Women\u27s Response Performance in Sexually Risky Situations: Associations with Sexual Victimization History, Alcohol Use, Psychopathology, and Sexual Attitudes

This study evaluated the effects of sexual victimization history, alcohol use, psychopathology, and sexual attitudes on the effectiveness of women’s response performance in hypothetical social situations depicting risk for sexual victimization. Two hundred and fifty undergraduate women first listened to audiotaped descriptions of the hypothetical social situations. They then were given a response to each situation deemed in prior work by experts in the sexual victimization field to be effective at reducing victimization risk and asked to provide each response verbally while they were being videotaped. Participants then completed measures assessing prior victimization history, alcohol use, psychopathology, and sexual attitudes. Experts in the sexual violence research area then rated participants’ responses with respect to how effective each response was in decreasing their risk for having an unwanted sexual experience, defined as an experience in which a woman may be verbally or physically coerced into having a sexual contact of any kind with a man. Structural equation modeling analyses revealed that none of the measures were significantly associated with women’s response performance. Implications for sexual assault prevention programs are discussed

Associations among impulsivity, adverse childhood experiences, and desirability of first sexual experience on substance use and sexual risk taking in justice-involved male adolescents

Adolescent substance use is a serious public health problem (Johnston et al., 2016). Notably in adolescents, adverse childhood experiences including unwanted sexual experiences (Wills et al., 2001; Negriff, Schneiderman, & Trickett, 2015) and impulsive sensation seeking (impulsivity) (Donohew et al., 2000; Fernández-Artamendi et al., 2016) are linked to adolescent substance use and high-risk sexual behaviors. Research also suggests delinquent youths are particularly vulnerable to substance use disorders and sexually risky behaviors (Pinto et al., 2015). Given the health consequences of both prolonged substance abuse and risky sexual behaviors, identifying additional risk factors is critical to help inform interventions for high-risk youth. Data from 314 males, recruited as part of a randomized clinical trial (N = 460) evaluating a theory-based intervention to reduce sexually risky behaviors among justice-involved adolescents, were used for this analysis. Participants completed assessments of adverse childhood experiences, impulsivity, sociosexuality, substance use histories, alcohol/marijuana problems and dependency, and sexual histories. Structural equational modeling (SEM) was used to examine the influence of impulsivity, adverse childhood experiences, sociosexuality, and desirability of first sexual encounter on sexual risk taking and substance use. The final structural equation model including desirability of first sexual encounter, adverse childhood experiences, and impulsivity as exogenous predictors revealed good model fit, χ2(28) = 37.758, p = 0.1031, RMSEA = .033 (90% CI [.000–.058]), CFI = 0.976, WRMR = 0.678. More adverse childhood experiences were associated with higher levels of substance use (β = 0.206, p = .002), greater desirability of first sexual encounter was associated with more sexual risk taking (β = 0.246, p = .007), and higher impulsivity was associated with higher levels of substance use (β = 0.464, p \u3c .001) and more sexual risk taking (β = 0.336, p = .001). Implications for future research and interventions for this vulnerable population are discussed