%0 Journal Article %J Psychol Women Q %D 2013 %T How Do Alcohol and Relationship Type Affect Women's Risk Judgment of Partners with Differing Risk Histories? %A Norris, Jeanette %A Kiekel, Preston A %A Morrison, Diane M %A Davis, Kelly Cue %A George, William H %A Zawacki, Tina %A Abdallah, Devon Alisa %A Jacques-Tiura, Angela J %A Stappenbeck, Cynthia A %X

Understanding how women judge male partners' sexual risk is important to developing risk reduction programs. Applying a cognitive mediation model of sexual decision making, our study investigated effects of alcohol consumption (control, low dose, high dose) and relationship type (disrupted vs. new) on women's risk judgments of a male sexual partner in three sexual risk conditions (low, unknown, high). After random assignment to an experimental condition, 328 participants projected themselves into a story depicting a sexual interaction. The story was paused to assess primary appraisals of sexual and relationship potential and secondary appraisals of pleasure, health, and relationship concerns, followed by sexual risk judgments. In all risk conditions, alcohol and disrupted relationship increased sexual potential whereas disrupted relationship increased relationship potential in the low- and high-risk conditions. In the unknown-risk condition, women in the no-alcohol, new relationship condition had the lowest primary sexual appraisals. In all conditions, sexual appraisals predicted all secondary appraisals, but primary relationship appraisals predicted only secondary relationship appraisals. Secondary health appraisals led to increased risk judgments whereas relationship appraisals predicted lower risk judgments. Possible intervention points include helping women to re-evaluate their safety beliefs about past partners, as well as to develop behavioral strategies for decreasing hazardous drinking.

%B Psychol Women Q %V 37 %P 209-223 %8 2013 Jun 1 %G eng %N 2 %R 10.1177/0361684313481763 %0 Journal Article %J J Stud Alcohol Drugs %D 2013 %T Patterns of alcohol use and expectancies predict sexual risk taking among non-problem drinking women. %A Stappenbeck, Cynthia A %A Norris, Jeanette %A Kiekel, Preston A %A Morrison, Diane M %A George, William H %A Davis, Kelly Cue %A Zawacki, Tina %A Jacques-Tiura, Angela J %A Abdallah, Devon Alisa %K Adult %K Alcohol Drinking %K Data Collection %K Female %K Humans %K Risk-Taking %K Sexual Behavior %K Sexual Partners %K Young Adult %X

OBJECTIVE: Although alcohol consumption and sexual risk taking are associated, not everyone who drinks alcohol engages in risky sexual behavior. The purposes of the present study were to identify patterns of alcohol use behaviors and alcohol expectancies among women who are non-problem drinkers and to examine how these patterns are associated with indices of sexual risk.

METHOD: Data from 758 non-problem drinking women who have sex with men and were not in committed relationships were analyzed using latent profile analysis to determine patterns of alcohol use and alcohol-related expectancies.

RESULTS: Of the four patterns observed, three classes had similar alcohol-related expectancies but differed with respect to drinking behavior (moderate drinking, regular heavy episodes, and frequent heavy episodes), and the fourth class consisted of moderate drinkers with low expectancies (low expectancies). Results revealed that those in the frequent heavy episodes class had the greatest number of sexual partners in the past year and drank the most alcohol before having sex compared with the other women. Both the regular and frequent heavy episodes classes reported greater likelihood of having unprotected sex in the future, more positive beliefs about casual sex, and greater subjective intoxication before having sex than women in the moderate drinking or low expectancies classes. Women in the low expectancies class reported less positive beliefs about condoms than those in the moderate drinking and regular heavy episodes classes.

CONCLUSIONS: Results suggest that different patterns of expectancies and drinking behaviors are associated with different indices of sexual risk taking and highlight the importance of individually tailored programs for prevention of sexually transmitted infections.

%B J Stud Alcohol Drugs %V 74 %P 223-32 %8 2013 Mar %G eng %N 2 %0 Journal Article %J Psychol Violence %D 2012 %T Childhood Sexual Abuse and Acute Alcohol Effects on Men's Sexual Aggression Intentions. %A Davis, Kelly Cue %A Schraufnagel, Trevor J %A Jacques-Tiura, Angela J %A Norris, Jeanette %A George, William H %A Kiekel, Preston A %X

OBJECTIVE: Although research has established childhood sexual abuse (CSA) as a risk factor for men's perpetration of sexual aggression, there has been little investigation of the factors undergirding this association. This study represents one of the first to use a laboratory-based sexual aggression analogue coupled with an alcohol administration protocol to investigate the pathways through which CSA and alcohol influence men's self-reported sexual aggression intentions. METHOD: After completing background questionnaires, male social drinkers (N = 220) were randomly assigned to a control, placebo, low alcohol dose or high alcohol dose condition. Following beverage consumption, participants read a sexual scenario in which the female partner refused to have unprotected sexual intercourse, after which they completed dependent measures. RESULTS: Path analysis indicated that men with a CSA history and intoxicated men perceived the female character as more sexually aroused and reported stronger sexual entitlement cognitions, both of which were in turn associated with greater condom use resistance and higher sexual aggression intentions. Exploratory analyses revealed that intoxication moderated the effects of CSA history on sexual entitlement cognitions, such that sexual entitlement cognitions were highest for men who had a CSA history and consumed alcohol. CONCLUSIONS: Findings suggest that CSA history may facilitate sexual assault perpetration through its effects on in-the-moment cognitions, and that these effects may be exacerbated by alcohol intoxication.

