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Examination of Sex-Related Distress and Self-Medication Drinking Model in U.S. College Women
Journal of Sex Research ( IF 4.453 ) Pub Date : 2022-03-11 , DOI: 10.1080/00224499.2022.2044444
Elizabeth R. Bird 1 , Cynthia A. Stappenbeck 2 , Jessica Blayney 3 , Debra Kaysen 4 , William H. George 1
Affiliation  

ABSTRACT

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:

美国女大学生性焦虑和自我药物饮酒模式的检查

摘要

大学中的成人性侵犯(ASA)仍然是一个问题。因此,许多大学年龄的女性在性活动(与性相关的痛苦)方面经历了负面情绪。与自我药疗理论一致,一些饮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和负面的性后果。有 ASA 病史的女性如何应对性状况并应对与性有关的痛苦正在研究中。我们检查了 ASA、与性相关的痛苦和饮酒以应对动机,以了解性行为前饮酒的相关性。大学一年级和二年级女性(n = 300) 报告了过去六周内最近的性经历。在整个样本中,ASA 的严重程度与性行为前饮酒的可能性更大有关,而一般性相关的痛苦与较低的可能性有关。一般性相关的痛苦与特定事件的性相关的痛苦和性后果有关。在基于 ASA 的性活动期间,性前饮酒或主观中毒的数量没有差异。在性活动前饮酒的女性子样本中(n  = 179),饮酒以应对与性相关的痛苦动机调节了与性相关的痛苦与性后果之间的关联。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物饮酒。

更新日期:2022-03-11
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