Tiffany L Marcantonio
Biographic Data
| ID | 4459813 |
|---|---|
| NAME | Tiffany L Marcantonio |
| GIVEN NAMES | Tiffany L |
| FAMILY NAME | Marcantonio |
| SIGNATURE | MARCANTONIO T L |
| AFFILIATIONS | University of Alabama |
| ORCID | 0000-0003-1087-7554 |
| VERIFIED | Yes |
| TOTAL WORKS | 31 |
| TOTAL CITATIONS | 82 |
| AUTHOR COUNT | 31 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2017 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
Examining How Internal and External Consent Relate to Sexual Satisfaction and Pleasure
Sexual consent communication is part of healthy and safe sexual experiences. Although educators traditionally emphasize consent communication as a preventive measure against sexual violence, there exists a gap in understanding the sex-positive outcomes associated with sexual consent. This study was designed to assess if internal consent feelings and external consent communication and perceptions of a sexual partner’s external consent communicatio…
Understanding US College Women’s Self-Reported Experiences Resisting Sexual Assault: A Qualitative Analysis
Sexual assault (SA) is a significant global public health problem. In the United States, one in five college women experiences SA, and alcohol and cannabis are known risk factors. Given the prevalence and impact of SA, this study aims to understand college women’s experiences of risk perception and resistance tactics, particularly when substances are involved. College women (n = 332) completed an online survey. They were asked if they had ever be…
The Role of Artificial Intelligence in the Prevention of Intimate Partner Violence and Sexual Violence: A Scoping Review of the Literature
Intimate partner and sexual violence (IPV/SV) remain pervasive global public health issues. Prevention efforts typically occur at the primary level (promoting consent and healthy relationships), secondary level (encouraging bystander intervention and screening), or tertiary level (supporting survivors through reporting and access to resources). The rapid emergence of artificial intelligence (AI) chatbots, including large language models (LLMs) su…
What Would You Tell Your Friend About Trying to Consent After Having Consumed Alcohol? Advice from U.S. College Students About How They Navigate Alcohol-Involved Consensual Sexual Behavior
How Does Alcohol Use Relate to Sexual Consent? A Scoping Review
People consume alcohol prior to both consensual and nonconsensual sexual activity. To better inform education and prevention efforts targeting the coalescing of alcohol, sexual consent, and sexual violence, we conducted a scoping review of 57 articles published between 1999 and 2024 that examined the relationship between alcohol use and sexual consent. Most articles were qualitative and investigated how alcohol related to perceptions of consent, …
Exploring How Large Language Models Understand Sexual Communication in Hypothetical Sexual Situations
Large language models (LLMs), or models which generate human like responses to people's queries, are growing in popularity and may be an additional tool to access information related to sexual communication - including sexual consent and refusals. However, whether LLMs can identify sexual communication in hypothetical situations and how this influences their understanding of whether an encounter could be consensual is unclear, despite the importa…
Navigating Consent During Alcohol-Involved Sex: A Qualitative Study Examining Alcohol Consumption and the Sexual Consent Communication Process
Sexual consent is a foundational aspect of sexual encounters as it distinguishes sexual assault from consensual sex. Despite alcohol-involved sexual assault being a serious public health issue, many college students report engaging in "consensual drunk sex." Thus, understanding how college students determine consent to alcohol-involved sex is essential. We explored college students' perceptions of consensual alcohol-involved sexual encounters, fo…
We Rely on Others, but Perhaps Too Much?” Assessing How College Students Use Relational and Social Contexts to Determine Consent During an Alcohol-Involved Sexual Encounter
College students frequently combine alcohol and sexual activity, often perceiving these encounters as consensual. However, alcohol use is also a significant risk factor for sexual assault. Recognizing that alcohol is implicated in both consensual and nonconsensual sexual activity, in this study we aimed to assess the relational and social dynamics of alcohol-involved, consensual sexual activity. We recruited 29 students from a large Midwestern un…
How do Young People Feel About a BrAC Limit for Consenting to Sex After Consuming Alcohol
Alcohol’s Effects on the Bystander Decision-Making Model: A Systematic Literature Review
Prevalence and Variations of Sexual Violence Victimization Among US-Based Latino Adults and Adolescents: A Systematic Literature Review
