Causal Effects of Alcohol Consumption on Condom Negotiation Skills of Women with Varying Sexual Assault Histories.

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tina Zawacki, Terue T Vela, Sarah E Harper, Katie M Jackel
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引用次数: 0

Abstract

Sexual assault victimization experience and alcohol consumption are well-documented HIV risk factors for women who have sex with men (WSM). Nonetheless, behavioral mechanisms of the synergistic effects of these factors on women's increased HIV risk are not well delineated. This study is the first to examine the interactive effects of sexual assault history and acute intoxication on women's condom negotiation behavior during a face-to-face role-play with a male actor. Participants were female, single, social drinkers, ages 21 to 35, recruited from the community. Women were categorized as having experienced past sexual assault victimization or not based on their questionnaire responses, then were randomly assigned to consume either no alcohol or alcohol (0.08 target BAC) and engaged in a role-play with a male actor that included condom use negotiation. Participants' verbal, paraverbal, and nonverbal behavior was video recorded and coded by independent raters. As hypothesized, sexual assault history interacted with alcohol condition to significantly influence participants' assertive condom negotiation behavior. These results further our scientific understanding of how intoxication may exacerbate the relationship between sexual assault history and HIV risk, and can inform prevention programs tailored to the unique needs of WSM who have a history of sexual assault victimization and are social drinkers.

饮酒对不同性侵犯史女性安全套谈判技巧的因果效应。
性侵犯受害经历和饮酒是男男性行为女性(WSM)感染 HIV 风险因素中证据确凿的因素。然而,这些因素对女性艾滋病风险增加的协同作用的行为机制尚未得到很好的界定。本研究首次考察了性侵犯史和急性中毒对女性在与男性演员进行面对面角色扮演时的安全套协商行为的交互影响。参与者均为女性,单身,社交饮酒者,年龄在 21 至 35 岁之间,从社区招募。根据调查问卷的回答,女性被分为过去是否曾遭受过性侵犯,然后被随机分配到不饮酒或饮酒(目标 BAC 值为 0.08),并与男性演员进行角色扮演,其中包括安全套使用协商。参与者的言语、准言语和非言语行为都被录制下来,并由独立评分员进行编码。正如假设的那样,性侵犯史与酒精条件相互作用,显著影响了参与者自信的安全套协商行为。这些结果进一步加深了我们对酒精中毒如何加剧性侵犯史与艾滋病风险之间关系的科学理解,并可为针对有性侵犯受害史和社交饮酒者的 WSM 的独特需求而量身定制的预防计划提供信息。
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来源期刊
AIDS and Behavior
AIDS and Behavior Multiple-
CiteScore
6.60
自引率
13.60%
发文量
382
期刊介绍: AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews. provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.5 Year Impact Factor: 2.965 (2008) Section ''SOCIAL SCIENCES, BIOMEDICAL'': Rank 5 of 29 Section ''PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH'': Rank 9 of 76
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