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While it is generally assumed that alcohol consumption plays some role in the advent of negative sexual outcomes among college students (sexually transmitted diseases, unplanned pregnancies, and date rape), that role has not been empirically demonstrated or quantified. The purpose of this study was to assess the association of alcohol consumption with negative sexual outcomes in college women. Specifically, this study attempted to determine this association by means of a survey administered to a population of women students from Oregon State University and Western Oregon State College (n =430). Data collection took place during winter term, 1991. Average monthly alcohol consumption was assessed, as well as the frequency of alcohol consumption prior to sexual intercourse. The association of alcohol consumption with experiences of sexual coercion, in both the victim and the perpetrator, was also assessed. Negative sexual outcomes assessed were sexually transmitted diseases (STDs), unplanned pregnancies and pregnancy "scares", four categories of sexual coercion (unwanted touching, verbally forced date rape, physically forced date rape, and stranger rape), and unprotected intercourse (condom usage). A strong association between alcohol consumption and sexual coercion was found. Women who had experienced sexual coercion consumed significantly more alcohol on the average than those who had not had such experience. Also, it was found that alcohol was consumed by the perpetrator, the victim, or both in the majority (57-69%) of incidents of sexual coercion. While women who had experienced STDs appeared to drink more (mean monthly alcohol consumption= 16.9 drinks) than those who had not experienced STDs (mean monthly alcohol consumption= 12.3 drinks), small cell size and sample variability made meaningful statistical comparisons inappropriate. No association between alcohol consumption and unplanned pregnancies and pregnancy "scares" was found. Alcohol consumption prior to intercourse had a paradoxical relationship with both sexually transmitted diseases and condom usage: those who always or never drink prior to intercourse were less likely to experience an STD and more likely to use condoms than those who say they occasionally drink prior to intercourse. It is recommended that university health educators disseminate the findings on alcohol consumption and sexual coercion and STDs. It is also suggested that they, along with those responsible for student services and university policies, should encourage non-alcoholic forms of social support, stress management, and recreation on campus. An additional recommendation was that both qualitative research and longitudinal studies be done to follow up the exploration begun in this study. / Graduation date: 1992

Previous research has shown that many women feel self-conscious of their bodies during physical intimacy with their partners, and this body image self-consciousness was related to sexual esteem, sexual assertiveness, sexual experience, and avoidance of sexual behavior. The purpose of the present study was to further explore body image selfconsciousness and examine its relationship with sexual functioning, risky sexual behavior, and sexual victimization. Participants were 171 heterosexual, sexually active, female undergraduate college students and completed the Body Image Self-Consciousness Scale (BISCS), the Female Sexual Function Index (FSFI), the Sexual Experiences Survey (SES), and a questionnaire assessing sexual experience and risky sexual behavior. Results found that body image self-consciousness was associated with use of protection against sexually transmitted infection during vaginal sex, overall sexual functioning, arousal, lubrication, orgasm, and sexual satisfaction, and the frequency of some sexual behavior, but not sexual victimization. / Department of Psychological Science

The purpose of the current study was to examine young women's perceptions of both verbal and nonverbal sexual communication from their mothers during childhood and how these perceptions are related to the female offspring's current sexual experiences and attitudes. More specifically, I hypothesized that perceptions of negative parental sexual communication will be related to relatively low levels of sexual experience, comfort regarding sexual activity, and sexual assertiveness, as well as negative affect and cognition regarding sexuality. I also hypothesized that female offspring will receive significantly more sexual communication from mother than from father. Finally, predicted that the communication received from mother, as opposed to father, will be related to high levels of sexual experience, sexual comfort, sexual assertiveness, and more positive sexual affect and cognition. There were 295 female college students who completed questionnaires regarding sexual experience, comfort with sexual activity, sexual assertiveness, perceptions of parental sexual communication, affective and cognitive properties of sexual attitude, and erotophobia/erotophilia. Perceptions of parental sexual communication were measured with a survey developed specifically for the current study. Two forms of this survey were used; one to measure mother's verbal communication and the other to measure nonverbal communication. Results showed a negative correlation between tone of parental sexual communication and sexual experience, as well as a positive correlation between parental sexual communication and sexual cognition. The results of this study also showed that more sexual communication is perceived from mother than from father, and amount of mother's communication was significantly related to sexual assertiveness and affective properties of sexual attitudes. / Department of Psychological Science

