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AIDS and Behavior

, Volume 20, Supplement 1, pp 40–51 | Cite as

Does Drinking Improve the Quality of Sexual Experience?: Sex-Specific Alcohol Expectancies and Subjective Experience on Drinking Versus Sober Sexual Occasions

  • M. Lynne Cooper
  • Ross E. O’Hara
  • Jorge Martins
Original Paper

Abstract

The present study compared the self-reported quality of emotional experiences on sexual occasions that differed in levels of alcohol consumption to determine whether widely held beliefs about alcohol’s positive effects on sex are borne out in people’s everyday sexual experience. Multilevel models were estimated using data from 7442 discrete sexual events collected over a 10+ year period from a community sample of 1946 Black and White young adults. Tests of between-person differences revealed that beliefs that drinking both enhances and disinhibits sexual experience are widely endorsed, and that those who hold strong expectancies for enhancement drink significantly more on sexual occasions than those who do not. Nevertheless, tests of within-person differences revealed that people’s sexual experiences were generally less positive on drinking than sober occasions, even after controlling for a host of individual difference and event-level characteristics. Moreover, cross-level expectancy × alcohol interaction tests showed that even those who strongly endorsed alcohol’s positive effects failed to report more positive sexual experiences on drinking versus sober occasions, with a single exception: Those with strong expectancies for sexual enhancement reported greater arousal at high consumption levels, whereas those with weak enhancement expectancies reported lower arousal. In short, drinking on sexual occasions failed to deliver any benefit for the majority of individuals across the majority of outcomes. Why positive beliefs are maintained in the face of largely contradictory experience, and how this information can be used to inform intervention and prevention is explored.

Keywords

Alcohol-related sex expectancies Alcohol use Sexual experience Event-level analyses Within-person analyses 

