An Event-Level Investigation of Young Men's Condom Use Resistance: Associations with Global Sex-Related Alcohol Expectancies and Daily Drinking and Sex Motives.

Condom use resistance (CUR) is a sexual risk behavior that is prevalent, tied to numerous negative consequences, and more likely to occur when alcohol is consumed. To inform prevention and intervention efforts, the present study assessed young men's alcohol use and sexual behavior over a 32-day daily diary period. Specifically, we sought to examine associations between global sex-related alcohol expectancies, event-level drinking motives, event-level sex motives, and event-level CUR during vaginal sex. Participants (N = 416) completed a baseline survey in the lab that included measures of sex-related alcohol expectancies, followed by 32 daily online surveys assessing their alcohol use and sexual behavior, including measures of drinking motives, sex motives, and CUR. A total of 106 men (~25%) reported engaging in CUR over the 32-day period. Multilevel models using a negative binomial distribution identified between-person global alcohol expectancies for sexual risk and sexual disinhibition, between-person daily enhancement drinking motives, within-person daily power-related sex motives, and between-person daily coping sex motives as the most prominent correlates of CUR at the event-level. These findings support the use of interventions that help individuals modify their perceptions about the expected effects of alcohol on mood or behavior and that provide psychoeducational information to address maladaptive sex-related alcohol expectancies and drinking and sex motives in an effort to lower CUR engagement.