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Area of Science:

  • Public Health
  • Sociology
  • Psychology

Background:

  • Sexual consent is critical for distinguishing consensual sex from sexual assault.
  • Alcohol-involved sexual assault is a significant public health concern.
  • Many college students report engaging in sexual activity under the influence of alcohol, termed 'consensual drunk sex.'

Purpose of the Study:

  • To explore college students' perceptions of consensual alcohol-involved sexual encounters.
  • To understand how students determine and communicate consent when alcohol is involved.
  • To identify cues and processes students use to establish consent in these situations.

Main Methods:

  • Conducted 30 qualitative interviews with college students.
  • Explored participants' alcohol-involved sexual experiences, focusing on consent communication and determination.
  • Transcribed interviews and analyzed data using reflective thematic analysis.

Main Results:

  • Identified six themes in determining alcohol-involved consent: pre-consent in alcohol-intensive environments, initial consent cues from socializing, consent suggested by leaving such environments, necessity of immediate pre-behavioral consent communication, sober reflection for consent determination, and perceived risks.
  • Students rely on a sequential range of cues, from initial social interactions to post-encounter sober reflection.
  • Findings highlight the intricate nature of consent communication, especially with alcohol involvement.

Conclusions:

  • College students utilize a complex, multi-stage process to ascertain consent in alcohol-involved sexual encounters.
  • These findings underscore the nuanced challenges in consent communication, particularly when alcohol impacts decision-making.
  • Health promotion and sexual assault prevention programs must address these complexities and subtleties of consent.