title: Sex-Related Alcohol Expectancies Among African American Women Attending an Urban STI Clinic.
abstract: African American women are disproportionately affected by human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and sexually transmitted infections (STIs). Alcohol use is a significant risk factor for HIV/STI acquisition. Sex-related alcohol expectancies (SRAEs) may partially account for alcohol-related risky sexual behaviors. Using qualitative interviews we explored the link between alcohol use and risky sex among 20 African American women attending an STI clinic who had consumed four or more alcoholic drinks per drinking day (binge drinking) and/or reported vaginal or anal sex while under the influence of alcohol. Four SRAEs emerged, which we named drink for sexual desire, drink for sexual power, drink for sexual excuse, and drink for anal sex. While the desire SRAE has been documented, this study identified three additional SRAEs not currently assessed by expectancy questionnaires. These SRAEs may contribute to high-risk sex when under the influence of alcohol and suggests the importance of developing integrated alcohol-sexual risk reduction interventions for high-risk women.
authors.affiliation: a Department of Psychiatry and Behavioral Sciences , Johns Hopkins University School of Medicine.
authors.forename: Heidi E
authors.initials: HE
authors.lastname: Hutton
authors.forename: Mary E
authors.initials: ME
authors.lastname: McCaul
authors.forename: Jeanette
authors.initials: J
authors.lastname: Norris
authors.forename: Julia D
authors.initials: JD
authors.lastname: Valliant
authors.forename: Tina
authors.initials: T
authors.lastname: Abrefa-Gyan
authors.forename: Geetanjali
authors.initials: G
authors.lastname: Chander
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000428:Alcohol Drinking / Q000523:psychology*; D063425:Binge Drinking / Q000523:psychology; D005260:Female; D006801:Humans; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology*; D012749:Sexually Transmitted Diseases / Q000523:psychology; D014505:Urban Population; D055815:Young Adult
references.citation: AIDS Behav. 2007 Mar;11(2):227-37
references.pmid: 16802196
references.citation: Womens Health Issues. 2011 Mar-Apr;21(2):130-5
references.pmid: 21276736
references.citation: J Stud Alcohol. 2005 Jan;66(1):82-90
references.pmid: 15830907
references.citation: Annu Rev Sex Res. 2004;15:258-96
references.pmid: 16913281
references.citation: Sex Transm Dis. 2002 Jan;29(1):38-43
references.pmid: 11773877
references.citation: J Sex Res. 2014;51(6):696-710
references.pmid: 23730733
references.citation: Curr Drug Abuse Rev. 2012 Jun;5(2):117-28
references.pmid: 22455508
references.citation: Am J Public Health. 2008 Jun;98(6):1128-36
references.pmid: 18445794
references.citation: Addiction. 2003 Aug;98(8):1069-75
references.pmid: 12873241
references.citation: Issues Ment Health Nurs. 2006 Dec;27(10):1017-36
references.pmid: 17050336
references.citation: Addict Behav. 2010 Aug;35(8):779-85
references.pmid: 20399023
references.citation: Am J Prev Med. 1997 Sep-Oct;13(5):380-4
references.pmid: 9315271
references.citation: Psychol Bull. 1989 May;105(3):374-86
references.pmid: 2660179
references.citation: Sex Transm Infect. 2013 Sep;89(6):498-503
references.pmid: 23580608
references.citation: J Stud Alcohol Drugs. 2007 Nov;68(6):843-51
references.pmid: 17960302
references.citation: Psychol Addict Behav. 2002 Mar;16(1):64-7
references.pmid: 11934088
references.citation: Am J Prev Med. 2010 Feb;38(2):201-7
references.pmid: 20117577
references.citation: Fam Plann Perspect. 1994 Nov-Dec;26(6):257-63
references.pmid: 7867773
references.citation: Drug Alcohol Depend. 2012 Sep 1;125(1-2):43-8
references.pmid: 22494879
references.citation: J Acquir Immune Defic Syndr. 2010 Jan;53(1):136-43