References

  1. 1.
    Dermen KH, Cooper ML. Sex-related alcohol expectancies among adolescents: I. Scale development. Psychol Addict Behav. 1994;8:152–60.CrossRefGoogle Scholar
  2. 2.
    Leigh BC. The relationship of sex-related alcohol expectancies to alcohol consumption and sexual behavior. Br J Addict. 1990;85:919–28.PubMedCrossRefGoogle Scholar
  3. 3.
    George WH, Stoner SA. Understanding acute alcohol effects on sexual behavior. Annu Rev Sex Res. 2000;11:92–124.PubMedGoogle Scholar
  4. 4.
    Dermen KH, Cooper ML. Sex-related alcohol expectancies among adolescents: II. Prediction of drinking in social and sexual situations. Psychol Addict Behav. 1994;8:161–8.CrossRefGoogle Scholar
  5. 5.
    Hendershot CS, Stoner SA, George WH, Norris J. Alcohol use, expectancies, and sexual sensation seeking as correlates of HIV risk behavior in heterosexual young adults. Psychol Addict Behav. 2007;21(3):365–72.PubMedPubMedCentralCrossRefGoogle Scholar
  6. 6.
    Kalichman SC, Cain D, Zweben A, Swain G. Sensation seeking, alcohol use and sexual risk behaviors among men receiving services at a clinic for sexually transmitted infections. Q J Stud Alcohol. 2003;64(4):564–9.CrossRefGoogle Scholar
  7. 7.
    Kalichman SC, Simbayi LC, Jooste S, Cain D, Cherry C. Sensation seeking, alcohol use, and sexual behaviors among sexually transmitted infection clinic patients in Cape Town, South Africa. Psychol Addict Behav. 2006;20(3):298–304.PubMedCrossRefGoogle Scholar
  8. 8.
    Kalichman SC, Tannenbaum L, Nachimson D. Personality and cognitive factors influencing substance use and sexual risk for HIV infection among gay and bisexual men. Psychol Addict Behav. 1998;12(4):262–71.CrossRefGoogle Scholar
  9. 9.
    Kalichman SC, Cain D. The relationship between indicators of sexual compulsivity and high risk sexual practices among men and women receiving services from a sexually transmitted infection clinic. J Sex Res. 2004;41(3):235–41.PubMedCrossRefGoogle Scholar
  10. 10.
    White HR, Fleming CB, Catalano RF, Bailey JA. Prospective associations among alcohol use-related sexual enhancement expectancies, sex after alcohol use, and casual sex. Psychol Addict Behav. 2009;23(4):702–7.PubMedPubMedCentralCrossRefGoogle Scholar
  11. 11.
    Monk RL, Heim D. A critical systematic review of alcohol-related outcome expectancies. Subst Use Misuse. 2013;48:539–57.PubMedCrossRefGoogle Scholar
  12. 12.
    Cooper ML. Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence. J Stud Alcohol Suppl. 2002;14:101–17.PubMedCrossRefGoogle Scholar
  13. 13.
    Cooper ML. Does drinking promote risky sexual behavior? A complex answer to a simple question. Curr Dir Psychol Sci. 2006;15:19–23.CrossRefGoogle Scholar
  14. 14.
    Crowe LC, George WH. Alcohol and human sexuality: review and integration. Psychol Bull. 1989;105(3):374–86.PubMedCrossRefGoogle Scholar
  15. 15.
    George WH, Norris J, Nguyen HV, Masters T, Davis KC. Sexuality and Health. In: Tolman DL, Diamond LM, editors. APA handbook of sexuality and psychology. Washinton: APA Books; 2014.Google Scholar
  16. 16.
    George WH, Gilmore AK. Alcohol’s effects on sexual arousal and sexual functioning. In: Miller P, editor. Principles of addiction. London: Elsevier Academic Press; 2013.Google Scholar
  17. 17.
    Weinhardt L, Carey M. Does alcohol lead to sexual risk behavior? Findings from event-level research. Annu Rev Sex Res. 2000;11:125–57.PubMedPubMedCentralGoogle Scholar
  18. 18.
    Leigh BC, Stall R. Substance use and risky sexual behavior for exposure to HIV. Issues in methodology, interpretation, and prevention. Am Psychol. 1993;48(10):1035–45.PubMedPubMedCentralCrossRefGoogle Scholar
  19. 19.
    Harvey SM, Beckman SJ. Alcohol consumption, female sexual behavior and contraceptive use. J Stud Alcohol Drugs. 1986;47(4):327–32.CrossRefGoogle Scholar
  20. 20.
    Patrick ME, Maggs JL. Does drinking lead to sex? Daily alcohol-sex behaviors and expectancies among college students. Psychol Addict Behav. 2009;23(3):472–81.PubMedPubMedCentralCrossRefGoogle Scholar
  21. 21.
    Pashler H, Harris CR. Is the replicability crisis overblown? Three arguments examined. Perspect Psychol Sci. 2012;7(6):531–6.PubMedCrossRefGoogle Scholar
  22. 22.
    Lindman RE, Koskelainen BM, Eriksson CJ. Drinking, menstrual cycle and female sexuality: a diary. Alcohol Clin Exp Res. 1999;23:169–73.PubMedGoogle Scholar
  23. 23.
    Gilmore AK, George WH, Nguyen HV, Heiman JR, Davis KC, Norris J. Influences of situational factors and alcohol expectancies on sexual desire and arousal among heavy-episodic drinking women: acute alcohol intoxication and condom availability. Arch Sex Behav. 2013;42:949–59.PubMedPubMedCentralCrossRefGoogle Scholar
  24. 24.
    Cooper ML, Krull JL, Agocha VB, Flanagan M, Grabe SA, Orcutt HK, Jackson M, Dermen KH. Motivational pathways to alcohol use and abuse among black and white adolescents. J Abnorm Psychol. 2008;117:485–501.PubMedCrossRefGoogle Scholar
