Alcohol and substance use disorders as predictors of child to adult sexual revictimization in a sample of community women

Alcohol- and substance-related diagnoses were examined as factors in child to adult sexual revictimization. Three hundred community women completed interviews and self-report instruments to obtain information regarding victimization and to diagnose substance use disorders (alcohol and substance abuse/dependence). Childhood sexual abuse (CSA) survivors were more likely than nonvictims to meet criteria for both substance use disorders and to report rape (e.g., unwanted intercourse due to threat or use of force, or due to the inability to consent due to the respondent's alcohol or drug use) and coerced intercourse (e.g., unwanted intercourse due to verbal coercion or misuse of authority by the perpetrator) by acquaintances, strangers, and husbands. In general, both CSA and substance use disorders were predictive of adult sexual victimization, but there were no significant interactions between these factors. Overall, substance use disorders were related to rape for all women; this relationship was not unique to CSA survivors. Alcohol- and substance-related diagnoses predicted rape by all three types of perpetrators, but CSA was predictive of rape only by acquaintances and strangers and not husbands. In contrast, CSA predicted coerced intercourse by all three perpetrators, while alcohol- and substance-related diagnoses predicted coerced intercourse by acquaintances and strangers, but not husbands. Results highlight the need to continue the study of revictimization of CSA survivors, including examination of both rape and sexually coercive experiences by different types of perpetrators. Findings support continued research of substance use disorders as risk factors for sexual victimization among all women.     

Reciprocal relationships among alcohol use, risk perception, and sexual victimization: a prospective analysis

OBJECTIVE: The authors' purpose in this study was to assess longitudinally the relationships among alcohol use, risk perception, and sexual victimization. PARTICIPANTS: Three hundred and seventy-two women from 2 midsized universities made up the sample. METHODS: Participants filled out questionnaires regarding history of sexual victimization, alcohol use, and perceived personal risk for sexual assault in the following 2 months. The authors then reassessed participants at 2 follow-up periods. RESULTS: The pattern of results suggested that that the relationship between alcohol use and sexual victimization was complex and that alcohol use may moderate the relation between history of victimization and revictimization for women with sexual assault histories. In particular, results indicated an increase in risk for sexual revictimization with increases in alcohol use for women with a history of sexual victimization. The data did not, however, support a reciprocal relationship between sexual assault and drinking (eg, in that a sexual victimization during one time period did not predict drinking behaviors in subsequent time periods). CONCLUSIONS: These results underscore the importance of both alcohol and sexual assault programming on college campuses.     

Men's self-reports of unwanted sexual activity

We investigated men's experience with unwanted sexual activity-including unwanted kissing, petting, or intercourse-engaged in because of physical or psychological pressure or from societal expectations about male sexuality. We developed a questionnaire asking if respondents had ever engaged in unwanted sexual activity for any of 51 reasons. This questionnaire was administered to 507 men and 486 women. More women (97.5%) than men (93.5%) had experienced unwanted sexual activity; more men (62.7%) than women (46.3%) had experienced unwanted intercourse. Using factor analysis, we grouped the 51 questionnaire items into 13 general reasons; we then compared percentages of men and women who had engaged in unwanted sexual activity for these 13 reasons. There were seven sex differences in reasons for unwanted sexual activity: Five were more frequent for women than men; two reasons were more frequent for men than women-peer pressure and desire for popularity. There were eight sex differences in reasons for unwanted intercourse; more men than women had engaged in unwanted intercourse for all eight. The double standard for male and female sexuality and implications for therapy are discussed.     

Number of sexual partners and sexual assertiveness predict sexual victimization: do more partners equal more risk?

In previous studies, number of sexual partners and sexual assertiveness were examined as independent risk factors for sexual victimization among college women. Using a sample of 335 college women, this study examined the interaction of number of sexual partners and sexual assertiveness on verbal sexual coercion and rape. Approximately 32% of the sample reported unwanted sexual intercourse, 6.9% (n = 23) experienced verbal sexual coercion, 17.9% (n = 60) experienced rape, and 7.2% (n = 24) experienced both. As number of sexual partners increased, instances of verbal sexual coercion increased for women low in relational sexual assertiveness but not for women high in relational sexual assertiveness. A similar relationship was not found for rape. Among women who experienced both verbal sexual coercion and rape, increases in number of partners in the context of low refusal and relational assertiveness were associated with increases in verbal sexual coercion and rape. Findings suggest sexual assertiveness is related to fewer experiences of sexual coercion.     

