Citation

Fantasia HC, Fontenot HB, Sutherland MA, Lee-St John TJ. J. Forensic Nurs. 2015; 11(4): 223-231.

Affiliation

Author Affiliations: 1College of Health Sciences, School of Nursing, University of Massachusetts Lowell; 2William F. Connell School of Nursing, Boston College; and 3SRI International, Center for Education and Human Services, Education Division, Menlo Park, California.

Copyright

(Copyright © 2015, International Association of Forensic Nurses, Publisher John Wiley and Sons)

DOI

10.1097/JFN.0000000000000086

PMID

26381582

Abstract

INTRODUCTION: Female college students, aged 18-25 years, are at high risk for sexual violence compared with women of other age groups. Lack of clear consent is a preceding and defining component of forced sex and sexual violence. This study explored the association between sexual consent awareness, attitudes, and beliefs and a history of forced sex among a sample of college women. In addition, the level of alcohol use among this group was examined.

METHODS: A cross-sectional electronic survey was sent to approximately 5900 female students enrolled at a large public university in the northeastern United States. Sexual consent was measured with the Sexual Consent Scale-Revised, and alcohol use was measured with the Alcohol Use Disorders Identification Test-Consumption Items. Logistic regression models were used to examine the differences in sexual consent scores based on a history of forced sex.

RESULTS: The final sample included 925 students. Twenty-two percent of participants reported a history of forced sex; more than half (59%) reported alcohol use before sexual activity. Women with greater awareness of sexual consent were significantly more likely to have a history of forced sex. Women who utilize more nonverbal, indirect approaches to communicating sexual consent were significantly less likely to have a history of forced sex compared with women with no history of forced sex.

DISCUSSION: These findings highlight high rates of forced sex and alcohol use in a sample of college women and explicate sexual consent awareness and communication behaviors associated with a history of forced sex.

Language: en