Emerging scientific evidence demonstrates that men's use of sexual coercion/violence (SCV) against women plays a critical role in risky sexual decision-making processes. Moreover, independent streams of research implicate alcohol intoxication in both violent and risky sexual behavior. Although the linkages among heterosexual women's alcohol use, SCV victimization, and sexual risk have received modest research consideration, the interplay of heterosexual men's alcohol intoxication, SCV perpetration, and risky sexual behavior has received little empirical attention. The overarching objectives of the proposed research are 1) to augment our understanding of the alcohol-SCV-risky sexual behavior nexus through an empirical examination of the influence of men's alcohol intoxication on their commission of risky and violent sexual behaviors and 2) to investigate the effects of alcohol intoxication and SCV history on men's responses to a variety of women's condom use requests. Drawing upon Alcohol Myopia Theory, Alcohol Expectancy Theory, and the Theories of Reasoned Action and Planned Behavior (TRA/TPB), two experiments are proposed to investigate the influence of alcohol [Sober, Placebo (expect .04%), Moderate Dose (.04%), and High Dose (.08%)] and SCV-related factors on high risk men's outcome and normative beliefs, attitudes, norms, perceived behavioral control, and intentions regarding condom use resistance, unprotected sex, and SCV perpetration in a hypothetical sexual situation with a female partner. Female partner condom request factors, such as risk rationale (Experiment 1) and condom request style (Experiment 2), will also be manipulated between subjects. The role of background factors, such as SCV history, SCV-related attitudes, and alcohol expectancies, will also be assessed. We hypothesize that acute alcohol intoxication, as well as SCV-related factors, will influence TRA/TPB-related constructs and that measurement of these constructs in an intoxicated state will best predict real-world intoxicated sexual risk behavior as examined through 6-week and 3-month follow-up behavioral surveys of experiment participants. Findings from the proposed research will refine TRA/TPB models of risky and violent sexual behavior in three important ways: (1) by examining the influence of alcohol and SCV-related factors on relevant social cognitive constructs, (2) by allowing a novel examination of these TRA/TPB constructs in the context of in-the-moment intoxicated vs. sober states, and (3) by assessing the effects of condom request factors on men's condom use resistance and risky/violent sexual intentions. Findings have implications for preventions programs and clinical interventions, particularly those regarding alcohol- influenced risky sexual behavior and sexual violence.

Public Health Relevance

Two major public health concerns in the United States involve sexual behavior: sexual coercion/violence and sexually transmitted infections. Alcohol intoxication in men has been linked to increased sexual violence and increased risky sexual behavior. The proposed project thus has relevance for both women's and men's health by seeking to close key knowledge gaps regarding the relationships among men's intoxication, sexual violence, and sexual risk behavior in ways informative to sexual risk and sexual violence prevention efforts.

National Institute of Health (NIH)
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Research Project (R01)
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Risk, Prevention and Intervention for Addictions Study Section (RPIA)
Program Officer
Freeman, Robert
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University of Washington
Schools of Social Work
United States
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Davis, Kelly Cue; Gulati, Natasha K; Neilson, Elizabeth C et al. (2018) Men's Coercive Condom Use Resistance: The Roles of Sexual Aggression History, Alcohol Intoxication, and Partner Condom Negotiation. Violence Against Women 24:1349-1368
Davis, Kelly Cue; Masters, N Tatiana; Casey, Erin et al. (2018) How Childhood Maltreatment Profiles of Male Victims Predict Adult Perpetration and Psychosocial Functioning. J Interpers Violence 33:915-937
Neilson, Elizabeth C; Eakins, Danielle R; Cue Davis, Kelly et al. (2017) Depressive Symptoms, Acute Alcohol Intoxication, and Risk Rationale Effects on Men's Condom Use Resistance. J Sex Res 54:764-775
Wegner, Rhiana; Davis, Kelly Cue (2017) How Men's Sexual Assault Victimization Experiences Differ Based on Their Sexual History. J Interpers Violence :886260517703374
Wegner, Rhiana; Davis, Kelly Cue; Stappenbeck, Cynthia A et al. (2017) The Effects of Men's Hostility Toward Women, Acute Alcohol Intoxication, and Women's Condom Request Style on Men's Condom Use Resistance Tactics. Psychol Violence 7:593-601
Gilmore, Amanda K; George, William H; Jacques-Tiura, Angela J et al. (2016) Men's Intentions to Have Sex With a New Partner: Sexual and Emotional Responding, Alcohol, and Condoms. J Sex Marital Ther 42:165-77
Davis, Kelly Cue; Jacques-Tiura, Angela J; Stappenbeck, Cynthia A et al. (2016) Men's condom use resistance: Alcohol effects on theory of planned behavior constructs. Health Psychol 35:178-86
Davis, Kelly Cue; Danube, Cinnamon L; Neilson, Elizabeth C et al. (2016) Distal and Proximal Influences on Men's Intentions to Resist Condoms: Alcohol, Sexual Aggression History, Impulsivity, and Social-Cognitive Factors. AIDS Behav 20 Suppl 1:S147-57
Stappenbeck, Cynthia A; Davis, Kelly Cue; Cherf, Nicholas et al. (2016) Emotion Regulation Difficulties Moderate the Association Between Heavy Episodic Drinking and Dating Violence Perpetration Among College Men. J Aggress Maltreat Trauma 25:921-935
Gutierrez, Hilda L; Hund, Lauren; Shrestha, Shikhar et al. (2015) Ethylglucuronide in maternal hair as a biomarker of prenatal alcohol exposure. Alcohol 49:617-23

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