Alcohol and Condom Use Resistance in Sexually Coercive/Violent Men

描述（由申请人提供）：新出现的科学证据表明，男性对女性使用性胁迫/暴力（SCV）在高风险的性决策过程中起着关键作用。此外，独立的研究表明酒精中毒与暴力和危险的性行为有关。尽管异性恋女性酒精使用、SCV受害和性风险之间的联系得到了适度的研究考虑，但异性恋男性酒精中毒、SCV犯罪和高风险性行为之间的相互作用却很少得到实证关注。本研究的总体目标是：1)通过对男性酒精中毒对其危险和暴力性行为的影响的实证研究，增强我们对酒精-SCV风险性行为关系的理解；2)调查酒精中毒和SCV史对男性对各种女性安全套使用要求的反应的影响。利用酒精近视理论、酒精期望理论和理性行动与计划行为理论（TRA/TPB），提出了两个实验来研究酒精[清醒，安慰剂（期望）]的影响。04%)，中等剂量(。04%)和高剂量(。[08%]和SCV相关因素对高危男性结果和规范性信念、态度、规范、感知行为控制和意图的影响，包括在假设的与女性伴侣发生性行为的情况下使用避孕套、无保护的性行为和SCV犯罪。女性伴侣的安全套请求因素，如风险理论（实验1）和安全套请求方式（实验2），也将在受试者之间进行操纵。还将评估背景因素的作用，如SCV史、SCV相关态度和酒精预期。我们假设急性酒精中毒以及scv相关因素会影响TRA/ tpb相关构式，并且通过对实验参与者进行6周和3个月的随访行为调查，在醉酒状态下测量这些构式可以最好地预测现实世界中醉酒性风险行为。本研究的结果将从三个重要方面完善风险性行为和暴力性行为的TRA/TPB模型：(1)通过检查酒精和scv相关因素对相关社会认知结构的影响，(2)通过允许在瞬间醉酒和清醒状态下对这些TRA/TPB结构进行新颖的检查，以及(3)通过评估安全套请求因素对男性安全套使用抵抗和风险/暴力性意图的影响。研究结果对预防计划和临床干预具有启示意义，特别是那些关于酒精影响的危险性行为和性暴力的研究。

DESCRIPTION (provided by applicant): 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.