Adult sexual assault (ASA) in college remains a concern. Consequently, many college-aged women experience negative emotions surrounding sexual activity (sex-related distress). Consistent with self-medication theory, some drink to cope with sex-related distress, which may reduce distress, but lead to greater drinking quantity before sex and negative sexual consequences. How women with ASA histories navigate sexual situations and cope with sex-related distress is under researched. We examined ASA, sex-related distress, and drinking to cope motives to understand correlates of drinking before sex. First and second year college women (n = 300) reported on a recent sexual experience in the past six weeks. In the full sample, ASA severity was associated with a greater likelihood of drinking before sex, while general sex-related distress was associated with a lower likelihood. General sex-related distress was associated with event-specific sex-related distress and sexual consequences. There were no differences in number of pre-sex drinks or subjective intoxication during sexual activity based on ASA. In a subsample of women who drank before sexual activity (n = 179), drinking to cope with sex-related distress motives mediated the association between sex-related distress and sexual consequences. Interventions can draw on these findings to target self-medication drinking in consensual sexual situations.

中文翻译：

---

美国大学女性与性相关的痛苦和自我治疗饮酒模式的检查。


大学中的成人性侵犯（ASA）仍然是一个令人担忧的问题。因此，许多大学年龄的女性会因性活动而经历负面情绪（与性有关的痛苦）。与自我药疗理论一致，一些人喝酒是为了应对与性有关的痛苦，这可能会减轻痛苦，但会导致性行为前饮酒量增加，从而产生负面的性后果。有 ASA 历史的女性如何驾驭性情境并应对与性相关的痛苦仍在研究中。我们检查了 ASA、与性相关的痛苦和饮酒应对动机，以了解性行为前饮酒的相关性。大学一年级和二年级女生 (n = 300) 报告了过去六周内最近的性经历。在完整样本中，ASA 严重程度与性行为前饮酒的可能性较大相关，而一般性相关的痛苦与较低的可能性相关。一般性相关痛苦与特定事件的性相关痛苦和性后果相关。根据 ASA，性行为前饮酒次数或性活动期间主观中毒情况没有差异。在性活动前饮酒的女性子样本中（n = 179），为了应对与性相关的痛苦动机而饮酒调节了与性相关的痛苦和性后果之间的关联。干预措施可以利用这些发现来针对自愿性行为中的自我药疗饮酒。