Unwanted sexual activity among married women in urban China

This paper examines the prevalence, precursors, and consequences of unwanted marital sex activities in a national sample of 1,127 married urban Chinese women aged 20-64. During the lifetime of their current marriage, 32% reported ever experiencing unwanted spousal intercourse, with about one-fifth reporting that this unwanted intercourse ever involved force. Reports for the past year were 21% unwanted intercourse, 22% unwanted sex act(s), and 72% sex only to please the husband. The major risk factors for these activities were poor relationship quality (hitting, lack of daily intimacy and foreplay, and husband insensitivity to wife's sexual needs); a woman's negative attitudes towards sex, and weak bargaining position (low income share, husband's family of superior economic status, and no additional adults in home). In addition, unwanted activity was more common when women reported sexual dysfunctions (dryness, pain, low arousal, inorgasmia), were more educated, and had more permissive sex attitudes. Net of feedback effects, unwanted sexual activity diminished women's psychological well-being.     

Women's Unprotected Sex Intentions: Roles of Sexual Victimization,Intoxication, and Partner Perception

Sexually victimized women may make sexual decisions differently than nonvictimized women. This study used an eroticized scenario and laboratory alcohol administration to investigate the roles of victimization history, intoxication, and relationship context in women's perceptions of a male partner and their subsequent intentions for unprotected sex. A community sample of 436 women completed childhood sexual abuse (CSA) and adolescent/adult sexual assault (ASA) measures. After random assignment to an alcohol or control condition, participants read and projected themselves into a sexual scenario that depicted the male partner as having high or low potential for a lasting relationship. Participants rated their perceptions of his intoxication, sexually transmitted infection (STI) risk level, and anticipated reactions to insistence on condom use. They then indicated their likelihood of allowing the partner to decide how far to go sexually (abdication) and of engaging in unprotected sex. Structural equation modeling (SEM) analyses revealed that intoxication predicted greater unprotected sex likelihood indirectly via abdication. CSA and ASA predicted partner perceptions, which in turn predicted unprotected sex likelihood. These findings indicate that, compared to their nonvictimized counterparts, sexually victimized women may respond differently in sexual encounters partly as a function of their perceptions of partners' STI risk and anticipated reactions to condom insistence.     

Unwanted sexual contact on campus: a comparison of women's and men's experiences

While sexual victimization continues to be a problem on college campuses, recent attention has been drawn to understanding gender differences in victimization rates and consequences. To date, these studies remain relatively few in number. The current study surveyed 651 male and female undergraduate students about unwanted sexual experiences during 1 academic year. Comparison of men and women revealed expected differences in incidence rates, with women reporting higher rates of unwanted contact. Within the subsample of reported victims, however, there was gender similarity in terms of the context of unwanted sexual experiences. Analyses also revealed the negative consequences of these experiences for both men and women and low rates of disclosure regardless of gender. Across the full sample of students surveyed, there were interesting gender differences in knowledge of campus support services, with women more likely to have attended a prevention program and to have indicated greater knowledge of rape crisis services.     

The prevalence of sexual aggression and victimization among homosexual men

This study examined the prevalence of unwanted sexual contacts among a sample of 310 homosexual men with an average age of 21.8 years recruited in Berlin, Germany. A modified version of the Sexual Experiences Survey was developed to record unwanted contacts involving different means of coercion, sexual acts, and victim‐perpetrator relationships. Reports were elicited about (a) sexual victimization and (b) perpetration of sexually aggressive acts. Three methods of victimization were studied: physical force, exploitation of the victim's incapacitated state, and verbal coercion. Of the 310 respondents, about 15% reported sexual victimization through the use or threat of forcé. Twenty percent were victimized through exploitation of their inability to offer resistance when in an incapacitated state. Ten percent reported victimization through verbal coercion. In terms of being the perpetrator of sexual aggression, over 5% of respondents reported using or threatening to use physical force. Over 16% reported exploiting a person's incapacitated state, and over 6% admitted to the use of verbal coercion. Acceptance of money for sex was identified as a risk factor for both victimization and perpetration. The data show that sexual aggression is a serious problem among homosexual men which requires further exploration.     

Sexual violence victimization among female secondary school students in eastern Ethiopia

Behavioral, lifestyle, and relationship factors have all been identified as risk factors that increase a woman's vulnerability to sexual violence victimization. However, it remains unclear which risk factors most strongly increase young women's vulnerability to sexual violence victimization because most studies only examine a few factors simultaneously. Using a cross-sectional sample of 764 female secondary school students from eastern Ethiopia, multivariate analyses revealed that high-rejection sensitivity, having multiple sexual partners, the frequent watching of pornography, and use of alcohol or other soft drugs (Khat or shisha) are factors associated with higher levels of sexual violence victimization. The overall rates of victimization is high in this group, with 68% of the young women studied having experienced at least one instance of sexual violence victimization. Based on type of sexual perpetration, 52% of the young women were victimized by at least one instance of sexual offence, 56% by sexual assault, 25% by sexual coercion, and 15% by sexual aggression. Qualitative data gathered from interviews of extracurricular club members and school officials and focus group discussion with students were used to further augment and illustrate results from the quantitative data. Several suggestions for intervention are presented in light of these results.     

