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The Relationship Between Alcohol and Individual Differences Variables on Attitudes and Behavioral Skills Relevant to Sexual Health Among Heterosexual Young Adult Men

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Abstract

The purpose of this experiment was to investigate the effects of alcohol, alcohol sex expectancies, and sexual sensation seeking on determinants of sexual health behavior according to the Information-Motivation-Behavioral Skills (IMB) model. The participants were 48 heterosexual young adult males who attended 2 laboratory sessions. During Session 1, participants completed a set of screening and individual differences measures, and during Session 2 they were randomly assigned to 1 of 3 beverage conditions: control, alcohol (0.65 g alcohol/kg body weight), or placebo. Following the experimental manipulation, all participants completed measures regarding attitudes toward condom use, intention to engage in risky sex, and condom use negotiation skills. The results showed that participants who consumed alcohol had poorer negotiation skills and greater intention to engage in risky sex compared to participants who did not drink alcohol. Although alcohol did not affect any dimension of attitude regarding condom use, attitude about condoms' effects on sex, as well as sexual sensation seeking, were correlated with both intention ratings and skills. Multiple regression models, including both attitudes and sensation seeking, showed that attitudes accounted for 20-25% of variance independent of beverage condition in predicting intention ratings and skills. The findings were consistent with past research showing that alcohol consumption can have detrimental effects on determinants of sexual health behavior and that individual differences factors can enhance the power of models like the IMB to predict such behavior.

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REFERENCES

  • Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50,179-211.

    Google Scholar 

  • Cahalan, D., Cisin, I., & Crossley, H. (1969). American drinking practices. New Brunswick, NJ: Rutgers Center for Alcohol Studies.

    Google Scholar 

  • Carey, M. P., Braaten, L. S., Maisto, S. A., Gleason, J. R., Forsyth, A. D., Durant, L. E., et al. (2000). Using information, motivational enhancement, and skills training to reduce the risk of HIV infection for low-income urban women: A second randomized clinical trial. Health Psychology, 19,3-11.

    Google Scholar 

  • Carey, M. P., Maisto, S. A., Kalichman, S. C., Forsyth, A. D., Wright, E. M., & Johnson, B. T. (1997). Enhancing motivation to reduce the risk of HIV infection for economically disadvantaged urban women. Journal of Consulting and Clinical Psychology, 65,531-541.

    Google Scholar 

  • Cooper, M. L. (2002). Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol, 14(Suppl.), 101-117.

    Google Scholar 

  • Curtin, J. J., Lang, A. R., Patrick, C. J., & Stritzke, W. G. K. (1998). Alcohol and fear-potentiated startle: The role of competing cognitive demands in the stress-reducing effects of intoxication. Journal of Abnormal Psychology, 107,547-557.

    Google Scholar 

  • Dermen, K. H., & Cooper, M. L. (2000). Inhibition conflict and alcohol expectancy as moderators of alcohol's relationship to condom use. Experimental and Clinical Psychopharmacology, 8,198-206.

    Google Scholar 

  • Derogatis, L. R., & Melisaratos, N. (1983). The Brief Symptom Inventory: An introductory report. Psychological Medicine, 13,595-605.

    Google Scholar 

  • Dolezal, C., Carballo-Dieguez, A., Nieres-Rosa, L., & Diaz, F. (2000). Substance use and sexual risk behavior: Understanding their association among four ethnic groups of Latin men who have sex with men. Journal of Substance Abuse, 11,323-336.

    Google Scholar 

  • Fisher, J., & Corcoran, K. (1994). Measures for clinical practice (2nd ed.). New York: Free Press.

    Google Scholar 

  • Fisher, J. D., & Fischer, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111,455-474.

    Google Scholar 

  • Fisher, W. A., & Fisher, J. D. (1998). Understanding and promoting sexual and reproductive health behavior: Theory and method. Annual Review of Sex Research, 9,39-76.

    Google Scholar 

  • Forsyth, A. D., Carey, M. P., & Fuqua, R. W. (1997). Evaluations of the Condom Use Self-Efficacy Scale (CUSES) using two behavioral simulations. Health Psychology, 16,175-178.

    Google Scholar 

  • Fromme, K., D'Amico, E. J., & Katz, E. C. (1999). Intoxicated sexual risk taking: An expectancy or cognitive impairment explanation? Journal of Studies on Alcohol, 60,54-63.

