title: Precollege Predictors of Incapacitated Rape Among Female Students in Their First Year of College.
abstract: OBJECTIVE
  The first year of college is an important transitional period for young adults; it is also a period associated with elevated risk of incapacitated rape (IR) for female students. The goal of this study was to identify prospective risk factors associated with experiencing attempted or completed IR during the first year of college.
  
  
  METHODS
  Using a prospective cohort design, we recruited 483 incoming first-year female students. Participants completed a baseline survey and three follow-up surveys over the next year. At baseline, we assessed precollege alcohol use, marijuana use, sexual behavior, and, for the subset of sexually experienced participants, sex-related alcohol expectancies. At the baseline and all follow-ups, we assessed sexual victimization.
  
  
  RESULTS
  Approximately 1 in 6 women (18%) reported IR before entering college, and 15% reported IR during their first year of college. In bivariate analyses, precollege IR history, precollege heavy episodic drinking, number of precollege sexual partners, and sex-related alcohol expectancies (enhancement and disinhibition) predicted first-year IR. In multivariate analyses with the entire sample, only precollege IR (odds ratio = 4.98, p < .001) remained a significant predictor. However, among the subset of sexually experienced participants, both enhancement expectancies and precollege IR predicted IR during the study year.
  
  
  CONCLUSIONS
  IR during the first year of college is independently associated with a history of IR and with expectancies about alcohol's enhancement of sexual experience. Alcohol expectancies are a modifiable risk factor that may be a promising target for prevention efforts.
authors.affiliation: Brown University School of Public Health, Providence, Rhode Island.
authors.forename: Kate B
authors.initials: KB
authors.lastname: Carey
authors.affiliation: Brown University School of Public Health, Providence, Rhode Island.
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Durney
authors.affiliation: Syracuse Veterans Affairs Center for Integrated Healthcare, Syracuse, NewYork.
authors.forename: Robyn L
authors.initials: RL
authors.lastname: Shepardson
authors.affiliation: The Miriam Hospital & Brown University, Providence, Rhode Island.
authors.forename: Michael P
authors.initials: MP
authors.lastname: Carey
mesh_terms: D000293:Adolescent; D000428:Alcohol Drinking / Q000009:adverse effects / Q000453:epidemiology; D019548:Crime Victims / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D011446:Prospective Studies; D011902:Rape / Q000706:statistics & numerical data*; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012747:Sexual Partners; D013334:Students / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014495:Universities; D055815:Young Adult