Husbands' and wives' alcohol use disorders and marital interactions as longitudinal predictors of marital adjustment

In this longitudinal study, the relationships among wives' and husbands' lifetime alcoholism status, marital behaviors, and marital adjustment were tested. Participants were 105 couples from the Michigan Longitudinal Study (MLS), an ongoing multimethod investigation of substance use in a community-based sample of alcoholics, nonalcoholics, and their families. At baseline (T1), husbands and wives completed a series of diagnostic measures, and lifetime diagnosis of alcohol use disorder (AUD, as defined in the Diagnostic and Statistical Manual of Mental Disorders, 4th ed.), was assessed. Couples completed a problem-solving marital interaction task 3 years later at T2, which was coded for the ratio of positive to negative behaviors. Couples also completed a measure of marital adjustment at T4 (9 years after T1 and 6 years after T2). Results showed that husbands' lifetime AUD predicted lower levels of their wife's positive marital behaviors 3 years later but was not related to their own or their wife's marital adjustment 9 years from baseline. By contrast, wives' lifetime AUD had direct negative associations with their own and their husband's marital satisfaction 9 years later, and wives' marital behaviors during the problem-solving task predicted their own and their husband's marital satisfaction 6 years later. Findings indicate that marital adjustment in alcoholic couples may be driven more by the wives' than the husbands' AUD and marital behavior. Implications for intervention with alcoholic couples were discussed.     

Invisible “Others”: Sexual Health Vulnerabilities of Wives of Men who Have Sex with Men

The recent trend in the feminization of the HIV epidemic poses great risk to women, especially to the wives of men who have sex with men (MSM). The objective of the present study was to explore wives’ responses to their husbands’ sexual orientation as well as the factors that influence their sexual health in India. For this research, 15 wives who were aware of their husbands’ sexual orientation and their husbands were interviewed separately using semi-structured in-depth interviews and focus groups. The study explored the social and cultural structures that create gender inequality, which put women married to MSM at sexual health risk. These factors need to be addressed carefully through existing MSM targeted interventions, without breaching the confidentiality of either partner.     

Sex differences in type of extramarital involvement and marital dissatisfaction

This study extends traditional sex roles to extramarital relationships in order to clarify sex differences in extramarital involvement and marital dissatisfaction. Both emotional and sexual extramarital involvement were studied, since women's greater emphasis on emotional intimacy was ignored in earlier extramarital studies which focused solely on sexual involvement. A purposive sample of 300 White middle-class men and women completed anonymous questionnaires about marital and extramarital relationships. Men's extramarital relationships are more sexual and women's are more emotional. Women involved in extramarital relationships report greater marital dissatisfaction than their male counterparts. For both sexes, those with combined sexual and emotional extramarital involvement report the greatest marital dissatisfaction. In sum, traditional sex roles that influence the expressions of sexuality and emotionality in premarital and marital relationships also appear to operate in extramarital relationships.     

Marital interaction in alcoholic and nonalcoholic couples: alcoholic subtype variations and wives' alcoholism status

The authors examined problem-solving marital interactions of alcoholic and nonalcoholic couples (N = 132). Four alcoholic groups (husband alcoholic with antisocial personality disorder or not, paired with alcoholic or nonalcoholic wives) were compared with each other and with a both-spouses-nonalcoholic group. Consistent with the alcoholic subtypes hypothesis, couples with an antisocial alcoholic husband had higher levels of hostile behavior regardless of wives' alcoholism status. In contrast, rates of positive behaviors and the ratio of positive to negative behaviors were greatest among couples in which either both or neither of the spouses had alcoholic diagnoses and were lowest among alcoholic husbands with nonalcoholic wives. Discussion focuses on possible mechanisms linking antisocial alcoholism and discrepant alcoholic diagnoses to poorer marital outcomes.     

Forgiveness in marriage: putting the benefits into context.

