Alcohol use is prevalent among young women. Alcohol expectancies for sexual risk-taking and sexual enhancement motives have been associated with decreased condom use. This study investigated whether alcohol expectancies for sexual risk-taking mediated the association between sexual enhancement motives and condom use. Young women (N = 287, M age = 20.1) completed a survey assessing alcohol expectancies for sexual risk-taking, sexual enhancement motives, and characteristics of their most recent sexual encounter involving alcohol. Most participants (66.9 %) reported unprotected sex during their last sexual encounter involving alcohol. Higher sexual enhancement motives (OR = 1.35, p = .019) and alcohol expectancies for sexual risk-taking (OR = 1.89, p < .001) were associated with increased likelihood of condomless sex. Alcohol expectancies for sexual risk-taking mediated the association between sexual enhancement motives and condomless vaginal sex. Within the context of sexual encounters involving alcohol, expectancies that drinking may result in sexual risk-taking may account for why sexual enhancement motives relate to decreased condom use.
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Abbey, A., Parkhill, M. R., Buck, P. O., & Saenz, C. (2007). Condom use with a casual partner: What distinguishes college students’ use when intoxicated? Psychology of Addictive Behaviors, 21, 76–83.
Baliunas, D., Rehm, J., Irving, H., & Shuper, P. (2010). Alcohol consumption and risk of incident Human Immunodeficiency Virus infection: A meta-analysis. International Journal Of Public Health, 55, 159–166.
Brown, J. L., & Vanable, P. A. (2007). Alcohol use, partner type, and risky sexual behavior among college students: Findings from an event-level study. Addictive Behaviors, 32, 2940–2952.
CDC. (2013). Sexually transmitted disease surveillance 2012. Atlanta, GA: U.S. Department of Health and Human Services.
CDC. (2014a). HIV among women. http://www.cdc.gov/hiv/pdf/risk_women.pdf.
CDC. (2014b). 2013 Sexually Transmitted Diseases Surveillance: STDs in adolescents and young adults. GA: Atlanta.
Chen, C. M., Dufour, M. C., & Yi, H.-Y. (2004). Alcohol consumption among young adults ages 18–24 in the United States: Results from the 2001–2002 NESARC survey. Alcohol Research & Health, 28, 269–280.
Cooper, M. L. (2002). Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol, Supplement Number, 14, 101–117.
Cooper, M. L. (2006). Does drinking promote risky sexual behavior? A complex answer to a simple question. Current Directions in Psychological Science, 15, 19–23.
Cooper, M. L., Agocha, V. B., & Sheldon, M. S. (2000). A motivational perspective on risky behaviors: The role of personality and affect regulatory processes. Journal of Personality, 68, 1059–1088.
Cooper, M. L., Shapiro, C. M., & Powers, A. M. (1998). Motivations for sex and risky sexual behavior among adolescents and young adults: A functional perspective. Journal of Personality and Social Psychology, 75, 1528–1558.
Dermen, K. H., & Cooper, M. L. (1994). Sex-related alcohol expectancies among adolescents: I. Scale development. Psychology of Addictive Behaviors, 8, 152–160.
Dermen, K. H., & Cooper, M. L. (2000). Inhibition conflict and alcohol expectancy as moderators of alcohol’s relationship to condom use. Experimental and Clinical Psychopharmacology, 8, 198–206.
Dermen, K. H., Cooper, M. L., & Agocha, V. B. (1998). Sex-related alcohol expectancies as moderators of the relationship between alcohol use and risky sex in adolescents. Journal of Studies on Alcohol, 59, 71–77.
Desiderato, L. L., & Crawford, H. J. (1995). Risky sexual behavior in college students: Relationships between number of sexual partners, disclosure of previous risky behavior, and alcohol use. Journal of Youth and Adolescence, 24, 55–68.
Dingle, G. A., & Oei, T. P. S. (1997). Is alcohol a cofactor of HIV and AIDS? Evidence from immunological and behavioral studies. Psychological Bulletin, 122, 56–71.
Foster, K. T., Hicks, B. M., Iacono, W. G., & McGue, M. (2014). Alcohol use disorder in women: Risks and consequences of an adolescent onset and persistent course. Psychology of Addictive Behaviors, 28, 322–335.
George, W. H., & Stoner, S. A. (2000). Understanding acute alcohol effects on sexual behavior. Annual Review of Sex Research, 11, 92.
