Sex-Related Alcohol Expectancies Predict Sexual Risk Behavior Among Severely and Persistently Mentally Ill Adults

Three hundred three adults (57% male, average age 42 years) with severe and persistent mental illness receiving treatment at community mental health clinics completed a survey, which included B. C. Leigh's (1990) sex-related alcohol expectancy scale and measures of alcohol use and sexual risk b...

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Bibliographic Details
Published in:Psychology of addictive behaviors 2002-03, Vol.16 (1), p.64-67
Main Authors: Weinhardt, Lance S, Otto-Salaj, Laura L, Brondino, Michael J, Norberg, Melissa M, Kalichman, Seth C
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult
Adult and adolescent clinical studies
Alcohol related expectations
Alcohol Use
Alcoholic Intoxication - psychology
Alcoholism
Biological and medical sciences
Chronic Disease
Chronic Mental Illness
Expectations
Female
HIV Infections - prevention & control
Human
Human viral diseases
Humans
Infectious diseases
Logistic Models
Male
Medical sciences
Mental Disorders - psychology
Mentally ill people
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk behaviour
Risk Factors
Safe Sex
Sexual Intercourse (Human)
Sexual practices
Sexual Risk Taking
United States
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Summary:Three hundred three adults (57% male, average age 42 years) with severe and persistent mental illness receiving treatment at community mental health clinics completed a survey, which included B. C. Leigh's (1990) sex-related alcohol expectancy scale and measures of alcohol use and sexual risk behavior. Hierarchical logistic regression analyses, controlling for drinking behavior, revealed that participants with stronger expectancies that drinking would lead to enhanced sexual experience were more likely to have drank prior to intercourse and that, among participants who drank prior to intercourse, those with stronger expectancies that alcohol would lead to riskier sexual behavior were more likely to have engaged in sexual risk behavior. Implications for preventing HIV infection among people with severe mental illness are discussed.
ISSN:0893-164X
1939-1501
DOI:10.1037/0893-164X.16.1.64