    Google Scholar 

  • Fromme, K., Katz, E., & D'Amico, E. J. (1997). Effects of alcohol on the perceived consequences of risk taking. Experimental and Clinical Psychopharmacology, 5 ,14-23.

    Google Scholar 

  • Gold, R. S. (1993). On the need to mend the gap: On-line versus off-line cognitions underlying sexual risk-taking. In D. Terry, C. Gallois, & A. McCornish (Eds.), The theory of reasoned action: Its applications to AIDS preventive behavior (pp. 227-252). New York: Pergamon Press.

    Google Scholar 

  • Goldman, M. S., Del Boca, F. K., & Darkes, J. (1999). Alcohol expectancy theory: The application of cognitive neuroscience. In K. E. Leonard & H. T. Blane (Eds.), Psychological theories of drinking and alcoholism (2nd ed., pp. 203-246). New York: Guilford Press.

    Google Scholar 

  • Gomez, C. A., & Marin, B. (1996). Gender, culture, and power: Barriers to HIV prevention strategies for women. Journal of Sex Research, 33,355-362.

    Google Scholar 

  • Gordon, C. M., & Carey, M. P. (1996). Alcohol's effects on requisites for sexual risk reduction in men: An initial experimental investigation. Health Psychology, 15,56-60.

    Google Scholar 

  • Gordon, C. M., Carey, M. P., & Carey, K. B. (1997). Effects of a drinking event on behavioral skills and condom attitudes in men: Implications for HIV risk from a controlled experiment. Health Psychology, 16,490-494.

    Google Scholar 

  • Gordon, C. M., Weinhardt, L. S., Forsyth, A. W., & Carey, M. P. (1995). Assessment of behavioral skill in sexual health research. The Health Psychologist, 17(2), 6-7, 14.

    Google Scholar 

  • Helweg-Larsen, M., & Collins, B. E. (1994). The UCLA Multidi-mensional Condom Attitudes Scale: Documenting the complex determinants of condom use in college students. Health Psychology, 13,224-235.

    Google Scholar 

  • Hosmer, D. W., & Lemeshow, S. (2000). Applied logistic regression (2nd ed.). New York: Wiley.

    Google Scholar 

  • Justice, A. N., Finn, P. R., & Steinmetz, J. E. (2000). The influence of traits of disinhibition on the association between alcohol use and risky sexual behavior. Alcoholism: Clinical and Experimental Research, 24,1028-1035.

    Google Scholar 

  • Kalichman, S. C., Adair, V., Rompa, D., Multhauf, K., Johnson, J., & Kelly, J. (1994). Sexual sensation seeking: Scale development and predicting AIDS-risk behavior among homosexually active men. Journal of Personality Assessment, 62,385-397.

    Google Scholar 

  • Kalichman, S. C., Heckman, T., & Kelly, J. A. (1996). Sensation seeking, substance use, and HIV-AIDS risk behavior: Directional relationships among gay men.Archives of Sexual Behavior, 25,141-154.

    Google Scholar 

  • Kalichman, S. C., Weinhardt, L. S., DiFonzo, K., Austin, J., & Luke, W. (2002). Sensation seeking and alcohol use as markers of sexual transmission risk behavior in HIV-positive men. Annals of Behavioral Medicine, 24,229-235.

    Google Scholar 

  • Kinsey, A. C., Pomeroy, W. B., & Martin, C. E. (1948). Sexual behavior in the human male. Philadelphia: W. B. Saunders.

    Google Scholar 

  • Lang, A. R., Patrick, C. J., & Stritzke, W. G. K. (1999). Alcohol and emotional response: A multidimensional-multilevel analysis. In K. E. Leonard & H. T. Blane (Eds.), Psychological theories of drinking and alcoholism (2nd ed., pp. 328-371). New York: Guilford Press.

    Google Scholar 

  • Leigh, B. C. (1990). Alcohol expectancies and reasons for drinking: Comments from a study of sexual experiences. Psychology of Addictive Behaviors, 4 ,91-96.

    Google Scholar 

  • Leigh, B. C. (2002). Alcohol and condom use: A meta-analysis of event-level studies. Sexually Transmitted Diseases, 29,476-482.

    Google Scholar 

  • Loewenstein, G. F., Weber, E. U., Hsee, C. K., & Welch, N. (2001). Risk as feelings. Psychological Bulletin, 127,267-286.