%B Psychol Violence %V 2 %P 179-193 %8 2012 Apr 1 %G eng %N 2 %R 10.1037/a0027185 %0 Journal Article %J J Interpers Violence %D 2012 %T Men's alcohol intoxication and condom use during sexual assault perpetration. %A Davis, Kelly Cue %A Kiekel, Preston A %A Schraufnagel, Trevor J %A Norris, Jeanette %A George, William H %A Kajumulo, Kelly F %K Adult %K Alcohol Drinking %K Alcoholic Intoxication %K Condoms %K Crime Victims %K Humans %K Internal-External Control %K Male %K Prevalence %K Rape %K Risk-Taking %K Sex Offenses %K Sexual Partners %K Young Adult %X

We assessed the association between alcohol consumption and condom use during penetrative sexual assault acts perpetrated by young adult men. Men aged 21 to 35 who reported inconsistent condom use and heavy episodic drinking (N = 225) completed a questionnaire assessing their perpetration of sexual assault since the age of 15, their consumption of alcohol prior to these acts, and their use of condoms during acts involving penetration. Descriptive statistics and Pearson's chi-square tests were used to examine the simultaneous use of alcohol and condom nonuse during penetrative sexual assault acts. More than one third of respondents reported perpetrating at least one penetrative sexual assault 35.6% (n = 79). Condoms were not used in 70.0% of penetrative sexual assaults. When they had consumed alcohol, perpetrators were significantly less likely to use condoms. The sexual assaults reported by this sample typically consisted of perpetrator alcohol consumption and the nonuse of condoms. Programs targeting sexual health and assault risk reduction would be enhanced by addressing this interplay of alcohol, violence, and risk.

%B J Interpers Violence %V 27 %P 2790-806 %8 2012 Sep %G eng %N 14 %R 10.1177/0886260512438277 %0 Journal Article %J Exp Clin Psychopharmacol %D 2011 %T The effects of acute alcohol intoxication, partner risk level, and general intention to have unprotected sex on women's sexual decision making with a new partner. %A Purdie, Michele Parkhill %A Norris, Jeanette %A Davis, Kelly Cue %A Zawacki, Tina %A Morrison, Diane M %A George, William H %A Kiekel, Preston A %K Acquired Immunodeficiency Syndrome %K Adult %K Alcohol Drinking %K Alcoholic Intoxication %K Alcoholism %K Breath Tests %K Central Nervous System Depressants %K Cognition %K Computers %K Condoms %K Decision Making %K Dose-Response Relationship, Drug %K Ethanol %K Female %K HIV Infections %K Humans %K Intention %K Models, Psychological %K Risk %K Risk-Taking %K Sexual Behavior %K Sexual Partners %K Software %K Unsafe Sex %K Young Adult %X

Women account for a quarter of all new HIV/AIDS cases, with approximately 65% having contracted the infection via heterosexual contact. Few experimental studies have examined interactions among background, partner, and situational characteristics in predicting women's sexual decisions. The Cognitive Mediation Model provides a useful theoretical framework for assessing likelihood of unprotected sex. Female social drinkers (n = 230) who had answered questions related to their general intention to have unprotected sex were randomly assigned to an experimental condition based on partner risk level (unknown, low, high) and beverage (control, placebo, low dose, high dose). Participants projected themselves into a story depicting a sexual situation with a man and answered questions about their cognitive appraisals, assertive condom request, and likelihood of unprotected sex. Alcohol effects on appraisal of sexual potential differed by partner risk condition. In the unknown and low risk conditions, placebo and alcohol participants appraised the situation as having greater sexual potential than controls whereas in the high risk condition, only those who consumed alcohol did so. Sexual potential appraisals in turn predicted impelling cognitions about having sex, which in turn predicted assertive condom request and unprotected sex intentions. General intention for unprotected sex independently predicted cognitive appraisals and outcomes. These findings highlight the need for prevention programs that focus on teaching women how to pay attention and consider sexual risk cues presented by potential partners, particularly when under the influence of alcohol.

%B Exp Clin Psychopharmacol %V 19 %P 378-88 %8 2011 Oct %G eng %N 5 %R 10.1037/a0024792