references.pmid: 19734802
references.citation: Br J Addict. 1990 Jul;85(7):919-28
references.pmid: 2397319
references.citation: Arch Sex Behav. 2013 Aug;42(6):949-59
references.pmid: 23661324
references.citation: J Sex Res. 2003 Feb;40(1):13-26
references.pmid: 12806528
references.citation: Annu Rev Sex Res. 2000;11:92-124
references.pmid: 11351836
references.citation: Am Psychol. 1995 Jun;50(6):437-47
references.pmid: 7598292
references.citation: Sex Transm Dis. 2005 Mar;32(3):156-64
references.pmid: 15729152
references.citation: Violence Against Women. 2013 Apr;19(4):449-64
references.pmid: 23651639
references.citation: J Am Coll Health. 2010 Mar-Apr;58(5):481-9
references.pmid: 20304760
references.citation: Alcohol Clin Exp Res. 2002 Feb;26(2):272-9
references.pmid: 11964568
references.citation: Int J Public Health. 2010 Jun;55(3):159-66
references.pmid: 19949966
references.citation: J Stud Alcohol. 1999 Jan;60(1):54-63
references.pmid: 10096309
references.citation: Health Educ Behav. 2000 Oct;27(5):539-65
references.pmid: 11009126
references.citation: J Sex Res. 2004 May;41(2):160-72
references.pmid: 15326541
references.citation: J Stud Alcohol. 1998 Jan;59(1):71-7
references.pmid: 9498318
references.citation: Alcohol Clin Exp Res. 2009 Apr;33(4):654-62
references.pmid: 19183131
references.citation: J Urban Health. 2009 Nov;86(6):951-64
references.pmid: 19921541
references.citation: J Stud Alcohol. 1995 Mar;56(2):177-85
references.pmid: 7760564
references.citation: J Stud Alcohol. 2000 Jan;61(1):168-76
references.pmid: 10627112
references.citation: Alcohol Clin Exp Res. 2003 Jan;27(1):88-92
references.pmid: 12544011
references.citation: Alcohol. 2010 Jun;44(4):307-13
references.pmid: 20570085
references.citation: Exp Clin Psychopharmacol. 2004 Nov;12(4):288-97
references.pmid: 15571446
references.citation: J Stud Alcohol Suppl. 2002 Mar;(14):101-17
references.pmid: 12022716
references.citation: J Stud Alcohol Drugs. 2009 Mar;70(2):197-205
references.pmid: 19261231
references.citation: Psychol Addict Behav. 2007 Sep;21(3):365-72
references.pmid: 17874887
references.citation: Am J Public Health. 1995 Jul;85(7):982-5
references.pmid: 7604925
references.citation: Drug Alcohol Depend. 2011 Jan 15;113(2-3):200-6
references.pmid: 20846794
references.citation: Am J Public Health. 2005 Mar;95(3):465-70
references.pmid: 15727978
references.citation: Addict Behav. 2011 Nov;36(11):1076-82
references.pmid: 21813246
references.citation: J Sex Res. 2010 Mar;47(2):123-36
references.pmid: 20358456
references.citation: Arch Sex Behav. 2005 Dec;34(6):649-61
references.pmid: 16362249
references.citation: Health Psychol. 2002 May;21(3):229-36
references.pmid: 12027028
references.citation: J Acquir Immune Defic Syndr. 2000 Aug 1;24(4):393-8
references.pmid: 11015157
references.citation: Addiction. 2012 Jan;107(1):51-9
references.pmid: 22151318
references.citation: Psychol Addict Behav. 2009 Dec;23(4):702-7
references.pmid: 20025377
references.citation: Alcohol Clin Exp Res. 1997 Jun;21(4):613-9
references.pmid: 9194913
references.citation: AIDS Care. 2002 Dec;14(6):789-800
references.pmid: 12511212
references.citation: J Consult Clin Psychol. 1980 Aug;48(4):419-26
references.pmid: 7400427
references.citation: Psychol Addict Behav. 2012 Sep;26(3):393-405
references.pmid: 22428862
references.citation: Alcohol Res Health. 2001;25(1):58-65
references.pmid: 11496968
references.citation: J Stud Alcohol Drugs. 2013 Mar;74(2):223-32
references.pmid: 23384370
references.citation: J Interpers Violence. 2010 Sep;25(9):1563-78
references.pmid: 20040711
references.citation: Am J Public Health. 2011 Apr;101(4):745-50
references.pmid: 20558790
references.citation: Alcohol Clin Exp Res. 2008 Nov;32(11):2008-15
references.pmid: 18782336