The current longitudinal study examined the consequences of spouses' tendencies to forgive their partners over the first 2 years of 72 new marriages. Though positive main effects between forgiveness and marital outcomes emerged cross-sectionally, spouses' tendencies to forgive their partners interacted with the frequency of those partners' negative verbal behaviors to predict changes in marital outcomes longitudinally. Specifically, whereas spouses married to partners who rarely behaved negatively tended to remain more satisfied over time to the extent that they were more forgiving, spouses married to partners who frequently behaved negatively tended to experience steeper declines in satisfaction to the extent that they were more forgiving. Similar patterns emerged for changes in the severity of husbands' problems, such that husbands married to wives who frequently behaved negatively reported sharper increases in problem severity to the extent that they were more forgiving but reported more stable problem severity to the extent that they were less forgiving. These findings question whether all spouses should benefit from forgiveness interventions and thus highlight the need for further research on the most appropriate targets for such interventions.     

Midlife Sexuality Among Thai Adults: Adjustment to Aging in the Thai Family Context

The objective of the study is to assess views of age related changes in sexual behavior among married Thai adults age 53–57. Results are viewed in the context of life course theory. In-depth interviews were conducted with 44 Thai adults in Bangkok and the four regions of Thailand. Topics covered include changing sexual behavior with age, adjustment to this change, gender differences in behavior, attitudes toward commercial sex and other non-marital sexual partners, and condom use. Most respondents were aware of this change and saw a decrease in sexual activity and desire more often among women compared to men. At the same time, many respondents viewed sexuality as important to a marriage. Some respondents accepted the decrease in sexual activity and focused more on work, family and temple activities. Thai Buddhism was seen as an important resource for people who were dealing with changes due to aging. Other persons turned to other partners including both commercial and non-commercial partners. The influence of the HIV epidemic that began in the 1990s was seen in concerns about disease transmission with extramarital partners and consequent attitudes toward condom use. The acceptability of extramarital partners in the family and community ranged from acceptance to strong disapproval of extramarital relationships.     

Sharing of home responsibilities between professionally employed women and their husbands

A sample of 139 married couples with young children and with relatively equal status careers (wives were university professors or businesswomen) were interviewed about work and home life. Considerable, traditional inequity in the distribution of child-care tasks and chore responsibility was noted, but women were generally satisfied with their husbands' home involvement. In the academic sample, the longer hours each spouse worked, the more child care the other performed; in the business sample, child-care involvement was largely determined by the husband's work hours, income, and education. Overall, women were more self-critical than were men about their performance in home roles, and women's role performance was rated more highly by husbands than by themselves. Women professionals' continued use of traditional sex role standards and the importance of attending to both partners' perspectives in studies of married life are discussed.     

Minority Stress and the Risk of Unwanted Sexual Experiences in LGBQ Undergraduates

Sexual assault is prevalent among lesbian, gay, bisexual, and queer (LGBQ) college students, but its relationship to anti-LGBQ stigma has not been established. The goal of the present study was to determine whether minority stress, specifically internalized homophobia, predicted unwanted sexual experiences among LGBQ undergraduates (N = 763), whether routine behaviors (number of consensual sexual partners and alcohol use) mediated this relationship, and whether sense of LGBTQ community was a protective factor. Significant proportions of sexual minority men (10 %), women (18 %), and non-binary or transitioning students (19 %) reported an unwanted sexual experience since entering college. Internalized homophobia was associated with greater risk of unwanted sexual experiences. It also had a negative indirect effect on unwanted sexual experience risk through a negative association with number of sexual partners. Alcohol use did not mediate the relationship between internalized homophobia and unwanted sexual experiences. Sense of LGBTQ community was associated with lower risk, mediated by lower levels of internalized homophobia. The relationships between internalized homophobia and unwanted sexual experience risk were similar for women and men. These findings demonstrate that minority stress increases LGBQ students’ risk of sexual victimization and that in-group social relationships can mitigate this risk. We argue that minority stress is an important risk factor for sexual violence. Violence prevention interventions should attempt to reduce internalized homophobia, and colleges and high schools should establish LGBQ-affirming social climates and provide resources for LGBQ students, including targeted violence prevention efforts and programs that foster a sense of supportive community.     

