College Women's Experiences with Physically Forced,Alcohol- or Other Drug-Enabled,and Drug-Facilitated Sexual Assault Before and Since Entering College

Objective: Research has shown associations between college women's alcohol and/or drug consumption and the risk of sexual assault, but few studies have measured the various means by which sexual assault is achieved.

Participants: The authors' Campus Sexual Assault Study obtained self-report data from a random sample of undergraduate women (N = 5,446).

Methods: The authors collected data on sexual assault victimization by using a cross-sectional, Web-based survey, and they conducted analyses assessing the role of substance use. The authors also compared victimizations before and during college, and across years of study.

Results: Findings indicate that almost 20% of undergraduate women experienced some type of completed sexual assault since entering college. Most sexual assaults occurred after women voluntarily consumed alcohol, whereas few occurred after women had been given a drug without their knowledge or consent.

Conclusions: The authors discuss implications for campus sexual assault prevention programs, including the need for integrated substance use and sexual victimization prevention programming.     

Legal-Age Students' Provision of Alcohol to Underage College Students: An Exploratory Study

Objective: The authors investigated the magnitude and cultural context of legal-age university students' provision of alcohol to underage students and how such alcohol provision might be deterred.

Participants: 130 legal-age students at a midwestern university in the United States were randomly selected.

Methods: The authors assessed 16 focus groups and a thematic analysis.

Results: Most participants reported frequent alcohol provision. Most denied moral responsibility for any negative consequences that recipients might suffer. Small numbers of participants, chiefly women, would decrease alcohol provision after education on the sexual risks to underage females. Larger numbers would decrease provision in response to consistent law enforcement, severe legal and disciplinary penalties, and education on severe penalties.

Conclusions: Legal-age students' provision of alcohol to underage students is an integral part of college students' drinking culture. As a deterrent, an enforcement-based campaign may be more effective than an educational campaign on the possible negative consequences of alcohol for underage students.     

When Sex is Hardly About Mutual Pleasure: Dominant and Resistant Discourses on Sexuality and its Consequences for Young People's Sexual Health

ABSTRACT

This study explores gendered discourses about sexuality in Ecuador, the consequences of these discourses for young people's sexual health, and the possibility of the emergence of resistance and challenge. We analyzed and compared individual interviews and focus-group discussions with: young women, youth service providers, ordinary young men, and activist young men. Five interpretative repertoires emerged: (1) becoming sexually respectable women, (2) policing young women's sexuality, (3) men threatening and protecting women, (4) sexual relations (abusing, fooling, or seducing?), and (5) emerging resistance. The repertoires constructed a hierarchy of sexualities in which heterosexual monogamous lifelong coupledom was normative and women's pleasure was absent, but resistance was emerging.     

‘He enjoyed it more than I did’!: young British Sikh women negotiating safe sex in heterosexual encounters

ABSTRACT

Sex education and relationship strategy of the U.K. allows parents to withdraw their children from sex education, which has left many young people especially those from Black Minority and Ethnic communities with low or no sex education. Similarly, the government's policy environment enables faith schools to teach these subjects under the tenets of their faith. This empirical research was carried out in South-West London using 12 qualitative interviews with women and men (ages 18–20 years) discusses young women's experiences of their first sexual encounter who navigate their reputations, relationships as well as negotiate safe sex in the absence of appropriate relationships and sex education. Sex education not only brings into focus sensitivities around gender but also tensions around religion in the U.K. Evidence from the study suggests that despite the importance placed by the Indian community on maintaining virginity, young women asserted that religion and culture did not prohibit them from exploring their sexuality. In this study, the priority is to present young women's voices and experience of sexual encounters.     

Unplanned Sexual Activity as a Consequence of Alcohol Use: A Prospective Study of Risk Perceptions and Alcohol Use Among College Freshmen

Objective: The authors' goal was to show how risk perceptions regarding unplanned sexual activity following alcohol use are prospectively related to subsequent alcohol consumption.

Participants: Undergraduate students (N = 380) completed questionnaires at 2 time points during their freshman year. Methods: In the middle of the academic year (T1), students estimated their risk of engaging in unplanned sex and reported their alcohol use during the previous term. Four months later (T2), they again reported alcohol use and indicated whether they had engaged in unplanned sex since T1. Results: Students who consumed more alcohol at T1 rated their risk of unplanned sex more highly, suggesting relative accuracy. Those with higher risk perceptions consumed more alcohol at T2 (controlling for T1 use), suggesting that they maintained the high-risk behavior. Last, those who were unrealistically optimistic (ie, estimated low risk at T1 yet had unplanned sex by T2) reported greater alcohol use at T2. Conclusions: These findings highlight the role that risk perceptions regarding sexual activity may play in college students' alcohol use.     

