title: Patterns of alcohol use and expectancies predict sexual risk taking among non-problem drinking women.
abstract: OBJECTIVE
  Although alcohol consumption and sexual risk taking are associated, not everyone who drinks alcohol engages in risky sexual behavior. The purposes of the present study were to identify patterns of alcohol use behaviors and alcohol expectancies among women who are non-problem drinkers and to examine how these patterns are associated with indices of sexual risk.
  
  
  METHODS
  Data from 758 non-problem drinking women who have sex with men and were not in committed relationships were analyzed using latent profile analysis to determine patterns of alcohol use and alcohol-related expectancies.
  
  
  RESULTS
  Of the four patterns observed, three classes had similar alcohol-related expectancies but differed with respect to drinking behavior (moderate drinking, regular heavy episodes, and frequent heavy episodes), and the fourth class consisted of moderate drinkers with low expectancies (low expectancies). Results revealed that those in the frequent heavy episodes class had the greatest number of sexual partners in the past year and drank the most alcohol before having sex compared with the other women. Both the regular and frequent heavy episodes classes reported greater likelihood of having unprotected sex in the future, more positive beliefs about casual sex, and greater subjective intoxication before having sex than women in the moderate drinking or low expectancies classes. Women in the low expectancies class reported less positive beliefs about condoms than those in the moderate drinking and regular heavy episodes classes.
  
  
  CONCLUSIONS
  Results suggest that different patterns of expectancies and drinking behaviors are associated with different indices of sexual risk taking and highlight the importance of individually tailored programs for prevention of sexually transmitted infections.
authors: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA. cstappen@uw.edu
authors: Cynthia A
authors: CA
authors: Stappenbeck
authors: Jeanette
authors: J
authors: Norris
authors: Preston A
authors: PA
authors: Kiekel
authors: Diane M
authors: DM
authors: Morrison
authors: William H
authors: WH
authors: George
authors: Kelly Cue
authors: KC
authors: Davis
authors: Tina
authors: T
authors: Zawacki
authors: Angela J
authors: AJ
authors: Jacques-Tiura
authors: Devon Alisa
authors: DA
authors: Abdallah
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology* / Q000523:psychology; D003625:Data Collection; D005260:Female; D006801:Humans; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012747:Sexual Partners; D055815:Young Adult
references: Addict Behav. 2003 Dec;28(9):1649-64
references: 14656551
references: Pediatrics. 2003 Jan;111(1):34-41
references: 12509551
references: Health Psychol. 2009 Jan;28(1):20-8
references: 19210014
references: J Consult Clin Psychol. 1985 Apr;53(2):189-200
references: 3998247
references: Exp Clin Psychopharmacol. 2000 Nov;8(4):576-97
references: 11127429
references: Am J Public Health. 1995 Jul;85(7):921-6
references: 7604914
references: Dev Psychol. 2002 May;38(3):394-406
references: 12005382
references: J Stud Alcohol. 1995 May;56(3):293-9
references: 7623468
references: J Stud Alcohol. 2005 Jan;66(1):82-90
references: 15830907
references: Am Psychol. 1990 Aug;45(8):921-33
references: 2221564
references: J Subst Abuse. 1992;4(3):247-54
references: 1458042
references: J Stud Alcohol Drugs. 2007 Nov;68(6):843-51
references: 17960302
references: Arch Sex Behav. 1996 Apr;25(2):141-54
references: 8740520
references: AIDS Behav. 2008 Jan;12(1):104-12
references: 17333311
references: Health Psychol. 1997 Sep;16(5):490-5
references: 9302547
references: Health Psychol. 2000 May;19(3):290-8
references: 10868774
references: Psychol Women Q. 2013 Jun 1;37(2):209-223
references: 24003264
references: Annu Rev Sex Res. 2000;11:92-124
references: 11351836
references: J Adolesc Health. 1996 Nov;19(5):331-6
references: 8934293
references: Psychol Addict Behav. 2011 Sep;25(3):415-25
references: 21534645
references: Addict Behav. 2007 Dec;32(12):2940-52
references: 17611038
references: J Stud Alcohol. 1999 Jan;60(1):54-63
references: 10096309
references: BMC Public Health. 2009 Aug 04;9:281
references: 19653901
references: J Sex Res. 2012;49(2-3):274-81
references: 21259152
references: Arch Sex Behav. 2010 Jun;39(3):706-13
references: 19629670
references: Exp Clin Psychopharmacol. 2004 Nov;12(4):288-97
references: 15571446
references: J Stud Alcohol Suppl. 2002 Mar;(14):101-17
references: 12022716
references: Perspect Sex Reprod Health. 2011 Jun;43(2):119-28
references: 21651711
references: J Stud Alcohol. 2002 Jul;63(4):476-85
references: 12160107
references: J Pers Soc Psychol. 1991 Jun;60(6):870-83
references: 1865325
references: Psychol Addict Behav. 2007 Sep;21(3):365-72
references: 17874887
references: Psychol Addict Behav. 2009 Dec;23(4):702-7
references: 20025377
references: Epidemiology. 2002 May;13(3):320-7
references: 11964934
references: JAMA. 2008 Aug 6;300(5):520-9
references: 18677024
references: AIDS Behav. 2007 Mar;11(2):205-15
references: 16897350
references: Arch Sex Behav. 2009 Aug;38(4):498-513
references: 18431618
references: Psychol Women Q. 1992 Sep;16(3):273-88
references: 12286010
references: Arch Gen Psychiatry. 2007 Jul;64(7):830-42
references: 17606817
references: Behav Med. 2008 Summer;34(2):45-54
references: 18682337
references: Exp Clin Psychopharmacol. 2011 Oct;19(5):378-88
references: 21859223
references: Am J Public Health. 1993 Oct;83(10):1400-8
references: 8214228