Use of Drinking Protective Behavioral Strategies and Sexual Perceptions and Behaviors in U.S. College Students

Alcohol use among college students is linked to an increased likelihood of engaging in risky sexual behaviors, including casual sex and unprotected sex. These behaviors increase college students' risks for negative social and health-related consequences. This study examined the relationship between drinking behaviors and protective behavioral strategies (PBS), expectancies and perceptions of sexual risk, and actual alcohol-related sexual behaviors and consequences. Sexually active college students completed Web-based self-report measures of drinking behaviors and use of PBS, alcohol expectancies and perceptions of risk, and sexual behaviors and related consequences (n = 524; 57.1% women). Findings indicated that PBS were related to lower expectancies of sexual risk and sexual disinhibition, and among lighter drinkers, lower expectancies of sexual enhancement from alcohol. PBS were also related to decreased perceptions of sexual-related risks, some alcohol-related sexual behaviors, including number of drinks before/during sex, and number of sexual consequences, but were not related to abstaining during sex, frequency of alcohol-related sexual behaviors, or general condom use. These findings demonstrate a disconnect between perceived and actual risks among college students, such that decreased perceptions of risk may not be associated with protective behaviors. Prevention and intervention implications are discussed.     

Pluralistic ignorance and Hooking up

“Hooking up “—when two people agree to engage in sexual behavior for which there is no future commitment—has become popular on college campuses. In this study we examined the extent to which pluralistic ignorance affects hooking up. One hundred thirty‐six female and 128 male college students answered questions regarding their own comfort and their perceived peers'comfort in engaging in a variety of sexual behaviors while hooking up. We hypothesized and found that both women and men rated their peers as being more comfortable engaging in these behaviors than they rated themselves. Men expressed more comfort than did women in engaging in these behaviors, and both sexes overestimated the other gender's comfort with hooking up behaviors. Pluralistic ignorance appears to apply to hooking up on college campuses, and we explore some potential consequences of pluralistic ignorance in this context.     

Adaptive training for existing male transsexual gender role: A case history

The development of AIDS interventions for adolescents is hindered by the lack of data on the conditions that influence high‐risk sexual behavior. We examined psychosocial correlates of condom use and multiple partner sex for a sample of sexually‐active heterosexual adolescent women. Respondents reported higher levels of vaginal intercourse than the “average” adolescent. A minority were engaging in anal intercourse. Condom use was associated with perceived enjoyment of condoms and communication skills. Number of sexual partners was associated with susceptibility beliefs, social norms, and sexual communication skills. The findings support the general observation that AIDS interventions with adolescents should build sexual communication skills, address motivational issues, and teach people how to enjoy safe‐sex activities.     

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.     

Genital perceptions and sexual activity in a college population

Anecdotal evidence suggests that perceptions of the genitals—one's own and one's partner's—may be related to enjoyment of sexual activity. The purpose of this study was to examine the relationships among genital perceptions and performing and receiving oral sex, penile‐vaginal intercourse, and masturbation. Participants were 160 male and 160 female students at a large Midwestern university. Participants completed a questionnaire in which they indicated how well self‐statements describing genital perceptions and reasons for engaging in and not engaging in sexual activity applied to themselves. The results showed significant correlations between genital perceptions and sexual activity, such that higher levels of participation in and enjoyment of sexual activity, especially oral‐genital behavior, were associated with more positive and fewer negative genital perceptions. Men had more positive genital perceptions than did women for both their own and their sexual partner's genitals. These results are consistent with cultural sexual stereotypes and have implications for sex education and clinical work.     

Risky Sexual Behavior among Arrested Adolescent Males: The Role of Future Expectations and Impulse Control

The current study evaluates two predictors of adolescent sexual risk‐taking, specifically whether impulse control or future expectations predict condom use and casual sex. We examine whether risky sex occurs among youth who tend to act without thinking about the future, or instead, youth who report low future expectations. We consider these relations longitudinally among a sample of sexually active justice‐involved adolescent males (N = 752, M age = 15.58) a group at heightened risk for sexual risk‐taking. We found that optimistic expectations for the future predict a higher likelihood of engaging in consistent condom use, whereas high impulse control is related to a lower likelihood of casual sex. Implications for intervention and research on positive sexual health are discussed.     

Community Effects on Youth Sexual Activity

Using longitudinal data from the National Survey of Children, we examined the impact of community socioeconomic status on four dimensions of adolescent and young adult premarital sexual activity—the timing of first intercourse, the frequency of intercourse, the number of different sex partners, and the likelihood of engaging in unprotected intercourse. We found significant positive effects of a multiitem index of community socioeconomic disadvantage on all but the timing of first premarital intercourse, net of controls for the socioeconomic and demographic status of adolescents and their families. None of the most commonly cited explanations for neighborhood effects on adolescent behavior can fully explain these associations. Only the attitudes and behaviors of peers account for even a small portion of the observed impact of community disadvantage on youth sexual behavior. Adolescents' acceptance of premarital childbearing, educational aspirations and attachment to school, and parental supervision, although frequently associated with youth sexual behavior, do little to mediate the impact of community disadvantage on sexual activity.     

