Kelly Cue Davis, Mitchell Kirwan, Weiqi Chen, Julia F Hammett, Nolan Eldridge, Cynthia A Stappenbeck
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引用次数: 0
Abstract
Objective: Men's coercive condom use resistance (CUR) with female partners is common and is associated with greater alcohol consumption than men's noncoercive CUR engagement. Prior research indicates that emotion-related factors are relevant to alcohol-involved coercive CUR. Thus, in this alcohol administration study, we examined emotional factors as distal and proximal predictors of alcohol-involved coercive CUR among young men who have sex with women.
Method: Non-problem drinking young adult men who have sex with women (N = 282) were recruited from the local community, and as part of a larger study, completed a background survey and an in-lab alcohol administration session that included a mood induction and sexual scenario task using a 2 (sober vs. intoxicated) x 2 (positive mood vs. negative mood) experimental design.
Results: Path analysis testing a moderated mediation model revealed that for participants in the sober, positive mood, and intoxicated, negative mood conditions, there was a positive association between distal ER difficulties and motives to have sex to cope with negative emotions. Additionally, distal ER difficulties were positively associated with proximal difficulties modulating one's emotions among intoxicated participants. Among those with greater proximal difficulties modulating their emotions, state anger was positively associated with coercive CUR intentions.
Conclusions: Results demonstrate the importance of alcohol intoxication, emotions and emotion regulation, and sexual coping motives in men's coercive CUR likelihood, demonstrating potential malleable targets for prevention efforts.
目的：与非胁迫性使用安全套（CUR）相比，男性对女性伴侣胁迫性使用安全套（CUR）很常见，并且与更高的酒精消耗量相关。先前的研究表明，情绪相关因素与酒精胁迫性 CUR 有关。因此，在这项酒精管理研究中，我们将情感因素作为与女性发生性关系的年轻男性中涉及酒精的胁迫性 CUR 的远端和近端预测因素进行了研究：方法：我们从当地社区招募了与女性发生性行为的非问题饮酒年轻成年男性（N = 282），作为一项大型研究的一部分，他们完成了背景调查和实验室内酒精管理，包括情绪诱导和性情景任务，采用 2（清醒与醉酒）x 2（积极情绪与消极情绪）的实验设计：路径分析对调节中介模型进行了测试，结果显示，在清醒、积极情绪和醉酒、消极情绪条件下，远端急诊室困难与通过性行为来应对消极情绪的动机之间存在正相关。此外，在醉酒的参与者中，远端应急反应困难与近端调节情绪困难呈正相关。在近端调节情绪困难较大的参与者中，状态愤怒与胁迫性 CUR 意图呈正相关：结果表明，酒精中毒、情绪和情绪调节以及性应对动机在男性胁迫性 CUR 可能性中的重要性，为预防工作提供了潜在的可塑目标。
期刊介绍：
The Journal of Studies on Alcohol and Drugs began in 1940 as the Quarterly Journal of Studies on Alcohol. It was founded by Howard W. Haggard, M.D., director of Yale University’s Laboratory of Applied Physiology. Dr. Haggard was a physiologist studying the effects of alcohol on the body, and he started the Journal as a way to publish the increasing amount of research on alcohol use, abuse, and treatment that emerged from Yale and other institutions in the years following the repeal of Prohibition in 1933. In addition to original research, the Journal also published abstracts summarizing other published documents dealing with alcohol. At Yale, Dr. Haggard built a large team of alcohol researchers within the Laboratory of Applied Physiology—including E.M. Jellinek, who became managing editor of the Journal in 1941. In 1943, to bring together the various alcohol research projects conducted by the Laboratory, Dr. Haggard formed the Section of Studies on Alcohol, which also became home to the Journal and its editorial staff. In 1950, the Section was renamed the Center of Alcohol Studies.
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