BYSTANDER INTERVENTION AMONG DRINKING GAMERS Bystander Intervention Among College Student Drinking Gamers: Sexual Assault Attitudes, Self-Efficacy, and Intent to Intervene.

Heavy drinking and sexual assault warrant significant concern on U.S. college campuses as emerging evidence suggests that the risk for sexual victimization is amplified in the context of high-risk drinking behavior. Despite recent attention to sexual assault (e.g., MeToo Movement), rates of perpetration remain largely unchanged. In applying the bystander intervention framework, our understanding of the relation between key factors that may facilitate or prevent behavioral action, or when and how these factors are most salient, is limited. The present study examined whether bystander attitudes and bystander self-efficacy interact to predict bystander intent to intervene. Hypotheses were tested among college student drinking gamers, a group at particular risk for involvement in situations of sexual violence. Participants (N = 964) were traditional college-aged student drinking gamers recruited from three universities across the East and Southern Central United States. After controlling for Greek affiliation, prior intervention training and social desirability, hypotheses were partially supported. Higher rape supportive attitudes (rape myth acceptance) were negatively associated with bystander intent to intervene across all participants, but bystander self-efficacy significantly moderated the relation between bystander attitudes (rape myth acceptance) and bystander intent to intervene only among women college student drinking gamers. The interaction effect was not significant among men. For all participants, there was a significant relation between bystander self-efficacy and bystander intent to intervene such that as self-efficacy increases, bystander intent to intervene increases. The discussion addresses implications for sexual assault prevention programs on college campuses and directions for future research.

Effects of Alcohol, Condom Request Style, and State Anger on Men's Condom Use Resistance.

OBJECTIVE: The purpose of this study was to examine the distal predictors (alcohol expectancies, adversarial heterosexual beliefs) and proximal predictors (alcohol intoxication, partner's condom use request style, state anger) of young men's condom use resistance (CUR). METHOD: Young, male, non-problem drinking, inconsistent condom users (N = 297) completed an alcohol administration experiment. After completing background measures, participants were randomly assigned to receive a control or alcoholic beverage (target peak breath alcohol concentration = .08%). They then read a randomly assigned hypothetical sexual scenario in which their female partner requested to use a condom either indirectly, directly, or insistently. Participants' desire to have condomless sex, state anger, and both coercive and noncoercive CUR intentions were assessed. RESULTS: Path analyses demonstrated that alcohol intoxication directly predicted noncoercive CUR intentions. In addition, a moderated mediation pathway was found such that, relative to sober participants, intoxicated men's sexual aggression-related alcohol expectancies were positively associated with their state anger in response to the partner's condom use request. This increased anger was related to stronger noncoercive CUR intentions. Adversarial heterosexual beliefs both directly and indirectly predicted coercive and noncoercive CUR intentions. CONCLUSIONS: Path analysis demonstrated that alcohol intoxication increased intentions to resist condom use through noncoercive tactics. In addition, men's misogynistic attitudes and alcohol intoxication were associated with greater feelings of anger, which predicted stronger coercive and noncoercive CUR intentions.

An Event-Level Investigation of Factors Associated With Young Women's Experiences of Coerced Consensual Sex.

Little is known about instances of coerced consensual sex in which women report both that they consented to have sex and that their partner used coercive tactics (e.g., made threats) to get them to have sex when they did not want to. Yet, these experiences are frequently reported by young sexually active women. We examined the relationship between sexual victimization history and the woman's level of alcohol intoxication in the likelihood of experiencing coerced consensual sex using event-level data collected over a 1-year period from 548 young adult nonproblem drinking women who engaged in sexual activity with men. Twenty percent (n = 112) reported at least one incident of coerced consensual sex. A generalized estimating equation model revealed main effects of daily estimated blood alcohol content (eBAC) and sexual victimization severity. The more women increased their alcohol consumption above their own average and the more severe their sexual victimization history, the more likely they were to experience coerced consensual sex. Our findings highlight the fact that coercion and consent are not mutually exclusive in some situations and shed light on this important yet understudied coercive sexual experience.

