, and (2) when potential penalties for a rewarding behavior are mild enough to encourage some risk taking, predecision PMC activation by a reward/risk conflict is sensitive to previous error outcomes, predictive of risk-aversive behavior in that trial, and underactive in adolescents.


Subject(s)
Adolescent Behavior/physiology , Frontal Lobe/physiology , Recruitment, Neurophysiological/physiology , Reward , Risk-Taking , Adolescent , Adolescent Behavior/psychology , Adult , Child , Decision Making/physiology , Female , Humans , Male , Nerve Net/physiology , Photic Stimulation/methods , Psychomotor Performance/physiology
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