ALCOHOL, HIV RISK BEHAVIORS AND VICTIMIZATION

（订正） 该提案旨在审查饮酒和接触危险环境在青年妇女受害方面的作用。 该提案是对NIAAA PA 91-75的回应，并以PI的科学家发展奖（K21 AA 00186）为基础，该奖项探讨了酒精与女性冒险之间的关系。 虽然受害和艾滋病毒感染有类似的前因，但很少一起研究。提出了一个概念模型，并进行了测试。 该模型表明，童年虐待和风险倾向性人格（高感觉寻求、高负面影响、低自信）导致女性在成年后从事危险行为（大量饮酒和吸毒以及接触酒吧等危险环境）。 这些危险行为反过来又增加了受害和感染艾滋病毒的可能性。 受害妇女随后可能会酗酒和从事更高水平的危险行为，从而增加了她们再次受害以及随后感染艾滋病毒的机会。 该模型将采用三波交叉滞后面板设计进行测试，使用通过随机数字拨号招募的1000名年龄为18-30岁的未婚女性的代表性样本。 将通过每隔1年进行的问卷调查收集有关1）受害、2）个性、3）物质使用、4）行为和5）暴露于危险环境的信息。 这些纵向数据将使用结构方程模型进行分析。 调查结果将提供宝贵的信息，酒精使用和其他危险行为对受害的影响，受害和艾滋病毒风险之间的关系，受害和再次受害之间的联系。除了研究风险行为和负面结果之间的相互关系外，我们还将关注特定的攻击事件。 在进入研究之前报告受害经历的妇女将参加一个结构化访谈，旨在评估酒精消费和其他背景变量在涉及体力或口头胁迫的特定攻击性事件中的作用。 这些研究结果将补充小组研究的结果，提供关于酒精消费对受害相关的感知和行为的近端影响的信息。

(Revised) This proposal is designed to examine the role of alcohol consumption and exposure to risky settings in the victimization of young women. The proposal is in response to NIAAA PA 91-75 and builds upon the PI's Scientist Development Award (K21 AA00186), which explores the relationship between alcohol and risk-taking among women. Although victimization and HIV infection have similar antecedents, they rarely have been examined together. A conceptual model is proposed and tested. This model suggests that childhood abuse and risk- prone personality (high sensation- seeking, high negative affect, low assertiveness) lead women to engage in risky behaviors in adulthood (heavy alcohol and drug use and exposure to risky settings such as bars). These risky behaviors, in turn, increase the likelihood of experiencing both victimization and HIV infection. Women who experience victimization may subsequently engage in heavier drinking and higher levels of risky behavior, thereby increasing their chances of revictimization as well as subsequent HIV infection. The model will be tested with a three-wave, cross- lagged panel design, using a representative sample of 1000 unmarried women, ages 18-30, recruited through random digit dialing. Information on 1) victimization, 2) personality, 3) substance use, 4) behavior, and 5) exposure to risky settings will be collected through questionnaires administered at 1-year intervals. These longitudinal data will be analyzed using structural equation modeling. Findings will provide valuable information on the impact of alcohol use and other risky behaviors on victimization, on the relationship between victimization and HIV- risk, and on the link between victimization and revictimization. In addition to examining the interrelationships among risky behaviors and negative outcomes across time, we also will focus on specific incidents of aggression. Women who report experiences of victimization prior to entry into the study will participate in a structured interview designed to assess the role of alcohol consumption and other contextual variables in specific aggressive incidents involving either physical force or verbal coercion. These findings will supplement the findings of the panel study with information on the proximal effects of alcohol consumption on perceptions and behaviors relevant to victimization.