How Men's Sexual Assault Victimization Experiences Differ Based on Their Sexual History.

This study examined the differences in men's sexual assault victimization experiences based on their history of only having sex with women (MSW) or having sex with women and men (MSW/M). Based on the previous research, we expected that MSW/M would be more likely to report a sexual assault history, experience a significantly greater number of sexual assault acts, experience more severe levels of unwanted sexual activity and tactics (i.e., physically forced attempted or completed rape), and report both male and female perpetrators, compared with MSW. Community, nonproblem drinking men, ages 21 to 30 (N = 311), reported on their sexual assault victimization experiences since age 14 using a modified version of the Sexual Experiences Survey. Six items were used to assess participants' number of unwanted sexual experiences (i.e., unwanted sexual contact, attempted and completed rape) that included the use of intoxication, physical force, both, or neither. For each item, participants indicated if the perpetrator(s) was/were male, female, or both male and female. Two fifths of men reported experiencing sexual assault, the majority of which involved attempted or completed rape. Replicating and extending previous research, MSW/M were significantly more likely to be victims (65% vs. 39%), experienced a significantly greater number of sexual assault acts since age 14, were more likely to have experienced attempted or completed rape through the use of physical force, and were more likely to report male only or both male and female perpetrators across their victimization experiences, as compared with MSW. Results indicate a clear need for additional research on the unique victimization experiences of MSW/M. Additionally, sexual assault prevention programming needs to provide men with the skills to identify and negotiate unwanted sexual advances made by men and women and to promote healthy sexual relationship behaviors.

Similarities and differences in general drinking game behavior, game-specific behavior, and peer influence factors across race/ethnicity.

Research on college student drinking game (DG) behavior indicates that White students play DGs more often than students from other races/ethnicities. Among DG players, the risk for negative outcomes is the same. We examined DG-specific (e.g., motor skills, gambling games) behaviors and peer influence factors across race/ethnicity in order to elucidate commonalities among risk factors. Men (N = 248; 18-30 years; 77% college students) who played DGs and lived in the Boston metro area completed our online survey. White men (WM; n = 167) were more likely to play motor skills (e.g., Beer Pong) and media games, and to consume beer during DGs, compared with Men of Color (MOC; n = 81). MOC reported consuming shots more often during DG play. Compared with Asian/Pacific Islander (14.9%, n = 37) and Black/African American (6.0%, n = 15) men, Hispanic/Latino (8.5%, n = 21) played DGs more frequently and reported a higher maximum numbers of drinks consumed during DGs. There were, however, far more similarities than differences across groups, including location of play, frequency of play, and quantity consumed for the 4 other DG types. WM reported more positive peer norms for drinking; however, there were no differences in levels of perceived peer pressure. MOC reported that DGs were played only on weekends where they live, whereas WM reported that DGs were played on weekdays and weekends. Additional research is needed with larger sample sizes to further our understanding of the unique contextual and peer risk factors for MOC. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Men's Responses to Women's Sexual Refusals: Development and Construct Validity of a Virtual Dating Simulation of Sexual Aggression.

OBJECTIVE: To provide evidence regarding the construct validity of a sexual aggression proxy in which male participants go on multiple virtual dates with a woman. A unique strength of this proxy is participants' opportunity to make choices throughout the simulation about how they interact with their virtual date. These decisions determine their exposure to the female agent's sexual refusals. METHOD: Piloting included focus groups (n = 82), surveys (n = 95), and cognitive interviews (n = 32). To establish construct validity, 87 male participants completed two separate sessions: 1) an online survey with measures of discriminant and convergent validity; and 2) a lab session in which they went on multiple dates that included nonsexual options, sexual options which the female agent accepted, and sexual options she refused. Sexual aggression was operationalized as the total number of sexual refusals that participants' received. RESULTS: There was strong correlational evidence for discriminant and convergent validity. As hypothesized, there were some differences in the risk factors associated with refusals received on casual as compared to steady dates. Additionally, the number of refusals received was associated with the types of thoughts and actions commonly reported by perpetrators. CONCLUSIONS: This simulation provides a new approach for examining sexual aggression in controlled experiments that vary factors within the simulation such as the man's and woman's intoxication and past sexual history. Because what happens is based on each individual's responses, it could be adapted for use in prevention and treatment programs.

