Men's Sexual Risk Behaviors: Alcohol, Sexual Aggression, and Emotional Factors

NCT ID: NCT03900650

Last Updated: 2023-11-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

420 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-07

Study Completion Date

2023-07-05

Brief Summary

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Although correct, consistent condom use can greatly reduce sexually transmitted infections and unplanned pregnancies, resistance of condom use is common among young adults. Young men's alcohol intoxication and sexual aggression history are predictive of greater condom use resistance and other sexual risk behaviors (e.g., unprotected sex). Moreover, emotional factors may play a role in these associations, suggesting a promising avenue for continued research. This project builds upon our prior research through investigation of the emotional mechanisms involved in young men's alcohol-related sexual risk behavior. This research addresses a critical knowledge gap and advances the field through the use of multiple methods designed to evaluate distal and proximal emotional factors implicated in alcohol-related sexual risk. Male drinkers aged 21-30 who use condoms inconsistently (N = 420) will first complete a screening procedure followed by a baseline survey that will assess relevant constructs, including emotional traits, emotion dysregulation tendencies, and alcohol expectancies. They will then complete a 30-day daily diary assessment of their daily emotional states, daily coping motives pertaining to drinking and sex, and daily drinking and sexual risk behaviors to evaluate daily relationships among these factors. The same participants will complete an in-lab experiment assessing in-the-moment effects of alcohol intoxication and provocation on emotional states and sexual risk intentions. Statistical analyses will be used to examine the daily influence of emotional states and coping motives on alcohol consumption and sexual risk behaviors and the experimental effects of alcohol intoxication and provocation on emotional states and other mediators, as well as sexual risk intentions. Moderating effects of emotion dysregulation tendencies will also be examined, and the linkages between event-level and experimental relationships will be investigated. This research is both significant and innovative in that it will address the public health concern of men's sexual risk behaviors, including condom use resistance; will evaluate the role of emotional processes in men's alcohol-related sexual risk; and will use multiple methods to gather complementary types of data that will elucidate the mechanisms underlying alcohol-related sexual risk behaviors and provide an empirical evidence base from which to develop and inform prevention and intervention programs.

Detailed Description

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Conditions

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Sexual Behavior Alcohol Drinking Sexual Aggression Emotions

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Participants

Study Groups

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Alcoholic beverage, High Provocation Manipulation

Participants will receive a dose of alcohol mixed in fruit juice designed to achieve a peak breath alcohol concentration of .08%. Participants then receive an experimental manipulation designed to evoke negative emotions such as frustration.

Group Type EXPERIMENTAL

High provocation manipulation

Intervention Type BEHAVIORAL

Participants will engage in a laboratory task and will then report their emotions following the task.

Alcoholic beverage

Intervention Type BEHAVIORAL

Participants will consume an alcoholic beverage (vodka mixed with fruit juice) that is the equivalent of 3-4 standard alcoholic drinks based on their body weight.

Non-alcoholic beverage, High Provocation Manipulation

Participants will receive a beverage that does not contain alcohol (fruit juice only). Participants then receive an experimental manipulation designed to evoke negative emotions such as frustration.

Group Type EXPERIMENTAL

High provocation manipulation

Intervention Type BEHAVIORAL

Participants will engage in a laboratory task and will then report their emotions following the task.

Non-alcoholic beverage

Intervention Type BEHAVIORAL

Participants will consume a nonalcoholic beverage (fruit juice) that is the isovolemic equivalent of 3-4 standard alcoholic drinks based on their body weight.

Alcoholic beverage, Low provocation manipulation

Participants will receive a dose of alcohol mixed in fruit juice designed to achieve a peak breath alcohol concentration of .08%. Participants receive an experimental manipulation designed to evoke positive emotions.

Group Type EXPERIMENTAL

Low provocation manipulation

Intervention Type BEHAVIORAL

Participants will engage in a laboratory task and will then report their emotions following the task.

Alcoholic beverage

Intervention Type BEHAVIORAL

Participants will consume an alcoholic beverage (vodka mixed with fruit juice) that is the equivalent of 3-4 standard alcoholic drinks based on their body weight.

Non-alcoholic beverage, Low provocation manipulation

Participants will receive a beverage that does not contain alcohol (fruit juice only). Participants then receive an experimental manipulation designed to evoke positive emotions.

Group Type EXPERIMENTAL

Low provocation manipulation

Intervention Type BEHAVIORAL

Participants will engage in a laboratory task and will then report their emotions following the task.

Non-alcoholic beverage

Intervention Type BEHAVIORAL

Participants will consume a nonalcoholic beverage (fruit juice) that is the isovolemic equivalent of 3-4 standard alcoholic drinks based on their body weight.

Interventions

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High provocation manipulation

Participants will engage in a laboratory task and will then report their emotions following the task.

Intervention Type BEHAVIORAL

Low provocation manipulation

Participants will engage in a laboratory task and will then report their emotions following the task.

Intervention Type BEHAVIORAL

Alcoholic beverage

Participants will consume an alcoholic beverage (vodka mixed with fruit juice) that is the equivalent of 3-4 standard alcoholic drinks based on their body weight.

Intervention Type BEHAVIORAL

Non-alcoholic beverage

Participants will consume a nonalcoholic beverage (fruit juice) that is the isovolemic equivalent of 3-4 standard alcoholic drinks based on their body weight.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Single
* Male
* Ages 21-30
* Engagement in unprotected intercourse with a woman at least once in the past year -
* Consumed alcohol at least 2 times per week in the past 30 days
* Had sex with a woman at least 2 times in the past 30 days

Exclusion Criteria

* A history of alcohol problems
* A medical condition and/or medications which contraindicate alcohol consumption
* In a relationship that is monogamous and has lasted longer than 6 months
Minimum Eligible Age

21 Years

Maximum Eligible Age

30 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Alcohol Abuse and Alcoholism (NIAAA)

NIH

Sponsor Role collaborator

Georgia State University

OTHER

Sponsor Role collaborator

Arizona State University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kelly Davis, PhD

Role: PRINCIPAL_INVESTIGATOR

Arizona State University

Locations

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Arizona State University

Phoenix, Arizona, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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5R37AA025212

Identifier Type: NIH

Identifier Source: secondary_id

View Link

STUDY00008097

Identifier Type: -

Identifier Source: org_study_id