Adolescent sexual behavior.

Pregnancy and sexually transmitted diseases among adolescents is considered a major problem in our society. The purpose of this study is to review the past five years of professional literature on adolescent sexuality to determine the factors which influence this social phenomenon as well as effective interventions. The importance of the family and religion on sexual attitudes and behaviors, how sexual activity is related to other age-related behaviors and delinquency, the relationship between early coital behaviors and the risk of pregnancy and sexually transmitted diseases, and attitudes toward contraception and abstinence are discussed. Also addressed are the possible psychological effects of sexual activity on the development of the adolescent.     

Alcohol, sexual arousal, and intentions to use condoms in young men: applying alcohol myopia theory to risky sexual behavior.

Data from 7 studies were aggregated to examine how reported sexual arousal and alcohol intoxication interact to affect attitudes and intentions toward engaging in unprotected sexual intercourse in college-age men (N = 358). When participants were in a sober or placebo condition, their self-reports of sexual arousal had no effect on their responses. When participants were intoxicated, however, those who felt sexually aroused reported more favorable attitudes, thoughts, and intentions toward having unprotected sex than did those who did not feel aroused. These findings support alcohol myopia theory (C. M. Steele & R. A. Josephs, 1990), which states that alcohol intoxication restricts attentional capacity so that people are highly influenced by the most salient cues in their environment. It is suggested that sexual arousal is a powerful internal cue that interacts with alcohol intoxication to enhance attitudes and intentions toward risky sexual behaviors.     

Alcohol use, expectancies, and sexual sensation seeking as correlates of HIV risk behavior in heterosexual young adults.

Most theoretical models of HIV risk behavior have not considered the role of personality factors, and few studies have examined mechanisms accounting for dispositional influences on sexual risk taking. This study elaborated on a conceptual model emphasizing sexual sensation seeking, alcohol expectancies, and drinking before sex as key predictors of HIV risk (S. C. Kalichman, L. Tannenbaum, & D. Nachimson, 1998). Multiple groups structural equation modeling was used to determine whether gender moderated relationships among these variables in a sample of 611 heterosexual, young adult drinkers (49% women, 76% Caucasian, mean age = 25 years). The model provided an excellent fit to the data, and gender differences were not substantiated. Sexual sensation seeking predicted HIV risk directly as well as indirectly via sex-related alcohol expectancies and drinking in sexual contexts. Findings suggest that expectancies and drinking before sex represent proximal mechanisms through which dispositional factors influence sexual risk outcomes. Moreover, these relationships appear to be similar in men and women. Interventions could benefit from targeting alcohol expectancies and drinking before sex in individuals with a dispositional tendency toward sexual risk taking.     

Alcohol, sexual arousal, and self-control

The effects of alcohol on self-regulation were investigated using delay of gratification for viewing time for an erotic film as the primary dependent measure. Other measures included reflection--impulsivity, locus of control, sexual-guilt scores, and continuous recording of subject's penile tumescence. Using a balanced placebo design, subjects were led to believe that they had consumed an alcoholic or a nonalcoholic beverage, and half of each of these two groups received either alcohol or tonic water. In addition, the effects of three doses of alcohol (placebo, low dose, high dose) were investigated. Instructional set, regardless of drink content, resulted in longer delay times and increased thoughts with sexual content. Although there was no significant relation between increasing dose of alcohol and delay time, there was an interaction between locus-of-control scores and alcohol dose. Externalizers showed an inverse linear relation between increasing dose of alcohol and delay time. Internalizers showed the opposite trend. Implications for the self-regulation of sexual behavior under the influence of alcohol are discussed.     

Monoaminergic mediation of female sexual behavior.

Lordotic behavior was facilitated in estrogen-primed female rats by direct application of progesterone or serotonergic or beta-adrenergic receptor blockers to specific telencephalic, anterior hypothalamic-medial preoptic, or posterior hypothalamic sites. Blockade of the alpha-adrenergic system was ineffective in facilitating lordosis, as was the application of the active drugs to control sites in the thalamus or basal ganglia. Female soliciting behavior was not evoked by any of the treatments. It is concluded that the lordotic behavior component of the female rat's estrous behavior pattern is inhibited by a specific central monoaminergic system that also responds to progesterone. Soliciting behavior appears to be mediated by systems that are anatomically, and possibly neurochemically, separable from those regulating lordosis.     

Alcohol intoxication and self-aggressive behavior

Nonexperimental field studies have demonstrated an association between alcohol intoxication and self-aggressive behaviors across the spectrum of lethality. Although these results are suggestive, it is not yet known whether alcohol intoxication is causally related to self-aggression. The authors therefore experimentally examined the effects of alcohol intoxication (mean blood alcohol concentration of .10) on a behavioral measure of self-aggression in men (N = 40). After consuming either an alcohol or a placebo drink, participants were provided the opportunity to self-administer shock during a task disguised as a reaction-time game, with self-aggression defined by the intensity of shock chosen. Half of the participants observed a self-aggressive model (a potential moderator of alcohol-related self-aggression). Independent alcohol and model effects were found, with alcohol accounting for over 30% of the self-aggression variance.     

Stress, coping, and high-risk sexual behavior.