  25. 25.
    Cooper ML. Toward a person X situation model of sexual risk-taking behaviors: illuminating the conditional effects of traits across sexual situations and relationship contexts. J Pers Soc Psychol. 2010;98:319–41.PubMedCrossRefGoogle Scholar
  26. 26.
    Cooper ML, Orcutt HK. Drinking and sexual experience on first dates among adolescents. J Abnorm Psychol. 1997;106:191–202.PubMedCrossRefGoogle Scholar
  27. 27.
    Raudenbush SW, Bryk AS, Cheong YF, Congdon R, du Toit M. HLM 7: hierarchical linear and nonlinear modeling. Lincolnwood: Scientific Software International; 2013.Google Scholar
  28. 28.
    Tabachnick BG, Fidell LS. Using Multivariate statistics. 4th ed. Boston: Pearson; 2000.Google Scholar
  29. 29.
    Nezlek J. Multilevel random coefficient analyses of event- and interval-contingent data in social and personality psychology research. Pers Soc Psychol Bull. 2001;27:771–85.CrossRefGoogle Scholar
  30. 30.
    Enders CK, Tofighi D. Centering predictor variables in cross-sectional multilevel models: a new look at an old issue. Psychol Methods. 2007;12(2):121–38.PubMedCrossRefGoogle Scholar
  31. 31.
    Aiken LS, West SG. Multiple regression: testing and interpreting interactions. Newbury Park: Sage; 1991.Google Scholar
  32. 32.
    Raudenbush SW, Bryk AS. Hierarchical linear models archived abstract of former PSC researcher. Thousand Oaks: Sage; 2002.Google Scholar
  33. 33.
    Fischer P, Greitemeyer T, Kastenmüller A, Vogrincic C, Sauer A. The effects of risk-glorifying media exposure on risk-positive cognitions, emotions, and behaviors: a meta-analytic review. Psychol Bull. 2011;137:367–90.PubMedCrossRefGoogle Scholar
  34. 34.
    Wills TA, Sargent JD, Gibbons FX, Gerrard M, Stoolmiller M. Movie exposure to alcohol cues and adolescent alcohol problems: a longitudinal analysis in a national sample. Psychol Addict Behav. 2009;23:23–35.PubMedPubMedCentralCrossRefGoogle Scholar
  35. 35.
    Collins RL, Elliott MN, Berry SH, Kanouse DE, Kunkel D, Hunter SB, Miu A. Watching sex on television predicts adolescent initiation of sexual behavior. Pediatrics. 2004;114:280–9.CrossRefGoogle Scholar
  36. 36.
    Durant RH, Rome ES, Rich M, Allred E, Emans SJ, Woods ER. Tobacco and alcohol use behaviors portrayed in music videos: a content analysis. Am J Public Health. 1997;87:1131–5.PubMedPubMedCentralCrossRefGoogle Scholar
  37. 37.
    Jensen RE, Jensen JD. Entertainment media and sexual health: a content analysis of sexual talk, behavior, and risks in a popular television series. Sex Roles. 2007;56:275–84.CrossRefGoogle Scholar
  38. 38.
    Connors GJ, Maisto SA, Dermen KM. Alcohol-related expectancies and their applications to treatment. In: Watson II, editor. Alcohol abuse treatment. Totowa: Humana Press; 1992.Google Scholar
  39. 39.
    Darkes J, Goldman MS. Expectancy challenge and drinking reduction: experimental evidence for a mediational process. J Consult Clin Psychol. 1993;61:344–53.PubMedCrossRefGoogle Scholar
  40. 40.
    Darkes J, Goldman MS. Expectancy challenge and drinking reduction: process and structure in the alcohol expectancy network. Exp Clin Psychopharmacol. 1998;6:64–76.PubMedCrossRefGoogle Scholar
  41. 41.
    Lau-Barraco C, Dunn ME. Evaluation of a single-session expectancy challenge intervention to reduce alcohol use among college students. Psychol Addict Behav. 2008;22:169–75.CrossRefGoogle Scholar
  42. 42.
    Wiers RW, van de Luitgaarden J, van den Wildenberg E, Smulders FT. Challenging implicit and explicit alcohol-related cognitions in young heavy drinkers. Addiction. 2005;100:806–19.PubMedCrossRefGoogle Scholar
  43. 43.
    Larimer ME, Cronce JM. Identification, prevention, and treatment revisited: individual-focused college drinking prevention strategies 1999–2006. Addict Behav. 2007;32:2439–68.PubMedCrossRefGoogle Scholar
  44. 44.
    Borsari B, Carey KB. Effects of a brief motivational intervention with college student drinkers. J Consult Clin Psychol. 2000;68:728–33.PubMedCrossRefGoogle Scholar
  45. 45.
    Schwarz N. Self-reports: how the questions shape the answers. Am Psychol. 1999;54(2):93–105.CrossRefGoogle Scholar
  46. 46.
    Schaeffer N. Asking questions about threatening topics: a selective overview. In: Stone AA, Turkkan JS, Bachrach C, editors. The science of self-report: implications for research and practice. Mahwah: Erlbaum; 2000.Google Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • M. Lynne Cooper
    • 1
  • Ross E. O’Hara
    • 2
  • Jorge Martins
    • 1
  1. 1.Department of Psychological SciencesUniversity of Missouri ColumbiaColumbiaUSA
  2. 2.Department of PsychiatryUniversity of Connecticut Health CenterFarmingtonUSA

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