Mediators of the Association Between Childhood Emotional Maltreatment and Young Adult Men's Life Satisfaction.

Childhood emotional maltreatment has been linked to a wide range of deleterious physical and psychological adult health outcomes. The present study extends past research by examining the effects of childhood emotional maltreatment on young adult men's life satisfaction through its effects on hostility and perceptions of social relationships. Participants were 423 single men who completed two interviews 1 year apart. As hypothesized, the association between self-reported childhood emotional maltreatment and adult life satisfaction was mediated through general hostility, rejection sensitivity in romantic relationships, and perceptions of male friends' social support. These findings suggest that interventions which address distorted perceptions of romantic partners and friends might reduce the negative impact of childhood emotional maltreatment.

Tactics Young Women Use to Resist Condom Use When a Partner Wants to Use a Condom.

Although there is a growing literature on men's condom use resistance (CUR) tactics (e.g., direct requests, deception), little research exists on women's CUR tactics. This study investigated young women's (ages 18 to 21) self-reported use of CUR tactics since age 14 and related individual difference factors. Participants included 235 sexually active heterosexual women from a nationwide convenience survey sample who completed a newly adapted women's version of the Condom Use Resistance Survey. Consistent with the limited previous research, women were most likely to use risk-level reassurance (37.9%) and seduction (33.2%) tactics. A higher frequency and quantity of alcohol consumption, particularly prior to sex, lower perceived risk of sexually transmitted infections (STIs), and a history of STI diagnosis were associated with having previously used a greater number and variety of CUR tactics. This highlights the need for CUR prevention and intervention programming for women. Future research should specifically examine women's rationale for using CUR tactics and utilize longitudinal and experimental methods to further elucidate directional and causal relationships among individual-level risk factors, CUR, and negative sexual health outcomes.

The Intersection of Men's Sexual Violence Perpetration and Sexual Risk Behavior: A Literature Review.

According to the Confluence Model of Sexual Violence, men with a strong impersonal sex orientation (i.e., greater engagement in sexual activities with more casual sexual partners) are at increased risk of perpetrating sexual violence. Research from a variety of countries and samples has supported this proposition, finding that men who perpetrate sexual violence are also more likely to engage in risky sexual behavior. The present article reviews this literature, synthesizing research findings from both psychology and public health domains utilizing both domestic and international samples. In particular, this review focuses on the associations between men's perpetration of sexual violence and their sexual partners, condom use, and sexually transmitted infection status, as well as provides recommendations for future research directions and prevention and intervention programming.

The Effects of Men's Hostility Toward Women, Acute Alcohol Intoxication, and Women's Condom Request Style on Men's Condom Use Resistance Tactics.

OBJECTIVE: To extend previous research demonstrating that intoxicated men high in hostility toward women report stronger intentions to use coercive condom use resistance (CUR) tactics to have unprotected sex by examining the role of women's condom request style. METHODS: Community, non-problem drinking men, ages 21-30 (N = 296) completed standard alcohol administration procedures and read an eroticized story of a casual sexual interaction. Following the woman's request to use a condom, intentions to engage in coercive CUR tactics were assessed. Generalized linear models with gamma distributions assessed the 3-way interaction of men's hostility toward women, beverage condition (alcohol or sober), and the woman's condom request style (indirect, direct, or insistent). RESULTS: The 3-way interaction between hostility toward women, beverage condition, and indirect condom request (vs. direct) significantly predicted men's coercive CUR intentions. Men high in hostility toward women reported stronger CUR intentions after experiencing an indirect condom request, when sober or intoxicated, and after a direct condom request when intoxicated. Men high in hostility toward women reported the weakest CUR intentions when sober following an insistent or direct condom request. CONCLUSIONS: Men high in hostility toward women pose a threat to women's sexual safety, particularly when intoxicated or following an indirect condom request. Hostility toward women and alcohol consumption should be addressed in sexual risk prevention programs. Pending further replication, women should be informed of the relative effectiveness of using insistent condom requests.

