Sensation seeking, alcohol use and sexual risk behaviors among men receiving services at a clinic for sexually transmitted infections.

OBJECTIVE Risk-prone personality dispositions are associated with alcohol use and high-risk sexual behaviors; however, the nature of these associations and their implications for sexual risk reduction interventions are not clear. This study examined a conceptual model of sensation seeking personality and alcohol expectancies as correlates of sex-related alcohol use and sexual risk behaviors. METHOD Men (N = 350) seeking services from an innercity clinic that treats sexually transmitted infections (STI) completed measures of demographic characteristics, sensation seeking, alcohol outcome expectancies, alcohol use in sexual contexts and sexual behaviors, administered onsite at the clinic using audio-computer-assisted interviewing. RESULTS Path analyses showed that sensation seeking was related to engaging in unprotected sexual intercourse with casual or one-time sex partners (i.e.,high-risk sex). Sensation seeking was also associated with stronger expectancies that alcohol use enhances sex. This association was related to alcohol use in sexual contexts which, in turn, was related to high-risk sex. Analyses also showed that alcohol outcome expectancies mediated the association between sensation seeking and alcohol use in sexual contexts. CONCLUSIONS Alcohol use plays important roles in risks for sexually transmitted infections, particularly among high sensation seekers. Cognitive restructuring of alcohol outcome expectancies may offer an in-road for developing HIV-STI risk reduction interventions.

[1]  M. Zuckerman.  Dimensions of Sensation Seeking. , 1971 .

[2]  M. Goldman,et al.  Expectations of reinforcement from alcohol: their domain and relation to drinking patterns. , 1980, Journal of consulting and clinical psychology.

[3]  B. Tabachnick,et al.  Using Multivariate Statistics , 1983 .

[4]  W. Miller,et al.  Motivational Interviewing: Preparing People to Change Addictive Behavior , 1991 .

[5]  O. Aasland,et al.  Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. , 1993, Addiction.

[6]  B. Leigh,et al.  Substance use and risky sexual behavior for exposure to HIV. Issues in methodology, interpretation, and prevention. , 1993, The American psychologist.

[7]  M. Zuckerman.  Behavioral Expressions and Biosocial Bases of Sensation Seeking , 1994 .

[8]  S. Kalichman,et al.  Sexual sensation seeking: scale development and predicting AIDS-risk behavior among homosexually active men. , 1994, Journal of personality assessment.

[9]  S. Kalichman,et al.  Sexual sensation seeking and Sexual Compulsivity Scales: reliability, validity, and predicting HIV risk behavior. , 1995, Journal of personality assessment.

[10]  The AUDIT questionnaire: choosing a cut-off score. Alcohol Use Disorder Identification Test. , 1995, Addiction.

[11]  S. Kalichman,et al.  Sensation seeking as an explanation for the association between substance use and HIV-related risky sexual behavior , 1996, Archives of sexual behavior.

[12]  S. Kalichman,et al.  Personality and cognitive factors influencing substance use and sexual risk for HIV infection among gay and bisexual men. , 1998 .

[13]  J. Adès,et al.  Impulse-control disorders in alcoholics are related to sensation seeking and not to impulsivity , 1998, Psychiatry Research.

[14]  James N Gribble,et al.  Interview Mode and Measurement of Sexual Behaviors: Methodological Issues. , 1999, Journal of sex research.

[15]  A. Carballo-Diéguez,et al.  Substance use and sexual risk behavior: understanding their association among four ethnic groups of Latino men who have sex with men. , 2000, Journal of substance abuse.

[16]  M. Carey,et al.  Does Alcohol Lead to Sexual Risk Behavior? Findings from Event-Level Research , 2000, Annual review of sex research.

[17]  K. Cropsey,et al.  Sensation seeking and drinking game participation in heavy-drinking college students. , 2000, Addictive behaviors.

[18]  Inhibition conflict and alcohol expectancy as moderators of alcohol's relationship to condom use. , 2000 .

[19]  R. Hoyle,et al.  Personality and sexual risk taking: a quantitative review. , 2000, Journal of personality.

[20]  Maristela Monteiro,et al.  AUDIT - The alcohol use disorders identification test: guidelines for use in primary care. , 2001 .

[21]  Nick Haslam,et al.  Predicting high risk sexual behaviour in heterosexual and homosexual men: the roles of impulsivity and sensation seeking , 2001 .

[22]  B T Jones,et al.  A review of expectancy theory and alcohol consumption. , 2001, Addiction.

[23]  S. Kalichman,et al.  Sensation seeking and alcohol use as markers of sexual transmission risk behavior in HIV-positive men , 2002, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[24]  C. Leukefeld,et al.  Women, sex, and HIV: social and contextual factors, meta-analysis of published interventions, and implications for practice and research. , 2002, Psychological bulletin.

[25]  John P. Allen,et al.  The Alcohol Use Disorders Identification Test (AUDIT): a review of recent research. , 2002, Alcoholism, clinical and experimental research.

[26]  K. Fromme,et al.  Effects of Outcome Expectancies and Personality on Young Adults' Illicit Drug Use, Heavy Drinking, and Risky Sexual Behavior , 2000, Cognitive Therapy and Research.

[27]  D. Ostrow,et al.  Sexual Adventurism, Substance Use, and High-Risk Sexual Behavior: A Structural Modeling Analysis of the Chicago MACS/Coping and Change Cohort , 1997, AIDS and Behavior.