Sex-related alcohol expectancies as moderators of the relationship between alcohol use and risky sex in adolescents
Sex-related alcohol expectancies as moderators of the relationship between alcohol use and risky sex in adolescents
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DOI：
10.15288/jsa.1998.59.71
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发表时间：
1998-01-01
期刊：
影响因子：
--
通讯作者：
Agocha, VB
中科院分区：
文献类型：
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作者：
Dermen, KH;Cooper, ML;Agocha, VB
目的：酒精经常被认为是HIV相关性行为风险的潜在因素。利用酒精预期解释酒后行为，本研究测试的假设，即青少年谁喝酒在特定场合将更有可能从事性冒险行为的程度，他们认为，酒精抑制性行为或促进性冒险。方法：性相关的酒精预期和酒精使用在性的情况下的综合影响进行了调查，使用的访谈数据从907（476名男性）性经验的青少年（13至19岁）谁曾经喝过酒的代表性样本。结果如下：回归分析的综合措施的风险承担显示，两个三个性交场合检查酒精的使用与更大的风险承担，主要是在受访者谁预计酒精增加危险的性行为。结论：研究结果支持了酒精对性冒险行为影响的预期理论，并提出了一种可能性，即提供过于简单的警告“酒精导致危险的性行为”可能会矛盾地增加个人在醉酒时无法谨慎行事的可能性。预防性干预可能会有益地集中在削弱，而不是加强，个人的期望，关于酒精对性行为的影响，使自我保护行为将更有可能发生，即使在醉酒。
Objective: Alcohol is frequently identified as a potential contributor to HIV-related sexual risk taking. Drawing on alcohol expectancy explanations for postdrinking behavior, the present study tested the hypothesis that adolescents who drink alcohol on a given occasion will be more likely to engage in sexual risk-taking behavior to the extent that they believe that alcohol disinhibits sexual behavior or promotes sexual risk taking. Method: The combined effects of sex-related alcohol expectancies and alcohol use in sexual situations were investigated using interview data from a representative sample of 907 (476 male) sexually experienced adolescents (13 to 19 years) who had ever consumed alcohol. Results: Regression analyses on a composite measure of risk taking revealed that for two of three intercourse occasions examined alcohol use was associated with greater risk taking primarily among respondents who expected alcohol to increase risky sexual behavior. Conclusions: The results lend support to expectancy theories of alcohol's effects on sexual risk taking and raise the possibility that providing overly simplistic warnings that ''alcohol leads to risky sex'' may paradoxically increase the likelihood that individuals will fail to act prudently when intoxicated. Preventive interventions might beneficially focus on weakening, rather than strengthening, individuals' expectancies with regard to the impact of alcohol on sexual behavior, so that self-protective behavior will be more likely to occur even during intoxication.