Intoxicated sexual risk taking: An expectancy or cognitive impairment explanation?
Intoxicated sexual risk taking: An expectancy or cognitive impairment explanation?
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DOI：
10.15288/jsa.1999.60.54
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发表时间：
1999-01-01
期刊：
影响因子：
--
通讯作者：
Katz, EC
中科院分区：
文献类型：
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作者：
Fromme, K;D'Amico, EJ;Katz, EC
目的：两项实验研究测试了饮酒与不安全性行为之间关系的预期和损害解释。方法：被给予酒精(血液酒精浓度平均值=0.08mg%)、安慰剂或水的年轻人，对危险的性行为导致潜在后果的可能性进行评级(研究1，N=161)，并列出不戴避孕套的性行为可能导致的潜在后果(研究2，N=135)。结果：喝醉酒的参与者报告的风险感知(平均值[+/-SD]=4.5+/-2.1)低于接受安慰剂(平均值=5.8+/-1.3)或喝水(平均值=5.5+/-1.7)的参与者。喝醉的参与者列出的负面后果(平均值=1.3+/-1.2)也少于接受安慰剂(平均值=1.5+/-1.2)或喝水(平均值=2.1+/-1.5)的人。此外，期望酒精抑制其性行为的参与者报告了更强烈的饮酒后受益感(平均数=2.6+/-1.8)，并表示他们更有可能从事危险的性行为(平均数=2.4+/-1.7)，而不是那些没有预期性抑制的参与者(平均数=2.0+/-1.7，益处；平均数=1.8+/-1.1，参与)。结论：结果支持以下假设：(1)酒精相关的损害降低了饮酒者对个人风险的感知，(2)积极的结果预期激励饮酒者从事危险的性行为。
Objective: Two experimental studies tested expectancy and impairment explanations for the association between alcohol consumption and unsafe sexual behaviors. Method: Young adults, who were administered alcohol (blood alcohol concentration mean = .08 mg%), placebo or water, rated the likelihood that potential consequences would result from risky sexual practices (Study 1, N = 161) and listed potential consequences that could result from having sex without a condom (Study 2,N = 135). Results:Intoxicated participants reported lower perceptions of risk (mean [+/-SD] = 4.5 +/- 2.1) than those who received placebo (mean = 5.8 +/- 1.3) or water (mean = 5.5 +/- 1.7). Intoxicated participants also listed fewer negative consequences (mean = 1.3 +/- 1.2) than those who received placebo (mean = 1.5 +/- 1.2) or water (mean = 2.1 +/- 1.5). In addition, participants who expected alcohol to disinhibit their sexual behavior reported stronger postdrinking perceptions of benefit (mean = 2.6 +/- 1.8) and indicated that they were more likely to engage in risky sexual practices (mean = 2.4 +/- 1.7) than those who did not expect sexual disinhibition (mean = 2.0 +/- 1.7, benefit; mean = 1.8 +/- 1.1, involvement). Conclusions: Results support the hypotheses that (1) alcohol-related impairment reduces the drinker's perception of personal risk, and (2) positive outcome expectancies motivate drinkers to engage in risky sexual practices.