%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 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 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 %0 Journal Article %J Horm Behav %D 2011 %T Women's sexual arousal: effects of high alcohol dosages and self-control instructions. %A George, William H %A Davis, Kelly Cue %A Heiman, Julia R %A Norris, Jeanette %A Stoner, Susan A %A Schacht, Rebecca L %A Hendershot, Christian S %A Kajumulo, Kelly F %K Adult %K Alcohol Drinking %K Arousal %K Dose-Response Relationship, Drug %K Erotica %K Ethanol %K Female %K Humans %K Internal-External Control %K Libido %K Sexuality %K Vagina %K Young Adult %X

The basic relationship between alcohol and women's sexual arousal - especially genital arousal - received little research attention for nearly 30 years (e.g. Wilson and Lawson, 1978) until very recently (e.g. George et al., 2009). To investigate hypotheses based on earlier findings and Alcohol Myopia Theory (AMT), two experiments evaluated the effects of high blood alcohol concentrations (BACs) and arousal instructional demands on indices of vaginal responding and self-reported sexual arousal. In Experiment 1, self-control instructions to maximize (versus suppress) arousal increased peak and average Vaginal Pulse Amplitude (VPA) change. Self-control also interacted with a target BAC of .08% (versus .00%) to influence latency to peak arousal onset: Intoxicated women instructed to maximize showed a shorter latency to peak arousal than did intoxicated women instructed to suppress; however, sober women showed an undifferentiated pattern. Also, in Experiment 1, the target BAC of .08% had no effect on VPA or subjective arousal measures. In Experiment 2, a target BAC of .10% (versus .00%) attenuated peak change and average change in VPA, but this dosage had no effects on latency to peak achieved arousal, or on subjective arousal. Instructions to maximize arousal (versus no instruction) had no effect on any arousal measures. Overall, among young moderate drinking women, alcohol had attenuating effects but only at the higher dosage. Maximize versus suppress instructions about arousal had predicted effects on arousal and interactive effects on latency, but only at the lower dosage. The findings highlight the importance of dosage and contextual factors in alcohol's impact on the variability of women's sexual responding.

%B Horm Behav %V 59 %P 730-8 %8 2011 May %G eng %N 5 %R 10.1016/j.yhbeh.2011.03.006