Perceived Discrimination, Racial Identity, and Multisystem Stress Response to Social Evaluative Threat Among African American Men and Women.

OBJECTIVE: Understanding individual differences in the psychobiology of the stress response is critical to grasping how psychosocial factors contribute to racial and ethnic health disparities. However, the ways in which environmentally sensitive biological systems coordinate in response to acute stress is not well understood. We used a social-evaluative stress task to investigate coordination among the autonomic nervous system, hypothalamic-pituitary-adrenal axis, and immune/inflammatory system in a community sample of 85 healthy African American men and women. METHODS: Six saliva samples, 2 at each of baseline, event, and recovery phases of the stressor task, were assayed for cortisol, dehydroepiandrosterone-sulfate, salivary alpha-amylase, and salivary C-reactive protein. Individual differences in perceived discrimination and racial identity were also measured. RESULTS: Factor analysis demonstrated that stress systems were largely dissociated before stressor exposure but became aligned during event and recovery phases into functional biological stress responses (factor loadings ≥ .58). Coordinated responses were related to interactions of perceived discrimination and racial identity: when racial identity was strong, highly perceived discrimination was associated with low hypothalamic-pituitary-adrenal axis activity at baseline (B's = .68-.72, p < .001), low stress mobilization during the task (B's = .46-.62, p < .049), and a robust inflammatory response (salivary C-reactive protein) during recovery (B's = .72-.94, p < .002). CONCLUSION: Culturally relevant social perceptions may be linked to a specific pattern of changing alignment in biological components of the stress response. Better understanding these links may significantly advance understanding of stress-related illnesses and disparities.

A preliminary experimental examination of worldview verification, perceived racism, and stress reactivity in African Americans.

OBJECTIVE: According to worldview verification theory, inconsistencies between lived experiences and worldviews are psychologically threatening. These inconsistencies may be key determinants of stress processes that influence cardiovascular health disparities. This preliminary examination considers how experiencing injustice can affect perceived racism and biological stress reactivity among African Americans. Guided by worldview verification theory, it was hypothesized that responses to receiving an unfair outcome would be moderated by fairness of the accompanying decision process, and that this effect would further depend on the consistency of the decision process with preexisting justice beliefs. METHOD: A sample of 118 healthy African American adults completed baseline measures of justice beliefs, followed by a laboratory-based social-evaluative stressor task. Two randomized fairness manipulations were implemented during the task: participants were given either high or low levels of distributive (outcome) and procedural (decision process) justice. Glucocorticoid (cortisol) and inflammatory (C-reactive protein) biological responses were measured in oral fluids, and attributions of racism were also measured. RESULTS: The hypothesized 3-way interaction was generally obtained. Among African Americans with a strong belief in justice, perceived racism, cortisol, and C-reactive protein responses to low distributive justice were higher when procedural justice was low. Among African Americans with a weak belief in justice however, these responses were higher when a low level of distributive justice was coupled with high procedural justice. CONCLUSIONS: Biological and psychological processes that contribute to cardiovascular health disparities are affected by consistency between individual-level and contextual justice factors. (PsycINFO Database Record

Individual Differences in Men's Misperception of Women's Sexual Intent: Application and Extension of the Confluence Model.