Body Size and Sexual Behavior in a Community-Based Sample of Women

ABSTRACT. Women's body size is closely related to their social and sexual experiences. Clinical research has found that women's lifetime sexual behaviors may vary based on body mass index (BMI). Objectives: This study examined the relationship between BMI and recent solo and partnered sexual repertoire in a community-based, non-clinical sample of women. Methods: Two hundred thirty-eight sexually active women completed an online survey measuring age, sexual relationship status, BMI, gender of sexual partners, and engagement in sexual behaviors in the previous 4 weeks. Logistic regression analyses were conducted to determine whether BMI predicted engagement in behaviors after controlling for age and sexual relationship variables. Results: Participant age ranged from 18 to 56 years (M = 30.4, SD = 7.8). Participants were predominantly in exclusive sexual relationships (62.9%, n = 146) with men (82.8%, n = 197). Mean BMI for the sample was 29.33 (SD = 9.28). Participation in self-masturbation, masturbating a partner, performing oral sex on a partner, receiving oral sex from a partner, and penile–vaginal intercourse were not predicted by BMI after controlling for age and partner variables. Conclusions: BMI did not impact sexual repertoire during the previous 4 weeks, with the exception of an increased odds ratio for penile–anal intercourse (OR = 1.06; 95% CI [1.02, 1.10]). Researchers and practitioners working with women should not assume limitations on women's sexual repertoires because of larger body size.     

Individual Differences in Women's Salivary Testosterone and Estradiol Following Sexual Activity in a Nonlaboratory Setting

Objectives: The current study evaluated women's salivary testosterone and estradiol levels before and after exposure to sexual stimuli in a U.S. sex club. Methods: Behavioral data and salivary samples were collected from 19 women during semistructured interviews. Results: Findings demonstrate substantial individual differences in the magnitude and direction of women's hormonal changes following sexual activity. Conclusions: In an age of individualized medicine, these findings highlight the need to better understand factors shaping variation in physiological responses to sexual activity. Findings contribute to a relatively small and contradictory literature on women's hormonal responses to sexual stimuli.     

Protecting Children

Abstract

In this study, difficulties that women with alcohol problems and victimization experiences might have protecting their children from victimization were investigated. Mothers of children (ages 3-17) were recruited from a longitudinal study of women, alcohol problems, and victimization; women came from alcohol treatment programs, battered women's shelters, mental health clinics, drinking and driving programs, and a random household sample. Hypothetical parenting scenarios were constructed to assess mothers' ability to protect their children from victimization trauma. Women's responses to the scenarios were analyzed thematically and coded. Next, coded responses were analyzed quantitatively to identify significant differences among women with past alcohol and other drug (AOD) problems, current AOD problems, and no AOD problems. Women with current AOD problems were more likely than women with no AOD problems and women with past AOD problems to provide aggressive responses to scenarios. Women with past AOD problems were more likely than their non-addicted counterparts to perceive sexual abuse as a possibility, to attribute responsibility for the problem to the other participant only (seeing no role for their child), and to seek information about what happened from the other participant only. Findings suggest that some interpersonal problem-solving difficulties resolve when women become sober while others persist into recovery, potentially affecting women's ability to protect their children.     

Forcible,Drug-Facilitated,and Incapacitated Rape and Sexual Assault Among Undergraduate Women

Abstract

Objective: To examine the prevalence of drug-related sexual assaults, identify the frequency of assaults that occur following voluntary versus involuntary drug or alcohol consumption, and identify contextual correlates of drug-related assaults. Participants: College-student females (n = 314). Methods: Volunteers reported experiences with forcible and drug-related sexual assaults in the spring semester of 2004. Follow-up queries regarding the most severe drug-related assaults determined whether the assaults followed voluntary or involuntary alcohol or drug consumption. Results: 29.6% (n = 93) of the respondents reported a drug-related sexual assault or rape; 5.4% (n = 17) reported a forcible sexual assault or rape. Voluntary incapacitation preceded 84.6% of drug-related assaults and involuntary incapacitation preceded 15.4% of drug-related assaults. The majority of drug-related assaults (96.1%) involved alcohol consumption prior to assault. Conclusions: Drug-related sexual assaults on college campuses are more frequent than are forcible assaults and are most frequently preceded by voluntary alcohol consumption.     