We examined the relation between stress, coping, and a high-risk sexual behavior (unprotected anal intercourse) in 398 nonmonogamous gay and bisexual men from the AIDS Behavioral Research Project in San Francisco. Unprotected anal intercourse during the previous month, the amount of stress experienced during the previous month in each of 10 domains, six types of coping (self-controlling coping, escape-avoidance, distancing, planful problem-solving, seeking social support, and positive reappraisal), and spiritual beliefs and spiritual activities were assessed through self-report. There was no relation between stress and unprotected anal intercourse. However, there was a relation between coping and unprotected anal intercourse. Subjects who reported unprotected anal intercourse used sex more of the time to help cope with stressful situations than did subjects who did not report unprotected anal intercourse. Unprotected anal intercourse was negatively associated with seeking social support and spiritual activities and positively associated with self-controlling coping, which involves keeping one's feelings to oneself, and positive reappraisal. The findings suggest that social aspects of coping may be a key to understanding differences between those who engage in high-risk sexual behavior and those who do not.     

Adolescent sexual behavior

What is known about adolescent sexual behavior is reviewed. First, the onset of sexual behavior in the teenage years is considered as a function of cohort, gender, and ethnic differences. Omissions in the research on sexual behavior other than intercourse are highlighted. Possible biological, social, and social cognitive processes underlying teenage sexual behavior are then considered. Next, demographic trends in the use of contraceptives and antecedents of regular birth control use are reviewed. Finally, some of the successful program initiatives directed toward altering sexual and contraceptive practices are discussed, keeping in mind the importance and relative lack of well-designed and carefully evaluated programs.     

Students' knowledge of AIDS and sexual risk behavior.

College students appear to be knowledgeable of the methods of transmission and risks of the AIDS virus. However, the reality of susceptibility to infection does not seem to have altered their conduct. In a study of 19 heterosexual college students, knowledge and intention do not appear to be good predictors of sexual behavior. Young people appear to continue high-risk sexual behavior even while knowledgeable of the risks of AIDS.     

Impulsive-compulsive sexual behavior

Impulsive-compulsive sexual behavior is a little studied clinical phenomenon which affects approximately 5% to 6% of the population. In the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-Text Revision, it is classified as an impulse control disorder not otherwise specified or a sexual disorder not otherwise specified. It may be placed in a possible new category in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition called substance and behavioral addictions. This clinical entity is reviewed and the merit of classifying it as an addiction is assessed. Information is presented regarding its diagnostic criteria, epidemiology, types of behavior it can involve, relationship to hypersexuality, comorbidities, treatment, and etiology. The data regarding this disorder and its overlap with chemical addiction is limited. If the two disorders are to be grouped together, further data are needed.     

Adult attachment and sexual behavior

The relations between adult attachment processes and sexuality were examined in a community sample of 792 young adults (327 men and 465 women) from the Niagara region of Canada. Participants completed questionnaires that included Simpson’s (1990) measure of adult attachment, self‐reported physical attractiveness, erotophilia, and a variety of sexual behavior measures (e.g., number of sexual partners, age of first sexual experience, frequency of sexual behaviors in the past year, whether an affair had occurred in the past year, and consistent condom usage). The sexuality measures were factor analyzed to extract common factors. The results were modest, but a number of significant relationships between sexuality and attachment were observed. For example, people scoring higher on a secure attachment index perceived themselves as more physically attractive, whereas people scoring higher on an anxious attachment index perceived themselves as less physically attractive, had an early first intercourse (and more lifetime partners), more infidelity, and took more sexual precautions (e.g., condom usage). The results were generally stronger in women, with most of the attachment/sexuality associations in the full sample being driven by the results in women. Implications for understanding sexual variability, including high‐risk sexual behavior, are discussed.     

National character and sexual behavior

Citizens of 22 nations which were rated as more extraverted had more sexual partners and had their first sexual encounter at a younger age than those in nations who were rated as less extraverted.     

Alcohol use and high-risk sexual behavior among men who have sex with men: the effects of consumption level and partner type.

Alcohol use may increase HIV sexual risk behavior, although findings have varied across study populations and methods. Using event-level data from 1,712 seronegative men who have sex with men, the authors tested the hypothesis that social context would moderate the effect of alcohol consumption on unprotected anal sex (UAS). For encounters involving a primary partner, rates of UAS did not vary as a function of alcohol use. However, consumption of 4 or more drinks tripled the likelihood of UAS for episodes involving a nonprimary partner. Thus, the effects of alcohol vary according to the context in which it is used. Interventions to reduce substance-related risk should be tailored to the demands of maintaining sexual safety with nonprimary partners.     

Risky sexual behavior among married alcoholic men.

The current study explored whether the wives of men entering alcoholism treatment are at risk for sexually transmitted infections (STIs) exposure as a result of their husbands' sexual risk behaviors. The extramarital relationships of married alcoholic men entering outpatient treatment (n = 125) were compared with those of a demographically matched community sample of nonalcoholic married men (n = 125). The proportion of alcoholic men who reported 1 or more extramarital affairs in the previous year (14%) was significantly higher than that of the community sample (4%). Additionally, only 2 alcoholic husbands and 1 nonalcoholic husband reported that his wife was aware of the extramarital relationship. For both groups, none of the men who engaged in extramarital relationships reported consistent use of condoms when having sexual intercourse with their wives or with their extramarital partners. These results suggest that wives of alcoholic men are unknowingly placed at risk for indirect exposure to STIs as a result of their husbands' sexual risk behaviors. Thus, infidelity in treatment-seeking alcohol-abusing men represents a significant public health issue.