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.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA017608-05
Application #
8442391
Study Section
Risk, Prevention and Intervention for Addictions Study Section (RPIA)
Program Officer
Freeman, Robert
Project Start
2009-03-10
Project End
2014-03-31
Budget Start
2013-04-01
Budget End
2014-03-31
Support Year
5
Fiscal Year
2013
Total Cost
$315,791
Indirect Cost
$51,396
Name
University of Washington
Department
None
Type
Schools of Social Work
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195
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
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; Masters, N Tatiana; Casey, Erin et al. (2015) How Childhood Maltreatment Profiles of Male Victims Predict Adult Perpetration and Psychosocial Functioning. J Interpers Violence :
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
Davis, Kelly Cue; Danube, Cinnamon L; Stappenbeck, Cynthia A et al. (2015) Background Predictors and Event-Specific Characteristics of Sexual Aggression Incidents: The Roles of Alcohol and Other Factors. Violence Against Women 21:997-1017
Davis, Kelly Cue; Schraufnagel, Trevor J; Kajumulo, Kelly F et al. (2014) A qualitative examination of men's condom use attitudes and resistance: "it's just part of the game". Arch Sex Behav 43:631-43
Davis, Kelly Cue; Stappenbeck, Cynthia A; Norris, Jeanette et al. (2014) Young men's condom use resistance tactics: a latent profile analysis. J Sex Res 51:454-65
Davis, Kelly Cue; Gilmore, Amanda K; Stappenbeck, Cynthia A et al. (2014) How to Score the Sexual Experiences Survey? A Comparison of Nine Methods. Psychol Violence 4:445-461
Bakhireva, Ludmila N; Leeman, Lawrence; Savich, Renate D et al. (2014) The validity of phosphatidylethanol in dried blood spots of newborns for the identification of prenatal alcohol exposure. Alcohol Clin Exp Res 38:1078-85
Bakhireva, Ludmila N; Savich, Renate D; Raisch, Dennis W et al. (2013) The feasibility and cost of neonatal screening for prenatal alcohol exposure by measuring phosphatidylethanol in dried blood spots. Alcohol Clin Exp Res 37:1008-15

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