Masters N Tatiana, George William H, Davis Kelly Cue, Norris Jeanette, Heiman Julia R, Jacques-Tiura Angela J, Gilmore Amanda K, Nguyen Hong V, Kajumulo Kelly F, Otto Jacqueline M, Stappenbeck Cynthia A
a School of Social Work , University of Washington.
J Sex Res. 2014;51(5):586-98. doi: 10.1080/00224499.2012.763086. Epub 2013 May 29.
Sexually victimized women may make sexual decisions differently than nonvictimized women. This study used an eroticized scenario and laboratory alcohol administration to investigate the roles of victimization history, intoxication, and relationship context in women's perceptions of a male partner and their subsequent intentions for unprotected sex. A community sample of 436 women completed childhood sexual abuse (CSA) and adolescent/adult sexual assault (ASA) measures. After random assignment to an alcohol or control condition, participants read and projected themselves into a sexual scenario that depicted the male partner as having high or low potential for a lasting relationship. Participants rated their perceptions of his intoxication, sexually transmitted infection (STI) risk level, and anticipated reactions to insistence on condom use. They then indicated their likelihood of allowing the partner to decide how far to go sexually (abdication) and of engaging in unprotected sex. Structural equation modeling (SEM) analyses revealed that intoxication predicted greater unprotected sex likelihood indirectly via abdication. CSA and ASA predicted partner perceptions, which in turn predicted unprotected sex likelihood. These findings indicate that, compared to their nonvictimized counterparts, sexually victimized women may respond differently in sexual encounters partly as a function of their perceptions of partners' STI risk and anticipated reactions to condom insistence.
遭受性侵害的女性做出性决策的方式可能与未受侵害的女性不同。本研究采用一个带有情色意味的场景和实验室酒精给药的方式，来探究受害经历、醉酒状态和关系背景在女性对男性伴侣的认知以及她们随后进行无保护性行为的意图中所起的作用。一个由436名女性组成的社区样本完成了童年期性虐待（CSA）和青少年/成年期性侵犯（ASA）的测量。在被随机分配到酒精组或对照组后，参与者阅读并设想自己置身于一个性场景中，该场景将男性伴侣描绘为具有高或低的建立持久关系的可能性。参与者对他们对其醉酒程度、性传播感染（STI）风险水平的认知，以及对坚持使用避孕套的预期反应进行了评分。然后，他们表明了允许伴侣决定性行为进展程度（放弃决定权）以及进行无保护性行为的可能性。结构方程模型（SEM）分析显示，醉酒通过放弃决定权间接预测了更高的无保护性行为可能性。童年期性虐待和青少年/成年期性侵犯预测了对伴侣的认知，而这反过来又预测了无保护性行为的可能性。这些发现表明，与未受侵害的女性相比，遭受性侵害的女性在性接触中的反应可能有所不同，部分原因在于她们对伴侣性传播感染风险的认知以及对坚持使用避孕套的预期反应。
