Jacqueline Woerner

Review of Survey and Experimental Research That Examines the Relationship Between Alcohol Consumption and Men’s Sexual Aggression Perpetration:

This article systematically reviews empirical studies that examine associations between alcohol consumption and men’s sexual aggression with the goal of identifying major findings; gaps in current knowledge; and directions for future research, practice, and policy. We identified 25 cross-sectional surveys, 6 prospective studies, and 12 alcohol administration experiments published between 1993 and August 2013 with male college students and young adult (nonincarcerated) samples. Many cross-sectional surveys have demonstrated that distal and proximal measures of men’s alcohol consumption are positively associated with sexual assault perpetration, although very few of these studies evaluated how alcohol interacts with other risk and protective factors to exacerbate or inhibit sexual aggression. There are surprisingly few surveys that examine alcohol’s effects at the event level and over short-time intervals to identify how changes in alcohol consumption are associated with changes in perpetration status. Alcohol administration studies suggest some important mechanisms that warrant additional investigation.

Sexual Assault Perpetrators’ Justifications for Their Actions Relationships to Rape Supportive Attitudes, Incident Characteristics, and Future Perpetration

Perpetrators use rape supportive attitudes and sexual assault incident characteristics to justify forcing sex on their victims. Perpetrators who can justify their behaviors are at increased risk for future perpetration. This study examined the relationships between rape supportive attitudes, sexual assault incident characteristics, and the post-assault justifications of 183 men sampled from the community who self-reported committing at least one act of sexual aggression. Hierarchical multiple regression analyses indicated that rape supportive attitudes, expectations for having sex, misperceptions of sexual intent, victims’ alcohol consumption, attempts to be alone with her, and the number of consensual sexual activities prior to the unwanted sex were significant predictors of perpetrators’ post-assault use of justifications. Greater use of justifications was a significant predictor of sexual aggression over a 1-year follow-up interval. These findings demonstrate the need for further research exploring when and why perpetrators use post-assault justifications and whether they are amenable to change.

Friends matter: Protective and harmful aspects of male friendships associated with past-year sexual aggression in a community sample of young men

OBJECTIVES We extended past research on sexual violence etiology by examining the impact of perceived pressure to have sex by any means and the types of objectifying and egalitarian language that friends used when discussing women. METHODS We examined a community sample of young single men interested in dating women (n = 423) who completed audio computer-assisted self-interviews at baseline (spring/summer 2008) and 1 year later (spring/summer 2009). We used hierarchical logistic regression analyses that controlled for baseline sexual aggression. RESULTS Approximately one quarter of participants (n = 108) reported that they made a woman engage in some type of sexual activity during the past year when they knew she was unwilling or unable to consent. Past-year perpetrators perceived more pressure from their friends to have sex by any means, felt less comfortable with their friends making egalitarian statements about women, and used more objectifying statements when describing how their friends talked about women compared with nonperpetrators. Seventy-eight percent of men were correctly classified by these predictors. CONCLUSIONS Mens discussions with each other about women could foster an environment that encourages or discourages sexual violence. We discussed future research and prevention implications.

Men’s responses to women’s sexual refusals: Development and construct validity of a virtual dating simulation of sexual aggression.

Objective: To provide evidence regarding the construct validity of a sexual aggression proxy in which male participants go on multiple virtual dates with a woman. A unique strength of this proxy is participants’ opportunity to make choices throughout the simulation about how they interact with their virtual date. These decisions determine their exposure to the female agent’s sexual refusals. Method: Piloting included focus groups (n = 82), surveys (n = 95), and cognitive interviews (n = 32). To establish construct validity, 87 male participants completed 2 separate sessions: a) an online survey with measures of discriminant and convergent validity; and b) a lab session in which they went on multiple dates that included nonsexual options, sexual options that the female agent accepted, and sexual options she refused. Sexual aggression was operationalized as the total number of sexual refusals that participants’ received. Results: There was strong correlational evidence for discriminant and convergent validity. As hypothesized, there were some differences in the risk factors associated with refusals received on casual as compared to steady dates. Additionally, the number of refusals received was associated with the types of thoughts and actions commonly reported by perpetrators. Conclusions: This simulation provides a new approach for examining sexual aggression in controlled experiments that vary factors within the simulation such as the man’s and woman’s intoxication and past sexual history. Because what happens is based on each individual’s responses, it could be adapted for use in prevention and treatment programs.

Men Who Sexually Assault Drinking Women: Similarities and Differences With Men Who Sexually Assault Sober Women and Nonperpetrators

Little is known about the attributes of men who sexually assault drinking women as compared with men who sexually assault sober women and nonperpetrators. Findings from a cross-sectional survey of 548 men and a laboratory computer-simulated date completed by a subset (n = 87) support the hypothesis that both groups of perpetrators would share some common risk factors and differ regarding alcohol beliefs and consumption. Men who had previously assaulted a drinking woman gave their simulated date more alcohol to drink and perceived her as being more disinhibited. These findings demonstrate the power of alcohol expectancies and stereotypes about drinking women.

Early psychosocial deprivation and adolescent risk-taking: The role of motivation and executive control.

