%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 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