Department of Psychology, University at Buffalo, State University of New York.
School of Nursing, University at Buffalo, State University of New York.
Psychol Addict Behav. 2021 Sep;35(6):659-670. doi: 10.1037/adb0000737. Epub 2021 Apr 12.
Simultaneous use of alcohol in combination with cannabis ("co-use") is common among young adults, and associated with myriad consequences. Yet no studies have examined how co-use may confer vulnerability for sexual assault (SA). Further, though both co-use and SA commonly occur in social settings, there have been no examinations of the role that co-use may play in the broader social context that leads to assault risk. This was the objective of the present study. In a community sample of young adult women, ( = 174; = 22.6), we examined risk pathways to SA, guided by Routine Activities Theory (Mustaine & Tewksbury, Criminal Justice Review, 2002, 27, 89). Using a longitudinal burst design with 27 daily assessments across 1 year, women reported on their own and others' alcohol, cannabis, and co-use, and on social context and assault experiences. Multilevel path model results showed alcohol and cannabis co-use to confer unique risk for SA, above and beyond the influence of use of either substance alone. Intoxication and components of the co-use social context (proximity to offenders) mediated this risk. Importantly, we observed a key role for co-use by others within the social context in assault risk. This study adds to the literature by providing a nuanced and contextual account of how cannabis-alcohol co-use may lead to assault vulnerability in young adult women. Findings underscore the need for intervention efforts that expand their focus to include the broader social context, and the role that the use and co-use behaviors of others may play within this context. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
同时使用酒精和大麻（“共使用”）在年轻人中很常见，并且与无数后果相关。然而，没有研究检查共使用如何可能导致性侵犯（SA）的脆弱性。此外，尽管共使用和 SA 通常发生在社交环境中，但尚未研究共使用可能在导致攻击风险的更广泛的社会环境中所起的作用。这是本研究的目的。 在一项针对年轻成年女性的社区样本中（n=174；年龄=22.6），我们根据常规活动理论（Mustaine&Tewksbury，《刑事司法评论》，2002 年，27 卷，89 页）研究了导致 SA 的风险途径。使用纵向突发设计，在 1 年内进行了 27 天的每日评估，女性报告了自己和他人的酒精、大麻和共使用情况，以及社交环境和攻击经历。多水平路径模型结果表明，酒精和大麻共使用除了单独使用任何一种物质的影响外，还会对 SA 产生独特的风险。醉酒和共使用社交环境的组成部分（与犯罪者的接近程度）中介了这种风险。重要的是，我们观察到社交环境中他人的共使用在攻击风险中起着关键作用。 本研究通过提供关于大麻-酒精共使用如何导致年轻成年女性易受攻击的细致和背景化的解释，为文献增添了内容。研究结果强调了干预措施的必要性，这些措施需要扩大其重点，包括更广泛的社会环境，以及他人的使用和共使用行为在这种环境中可能发挥的作用。（PsycInfo 数据库记录（c）2021 APA，保留所有权利）。