Risk-taking in adolescence has been often associated with early life adversities. However, the impact of such macrolevel factors on risk behavior has been rarely studied in humans. To address these gaps we recruited a sample of young adolescents who were part of a randomized control trial of foster care. Children institutionalized at or soon after birth were randomly assigned either to be removed from institutions and placed into a family or foster care intervention or to remain in institutions receiving care as usual. These children were subsequently followed up through 12 years of age and compared with a sample of children who had never been institutionalized. Using this sample, we examined the impact of early childhood deprivation on risk-taking behavior and explored the role of motivation (i.e., sensation seeking) and executive control (i.e., planning). Early psychosocial deprivation decreased engagement in risk-taking among young adolescents by reducing sensation seeking, a motivation often associated with risk-taking in adolescence. The impact of early psychosocial deprivation on sensation seeking and consequently on engagement in risk-taking was further reduced by its deleterious effects on executive control. These findings challenge the traditional view according to which risk behavior is a maladaptive response to adversities and suggest that it may represent adolescents’ attempts to fulfill important motivations.

Positive Feelings After Casual Sex: The Role of Gender and Traditional Gender-Role Beliefs

The purpose of this study was to identify predictors of positive and negative affect following casual sex. Specifically, the primary goal was to investigate how traditional gender-role beliefs, peer approval of casual sex, perceptions of others, sexual assertiveness, and sexual pleasure influence affective experiences. Second, we aimed to determine the extent to which these associations were comparable for men and women. Although we expected mean differences on many of these constructs (e.g., men perceiving more peer approval), we expected the relationships between these constructs to be comparable for women and men. Participants ages 18 to 35 (N = 585) were recruited from a large university and Amazon Mechanical Turk (MTurk) and described their most recent casual sex experience in a self-report questionnaire. Structural equation modeling (SEM) analyses indicated that gender-role beliefs were significantly associated with less sexual assertiveness and more negative perceptions of others; for women they were also associated with less peer approval of casual sex. For women and men, sexual assertiveness predicted sexual pleasure; and sexual pleasure was associated with affect. To decrease the gender discrepancy in positive affect and sexual pleasure, it is important to develop a comprehensive understanding of the interrelationships among norms, casual sex experiences, and affect.

Salivary Uric Acid: Associations with Resting and Reactive Blood Pressure Response To Social Evaluative Stress in Healthy African Americans

High levels of uric acid are associated with greater risk of stress-related cardiovascular illnesses that occur disproportionately among African Americans. Whether hyperuricemia affects biological response to acute stress remains largely unknown, suggesting a need to clarify this potential connection. The current study examined how salivary uric acid (sUA) is associated with resting and reactive blood pressure - two robust predictors of hypertension and related cardiovascular disease and disparity. Healthy African Americans (N = 107; 32% male; M age = 31.74 years), completed the Trier Social Stress Test to induce social-evaluative stress. Systolic and diastolic blood pressure readings were recorded before, during, and after the task to assess resting and reactive change in blood pressure. Participants also provided a saliva sample at baseline that was assayed for sUA. At rest, and controlling for age, sUA was modestly associated with higher systolic (r = .201, p =  .044), but not diastolic (r = .100, p =  .319) blood pressure. In response to the stressor task, and once again controlling for age, sUA was also associated with higher total activation of both systolic (r = .219, p =  .025) and diastolic blood pressure (r = .198, p <  .044). A subsequent moderation analysis showed that associations between sUA and BP measures were significant for females, but not for males. Findings suggest that uric acid may be implicated in hypertension and cardiovascular health disparities through associations with elevated blood pressure responses to acute social stress, and that low levels of uric acid might be protective, particularly for females.

Predicting Men’s Immediate Reactions to a Simulated Date’s Sexual Rejection: The Effects of Hostile Masculinity, Impersonal Sex, and Hostile Perceptions of the Woman.

Objective: Aggression is a common response to many types of social rejection. Men who respond aggressively to a woman’s sexual rejection are likely to score high on risk factors associated with sexual aggression and to convince themselves that she is at fault. This study investigated how sexual dominance motivation and casual sex attitudes interact with “in-the-moment” hostile perceptions of the woman to predict the likelihood of an aggressive response. Method: Male participants (N = 77) completed an online survey including self-report measures of sexual dominance motivation and casual sex attitudes. In a separate session, participants completed a laboratory study in which they interacted with a female agent in a dating simulation, allowing them to make nonsexual choices, sexual choices that were accepted, and sexual choices that were rejected. Immediate responses to sexual rejection were categorized as aggressive (n = 25) or nonaggressive (n = 52). After the simulation ended, participants answered questions about their perceptions of the situation and the woman. Moderated multiple logistic regression analyses were used to test the hypotheses. Results: The hypothesized interactions were found such that men with high scores on sexual dominance motivation and positive attitudes about casual sex had a greater probability of responding aggressively when they formed extremely hostile perceptions of the woman who rejected them. Conclusions: These findings provide insight into the processes by which men respond aggressively to women’s refusals and highlight the need for training that encourages benevolent attributions and nonviolent strategies to deal with sexual rejection.

Justice for all? Beliefs about justice for self and others and telomere length in African Americans.

Objective: Believing in justice can protect health. Among marginalized racial minorities however, both endorsing and rejecting beliefs about justice might be critical. The current research examined links between African Americans’ beliefs about justice for self and for others and telomere length (TL)—an indicator of biological aging that is increasingly implicated in racial health disparities, with shorter telomeres indicating poorer health. Method: Healthy African Americans (N = 118; 30% male; M age = 31.63 years) completed individual differences measures of justice beliefs for self and others and then provided dried blood spot samples that were assayed for TL. Results: We expected that a belief in justice for self would be positively associated with TL, whereas a belief in justice for others would be negatively associated. A significant 3-way interaction with chronological age confirmed this hypothesis—among older African Americans, TL was positively associated with believing in justice for self, but only when this belief was accompanied by a weak endorsement of the belief in justice for others. Conclusion: Findings underscore that for racial minorities, health might be best protected when justice beliefs are both endorsed and rebuffed.