Men are more likely than women to misperceive a cross-sex companion's degree of sexual interest. The current study extends previous research by using the confluence model (Malamuth et al., 1991) to examine how narcissism and impulsive sensation-seeking are directly and indirectly associated with men's misperception of women's sexual interest. A community sample of young, single men (N = 470) completed audio computer-assisted self-interviews. Using path analyses, hostile masculinity and impersonal sexual orientation were proximal predictors of men's misperception of women's sexual intent. Additionally, narcissism was indirectly related to men's misperception through hostile masculinity. Impulsive sensation-seeking was directly and indirectly related to men's misperceptions through impersonal sexual orientation. Although there was a bivariate relationship between alcohol consumption and misperception, this relationship was not significant in the path model. Overall, these findings demonstrate the importance of considering how personality traits increase the risk for misperception.

Using Experimental Paradigms to Examine Alcohol's Role in Men's Sexual Aggression: Opportunities and Challenges in Proxy Development.

The goals of this article are to review the major findings from alcohol administration studies that use sexual aggression proxies and to encourage additional experimental research that evaluates hypotheses about the role of alcohol in the etiology of men's sexual aggression. Experiments allow participants to be randomly assigned to drink conditions, therefore ensuring that any differences between drinkers and nondrinkers can be attributed to their alcohol consumption. One of the biggest challenges faced by experimental researchers is the identification of valid operationalizations of key constructs. The tension between internal and external validity is particularly problematic for violence researchers because they cannot allow participants to engage in the target behavior in the laboratory. The strengths and limitations associated with written vignettes, audiotapes, videotapes, and confederate proxies for sexual aggression are described. Suggestions are made for future research to broaden the generalizability of the findings from experimental research.

Sexual Assault Perpetrators' Justifications for Their Actions: Relationships to Rape Supportive Attitudes, Incident Characteristics, and Future Perpetration.

Perpetrators use rape supportive attitudes and sexual assault incident characteristics to justify forcing sex on their victims. Perpetrators who can justify their behaviors are at increased risk for future perpetration. This study examined the relationships between rape supportive attitudes, sexual assault incident characteristics, and the post-assault justifications of 183 men sampled from the community who self-reported committing at least one act of sexual aggression. Hierarchical multiple regression analyses indicated that rape supportive attitudes, expectations for having sex, misperceptions of sexual intent, victims' alcohol consumption, attempts to be alone with her, and the number of consensual sexual activities prior to the unwanted sex were significant predictors of perpetrators' post-assault use of justifications. Greater use of justifications was a significant predictor of sexual aggression over a 1-year follow-up interval. These findings demonstrate the need for further research exploring when and why perpetrators use post-assault justifications and whether they are amenable to change.

Friends matter: protective and harmful aspects of male friendships associated with past-year sexual aggression in a community sample of young men.

OBJECTIVES: We extended past research on sexual violence etiology by examining the impact of perceived pressure to have sex by any means and the types of objectifying and egalitarian language that friends used when discussing women. METHODS: We examined a community sample of young single men interested in dating women (n = 423) who completed audio computer-assisted self-interviews at baseline (spring/summer 2008) and 1 year later (spring/summer 2009). We used hierarchical logistic regression analyses that controlled for baseline sexual aggression. RESULTS: Approximately one quarter of participants (n = 108) reported that they made a woman engage in some type of sexual activity during the past year when they knew she was unwilling or unable to consent. Past-year perpetrators perceived more pressure from their friends to have sex by any means, felt less comfortable with their friends making egalitarian statements about women, and used more objectifying statements when describing how their friends talked about women compared with nonperpetrators. Seventy-eight percent of men were correctly classified by these predictors. CONCLUSIONS: Men's discussions with each other about women could foster an environment that encourages or discourages sexual violence. We discussed future research and prevention implications.

Measuring Social Capital Investment: Scale Development and Examination of Links to Social Capital and Perceived Stress.