College Health: Biomedical and Beyond

Abstract

Excessive and underage drinking by US college and university students continues to be a significant problem. Curtailing the misuse of alcohol on college campuses is an important goal of college and university administrators because of the many negative consequences resulting from alcohol misuse. As part of their prevention programs, US colleges and universities are required by law to make information about their alcohol policies available to students. Often the source of this information is the school's Web site. The authors evaluated the alcohol-policy information that is available on the Web sites of the 52 top national universities listed in the 2002 rankings of US News and World Report. In general, they found that the information was difficult to find, was located in many areas of the Web site, and did not provide complete information about the school's alcohol policy.     

Capturing Complexity: An Empirical Typology of Nonagentic Sexual Interactions

ABSTRACT

Using cluster analysis and a data set of 227 sexual incidents experienced by college women as unwilled, we articulate and assess the validity of an empirically derived, multivariate typology of “nonagentic sexual interactions.” Five homogeneous clusters, or types, are identified based on four characteristics of the events (physical intrusiveness, force, relationship closeness, and women's alcohol use): (1) Sober Intimate Intrusion; (2) Sober Acquaintance Intrusion; (3) Forced Intrusion; (4) Touch; and (5) Alcohol Impaired Intrusion. Analyses demonstrate the clusters to be significantly associated with contextual and psychological consequence variables, providing validation for the derived typology. Findings indicate that a multidimensional typology of nonagentic sexual interactions shows promise for investigating the implications of these events for women's well-being and sexuality development.     

Does Drinking Alcohol Prior to Sexual Activity Influence College Students’ Consent?

Objectives: This study assessed the extent to which consuming alcohol prior to sexual activity influenced college students' verbal/behavior cues utilized to communicate consent (external consent) as well as their feelings associated with consent (internal consent). Methods: Data was collected via paper-and-pencil surveys administered to heterosexual college students (N = 794) in the United States. Results: After controlling for gender, relationship status, rape myth acceptance, and alcohol expectancies, findings indicated that alcohol consumption prior to sexual activity was associated with both internal and external consent. Conclusions: Current findings can help inform sexual assault prevention education programming given the high rates of sexual assault occurring on college campuses that involve alcohol consumption.     

‘Pain on Top of Pain,Hurtness on Top of Hurtness’: Social Discrimination,Psychological Well-Being,and Sexual Risk Among Women Living With HIV/AIDS

ABSTRACT

This qualitative study explored how a subsample (n = 26) of participants in Protect and Respect (N = 184), a safer-sex intervention for women living with HIV/AIDS (WLH/A), discussed their experiences of social discrimination and the impact of discrimination on their lives, psychological well-being, and risk behaviors during group intervention sessions. The majority of participants was Black (83%), earned less than $10,000 per year (80%), and acquired HIV through heterosexual sex (58%). Analyses demonstrated that social discrimination manifested in the women's lives as poverty, HIV/AIDS-related stigma, and gender inequality. These experiences caused intense psychological distress and limited WLH/A's ability to implement the safer-sex skills that they learned during the intervention. We discuss the applied and theoretical implications of our findings, advocating for HIV and sexual risk-reduction interventions that are based on an ecological framework that addresses holistically the individual, relational, and sociostructural factors that affect women's sexual risk behaviors.     

Prevalence and Risk Factors for Dyspareunia and Unsatisfying Sexual Relationships in a Cohort of Primiparous and Secondiparous Women After 12 Months Postpartum

ABSTRACT

Dyspareunia is a common short-term pregnancy complication, rarely lasting longer than 1 year after delivery. Our study aims to determine postpartum dyspareunia prevalence and its impact on women's sexual health. In this retrospective study, we asked 602 women about dyspareunia and the quality of sexual intercourse through telephone interviews. The influence of dyspareunia on the quality of sexual intercourse and couple relationship is scored on a 4-point verbal scale according to its severity. Data were analyzed by R (version 2.8.0), considering significant p < .05. Nearly 100% of women (99.9%) resumed their sexual activity; 16.2% of them reported dyspareunia significantly compromising their sexual intercourse and couple relationships. In univariate analysis, severe perineal tears are associated with persistent dyspareunia (p < .05). By multivariate analysis, postpartum dyspareunia results independently influenced by operative delivery, previous dyspareunia, recurrent urogenital infections and urge incontinence (p < .05), as well as by the Kristeller maneuver and partoanalgesia (p = .084) in the case of women who had a vaginal delivery. Dyspareunia significantly compromises women's sexual health postpartum, mostly caused by perineal trauma by means of delivery management and recurrent urogenital infections.     

