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Condom-Insistence Conflict in Women's Alcohol-Involved Sexual Encounters with a New Male Partner
Amanda E B Bryan1, Jeanette Norris1, Devon Alisa Abdallah1
1Alcohol and Drug Abuse Institute, University of Washington.
Psychology of Women Quarterly
|May 4, 2018
Summary
First-time sex with new partners increases STI risk for women. Alcohol can impair condom decision-making by reducing conflict, leading to less condom use.
Area of Science:
- Public Health
- Psychology
- Sociology
Background:
- First-time sexual intercourse with a new partner poses a higher risk of sexually transmitted infections (STIs) for women.
- Women's condom decision-making during these encounters, especially when alcohol is involved, is not well understood.
Purpose of the Study:
- To investigate women's condom-related decision-making during alcohol-involved first-time sexual encounters with new partners.
- To examine the influence of alcohol consumption on condom use and conflict during these encounters.
Main Methods:
- Surveyed 179 women (aged 18-30) about alcohol consumption, condom desire, perceived partner's condom desire, condom-insistence conflict, abdication, and condom use.
- Utilized structural equation modeling to test cognitive mediation models of alcohol's effects on condom decision-making.
Main Results:
- A moderated mediation model best explained the data.
- Condom-insistence conflict increased abdication and decreased condom use, particularly when women desired condoms but perceived their partner did not.
- Higher alcohol intoxication weakened the link between condom desire (self and partner) and conflict.
Conclusions:
- Findings support an "alcohol myopia-conflict inhibition-reduction" model.
- Highlights the need for sex education programs addressing condom assertiveness, alcohol's effects, and conflict management during sexual encounters.