The Center for Cognitive and Behavioral Therapy of Greater Columbus, Inc., Columbus, Ohio.
Department of Psychology, Northern Illinois University, DeKalb, Illinois.
J Stud Alcohol Drugs. 2014 May;75(3):399-403. doi: 10.15288/jsad.2014.75.399.
The goal of this study was to examine motivations for engaging in risky sexual behaviors (RSBs) and factors that may increase the likelihood of engaging in RSB. RSB was defined as not using condoms during intercourse and having intercourse with poorly known partners, which were treated separately with regard to analyses.
Utilizing a weekly diary methodology, the present study examined whether using situation-specific coping strategies (e.g, using alcohol to reduce negative affect and sex to reduce negative affect) and whether subjective reports of intoxication significantly predicted if participants would engage in RSB. Female college students (N = 93) completed a weekly computerized questionnaire for 8 weeks reporting on their sexual behavior, their level of intoxication, and use of strategies (i.e., sex and alcohol) to reduce negative affect at the time of the sexual encounter.
Using hierarchical linear modeling, results indicated that level of intoxication was the sole significant main effect related to engaging in RSB; specifically, level of intoxication was positively related to sex with a poorly known partner.
Alcohol use, as opposed to motivation for intercourse, is an important area to focus on with regard to prevention of RSB.
本研究旨在探讨参与危险性行为（RSB）的动机以及可能增加参与 RSB 的可能性的因素。RSB 被定义为在性交时不使用安全套和与知之甚少的伴侣发生性关系，这在分析时是分开处理的。
本研究利用每周日记法，考察了是否使用特定情境的应对策略（例如，饮酒以减轻负面情绪和性行为以减轻负面情绪）以及主观报告的醉酒程度是否显著预测参与者是否会参与 RSB。93 名女大学生（N=93）完成了为期 8 周的每周计算机化问卷调查，报告他们的性行为、醉酒程度以及在性行为时使用策略（即性和酒精）来减轻负面情绪的情况。
使用分层线性建模，结果表明，醉酒程度是唯一与参与 RSB 相关的显著主要效应；具体而言，醉酒程度与与知之甚少的伴侣发生性关系呈正相关。
与性交动机相比，饮酒是预防 RSB 的一个重要关注领域。