George, W. H., Stoner, S. A., Norris, J., Lopez, P. A., & Lehman, G. L. (2000). Alcohol expectancies and sexuality: A self-fulfilling prophecy analysis of dyadic perceptions and behavior. Journal of Studies on Alcohol, 61, 168–176.
Grossbard, J. R., Lee, C. M., Neighbors, C., Hendershot, C. S., & Larimer, M. E. (2007). Alcohol and risky sex in athletes and nonathletes: What role do sex motives play? Journal of Studies on Alcohol and Drugs, 68, 566–574.
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis. New York: The Guilford Press.
Hendershot, C. S., Stoner, S. A., George, W. H., & Norris, J. (2007). Alcohol use, expectancies, and sexual sensation seeking as correlates of HIV risk behavior in heterosexual young adults. Psychology of Addictive Behaviors, 21, 365–372.
Kuntsche, E., Knibbe, R., Engles, R., & Gmel, G. (2007). Drinking motives as mediators of the link between alcohol expectancies and alcohol use among adolescents. Journal of Studies on Alcohol and Drugs, 68, 76–85.
LaBrie, J. W., Schiffman, J., & Earleywine, M. (2002). Expectancies specific to condom use mediate the alcohol and sexual risk relationship. Journal of Sex Research, 39, 145–152.
Leigh, B. C., Vanslyke, J. G., Hoppe, M. J., Rainey, D. T., Morrison, D. M., & Gillmore, M. R. (2008). Drinking and condom use: Results from an event-based daily diary. AIDS and Behavior, 12, 104–112.
Patrick, M. E., & Maggs, J. L. (2009). Does drinking lead to sex? Daily alcohol-sex behaviors and expectancies among college students. Psychology of Addictive Behaviors, 23, 472–481.
Peterson, J. B., Rothfleisch, J., Zelazo, P. D., & Pihl, R. O. (1990). Acute alcohol intoxication and cognitive functioning. Journal of Studies on Alcohol, 51, 114–122.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.
Schroder, K. E., Carey, M. P., & Vanable, P. A. (2003). Methodological challenges in research on sexual risk behavior: I. Item content, scaling, and data analytical options. Annals of Behavioral Medicine, 26, 76–103.
Senf, J. H., & Price, C. Q. (1994). Young adults, alcohol and condom use: What is the connection? Journal of Adolescent Health, 15, 238–244.
Substance Abuse and Mental Health Services Administration (SAMHSA). (2005). Results from the 2004 National Survey on Drug Use and Health: National Findings.
U.S. Department of Health and Human Services. (2007). The Surgeon General’s call to action to prevent and reduce underage drinking. http://www.camy.org/_docs/resources/fact-sheets/Call_To_Action.pdf.
Walsh, J. L., Fielder, R. L., Carey, K. B., & Carey, M. P. (2014). Do alcohol and marijuana use decrease the probability of condom use for college women? Journal of Sex Research, 51, 145–158.
Weinhardt, L. S., & Carey, M. P. (2000). Does alcohol lead to sexual risk behavior? Findings from event-level research. Annual Review of Sexual Research, 11, 125–157.
White, H. R., Fleming, C. B., Catalano, R. F., & Bailey, J. A. (2009). Prospective associations among alcohol use-related sexual enhancement expectancies, sex after alcohol use, and casual sex. Psychology of Addictive Behaviors, 23, 702–707.
This research was supported by grants from the National Institute of Drug Abuse (R03DA0377860) to Jennifer L. Brown, the National Institute on Alcohol Abuse and Alcoholism to Amelia Talley (R00AA019974), and research development funds from Texas Tech University to Jennifer L. Brown.
Conflict of interest
Jennifer L. Brown, Amelia E. Talley, Andrew K. Littlefield, Nicole K. Gause, declare that they have no conflict of interest.
Human and animal rights and Informed consent
All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.
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Brown, J.L., Talley, A.E., Littlefield, A.K. et al. Young women’s alcohol expectancies for sexual risk-taking mediate the link between sexual enhancement motives and condomless sex when drinking. J Behav Med 39, 925–930 (2016). https://doi.org/10.1007/s10865-016-9760-8
- Alcohol expectancies
- Sex motives
- Condom use
- Expectancy motive theory
- Young women