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College students are engaging in high rates of behavior related to risk of infection from Human Immunodeficiency Virus (HIV) and other sexually transmitted diseases (STDs). A cognitive-behavioral skills training program for heterosexual college females focused on sexual assertiveness skills and the reduction of risk-related behaviors was designed and evaluated and compared to an education-only program. Forty-three heterosexual female undergraduates completed pre-intervention, post-intervention, and follow-up assessments of: 1) HIV/STD-related knowledge, beliefs, and social norms, 2) sexual, alcohol, and drug-related behaviors (self-reports and monitoring), and 3) sexual assertiveness role-plays (videotaped). The participants were randomly assigned to the education-only group (control) and the education-plus skills training group (experimental). The focus of the skills training was on rehearsal of positive behavioral, cognitive, and social alternatives to risk-related behaviors with an emphasis on specific coping strategies. Analysis of covariance on posttest and follow-up scores, using pretest scores as covariates, showed that skills training participants compared to education only participants scored higher on sexual assertiveness skills, specific knowledge of HIV infection, and self-efficacy to perform lower risk sexual behaviors. Skills training compared to education-only participants also reported less frequency of drug use and unprotected oral sex. Self-efficacy and HIV infection knowledge score differences between groups were maintained at 1- month follow-up, although the lower reported frequency of high risk behaviors was not maintained. However, at follow-up consumption of four or more alcoholic beverages on one occasion was reported as less by the skills training participants and the overall reported frequency of high risk behaviors also was reported as approaching significantly less at follow-up by skills training participants. Effective and ineffective aspects of this program as well as the key issue of personal vulnerability and other barriers and facilitators of behavior change are discussed. / Ph. D.

Since early 1983, the incidence and prevalence of heterosexually transmitted AIDS among women have increased at an alarming rate. However, due to the conceptualization of AIDS as a "gay male" disease, little research attention has been devoted to the prevention of HIV infection among women. The purpose of the current intervention was to test the utility of extending a behavioral social influence/diffusion of innovation approach to a group of heterosexual women. A randomized experimental field design was used to compare a community intervention (AIDS education materials plus the training of individuals identified as key opinion leaders to serve as peer behavior change agents) with a comparison intervention (AIDS education materials alone). The study was conducted at a small liberal arts college for women. Two dormitories were randomly assigned to either an intervention or comparison condition. Twenty-four women, living in the intervention dormitory, were identified as key opinion leaders among their female peers. These key opinion leaders then received information concerning the basic epidemiology of AIDS and other STDs, misconceptions about the transmission of AIDS/STDs among heterosexual women, gender constraints that impact health behavior change among women, and practical risk reduction strategies. Opinion leaders also received training in specific conversation skills to endorse HIV-protective behavior and to convey a change in normative sexual behavior to women living in the intervention dormitory. At pre- and post-intervention, 580 surveys were collected from both the intervention and comparison dormitories. Using an anonymous identification code, survey data were matched for 192 comparison and intervention participants. The major dependent variables included (a) AIDS/STD risk behavior knowledge, (b) perceived risk, (c) perception of peer norms for HIV-risky and HIV-protective behaviors, (d) stage of health behavior change, (e) intentions to practice safer sex, (f) socially and sexually assertive behavior, (g) HIV-risky sexual behavior, and (h) alcohol and drug use. Condom-taking behavior provided a nonreactive measure of behavioral intentions. A number of direct training effects were found for the key opinion leaders, including an increase in AIDS/STD risk behavior knowledge, conversation skills, and empathic assertion. However, there was no change in behavioral intentions, stage of change, perceptions of peer norms for HIV-protective behavior, or reported HIV-risky behavior. Analysis of covariance on posttest scores, using pretest scores as covariates, showed that, relative to the comparison participants, the intervention participants increased their AIDS/STD risk behavior knowledge and the number of AIDS/STD related peer conversations. No other treatment effects due to diffusion of innovation were found. The rate of risky sexual behavior for the intervention period was relatively low. However, descriptive statistics revealed a pattern of HIV-risky behavior in the current sample suggesting that HIV/STD risk may increase over time as a function of unprotected vaginal and oral intercourse and serial monogamy. The implication of these findings are discussed in terms of future interventions targeting heterosexual women. / Ph. D.

Indiana University-Purdue University Indianapolis (IUPUI) / This paper describes the influence of body satisfaction, weight satisfaction, and BMI on sexual behaviors among female college students.