Multiple sex partners among college women and men: Sexual behaviors and sexual satisfaction revisited

The purpose of this investigation was to examine the effects of number of lifetime sex partners on sexual behaviors, sexual attitudes, and sexual satisfaction for never‐married college women and men. An anonymous questionnaire was administered in select classes at a midwestern state university. One‐partner group (one sex partner) women, in comparison to few‐partner (two to five sex partners) and many‐partner (six or more sex partners) group women, were more likely to have been older at first intercourse and to report psychological sexual satisfaction, mastur‐batory guilt, and commitment and love as conditions for sexual intercourse. For men, one‐partner group respondents were also more likely than few‐partner and many‐partner group respondents to report older age at first intercourse, masturbatory guilt, and commitment and love as conditions for sexual intercourse. In an era in which early sexual fulfillment clashes with concerns over unsafe sexual practices, these data provide insights into the influence of multiple partner experience on the sexual behavior patterns of young adults.     

Affairs of the Heart: Qualities of Adolescent Romantic Relationships and Sexual Behavior

We know more about parent and peer influences than about the ways in which specific qualities of adolescent romantic relationships may influence sexual decision‐making. Using data from the Toledo Adolescent Relationships Study, we focus on communication processes and emotional feelings, as well as more basic contours of adolescent romantic relationships, including power and influence dynamics. Controlling for traditional predictors and duration of the relationship, results suggest that subjectively experienced relationship qualities matter for understanding teens' sexual behavior choices. Further, findings indicate a similar effect of most relationship qualities on male and female reports of sexual behavior. However, influence and power dynamics within the relationship were not related to the likelihood that boys reported sexual intercourse in a focal relationship. In contrast, girls who perceived a more favorable power balance were less likely to report sexual intercourse than their female counterparts who perceived a less favorable power balance. Recognizing that the results capture reciprocal influence processes, longitudinal and qualitative data are used to further explore the complex nature of these associations.     

Do Alcohol and Marijuana Use Decrease the Probability of Condom Use for College Women?

Alcohol and marijuana use are thought to increase sexual risk taking, but event-level studies conflict in their findings and often depend on reports from a limited number of people or on a limited number of sexual events per person. With event-level data from 1,856 sexual intercourse events provided by 297 college women (M _age = 18 years; 71% White), we used multilevel modeling to examine associations between alcohol and marijuana use and condom use as well as interactions involving sexual partner type and alcohol-sexual risk expectancies. Controlling for alternative contraception use, partner type, regular levels of substance use, impulsivity and sensation seeking, and demographics, women were no more or less likely to use condoms during events involving drinking or heavy episodic drinking than during those without drinking. However, for drinking events, there was a negative association between number of drinks consumed and condom use; in addition, women with stronger alcohol-sexual risk expectancies were marginally less likely to use condoms when drinking. Although there was no main effect of marijuana use on condom use, these data suggest marijuana use with established romantic partners may increase risk of unprotected sex. Intervention efforts should target expectancies and emphasize the dose-response relationship of drinks to condom use.     

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.     

College students' use of technology to communicate with romantic partners about sexual health issues

Objective: To examine college students' technology-assisted sexual communication perceptions and practices alongside their beliefs about the effectiveness of face-to-face (F-t-F) sexual communication. Participants: 144 college students at a private university in the Northeast, U.S., completed a survey in October 2016. Method: A cross-sectional online survey examined how college students use text messaging and private social media messaging to communicate with romantic partners about sexual health issues. Results: Students who have communicated with romantic partners via technology reported being likely to do so again in the future, to perceive the effectiveness of technology-assisted sexual communication to be comparable to F-t-F sexual communication, and to be confident in their ability to initiate sexual communication with romantic partners via F-t-F communication. Conclusions: College students may see text messaging and social media messaging as useful for sexual communication, which has important implications for college health professionals who wish to promote frequent, effective sexual communication.     

Longitudinal Effects of Adolescent Abuse on Relationship Quality and Posttraumatic Stress Symptoms in Mother–Adolescent Dyads

The current study examined dyadic reports of mother–adolescent relationship quality (RQ) as a mechanism by which emotional, physical, and sexual abuse affect posttraumatic stress symptoms (PTSS) over time from a family systems perspective. We used three waves of data from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN), including 321 mother–adolescent dyads observed when adolescents were approximately 12, 14, and 16 years old. We used an extended version of the actor–partner interdependence mediation model to analyze the effect of emotional, physical, and sexual abuse on adolescents' PTSS through dyadic reports of mother–adolescent RQ. Results yielded significant indirect effects between sexual and emotional abuse, but not physical abuse, and PTSS 4 years later through adolescent perceptions of RQ. Maternal perceptions of RQ were not directly associated with adolescents' PTSS; however, maternal perceptions of RQ positively contributed to future adolescent perceptions of RQ. Clinical implications are discussed.     

Sexual perceptions and practices of young people in Northern Thailand

This study draws together survey and qualitative data on sexual practices among more than 1,750 young Northern Thai people aged 17-20 years. The survey data indicate that sexually active young people frequently engage in, or are subjected to, risk-taking behaviours that may expose them to sexually transmitted infections and unwanted pregnancies. These include having multiple sexual partners and quite frequent partner turnover. High percentages also engage in unprotected sexual intercourse with various types of sexual partner (steady, casual and paid), and young women especially had often experienced sexual coercion. Qualitative data revealed a mixture of perceptions and practices affecting sexual intercourse among the young, such as having unplanned sex, engaging in sexual relations to display love or cement committed relationships, and having serial relationships, both monogamous and non-monogamous. We conclude that condom use should be a central focus of activities aimed at preventing adverse sexual health outcomes, but that new intervention approaches to encourage use of other contraceptives are also needed. Changes in sexual norms among young people also need to be acknowledged and accepted by older Thai generations in order for programs and interventions to combat negative sexual and reproductive health consequences to be more effective.