%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 Child Abuse Negl %D 2010 %T Childhood sexual abuse in males and subsequent risky sexual behavior: a potential alcohol-use pathway. %A Schraufnagel, Trevor J %A Davis, Kelly Cue %A George, William H %A Norris, Jeanette %K Adult %K Alcoholism %K Child %K Child Abuse, Sexual %K Humans %K Male %K Risk-Taking %K Surveys and Questionnaires %K Unsafe Sex %K Washington %K Young Adult %X

OBJECTIVE: Childhood sexual abuse (CSA) among boys has been associated with a variety of subsequent maladaptive behaviors. This study explored a potential connection between CSA and an increased likelihood of risky sexual behavior in adulthood. Further, the study examined whether or not alcohol use may contribute to this relationship.

METHOD: As part of a study on alcohol and sexual decision-making, 280 heterosexual men completed multiple background questionnaires pertaining to past and current sexual experiences and patterns of alcohol use. CSA history was obtained and severity ratings were made based on type of contact reported.

RESULTS: CSA was reported by 56 men (20%). Structural equation modeling revealed that CSA positively predicted number of sexual partners directly as well as indirectly, through its effect on alcohol use. Specifically, greater CSA severity predicted significantly lower age of first intoxication, which in turn predicted greater current alcohol consumption, followed by greater use of alcohol before sexual intercourse, leading to an increased number of reported sexual partners. The reported frequency of condom use was not predicted by CSA severity or the alcohol-use pathway.

CONCLUSIONS: These findings suggest that CSA influences risky sexual behavior via multiple pathways and that more severe CSA may lead to elevated sexual risk indices. Moreover, these results suggest that men may elevate their risk of sexually transmitted infections via high numbers of sexual partners versus irregular condom use.

PRACTICAL IMPLICATIONS: These results highlight the need for adequate assessment and early interventions in order to mitigate the effects CSA may have on subsequent alcohol use and risky sexual behavior. Secondly, ensuring that male CSA victims understand the inherent risks of high numbers of sexual partners may be an effective strategy to interrupt the path toward risk-taking.

%B Child Abuse Negl %V 34 %P 369-78 %8 2010 May %G eng %N 5 %R 10.1016/j.chiabu.2009.08.013 %0 Journal Article %J J Am Coll Health %D 2010 %T College women's sexual decision making: cognitive mediation of alcohol expectancy effects. %A Davis, Kelly Cue %A Norris, Jeanette %A Hessler, Danielle M %A Zawacki, Tina %A Morrison, Diane M %A George, William H %K Adolescent %K Alcohol Drinking %K Cognition %K Condoms %K Decision Making %K Female %K Health Behavior %K Health Knowledge, Attitudes, Practice %K Humans %K Models, Psychological %K Multivariate Analysis %K Psychological Tests %K Psychometrics %K Risk Assessment %K Risk-Taking %K Sexual Behavior %K Statistics as Topic %K Unsafe Sex %K Washington %K Young Adult %X

OBJECTIVE: Alcohol has been linked to a variety of risky sexual practices, including inconsistent condom use. Due to the high rates of alcohol consumption among underage college women, greater understanding of the role of alcohol in young women's sexual decision making is warranted.

PARTICIPANTS AND METHODS: Female underage (18- to 20-year-old) social drinkers (N = 94) participated in an experiment in which they projected themselves into a written hypothetical sexual situation with a new partner. One half of the situations portrayed alcohol consumption; one half did not involve alcohol consumption. Their appraisals of the situation's sexual potential, impelling and inhibiting cognitions, and sexual behavior intentions were assessed.

RESULTS: Results revealed that alcohol's expectancy effects on young women's unprotected sexual intentions were mediated by their cognitive appraisals of the situation.

CONCLUSIONS: These findings indicate that alcohol expectancies and their influence on women's sexual decisions should be incorporated into sexual risk reduction efforts.

%B J Am Coll Health %V 58 %P 481-9 %8 2010 Mar-Apr %G eng %N 5 %R 10.1080/07448481003599112