How do constraints on leaving a marriage affect behavior within the marriage?

Like relationship satisfaction, constraints on leaving a relationship have been described as a component of global commitment. But do constraints increase or decrease efforts to maintain the relationship? To address this question, the authors of the current article describe 3 independent studies of spouses and married couples. Across all studies, wives who perceived more constraints on leaving the marriage exhibited lower levels of negative behavior only when their husbands were relatively unconstrained. In Study 3, this association was especially pronounced among less satisfied wives. In Study 2, spouses' perceived constraint also interacted to predict husbands' behavior, but in the opposite direction: Husbands who perceived more constraints behaved less negatively when their wives were similarly constrained but more negatively when their wives were less constrained. These results highlight differences in behavior between couples who persist in marriage because they desire to and those who endure because they have to, raising questions about measures of global commitment that obscure these distinctions. They also highlight the need for a dyadic perspective on the forces that keep relationships together.     

Gender Roles,Power Strategies,and Precautionary Sexual Self-Efficacy: Implications for Black and Latina Women's HIV/AIDS Protective Behaviors

This cross-sectional study tested a conceptual model of women's HIV/AIDS protective behaviors using gender roles, relationship power strategies, and precautionary sexual self-efficacy as predictors in a predominantly Black and Latina community sample of heterosexual women (N = 125). Results revealed no support for the full model, but partial confirmation for several components of the model. Education significantly predicted gender roles, and gender roles and use of direct power strategies were significant predictors of sexual self-efficacy. Most of the participants were married or partnered and were unconcerned about contracting HIV, suggesting that if women perceive that they are at low or no risk, their gender roles, power strategies, and precautionary sexual self-efficacy will be inconsequential to their HIV/AIDS risk reduction practices.     

Money, Housework, Sex, and Conflict: Same-Sex Couples in Civil Unions, Those Not in Civil Unions, and Heterosexual Married Siblings

In this study we examined the division of finances, the division of household tasks, relationship maintenance behaviors, sexual activity, monogamy, and conflict among same-sex couples who had had civil unions in Vermont, same-sex couples who had not had civil unions recruited from their friendship circles, and married heterosexual couples recruited from among their siblings. Married heterosexuals had a more traditional, gendered division of finances, household tasks, and relationship maintenance behaviors, even though the heterosexuals were all siblings or in-laws of lesbians or gay men. Sexual orientation was a stronger predictor of the division of household tasks than was income difference within couples. Lesbians reported less frequent sexual activity than married heterosexual women, and gay men were less monogamous than married heterosexual men. Gay men in civil unions differed on a few variables from gay men not in civil unions, but there were no differences among lesbians.     

Emotion regulation and intimate partner violence in newlyweds

Is the inability to regulate negative emotions a risk factor for intimate partner violence (IPV)? To address this question, the authors asked 72 newlywed couples to report their levels of negative affect every day for 7 days and examined whether variability in those reports was associated with the IPV self-reported to have been perpetrated over the previous year. Although main effects of variability in both husbands' and wives' negative affect did not reach statistical significance, variability in husbands' negative affect significantly interacted with wives' reports of IPV to account for husbands' IPV, even after overall levels of husbands' negative affect, marital satisfaction, and chronic stress were controlled. Specifically, whereas variability in negative affect was unrelated to IPV among husbands with wives who reported no IPV, such variability was positively associated with the IPV perpetrated by husbands with wives who also reported having perpetrated IPV during the previous year. Although preliminary, these results support theories suggesting that the ability to regulate negative emotions may help intimates avoid perpetrating IPV, particularly when faced with a partner's IPV perpetration.     

Women of Polygamous Marriages in Primary Health Care Centers

Clinical implications for working with polygamous families are discussed following a report of research among a sample of 126 Bedouin-Arab women from polygamous marriages who were being seen in primary health care centers. Of these, 94 were senior wives who were followed by another wife in the marriage, and 32 were junior wives, the most recent wife joining the marriage. Data revealed that senior wives reported lower self-esteem as compared to junior wives. Findings also showed that senior wives reported poorer relationships with their husbands compared to their junior counterparts. Often when a husband married a second wife, the marriage could be based on love, rather than parental arrangement, an exchange, or consanguinity as in the first. These factors also contribute to the senior wife's low self-esteem and marital dissatisfaction.     

