Alcohol and Condom Use Resistance in Sexually Coercive/Violent Men

性胁迫/暴力男性对酒精和安全套使用的抵制

• 批准号: 8051545
• 负责人: Kelly Cue Davis
• 金额: $ 42.9万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-03-10 至 2014-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8051545
• 关键词: Acute; Address; Adult; Affect; Alcohol consumption; Alcoholic Intoxication; Alcohols; Attention; Attitude; Behavior; Behavior Control; Behavioral; Belief; Clinical; Cognitive; Coitus; Decision Making; Dose; Equation; Female; Foundations; Gap Junctions; Heterosexuals; Individual Differences; Intervention; Intoxication; Investigation; Knowledge; Laboratories; Link; Measurement; Measures; Mediation; Modeling; Myopia; Outcome; Participant; Patient Self-Report; Personality; Placebos; Play; Pregnancy; Prevention; Prevention program; Process; Public Health; Reaction; Recording of previous events; Research; Resistance; Risk; Risk Factors; Role; Scientist; Sex Behavior; Sexual Partners; Sexually Transmitted Diseases; Stream; Survey Methodology; Surveys; Testing; United States; Unsafe Sex; Victimization; Violence; Woman; alcohol effect; alcohol expectancy; base; condoms; dosage; experience; follow-up; high risk men; high risk sexual behavior; information gathering; male health; men; novel; public health relevance; research study; response; safer sex; sex risk; sexual coercion; sexual encounter; sexual violence; skills; sobriety; social; success; theories; violence against women; violence prevention

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.

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) 在危险的性决策过程中发挥着关键作用。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。尽管异性恋女性饮酒、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 犯罪和危险性行为之间的相互作用却很少受到实证关注。拟议研究的总体目标是：1）通过实证检验男性酒精中毒对其危险和暴力性行为的影响，增强我们对酒精与 SCV 危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。借鉴酒精近视理论、酒精预期理论以及理性行动和计划行为理论 (TRA/TPB)，提出两项实验来研究酒精 [清醒、安慰剂（预期 0.04%）、中等剂量 (0.04%) 和高剂量 (0.08%)] 和 SCV 相关因素对高危男性的结果以及规范信念、态度、规范、感知行为控制和行为的影响。 有关安全套使用抵制、无保护性行为以及在与女性伴侣的假设性行为中发生 SCV 的意图。女性伴侣安全套要求因素，例如风险理由（实验 1）和安全套要求方式（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，例如 SCV 病史、SCV 相关态度和饮酒预期。我们假设急性酒精中毒以及 SCV 相关因素将影响 TRA/TPB 相关结构，并且通过对实验参与者进行 6 周和 3 个月的后续行为调查，在醉酒状态下测量这些结构将最好地预测现实世界的醉酒性风险行为。拟议研究的结果将以三种重要方式完善危险和暴力性行为的 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）通过在当下醉酒与清醒状态的背景下对这些 TRA/TPB 结构进行新颖的检查，以及（3）通过评估安全套要求因素对男性安全套使用阻力和危险/暴力的影响 性意图。研究结果对预防计划和临床干预措施具有影响，特别是有关酒精影响的危险性行为和性暴力的计划和临床干预措施。 公共卫生相关性：美国的两个主要公共卫生问题涉及性行为：性胁迫/暴力和性传播感染。男性酒精中毒与性暴力和危险性行为增加有关。因此，拟议项目通过为性风险和性暴力预防工作提供信息的方式，力求弥合有关男性中毒、性暴力和性风险行为之间关系的关键知识差距，从而与女性和男性的健康相关。