Individuals with greater social capital have better health outcomes. Investment in social capital likely increases one's own social capital, bearing great implications for disease prevention and health promotion. In this study, the authors developed and validated the Social Capital Investment Inventory (SCII). Direct effects of social capital investment on perceived stress, and indirect effects through social capital were examined. 397 Participants from Beijing and Wuhan, China completed surveys. Analyses demonstrated that the SCII has a single factor structure and strong internal consistency. Structural equation modeling showed that individuals who invested more in social capital had greater bonding social capital, and subsequently less perceived stress. Results suggest that disease prevention and health promotion programs should consider approaches to encourage social capital investment; individuals may be able to reduce stress by increasing their investment in social capital. Future research is needed to provide additional empirical support for the SCII and observed structural relationships.

Relationship type and sexual precedence: their associations with characteristics of sexual assault perpetrators and incidents.

Although most sexual assaults are committed by men who know their victims, few researchers have considered how characteristics of perpetrators and incidents differ depending on the victim-perpetrator relationship. This study addresses this gap with a community sample of 204 men who reported committing a sexually aggressive act in an audio computer-assisted self-interview. 2 (Relationship Type: Committed vs. Casual) × 2 (Sexual Precedence: Yes vs. No) ANOVAs revealed significant main effects of relationship type and sexual precedence associated with individual difference and incident characteristics. These findings demonstrate the importance of developing theories and prevention programs tailored for different relationship contexts.

Review of survey and experimental research that examines the relationship between alcohol consumption and men's sexual aggression perpetration.

This article systematically reviews empirical studies that examine associations between alcohol consumption and men's sexual aggression with the goal of identifying major findings; gaps in current knowledge; and directions for future research, practice, and policy. We identified 25 cross-sectional surveys, 6 prospective studies, and 12 alcohol administration experiments published between 1993 and August 2013 with male college students and young adult (nonincarcerated) samples. Many cross-sectional surveys have demonstrated that distal and proximal measures of men's alcohol consumption are positively associated with sexual assault perpetration, although very few of these studies evaluated how alcohol interacts with other risk and protective factors to exacerbate or inhibit sexual aggression. There are surprisingly few surveys that examine alcohol's effects at the event level and over short-time intervals to identify how changes in alcohol consumption are associated with changes in perpetration status. Alcohol administration studies suggest some important mechanisms that warrant additional investigation.

Patterns of Sexual Aggression in a Community Sample of Young Men: Risk Factors Associated with Persistence, Desistance, and Initiation Over a One Year Interval.

OBJECTIVE: The goal of this study is to distinguish risk factors associated with young men's self-reports of continuing (persistence), stopping (desistance), and starting (initiation) sexual aggression against women over a one year time period. This study fills gaps in the literature not addressed in other studies by examining a wide range of predictor variables prospectively in a community sample. METHOD: Single men age 18 to 35 were recruited through telephone sampling in a large metropolitan region. In person audio computer-assisted self interviews were completed at baseline and one year later (n = 423). RESULTS: By the follow-up interview, half of the participants reported engaging in some type of sexual activity with a woman when they knew she was unwilling. Discriminant function and analysis of variance demonstrated that persistent sexual aggressors had the most extreme scores on many baseline and follow-up measures including childhood victimization, social deviance, personality traits, frequency of misperception of women's sexual intent, and expectancies about alcohol's effects. At follow-up, desisters had fewer sexual partners than did persisters. Also at follow-up, initiators misperceived more women's sexual intentions, had stronger alcohol expectancies, drank more alcohol in sexual situations, and were with women who drank more alcohol as compared to nonperpetrators. CONCLUSIONS: Given the extremely high rates of self-reported sexual aggression, universal prevention programs are needed. Targeted interventions should focus on youth who were victimized in childhood, engage in delinquent behavior, are narcissistic and unconcerned about others, enjoy impersonal sex, drink heavily, and believe that alcohol enhances sexuality.