Predictors of Safer Sex on the College Campus: A Social Cognitive Theory Analysis

Abstract

In April and May 1989, the authors surveyed a sample of students enrolled on four college campuses in New Jersey (N ? 923) concerning their HIV transmission-related behavior, knowledge, and a variety of conceptual variables taken primarily from social cognitive theory that were thought to be potentially predictive of safer sexual behavior. Analyses of sexually active, unmarried students' responses indicated that men expected more negative outcomes of condom use and were more likely to have sexual intercourse while under the influence of alcohol or other drugs, whereas women reported higher perceived self-efficacy to practice safer sex. Regression analyses indicated that, among the factors assessed, stronger perceptions of self-efficacy to engage in safer behavior, expecting fewer negative outcomes of condom use, and less frequency of sex in conjuction with alcohol or other drug use significantly predicted safer sexual behavior. Enhanced self-efficacy to discuss personal history with a new partner was associated with a greater number of risky encounters. Implications of these findings for intervention efforts with students are discussed.     

Adolescent Girls' Alcohol Use as a Risk Factor for Relationship Violence

This research examined the relation between female adolescents' general alcohol use and their experience of relationship violence. This relation was examined both cross‐sectionally and longitudinally, controlling for the proximal (i.e., situational) effects of alcohol use. One hundred and six female high school students reported on their experiences of physical violence and sexual coercion by boyfriends, general patterns of alcohol use, victimization experiences while drinking, and hypothesized covariates including demographic and relationship variables and illicit drug use. Variables were assessed at 2 time points 4 months apart. Results indicated that general alcohol use was related to victimization both cross‐sectionally and longitudinally, but different findings emerged for different forms of victimization (physical‐only victimization vs. both physical and sexual victimization).     

Child Sexual Abuse and Women's Sexual Health: The Contribution of CSA Severity and Exposure to Multiple Forms of Childhood Victimization

Research studies have provided increasing evidence for the potential adverse impact of child sexual abuse on women's sexual health. The present study examined the association between child sexual abuse and sexual health while controlling for various forms of childhood victimization. Self-report questionnaires were administered to 889 young women from the province of Quebec. Results suggest that child sexual abuse survivors were more likely to report having experienced other forms of childhood victimization than were women without child sexual abuse. Women with a history of both child sexual abuse and multiple forms of victimization were at greater risk of experiencing more adverse outcomes, including risky sexual behaviors, sexual problems, and negative sexual self-concept. Regression analyses revealed that child sexual abuse was significantly related to indicators of sexual health outcomes even when controlling for the effect of single forms of victimization. Clinically, interventions optimizing sexual health may be particularly helpful for a subgroup of child sexual abuse survivors.     

Unwanted Childhood Sexual Experiences Relate to Later Revictimization and Male Perpetration

This retrospective study investigated the relation between unwanted childhood sexual contact with adults and subsequent sexual attitudes and behaviors relating to further victimization and perpetration of unwanted sexual behavior for male and female college students. From the completed questionnaires (N = 209), 40.5% of the females and 49.5% of the males reported at least one unwanted sexual experience with an adult prior to age 16. A high percentage of both males and females who had unwanted experiences also reported unwanted sexual experiences in adulthood. In addition, males with unwanted adult-child sexual experiences reported perpetrating acts of sexual aggression as an adult. Those who had unwanted childhood sexual experiences were also more permissive and instrumental in their attitides toward sexuality.     

Facial emotion identification and sexual assault risk detection among college student sexual assault victims and nonvictims

Objective: High rates of sexual victimization among college students necessitate further study of factors associated with sexual assault risk detection. The present study examined how social information processing relates to sexual assault risk detection as a function of sexual assault victimization history. Participants: 225 undergraduates (M_age = 19.12, SD = 1.44; 66% women). Methods: Participants completed an online questionnaire assessing victimization history, an emotion identification task, and a sexual assault risk detection task between June 2013 and May 2014. Results: Emotion identification moderated the association between victimization history and risk detection such that sexual assault survivors with lower emotion identification accuracy also reported the least risk in a sexual assault vignette. Conclusions: Findings suggest that differences in social information processing, specifically recognition of others' emotions, are associated with sexual assault risk detection. College prevention programs could incorporate emotional awareness strategies, particularly for men and women who are sexual assault survivors.     

