Alcohol intoxication and condom use self-efficacy effects on women's condom use intentions
Alcohol intoxication and condom use self-efficacy effects on women's condom use intentions
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DOI：
10.1016/j.addbeh.2013.09.019
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发表时间：
2014-01-01
影响因子：
4.4
通讯作者：
Heiman, Julia R.
中科院分区：
文献类型：
--
作者：
Davis, Kelly Cue;Masters, N. Tatiana;Heiman, Julia R.
尽管研究一致表明，安全套使用自我效能可以显着预测安全套的使用，但很少有人研究急性酒精中毒是否会调节这种关系。由于酒精中毒通常与性行为风险增加有关，因此有必要进一步检查这种调节作用。这项酒精管理实验使用了有大量饮酒史的年轻异性恋女性社区样本（n = 436），研究了中毒和安全套使用自我效能对女性安全套谈判和未来安全套使用意图的影响。问卷调查结束后，通过实验控制受试者之间的酒精状况（对照，0.10% 目标峰值 SAL）。然后，参与者阅读并回答假设的有风险的性决策场景。 SEM 分析显示，酒精中毒直接降低了女性未来使用安全套的意愿。安全套使用自我效能感较高的女性参与安全套谈判的意愿也更强；然而，这种效应会因中毒而减弱。具体而言，醉酒女性的安全套使用自我效能与安全套谈判意图之间的关联比清醒女性更强。这些关于酒精中毒和安全套使用自我效能的协同效应的新发现支持旨在加强女性安全套使用自我效能的持续预防工作，这甚至可能减少在醉酒状态下做出的性风险决定。 (C) 2013 Elsevier Ltd. 保留所有权利。
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 SAL) 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. (C) 2013 Elsevier Ltd. All rights reserved.