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

项目总结 提议的项目是R01AA017608的竞争性更新，该项目调查了Young的影响 男性酒精中毒、性侵犯行为史和性伴避孕套谈判 通过两次饮酒实验和跟踪调查进行性行为危险行为。研究结果： 最初的项目表明，酒精中毒和性侵犯史预示着 安全套使用阻力和其他性危险行为(例如，无保护措施的性行为)在近端和活动中都是如此 级别。此外，初步结果表明，情感因素可能在这些联系中发挥作用， 这为继续研究提供了一条很有希望的途径。拟议的重建计划旨在建立在这些基础上 青年男性酒精相关性行为风险的情绪机制研究 为制定循证的性风险预防计划提供经验基础。 拟议的项目通过旨在实现以下目的的多种方法继续并扩展了原有的研究路线 评估远端和近端情绪因素对酒精相关性行为风险的影响。21岁的男性饮酒者- 30名使用避孕套不一致的人(n=600)将首先完成筛查程序，然后是基线 这项调查将评估相关概念，包括负面情绪特征、情绪失调 倾向，以及对酒精的期待。然后，他们将完成30天的每日日记评估 情绪状态，与饮酒和性行为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。在完成日常监控后 在此期间，相同的参与者将完成一项实验室实验，评估酒精的瞬间影响 对消极情绪状态和性风险意图的陶醉和挑衅。广义线性混合 模型将被用来检验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。结构方程建模和其他基于回归的分析将 用来检验酒精中毒和挑衅对消极情绪状态的实验效应 和其他调解人，以及性风险意图。负面情绪特征、情绪的调节作用 在日常生活和日常生活中，也会对失调倾向和饮酒预期进行检查 将调查事件级关系和实验关系之间的联系。这个 拟议的更新既重要又具有创新性，因为它将解决男性 包括拒绝使用避孕套在内的性危险行为；将评估情绪过程在男性 与酒精相关的性风险；并将使用多种方法收集补充类型的数据，这些数据将 阐明酒精相关性行为的潜在机制并提供经验证据 在此基础上制定和通报预防和干预计划。

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.