%0 Journal Article %J Addict Behav %D 2014 %T Alcohol intoxication and condom use self-efficacy effects on women's condom use intentions. %A Davis, Kelly Cue %A Masters, N Tatiana %A Eakins, Danielle %A Danube, Cinnamon L %A George, William H %A Norris, Jeanette %A Heiman, Julia R %K Adult %K Alcoholic Intoxication %K Central Nervous System Depressants %K Condoms %K Decision Making %K Ethanol %K Female %K Health Knowledge, Attitudes, Practice %K Humans %K Intention %K Safe Sex %K Self Efficacy %K Women %K Young Adult %X

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.

%B Addict Behav %V 39 %P 153-8 %8 2014 Jan %G eng %N 1 %R 10.1016/j.addbeh.2013.09.019 %0 Journal Article %J Arch Sex Behav %D 2014 %T Sexual victimization, alcohol intoxication, sexual-emotional responding, and sexual risk in heavy episodic drinking women. %A George, William H %A Davis, Kelly Cue %A Masters, N Tatiana %A Jacques-Tiura, Angela J %A Heiman, Julia R %A Norris, Jeanette %A Gilmore, Amanda K %A Nguyen, Hong V %A Kajumulo, Kelly F %A Otto, Jacqueline M %A Andrasik, Michele P %K Adult %K Alcoholic Intoxication %K Child %K Child Abuse, Sexual %K Crime Victims %K Ethanol %K Female %K HIV Infections %K Humans %K Libido %K Rape %K Risk %K Risk-Taking %K Sexual Behavior %K Unsafe Sex %K Young Adult %X

This study used an experimental paradigm to investigate the roles of sexual victimization history and alcohol intoxication in young women's sexual-emotional responding and sexual risk taking. A nonclinical community sample of 436 young women, with both an instance of heavy episodic drinking and some HIV/STI risk exposure in the past year, completed childhood sexual abuse (CSA) and adolescent/adult sexual assault (ASA) measures. A majority of them reported CSA and/or ASA, including rape and attempted rape. After random assignment to a high alcohol dose (.10 %) or control condition, participants read and projected themselves into an eroticized scenario of a sexual encounter involving a new partner. As the story protagonist, each participant rated her positive mood and her sexual arousal, sensation, and desire, and then indicated her likelihood of engaging in unprotected sex. Structural equation modeling analyses revealed that ASA and alcohol were directly associated with heightened risk taking, and alcohol's effects were partially mediated by positive mood and sexual desire. ASA was associated with attenuated sexual-emotional responding and resulted in diminished risk taking via this suppression. These are the first findings indicating that, compared to non-victimized counterparts, sexually victimized women respond differently in alcohol-involved sexual encounters in terms of sexual-emotional responding and risk-taking intentions. Implications include assessing victimization history and drinking among women seeking treatment for either concern, particularly women at risk for HIV, and alerting them to ways their histories and behavior may combine to exacerbate their sexual risks.

%B Arch Sex Behav %V 43 %P 645-58 %8 2014 May %G eng %N 4 %R 10.1007/s10508-013-0143-8 %0 Journal Article %J J Sex Res %D 2014 %T Women's unprotected sex intentions: roles of sexual victimization, intoxication, and partner perception. %A Masters, N Tatiana %A George, William H %A Davis, Kelly Cue %A Norris, Jeanette %A Heiman, Julia R %A Jacques-Tiura, Angela J %A Gilmore, Amanda K %A Nguyen, Hong V %A Kajumulo, Kelly F %A Otto, Jacqueline M %A Stappenbeck, Cynthia A %K Adult %K Adult Survivors of Child Abuse %K Alcoholic Intoxication %K Child %K Female %K Humans %K Intention %K Sex Offenses %K Social Perception %K Unsafe Sex %K Young Adult %X