Condoms,Sex, and Sexually Transmitted Diseases: Exploring Sexual Health Issues Among Asian-Indian College Students

Sexually transmitted infections (STIs) continue to pose a serious risk to college students in the US. According to the Centers for Disease Control, the highest rates of STIs are among college students and adolescents. Specifically regarding Asian-Indian students, more research is needed to thoroughly understand the knowledge, attitudes and sexual behaviors of this population. A comprehensive review of the literature found a paucity of studies involving Asian-Indian involvement in sexual activity. Therefore, the present study was undertaken to fill gaps in the research. The present study examined Asian-Indian college students’ involvement in sexual behaviors, overall STI knowledge, condom use rate, perceived benefits and barriers to condom use, and history of STIs and STI testing. A five page survey was completed by 122 Asian-Indian college students. Results indicated that overall STI knowledge was low. Females, students who perceived fewer barriers to condom use and students who had lived in the US for at least 3 years held significantly higher STI knowledge levels than their counterparts. Such findings could be used by community and university-based health educators to more effectively serve the needs of Asian-Indian students.     

Individual differences in preference for risky behaviors during courtship

Engaging in risky behaviors is a sexual signalling strategy that men use to procure mates. The present study investigates men’s preferences for engaging in risky behaviors (along with women’s preferences for their male partner’s risky behavior) within dating couples. We investigated associations between relationship length, self-perceived attractiveness, sociosexuality orientation, and preference for risky behaviors in a sample of 256 couples. Results indicated that men had stronger preferences for risky behaviors than their partner’s ideal preference. Furthermore, relationship length was associated with a decline in women’s preference for their partner’s risk-taking, but not men’s preference for their own risk-taking. Self-perceived attractiveness was negatively associated with risk preference, and sociosexuality orientation was not directly related to risk preference. Female preferences for less intense male risky behaviors could reflect the need of paternal investment which is required for offspring care. Decreased male sexual signalling could account for lower preferences of risky behaviors in females who are involved in longer lasting romantic relationships.     

Intact Marriages in Which One Partner Dis-Identifies with Experiences of Same-Sex Attraction: A Follow-Up Study

This study is a one-year follow-up study of heterosexually married couples in which one partner reports having experienced same-sex attraction and both partners report satisfaction with their marriage despite facing such constraints. Questionnaires were sent to 32 individuals who had participated in the initial study. Of these, 30 returned completed questionnaires. The questionnaires contained open-ended questions about the participants' experiences, motivations, coping behaviors, and so on. Analysis suggested a number of themes related to vulnerability to extramarital relationships, coping activities, and satisfaction with marriage. Suggestions for clinical practice include exploring sexual identity issues, maintaining communication, and monitoring emotional connection in the marital dyad.     

Marital-Status and Sex Differences in Problems Reported by Married and Cohabiting Couples

Fifty married and 50 unmarried, cohabiting couples were asked to describe four problems which occurred in their relationshipproblems in which one partner was unhappy about the other's behavior, or in which the two of them disagreed about joint decisions. DesDite overall similarity of the kinds of problems reDorted by married and cohabiting- roiinles. marriea women were particularlv likely to complain that their nusDands did not give them sutticient attention. Husbands were especially unlikely to mention tnat their wives were too independent. After specirying two alternative behaviors for each partner in the problum situation, couples rated their degree of satisfaction with each of the four resulting behavioral combinations. Wives rated themselves as more unhappy when their problem arose than cohabiting partners rated themselves, and husbands were least unhappy. Wives' overall satisfaction was affected by their problem situation most of all, husbands' least of all, and cohabitors' satisfaction to an intermediate degree. Results were discussed with reference to the greater advantage that husbands derive from marriage than wives.     

