title: Distal and Proximal Influences on Men's Intentions to Resist Condoms: Alcohol, Sexual Aggression History, Impulsivity, and Social-Cognitive Factors.
abstract: Recent scientific evidence demonstrates that many young men commonly resist condom use with their female sex partners and that both alcohol intoxication and a history of sexual aggression may increase the risk of condom use resistance (CUR). Using a community sample of heterosexual male non-problem drinkers with elevated sexual risk (N = 311), this alcohol administration study examined the direct and indirect effects of intoxication and sexual aggression history on men's CUR intentions through a sexual risk analogue. State impulsivity, CUR-related attitudes, and CUR-related self-efficacy were assessed as mediators. Results demonstrated that alcohol intoxication directly increased CUR intentions, and sexual aggression history both directly and indirectly increased CUR intentions. These findings highlight the importance of addressing both alcohol use and sexual aggression in risky sex prevention programs, as well as indicate the continued worth of research regarding the intersection of men's alcohol use, sexual aggression, and sexual risk behaviors, especially CUR.
authors.affiliation: School of Social Work, University of Washington, Box 354900, Seattle, WA, 98195, USA. kcue@u.washington.edu.
authors.forename: Kelly Cue
authors.initials: KC
authors.lastname: Davis
authors.affiliation: Institutional Research and Decision Support, University of California Merced, Merced, CA, USA.
authors.forename: Cinnamon L
authors.initials: CL
authors.lastname: Danube
authors.affiliation: Department of Psychology, University of Washington, Seattle, WA, USA.
authors.forename: Elizabeth C
authors.initials: EC
authors.lastname: Neilson
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Stappenbeck
authors.affiliation: Alcohol and Drug Abuse Institute, University of Washington, Seattle, WA, USA.
authors.forename: Jeanette
authors.initials: J
authors.lastname: Norris
authors.affiliation: Department of Psychology, University of Washington, Seattle, WA, USA.
authors.forename: William H
authors.initials: WH
authors.lastname: George
authors.affiliation: Department of Psychology, University of Washington, Seattle, WA, USA.
authors.forename: Kelly F
authors.initials: KF
authors.lastname: Kajumulo
mesh_terms: D000328:Adult; D000374:Aggression; D000428:Alcohol Drinking / Q000523:psychology*; D000435:Alcoholic Intoxication; D003071:Cognition; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D006801:Humans; D007175:Impulsive Behavior; D033182:Intention; D008297:Male; D008960:Models, Psychological; D012309:Risk-Taking; D021841:Safe Sex / Q000523:psychology / Q000706:statistics & numerical data; D020377:Self Efficacy; D012725:Sexual Behavior / Q000523:psychology; D012747:Sexual Partners; D012945:Social Values; D055815:Young Adult
keywords: Alcohol; Condom use resistance; Impulsivity; Sexual aggression