Sexually victimized women may make sexual decisions differently than nonvictimized women. This study used an eroticized scenario and laboratory alcohol administration to investigate the roles of victimization history, intoxication, and relationship context in women's perceptions of a male partner and their subsequent intentions for unprotected sex. A community sample of 436 women completed childhood sexual abuse (CSA) and adolescent/adult sexual assault (ASA) measures. After random assignment to an alcohol or control condition, participants read and projected themselves into a sexual scenario that depicted the male partner as having high or low potential for a lasting relationship. Participants rated their perceptions of his intoxication, sexually transmitted infection (STI) risk level, and anticipated reactions to insistence on condom use. They then indicated their likelihood of allowing the partner to decide how far to go sexually (abdication) and of engaging in unprotected sex. Structural equation modeling (SEM) analyses revealed that intoxication predicted greater unprotected sex likelihood indirectly via abdication. CSA and ASA predicted partner perceptions, which in turn predicted unprotected sex likelihood. These findings indicate that, compared to their nonvictimized counterparts, sexually victimized women may respond differently in sexual encounters partly as a function of their perceptions of partners' STI risk and anticipated reactions to condom insistence.

%B J Sex Res %V 51 %P 586-98 %8 2014 %G eng %N 5 %R 10.1080/00224499.2012.763086 %0 Journal Article %J Arch Sex Behav %D 2013 %T Influences of situational factors and alcohol expectancies on sexual desire and arousal among heavy-episodic drinking women: acute alcohol intoxication and condom availability. %A Gilmore, Amanda K %A George, William H %A Nguyen, Hong V %A Heiman, Julia R %A Davis, Kelly Cue %A Norris, Jeanette %K Adult %K Alcoholic Intoxication %K Arousal %K Binge Drinking %K Condoms %K Decision Making %K Ethanol %K Female %K Humans %K Libido %K Sexual Behavior %K Social Environment %K Unsafe Sex %X

Although studies suggest that alcohol increases women's sexual desire, no studies to our knowledge have examined the effects of acute alcohol intoxication on women's sexual desire. The majority of research examining alcohol's effects on sexual arousal in women suggests that alcohol increases self-reported arousal. In an alcohol administration study in which women projected themselves into an eroticized scenario depicting a consensual sexual encounter with a new male partner, we examined the effects of alcohol and condom condition on women's sexual desire and arousal. The moderating effects of sex-related alcohol expectancies were also examined. Results revealed that alcohol intoxication was related to less desire to engage in sex with a new partner and condom presence was related to more desire. Alcohol interacted with sexual disinhibition alcohol expectancies, indicating that more expectancy endorsement was associated with greater sexual desire and self-reported arousal in the alcohol condition, but not the control condition. Condom condition had no effect on self-reported sexual arousal. The present research suggests that sexual desire merits research attention in non-clinical samples, and experimental methodology can provide valuable information about alcohol's influence on women's sexual desire, thus advancing our understanding of this relationship beyond cross-sectional correlations. The current findings also provide evidence that sex-related alcohol expectancies may play an important role in alcohol-involved sexual experiences including desire and arousal.

%B Arch Sex Behav %V 42 %P 949-59 %8 2013 Aug %G eng %N 6 %R 10.1007/s10508-013-0109-x %0 Journal Article %J Arch Sex Behav %D 2012 %T Risky sex: interactions among ethnicity, sexual sensation seeking, sexual inhibition, and sexual excitation. %A Nguyen, Hong V %A Koo, Kelly H %A Davis, Kelly Cue %A Otto, Jacqueline M %A Hendershot, Christian S %A Schacht, Rebecca L %A George, William H %A Heiman, Julia R %A Norris, Jeanette %K Adult %K African Americans %K Asian Americans %K Condoms %K Ethnic Groups %K European Continental Ancestry Group %K Female %K HIV Infections %K Humans %K Male %K Risk Factors %K Sexual Behavior %K Sexuality %K Sexually Transmitted Diseases %K United States %K Unsafe Sex %X

Rates of sexually transmitted infections, including HIV, vary across ethnic minority groups, yet few studies have evaluated sexual risk behaviors and their psychological correlates to determine if risk and protective factors vary by ethnicity. The purpose of the current study was to assess sexual sensation seeking (SSS), sexual inhibition (SIS1 and SIS2), and sexual excitation (SES) as correlates of risky sexual behaviors in 106 (55 male and 51 female) Asian Americans, African Americans, and Caucasian Americans. Results revealed that higher SSS was associated with more vaginal and anal sex partners. Further, the association between SSS and the number of anal sex partners was positive among Asian Americans and Caucasians, but non-significant among African Americans. SIS1 was positively associated with unprotected sex on the first date among Asian Americans and African Americans. However, the association was not significant for Caucasians. SIS2 was negatively associated with general unprotected sex, and SES was positively associated with the number of vaginal sex partners. Findings suggest that ethnicity plays an important moderating role in the relationship between sexual traits and risky sexual behaviors.

