Distal and Proximal Influences on Men’s Intentions to Resist Condoms: Alcohol, Sexual Aggression History, Impulsivity, and Social-Cognitive Factors

Kelly Davis, Cinnamon L. Danube, Elizabeth C. Neilson, Cynthia A. Stappenbeck, Jeanette Norris, William H. George, Kelly F. Kajumulo

Research output: Contribution to journalArticle

12 Scopus citations


Recent scientific evidence demonstrates that many young men commonly resist condom use with their female sex partners and that both alcohol intoxication and a history of sexual aggression may increase the risk of condom use resistance (CUR). Using a community sample of heterosexual male non-problem drinkers with elevated sexual risk (N = 311), this alcohol administration study examined the direct and indirect effects of intoxication and sexual aggression history on men’s CUR intentions through a sexual risk analogue. State impulsivity, CUR-related attitudes, and CUR-related self-efficacy were assessed as mediators. Results demonstrated that alcohol intoxication directly increased CUR intentions, and sexual aggression history both directly and indirectly increased CUR intentions. These findings highlight the importance of addressing both alcohol use and sexual aggression in risky sex prevention programs, as well as indicate the continued worth of research regarding the intersection of men’s alcohol use, sexual aggression, and sexual risk behaviors, especially CUR.

Original languageEnglish (US)
Pages (from-to)147-157
Number of pages11
JournalAIDS and Behavior
StatePublished - Jan 1 2016
Externally publishedYes



  • Alcohol
  • Condom use resistance
  • Impulsivity
  • Sexual aggression

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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