Traversing gender,sexual orientation,and race-ethnicity: Sexual victimization in a population-based sample of older adults

This research examined the intersectionality of gender, sexual orientation, and race-ethnicity, and its impact on lifetime sexual victimization among a population-based sample of older adults. Data for this study came from the 2011–2014 waves of the Behavioral Risk Factor Surveillance System. The final sample to be used for analysis included 8.862 individuals ages 50 years and over to examine whether and to what extent lesbian, gay, and bisexual older adults differ from heterosexual older adults in experiencing lifetime sexual victimization, and whether the effect of sexual orientation on experiencing lifetime sexual victimization differs across racial-ethnic groups. Logistic regression analysis revealed that lesbian women were 2.59 times more likely and bisexual women 2.15 times more likely both relative to heterosexual women to experience lifetime sexual victimization. When examining whether race-ethnicity imparts additional risk, the findings revealed that non-White heterosexual individuals were 29.6% less likely relative to White heterosexual individuals to experience lifetime sexual victimization, while non-White women, generally, were 2.29 times more likely relative to White men to experience lifetime sexual victimization. Our findings affirm the importance of the intersectionality of sexual orientation and gender when examining lifetime sexual victimization of older adults, adding to the emerging body of research that examines the complexities of older adult lives from multifaceted perspectives.     

Coitus‐dependent contraceptives: Factors associated with effective use

The factors associated with adequate contraceptive use among university women relying on coitus‐dependent contraceptives were examined. Sixty‐nine sexually active women between the ages of 18 and 34 completed daily logs of their sexual activity, contraceptive behavior and basal body temperature over three menstrual cycles. Contraceptive use was analyzed by menstrual cycle phase and results indicated that frequency of use was significantly higher during the ovulatory phase as compared to the menstrual period. Additional findings using discriminant function analysis indicated that compared to risk takers, non‐risk takers were more likely to initiate sexual intercourse, have more orgasms, have a non‐Catholic background, be living with their partners and have been in their relationships longer. These data suggest that women in less stable relationships and with more sexual inhibitions may be more at risk of an unwanted pregnancy.     

College women's experiences of psychological maltreatment and sexual assault

A sample of 648 college women recruited from undergraduate psychology classes was examined to explore the relationship between past psychological maltreatment and sexual assault. Based on responses to the Sexual Experiences Survey and the Psychological Maltreatment Inventory, women were classified by level of unwanted sexual contact (i.e., vaginal or anal intercourse; oral genital contact and/or object penetration; or kissing and/or fondling), by method used to obtain the sexual assault (i.e., women were classified as experiencing coerced assaults, forced assaults, or both), and by identity of perpetrator (i.e., acquaintances or strangers). Results pointed to significant differences in the amount of past psychological maltreatment reported by women experiencing any type of assault as compared to women without assault experiences, regardless of perpetrator identity. Moreover, higher levels of psychological maltreatment were associated with having experienced any type of coerced sexual activities. There were no differences by type of assault. Finally, a series of ANOVAs was conducted to examine the interaction between coercion and force in the psychological maltreatment reported by women experiencing different forms of assault. With few exceptions, greater maltreatment was associated both with the occurrence of coerced assaults and with the occurrence of forced assaults. A significant interaction was seen with one form of assault, unwanted kissing and/or fondling perpetrated by an acquaintance. This interaction may suggest that, at least for this one form of contact perpetrated by acquaintances, the presence of past psychological maltreatment is uniquely associated with experiencing adult sexual assaults involving both force and coercion.     

Consensual Victim–Perpetrator Intercourse after Nonconsensual Sex: The Impact of Prior Relationship

Some female victims of nonconsensual sex subsequently have consensual sexual intercourse with the perpetrator and are more likely to do so if intercourse occurred during the nonconsensual sex than if it did not. Some evolutionary psychologists have postulated that there is something significant about nonconsensual intercourse that causes women to subsequently have a sexual relationship with the perpetrator (e.g., risk of pregnancy). In this study, we investigated a parsimonious explanation that has previously been overlooked: Intercourse is more likely during nonconsensual sex when the victim and perpetrator have previously had a sexual relationship; thus, subsequent consensual intercourse may simply be a continuation of that prior relationship. A sample of 945 women completed an Internet-based survey, of whom 41% had experienced nonconsensual sex since age 14. As expected, victims who had intercourse with perpetrators prior to the nonconsensual sex event were significantly more likely than other victims to experience nonconsensual intercourse and to engage in subsequent consensual intercourse with the perpetrator. When considering only the small subsample of victims who never had a prior romantic or sexual relationship with the perpetrator, the odds of subsequent consensual intercourse were still significantly greater following nonconsensual sex with intercourse versus without intercourse.