%B Arch Sex Behav %V 41 %P 1231-9 %8 2012 Oct %G eng %N 5 %R 10.1007/s10508-012-9904-z %0 Journal Article %J J Sex Med %D 2010 %T Assessing women's sexual arousal in the context of sexual assault history and acute alcohol intoxication. %A Gilmore, Amanda K %A Schacht, Rebecca L %A George, William H %A Otto, Jacqueline M %A Davis, Kelly Cue %A Heiman, Julia R %A Norris, Jeanette %A Kajumulo, Kelly F %K Alcoholic Intoxication %K Arousal %K Child %K Child Abuse, Sexual %K Erotica %K Ethanol %K Female %K Humans %K Libido %K Photoplethysmography %K Rape %K Reference Values %K Regional Blood Flow %K Vagina %X

INTRODUCTION: Few studies have examined differences in women's sexual arousal based on sexual assault history (SAH) or in-the-moment alcohol intoxication. Only one has examined combined effects. Findings regarding the relationship between SAH and arousal are contradictory.

AIM: We aimed to determine the relationship between SAH, alcohol intoxication, and sexual arousal.

METHODS: Women were randomly assigned to an alcohol (target blood alcohol level = 0.10%) or control condition and categorized as having an SAH or not. After beverage administration, all women watched erotic films while genital arousal (vaginal pulse amplitude; VPA) was measured. Afterward, self-reported sexual arousal was measured.

MAIN OUTCOME MEASURES: Genital response was measured by VPA using vaginal photoplethysmography while watching erotic films. Self-reported sexual arousal was assessed after watching erotic films.

RESULTS: Women with an SAH had smaller increases in genital arousal in response to the films than women without an SAH. Intoxicated women had smaller increases in genital arousal than sober women. However, no differences for SAH or intoxication were found in self-reported arousal.

CONCLUSION: SAH and alcohol intoxication are associated with smaller increases in genital arousal compared to women without an SAH and sober women, suggesting that these co-occurring factors impact sexual arousal.

%B J Sex Med %V 7 %P 2112-9 %8 2010 Jun %G eng %N 6 %R 10.1111/j.1743-6109.2010.01786.x %0 Journal Article %J Arch Sex Behav %D 2010 %T Sexual abuse history, alcohol intoxication, and women's sexual risk behavior. %A Schacht, Rebecca L %A George, William H %A Davis, Kelly Cue %A Heiman, Julia R %A Norris, Jeanette %A Stoner, Susan A %A Kajumulo, Kelly F %K Adult %K Affect %K Alcoholic Intoxication %K Child %K Child Abuse, Sexual %K Condoms %K Female %K Humans %K Photoplethysmography %K Risk-Taking %K Safe Sex %K Sex Offenses %K Sexual Behavior %K Vagina %X

We examined potential differences in women's likelihood of sexual risk taking in a laboratory setting based on alcohol intoxication and sexual abuse history. Participants (n = 64) were classified as non-sexually abused (NSA) or as having experienced sexual abuse in childhood only (CSA) or adulthood only (ASA) and randomly assigned to consume alcoholic (.06, .08, or .10% target blood alcohol content) or non-alcoholic drinks, after which participants read and responded to a risky sex vignette. Dependent measures included vaginal pulse amplitude, self-reported sexual arousal, likelihood of engaging in condom use and risky sexual behaviors described in the vignette, and mood. NSA and ASA women did not differ significantly on any dependent measures. CSA women reported significantly lower likelihood of condom use and unprotected intercourse relative to NSA and ASA women. Intoxicated women reported significantly greater sexual arousal, positive mood, and likelihood of risky sex relative to sober women. Intoxicated CSA women reported significantly more likelihood of unprotected oral sex and less likelihood of condom use relative to intoxicated NSA and ASA and sober CSA women. CSA women's increased risk of sexually transmitted infections (STIs) may be driven by non-condom use and behavioral changes while intoxicated. These findings provide preliminary insight into situational influences affecting CSA women's increased STI risk.

%B Arch Sex Behav %V 39 %P 898-906 %8 2010 Aug %G eng %N 4 %R 10.1007/s10508-009-9544-0