Alcohol's link with sexuality is long-standing and prominent. While research continues to document robust associations between drinking and sexual behavior, scientific attention now centers primarily on evaluating mechanisms and attendant theoretical frameworks to advance our understanding of how alcohol exerts a causal impact. We describe four domains with reliable evidence of alcohol effects: sexualized social perceptions, sexual arousal, sexual risk taking, and sexual assault. We consider three contextual frames: distal factors associated with encountering opportunities for alcohol-involved sex, proximal factors associated with alcohol's acute effects, and distal–proximal interactions. We then examine the empirical support for mechanisms embedded within four theoretical frameworks: alcohol disinhibition, alcohol expectancy, alcohol myopia, and emotion regulation. Support for disinhibition mechanisms is evident with sexual arousal only. Expectancy and myopia mechanisms enjoy support across domains and make up bases for integrative expectancy–myopia causal explanations. Emotion regulation mechanisms evidence preliminary support in risk taking and sexual assault. Implications and future directions are considered.

中文翻译：

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急性饮酒对性行为的影响：心理机制研究


酒精与性的联系由来已久且突出。虽然研究继续记录饮酒与性行为之间的密切关联，但科学界的注意力现在主要集中在评估机制和随之而来的理论框架上，以促进我们对酒精如何产生因果影响的理解。我们描述了四个具有酒精影响可靠证据的领域：性化社会观念、性唤起、性冒险和性侵犯。我们考虑了三个上下文框架：与遇到涉及酒精的性行为的机会相关的远端因素、与酒精的急性影响相关的近端因素以及远端-近端相互作用。然后，我们研究了对嵌入四个理论框架中的机制的实证支持：酒精去抑制、酒精预期、酒精近视和情绪调节。对去抑制机制的支持仅在性唤起时很明显。预期和近视机制在各个领域都得到支持，并构成了综合预期-近视因果解释的基础。情绪调节机制初步支持冒险和性侵犯。考虑了影响和未来方向。