Mutually Dependent Health Beliefs Associated With Breast Self-examination in British Female University Students

Abstract

Objective: Whereas research suggests young women's beliefs about breast cancer (susceptibility/severity) and its early detection (barriers/benefits) reliably distinguish breast self-examiners from nonexaminers, this study assessed whether these impressions are interreliant, especially in the context of familial risk. Participants: The sample comprised over 200 female undergraduates from a university in England, United Kingdom. Methods: Participants completed a self-administered survey on their attitudes concerning breast cancer and early detection. Data were analyzed using logistic regression analysis. Results: Nonexaminers were distinguished by a combination of greater perceived hindrances to self-examinations and stronger appraisals of breast cancer severity, and also by a permutation of fewer perceived benefits in self-examinations and lower perceived susceptibility to breast cancer. The latter interaction persisted after accounting for family history. Conclusions: Interwoven attitudes may depict sophisticated efforts on the part of nonexaminers to justify inaction. Clinical implications for college health providers are considered.     

‘We are not Victims,we are Protagonists of this History’

This article centers on the Mexican and Argentinean ‘Dirty Wars’, examining the limitations inherent in human rights and women's human rights responses to these epochs of violence. I situate Argentina's report on the dictatorship, Nunca más (1984), in conversation with Elena Poniatowska's text on the 1968 Mexico City massacre, La noche de Tlatelolco (1971), to trace the rise of a global human rights discourse that has become the dominant manner of conceptualizing human rights violations and gender violence in the latter half of the twentieth century. While feminist critiques of human rights have centered on the lack of gender-specific focus of violence committed against women, this article questions whether the women's human rights discourse disengages the historical, economic and geopolitical realities from which these violations were committed and instead focuses on women's sexual violations to garner international condemnation of gender violence. By turning to these texts, this article centers on the possibilities and limitations of women's human rights discourse and the impact this has on the shaping of women's political agency. This article calls for a critical feminist approach to women's human rights in order to document narratives of women survivors of human rights abuses without obfuscating their political subjectivities.     

Benefits of Hooking Up: Self-Reports from First-Year College Women

ABSTRACT

This study explored the benefits of hooking up among first-year college women. Two authors coded for the presence of 10 benefits (kappas: 0.76–0.97) in 262 women's responses to an open-response survey question regarding benefits of their most recent hookup. The most common benefits identified were sexual pleasure (23%), general positive emotions (21%), increased confidence (11%), and clarification of feelings (11%). Overall, 71% reported at least 1 benefit, but 29% reported no benefits. For some young women, hooking up has benefits that can include meeting their needs for social connection, sexual exploration and intimacy, and fun/enjoyment.     

More Than Just Sex

Abstract

The purpose of this research was to identify behaviors in addition to those of an explicitly sexual or romantic nature that men and women define as unfaithful acts in the context of committed dating relationships. We also sought to identify possible gender differences in the proportions of men and women who have engaged in these unfaithful behaviors while in dating relationships. We examined 219 college men's and women's reported involvement in sexual behaviors, romantic attachments, sexual and nonsexual fantasies, sexual attraction, romantic attraction, flirting, and social participation in dyads and groups with someone other than their current or past dating partner. A sizable proportion of both men and women reported engaging in one or more of the behaviors at some point in their dating history. Proportionately more men than women indicated having engaged in sexual fantasies of various types about someone other than their primary partner and reported “hitting on” someone else while in a dating relationship. No other gender differences emerged. A unique aspect of this study is that we asked young men and women to determine what kinds of behaviors they considered to be unfaithful rather than only examining sexual and emotional behaviors as has been the case in past research. Further, the few significant gender differences we found indicates that the convergence of men's and women's attitudes about sexuality may now be show in their behavior.     

Sexism,Erotophobia, and the Illusory “No”

SUMMARY

I examined erotophobic, sex-negative attitudes toward female sexuality as they relate to acquaintance rape. Evidence suggests that sexist assumptions about female eroticism are intrinsically related to sexual violence against women. The argument is made that society's willingness to acknowledge women as sexual victims while simultaneously failing to validate women as sexual agents creates an ideal breeding ground for acquaintance rape. Accordingly, an analysis will be offered: in a culture that denies women freedom to say “yes” to sex without negative stigma, “no” does not always mean “no.” In this article, I will assert mat those who care about stopping sexual aggression in dating relationships have an obligation to work to eradicate sexist assumptions that neuter women's erotic selves.