    Google Scholar 

  • Logan, T. K., Cole, J., & Leukefeld, C. (2002). Women, sex, and HIV: Social and contextual factors, meta-analysis of published interven-tions, and implications for practice and research. Psychological Bulletin, 128,851-885.

    Google Scholar 

  • MacDonald, T. K., Fong, G. T., Zanna, M. P., & Martineau, A. M. (2000). Alcohol myopia and condom use: Can alcohol intoxication be associated with more prudent sexual behavior? Journal of Personality and Social Psychology, 78,605-619.

    Google Scholar 

  • MacDonald, T. K., MacDonald, G., Zanna, M. P., & Fong, G. T. (2000). Alcohol, sexual arousal, and intentions to use condoms in young men: Applying alcohol myopia theory to risky sexual behavior. Health Psychology, 19,290-298.

    Google Scholar 

  • Maisto, S. A., Carey, M. P., Carey, K. B., & Gordon, C. M. (2002). The effects of alcohol and expectancies on risk perception and behavioral skills relevant to safer sex among heterosexual young adult women. Journal of Studies on Alcohol, 63,476-485.

    Google Scholar 

  • Maisto, S. A., Connors, G. J., & Allen, J. P. (1995).Contrasting self-report screens for alcohol problems: Areview. Alcoholism: Clinical and Experimental Research, 19,1510-1516.

    Google Scholar 

  • McConaghy, N. (1998). Assessment of sexual dysfunction and deviance. In A. S. Bellack & M. Hersen (Eds.), Behavioral assessment: A practical handbook (4th ed., pp. 315-341). Needham Heights, MA: Allyn & Bacon.

    Google Scholar 

  • Meier, V. J., & Hope, D. A. (1998). Assessment of social skills. In A. S. Bellack & M. Hersen (Eds.), Behavioral assessment: A practical handbook (2nd ed., pp. 232-255). Needham Heights, MA: Allyn & Bacon.

    Google Scholar 

  • Monahan, J. L., Murphy, S. T., & Miller, L. C. (1999). When women imbibe: Alcohol and the illusory control of HIV risk. Psychology of Women Quarterly, 23,643-651.

    Google Scholar 

  • Murphy, S. T., Monahan, J. L., & Miller, L. C. (1998). Inference under the influence: The impact of alcohol and inhibition conflict on women's sexual decision making. Personality and Social Psychology Bulletin, 24,517-528.

    Google Scholar 

  • National Institute on Alcohol Abuse and Alcoholism. (2002, September). Alcohol and HIV/AIDS. Alcohol Alert, 57,1-6.

    Google Scholar 

  • Pokorny, A. D., Miller, B. A., & Kaplan, H. B. (1972). The brief MAST: A shortened version of the Michigan Alcoholism Screening Test. American Journal of Psychiatry, 129,342-345.

    Google Scholar 

  • Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1 ,385-401.

    Google Scholar 

  • Randles, R. H., & Wolfe, D. A. (1979). Introduction to the theory of nonparametric statistics. New York: Wiley.

    Google Scholar 

  • St. Lawrence, J., Crosby, R. A., Brasfield, T. L., & O'Bannon, E. (2002). Reducing HIV risk behavior of substance-dependent adolescents: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 70,1010-1021.

    Google Scholar 

  • Steele, C. M., & Josephs, R. A. (1990). Alcohol myopia: Its prized and dangerous effects. American Psychologist, 45,921-933.

    Google Scholar 

  • Weinhardt, L. S., & Carey, M. P. (2001). Does alcohol lead to sexual risk behavior? Annual Review of Sex Research, 12,125-157.

    Google Scholar 

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Authors
  1. Stephen A. Maisto
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  2. Michael P. Carey
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  3. Kate B. Carey
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  4. Christopher M. Gordon
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  5. Jennifer L. Schum
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  6. Kevin G. Lynch
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Maisto, S.A., Carey, M.P., Carey, K.B. et al. The Relationship Between Alcohol and Individual Differences Variables on Attitudes and Behavioral Skills Relevant to Sexual Health Among Heterosexual Young Adult Men. Arch Sex Behav 33, 571–584 (2004). https://doi.org/10.1023/B:ASEB.0000044741.09127.e6

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  • DOI: https://doi.org/10.1023/B:ASEB.0000044741.09127.e6

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