Men's Sexual Risk Behaviors: Alcohol, Sexual Aggression, and Emotional Factors

男性的性危险行为：酒精、性侵犯和情绪因素

• 批准号: 10405038
• 负责人: Kelly Cue Davis
• 金额: $ 46.31万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-06-05 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10405038
• 关键词: Acute; Address; Aggressive behavior; Alcohol consumption; Alcoholic Intoxication; Alcohols; Anger; Attitude; Baseline Surveys; Behavior; Clinical; Coercion; Data; Development; Distal; Emotional; Emotions; Equation; Event; Foundations; Future; HIV; Heterosexuals; Hostility; Individual; Intervention; Intoxication; Investigation; Knowledge; Laboratories; Link; Measures; Mediating; Mediation; Mediator of activation protein; Methods; Modeling; Monitor; Participant; Persons; Planning Theory; Play; Prevention program; Process; Public Health; Randomized; Recording of previous events; Reporting; Research; Resistance; Risk; Risk Behaviors; Role; Science; Screening procedure; Sexual Arousal; Sexually Transmitted Diseases; Surveys; Time; Unsafe Sex; aged; alcohol behavior; alcohol effect; alcohol expectancy; base; behavior change; behavioral construct; condoms; coping; design; diaries; drinking; emotion dysregulation; emotion regulation; emotional factor; evidence base; experimental study; follow-up; innovation; intervention program; laboratory experiment; male; men; negative emotional state; programs; response; sex; sexual risk behavior; sexual risk taking; trait; unintended pregnancy; young man

PROJECT SUMMARY The proposed project is a competing renewal of R01AA017608, which investigated the influence of young men's alcohol intoxication, sexual aggression perpetration history, and partner condom negotiation on their sexual risk behavior through two alcohol administration experiments and follow-up surveys. Findings from the original project suggest that alcohol intoxication and sexual aggression history are predictive of greater condom use resistance and other sexual risk behaviors (e.g., unprotected sex) at both proximal and event levels. Moreover, preliminary results suggest that emotional factors may play a role in these associations, suggesting a promising avenue for continued research. The proposed renewal aims to build upon these findings through investigation of the emotional mechanisms involved in young men's alcohol-related sexual risk behavior to provide an empirical foundation for developing evidence-based sexual risk prevention programs. The proposed project continues and extends the original line of research through multiple methods designed to evaluate distal and proximal emotional factors implicated in alcohol-related sexual risk. Male drinkers aged 21- 30 who use condoms inconsistently (n = 600) will first complete a screening procedure followed by a baseline survey which will assess relevant constructs including negative emotional traits, emotion dysregulation tendencies, and alcohol expectancies. They will then complete a 30 day daily diary assessment of their daily emotional states, daily coping motives pertaining to drinking and sex, and daily drinking and sexual risk behaviors in order to evaluate daily relationships among these factors. Upon completion of the daily monitoring period, the same participants will complete an in-lab experiment assessing in-the-moment effects of alcohol intoxication and provocation on negative emotional states and sexual risk intentions. Generalized linear mixed models will be used to examine the daily influence of emotional states and coping motives on alcohol consumption and sexual risk behaviors. Structural equation modeling and other regression-based analyses will be used to examine experimental effects of alcohol intoxication and provocation on negative emotional states and other mediators, as well as sexual risk intentions. Moderating effects of negative emotional traits, emotion dysregulation tendencies, and alcohol expectancies will also be examined for both daily and in-the-moment processes, and the linkages between event-level and experimental relationships will be investigated. The proposed renewal is both significant and innovative in that it will address the public health concern of men's sexual risk behaviors including condom use resistance; will evaluate the role of emotional processes in men's alcohol-related sexual risk; and will use multiple methods to gather complementary types of data that will elucidate the mechanisms underlying alcohol-related sexual risk behaviors and provide an empirical evidence base from which to develop and inform prevention and intervention programs.

项目概要 拟议的项目是 R01AA017608 的竞争性更新，该项目调查了年轻人的影响 男性酒精中毒、性侵犯历史以及伴侣安全套谈判 通过两次酒精管理实验和后续调查来了解性危险行为。调查结果来自 最初的项目表明，酒精中毒和性侵犯历史预示着更大的 近端和事件中的安全套使用抵制和其他性危险行为（例如无保护性行为） 水平。此外，初步结果表明情绪因素可能在这些关联中发挥作用， 为继续研究提供了一条有希望的途径。拟议的更新旨在以这些为基础 通过调查年轻男性酒精相关性风险的情绪机制得出的结论 行为为制定基于证据的性风险预防计划提供经验基础。 拟议的项目通过多种方法继续并扩展了最初的研究路线，旨在 评估与酒精相关性风险有关的远端和近端情绪因素。 21岁以下男性饮酒者 30 名不一致地使用安全套的人 (n = 600) 将首先完成筛查程序，然后进行基线 评估相关结构的调查，包括负面情绪特征、情绪失调 倾向和酒精预期。然后他们将完成 30 天的每日日记评估 情绪状态、与饮酒和性有关的日常应对动机以及日常饮酒和性风险 行为，以评估这些因素之间的日常关系。日常监测结束后 在此期间，相同的参与者将完成一项实验室实验，评估酒精的即时影响 醉酒和挑衅对消极情绪状态和性危险意图的影响。广义线性混合 模型将用于检查情绪状态和应对动机对酒精的日常影响 消费和性危险行为。结构方程模型和其他基于回归的分析将 用于检查酒精中毒和挑衅对负面情绪状态的实验影响 和其他中介因素，以及性风险意图。负面情绪特征、情绪的调节作用 还将检查日常和即时的失调倾向和酒精预期 过程以及事件级和实验关系之间的联系将被研究。这 拟议的更新既重要又具有创新性，因为它将解决男性的公共卫生问题 性危险行为，包括抵制使用安全套；将评估情绪过程在男性中的作用 与酒精相关的性风险；并将使用多种方法来收集互补类型的数据 阐明酒精相关性危险行为的机制并提供经验证据 以此为基础制定预防和干预计划并为其提供信息。