title: Alcohol myopia and sexual abdication among women: examining the moderating effect of child sexual abuse.
abstract: BACKGROUND
  HIV and other STIs are major public health concerns for women, and risky sexual behaviors increase the risk of transmission. Risky sexual behaviors include sexual abdication, that is, willingness to let a partner decide how far to go sexually. Alcohol intoxication is a risk factor for risky sexual behavior, and the Inhibition Conflict Model of Alcohol Myopia may help explain this relationship. This model suggests that in order for intoxication to influence behavior there must be high conflict, meaning the strength of the instigatory cues and inhibitory cues are both high. Recent research indicates that the degree to which cues are experienced as high in instigation or inhibition is subject to individual difference factors. One individual difference factor associated with alcohol-related sexual risk taking is child sexual abuse (CSA) history.
  
  
  METHODS
  The current study examined the influence of acute alcohol intoxication, CSA, and inhibition conflict on sexual abdication with 131 women (mean age 25) randomized into a 2 (alcohol, control)×2 (high conflict, low conflict) experimental design.
  
  
  RESULTS
  Regression analyses yielded a significant 3-way interaction, F (1,122)=8.15, R(2)=.14, p<.01. When there was high conflict, intoxicated CSA women were more likely to abdicate than sober CSA women, however, sober CSA women were less likely to abdicate than sober NSA women, when there was low conflict, CSA history and alcohol intoxication had no influence on abdication.
  
  
  CONCLUSIONS
  These results may help explain the association between alcohol and risky sexual decision making among women with CSA.
authors.affiliation: Department of Psychology, University of Washington, Box 351525, Seattle, WA 98195-1525, USA. Electronic address: jmstaple@uw.edu.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Staples
authors.affiliation: Department of Psychology, University of Washington, Box 351525, Seattle, WA 98195-1525, USA. Electronic address: bgeorge@uw.edu.
authors.forename: William H
authors.initials: WH
authors.lastname: George
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington, Box 35954, Seattle, WA 98105, USA. Electronic address: cstappen@uw.edu.
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Stappenbeck
authors.affiliation: School of Social Work, University of Washington, 4101 15th Avenue NE, Seattle, WA 98105-6299, USA. Electronic address: kcue@uw.edu.
authors.forename: Kelly Cue
authors.initials: KC
authors.lastname: Davis
authors.affiliation: Alcohol and Drug Abuse Institute, University of Washington, 1107 NE 45th Street, Suite 120, Seattle, WA 98105-4631, USA. Electronic address: norris@uw.edu.
authors.forename: Jeanette
authors.initials: J
authors.lastname: Norris
authors.affiliation: The Kinsey Institute for Research in Sex, Gender, and Reproduction, Psychological and Brain Sciences, Indiana University, 1101 E. 10 St., Bloomington, IN 47405, USA. Electronic address: jheiman@indiana.edu.
authors.forename: Julia R
authors.initials: JR
authors.lastname: Heiman
mesh_terms: D000328:Adult; D000435:Alcoholic Intoxication / Q000523:psychology*; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D003220:Conflict, Psychological; D003463:Cues; D005260:Female; D006801:Humans; D007266:Inhibition, Psychological; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology*; D014505:Urban Population / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Abdication; Alcohol myopia; Condom; Inhibition conflict; Sexual abuse; Sexual risk