Self-Assessed Risk of HIV and Other STIs Among Young Adults in Norway and Croatia

The purpose of the present study is to explore how sexually active young Norwegian and Croatian adults assess the risk of being infected with HIV and other STIs. Study results are based on a 2009–2010 large-scale national probability survey of young adults aged 18–24 in Croatia (n = 1,005) and Norway (n = 871). A majority of sexually active young adults in Croatia and Norway assessed the risk of becoming infected with HIV or other STIs as low or negligible. Among non-condom users, 85–98% determined they had low or no risk of getting infected with HIV. The corresponding figures for STIs were 77–79%. In both countries a higher HIV risk self-assessment was observed among those who had had same-sex sexual experience, those who reported a higher number of sex partners during the past year, and those who were single. When investigating the patterns of HIV/STI risk assessment, gender and country-related differences appeared. Condom use associated with higher risk assessment was significant only among Croatian men. The strong perception of condom use as being a male responsibility in Croatia may be the reason for a higher risk assessment for unwanted pregnancy and HIV/STIs when protection fails. The risk assessment for HIV/STIs was not associated with partner turnover in Croatian men. New campaigns need to develop gender-sensitive messages, particularly targeting men who believe that a great number of sexual partners is a sign of manliness and women who shy away from their responsibility to use protection.     

Changes in HIV treatment beliefs and sexual risk behaviors among gay and bisexual men, 1997-2005.

OBJECTIVE: Beliefs about HIV treatment effectiveness and the impact of HIV treatments on HIV transmission risks were initially related to sexual risk-taking in the late 1990s when multidrug HIV treatments first became available. This study examined changes in beliefs about the effects of HIV treatment for preventing HIV transmission and their association to sexual risk behaviors between the years 1997 and 2005. DESIGN: Anonymous surveys were administered to a convenience sample of gay and bisexual men attending a large community event in Atlanta, Georgia in 1997 (N = 498) and again at the same community event in 2005 (N = 448). Analyses were performed for men living with HIV/AIDS and for men who have not been diagnosed with HIV/AIDS. MAIN OUTCOME MEASURES: Rates of unprotected anal intercourse in the previous 3 months. RESULTS: There were significant increases in high-risk sexual practices that coincided with increased beliefs that HIV treatments can reduce the chance of transmitting HIV. However, optimistic beliefs about the health benefits of HIV treatments decreased over the 8 years and were not related to risk behaviors. CONCLUSIONS: Beliefs about how HIV treatments impact HIV infectiousness remain associated with HIV transmission risk behavior and interventions targeting at-risk as well as HIV-positive men who have sex with men must directly address these beliefs and perceptions.     

Would Mozambican Women Really “Tolerate” Their Husbands’ Extramarital Sexual Relationships as Socially Recommended?

In the Mozambican socio-cultural context, men’s extramarital sexual relationships are generally deemed acceptable, and women are “recommended” to forgive their husbands’ sexual infidelity. Thus, the purpose of this study was to assess to what extent Mozambican women would forgive their husbands in case of an extramarital sexual relationship. The material consisted of 24 vignettes—each of which contained the story of a husband who was having an extramarital sexual relationship—a question, and an 11-point response scale. Overall, 225 women indicated their willingness to forgive their husbands in case of sexual infidelity, as a function of three factors: the emotional intensity involved in the extramarital sexual relationship, the regret expressed by the husband, and the commitment involved in the relationship/marriage between the husband and his wife. ANOVA results showed that the willingness to forgive depends on the nature of the extramarital relationship and the attitude of the “cheater”: (a) in the case where the extramarital relationship was of a purely sexual type, without involving deep emotions, and when the husband expressed profound regret, the willingness to forgive was high; (b) in the opposite situation, i.e., when the extramarital relationship involved a high level of emotions, and the husband expressed no regret, the forgiveness was low. Older participants had relatively high rates of forgiveness compared to younger ones. These findings corroborate earlier studies showing that, for females, emotional infidelity was much more distressful than purely sexual infidelity, and corroborate studies showing that Mozambicans tend to forgive offenders when they express regret.