Young women's alcohol expectancies for sexual risk-taking mediate the link between sexual enhancement motives and condomless sex when drinking

J Behav Med. 2016 Oct;39(5):925-30. doi: 10.1007/s10865-016-9760-8. Epub 2016 Jun 24.

Abstract

Alcohol use is prevalent among young women. Alcohol expectancies for sexual risk-taking and sexual enhancement motives have been associated with decreased condom use. This study investigated whether alcohol expectancies for sexual risk-taking mediated the association between sexual enhancement motives and condom use. Young women (N = 287, M age = 20.1) completed a survey assessing alcohol expectancies for sexual risk-taking, sexual enhancement motives, and characteristics of their most recent sexual encounter involving alcohol. Most participants (66.9 %) reported unprotected sex during their last sexual encounter involving alcohol. Higher sexual enhancement motives (OR = 1.35, p = .019) and alcohol expectancies for sexual risk-taking (OR = 1.89, p < .001) were associated with increased likelihood of condomless sex. Alcohol expectancies for sexual risk-taking mediated the association between sexual enhancement motives and condomless vaginal sex. Within the context of sexual encounters involving alcohol, expectancies that drinking may result in sexual risk-taking may account for why sexual enhancement motives relate to decreased condom use.

Keywords: Alcohol expectancies; Condom use; Expectancy motive theory; Sex motives; Young women.

MeSH terms

  • Alcohol Drinking / psychology*
  • Female
  • Humans
  • Risk-Taking*
  • Sexual Behavior / psychology
  • Sexual Partners*
  • Surveys and Questionnaires
  • Unsafe Sex / psychology*
  • Young Adult