Men's Sexual Risk Behaviors: Alcohol, Sexual Aggression, and Emotional Factors

男性的性危险行为：酒精、性侵犯和情绪因素

• 批准号: 10405038
• 负责人: Kelly Cue Davis
• 金额: $ 46.31万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-06-05 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10405038
• 关键词: Acute; Address; Aggressive behavior; Alcohol consumption; Alcoholic Intoxication; Alcohols; Anger; Attitude; Baseline Surveys; Behavior; Clinical; Coercion; Data; Development; Distal; Emotional; Emotions; Equation; Event; Foundations; Future; HIV; Heterosexuals; Hostility; Individual; Intervention; Intoxication; Investigation; Knowledge; Laboratories; Link; Measures; Mediating; Mediation; Mediator of activation protein; Methods; Modeling; Monitor; Participant; Persons; Planning Theory; Play; Prevention program; Process; Public Health; Randomized; Recording of previous events; Reporting; Research; Resistance; Risk; Risk Behaviors; Role; Science; Screening procedure; Sexual Arousal; Sexually Transmitted Diseases; Surveys; Time; Unsafe Sex; aged; alcohol behavior; alcohol effect; alcohol expectancy; base; behavior change; behavioral construct; condoms; coping; design; diaries; drinking; emotion dysregulation; emotion regulation; emotional factor; evidence base; experimental study; follow-up; innovation; intervention program; laboratory experiment; male; men; negative emotional state; programs; response; sex; sexual risk behavior; sexual risk taking; trait; unintended pregnancy; young man

PROJECT SUMMARY The proposed project is a competing renewal of R01AA017608, which investigated the influence of young men's alcohol intoxication, sexual aggression perpetration history, and partner condom negotiation on their sexual risk behavior through two alcohol administration experiments and follow-up surveys. Findings from the original project suggest that alcohol intoxication and sexual aggression history are predictive of greater condom use resistance and other sexual risk behaviors (e.g., unprotected sex) at both proximal and event levels. Moreover, preliminary results suggest that emotional factors may play a role in these associations, suggesting a promising avenue for continued research. The proposed renewal aims to build upon these findings through investigation of the emotional mechanisms involved in young men's alcohol-related sexual risk behavior to provide an empirical foundation for developing evidence-based sexual risk prevention programs. The proposed project continues and extends the original line of research through multiple methods designed to evaluate distal and proximal emotional factors implicated in alcohol-related sexual risk. Male drinkers aged 21- 30 who use condoms inconsistently (n = 600) will first complete a screening procedure followed by a baseline survey which will assess relevant constructs including negative emotional traits, emotion dysregulation tendencies, and alcohol expectancies. They will then complete a 30 day daily diary assessment of their daily emotional states, daily coping motives pertaining to drinking and sex, and daily drinking and sexual risk behaviors in order to evaluate daily relationships among these factors. Upon completion of the daily monitoring period, the same participants will complete an in-lab experiment assessing in-the-moment effects of alcohol intoxication and provocation on negative emotional states and sexual risk intentions. Generalized linear mixed models will be used to examine the daily influence of emotional states and coping motives on alcohol consumption and sexual risk behaviors. Structural equation modeling and other regression-based analyses will be used to examine experimental effects of alcohol intoxication and provocation on negative emotional states and other mediators, as well as sexual risk intentions. Moderating effects of negative emotional traits, emotion dysregulation tendencies, and alcohol expectancies will also be examined for both daily and in-the-moment processes, and the linkages between event-level and experimental relationships will be investigated. The proposed renewal is both significant and innovative in that it will address the public health concern of men's sexual risk behaviors including condom use resistance; will evaluate the role of emotional processes in men's alcohol-related sexual risk; and will use multiple methods to gather complementary types of data that will elucidate the mechanisms underlying alcohol-related sexual risk behaviors and provide an empirical evidence base from which to develop and inform prevention and intervention programs.

项目摘要 拟议的项目是R01AA017608的竞争续约，该项目调查了Young的影响 男性的酒精醉酒，性侵略历史以及伴侣的避孕套谈判 通过两个酒精管理实验和随访调查的性风险行为。来自 原始项目表明，酒精中毒和性侵略历史可以预测更大的 避孕套使用抵抗力和其他性风险行为（例如，不受保护的性行为） 水平。此外，初步结果表明，情感因素可能在这些关联中起作用， 暗示了有希望继续研究的途径。拟议的续约旨在建立在这些基础上 通过调查与年轻人酒精相关性风险涉及的情感机制的调查结果 为制定基于证据的性风险预防计划提供经验基础的行为。 拟议的项目继续进行并扩展了原始的研究线 评估与酒精相关性风险有关的远端和近端情绪因素。 21岁的男性饮酒者 30谁不一致地使用避孕套（n = 600）将首先完成筛选程序，然后进行基线 调查将评估相关结构，包括负面情绪特征，情绪失调 倾向和酒精期望。然后，他们将完成每日每日30天的日记评估 情绪状态，每日应对与饮酒和性有关的动机以及日常饮酒和性风险 行为以评估这些因素之间的每日关系。完成日常监控后 期间，相同的参与者将完成一个评估酒精的现代影响的LAB实验 对负面情绪状态和性风险意图的中毒和挑衅。广义线性混合 模型将用于检查情绪状态的日常影响并应对酒精的动机 消费和性风险行为。结构方程建模和其他基于回归的分析将 用于检查酒精中毒和挑衅对负面情绪状态的实验影响 和其他调解人以及性风险意图。负面情绪特征，情绪的调节作用 每日和直立的人都将检查失调趋势和期望酒精期望 过程以及事件级与实验关系之间的联系将进行研究。这 拟议的更新既重要又创新，因为它将解决男性的公共卫生关注 性风险行为，包括使用避孕套的抗性；将评估情感过程在男性中的作用 与酒精有关的性风险；并将使用多种方法来收集互补类型的数据 阐明与酒精相关的性风险行为的基础机制，并提供经验证据 从中开发和为预防和干预计划提供信息的基础。