Improving Sex Research: Reviewing the Publication of Diaz and Bailey (2023)
How Do College Students Perceive Their Partner Responds to Them When They Refuse Sexual Activity
Refusal communication is a dyadic process, with one person communicating a refusal and another person responding. To enhance our understanding of this process, we surveyed college students to assess their interpretation of their partners’ responses when they declined vaginal–penile sexual activity. In an online survey, participants were prompted to describe their partners’ reactions when participants refused their partner's vaginal–penile sex ini…
Large Language Models in an App: Conducting a Qualitative Synthetic Data Analysis of How Snapchat’s “My AI” Responds to Questions About Sexual Consent, Sexual Refusals, Sexual Assault, and Sexting
Comprehensive sexual health education for young people often remains largely inaccessible, leaving gaps in knowledge about sexual consent, refusals, sexual assault, and sexting. Snapchat's My AI, tailored to its users, offers accessible and potentially stigma-free responses to sexual health queries, showing promise in addressing these gaps. This study aimed to evaluate My AI's effectiveness in handling questions related to sexual communication, a…
What do States Recommend We Teach Adolescents about Sexual Consent? A Content Analysis of K-12 Health Education Standards in the US
Although universities in the US commonly implement sexual consent education programs for students that focus on understanding how to communicate sexual consent, it remains unclear to what extent sexual consent education is taking place in grades K-12. The goal of this study was to assess K-12 health education standards recommendations for sexual consent education. We conducted a content analysis of health education standards from 43 states in the…
College students’ definition of non-consent and sexual refusals in the age of affirmative consent initiatives
Affirmative consent initiatives advocate that college students understand sexual consent and refusal. There has been an influx of research focused on students’ definitions or understanding of consent; however, research examining students’ definitions of sexual refusals is limited. Additionally, different terminology (e.g., non-consent vs. sexual refusal) may influence students’ definitions. We assessed how college students defined non-consent and…
The Effects of Alcohol Intoxication on Perceptions of Consent and Refusal Indicators in a Fictional Alcohol-Involved Sexual Encounter
Alcohol intoxication may influence how bystanders interpret other people's consent and refusal cues. We examined the effects of alcohol intoxication on participants' perceptions of characters' consent and refusal indicators in a fictional vignette depicting an alcohol-involved sexual encounter. Young adults ( n = 119, 52% women) participated in an alcohol administration experiment examining the influence of acute intoxication on bystander percept…
Hey ChatGPT, Let’s Talk About Sexual Consent
Access to sexual health education, such as education on sexual consent, is limited in the US. Artificial intelligence (AI), such as ChatGPT, provides a potential opportunity to increase access to sexual consent information and education. However, what ChatGPT knows about sexual consent and if this aligns with the current evidence-based literature on sexual consent is unclear. The goal of this research commentary was to explore what ChatGPT knows …
Examining substance-involved sexual experiences and consent communication by sexual identity
Substance use can occur prior to nonconsensual and consensual sexual activity and affect how sexual consent is communicated and felt. Yet, researchers’ understanding of how substance use relates to these sexual experiences is still developing. Few researchers examine these behaviors among the intersection of sexual minority (SM) identity and gender. The goal of this study was to assess if experiences of nonconsensual and consensual substance-invo…
Testing the Internal Consent Scale for Measurement Invariance Across Women and Men
The Internal Consent Scale (ICS) was created to measure feelings associated with a person’s willingness to engage in partnered sexual activity. Although previous studies using the ICS have assessed gender differences, evidence has not been provided to suggest that the ICS functions similarly for women and men. Using data from an online cross-sectional survey of adults ( N = 874; 53.1% women), we subjected the 25-item ICS to tests of measurement i…
Sexual Consent at First-Time Intercourse: Retrospective Reports from University Students in Canada and the United States
Objectives: We investigated whether the context of first-time intercourse (FTI) was associated with internal consent feelings and external consent communication at FTI. Method: = 1020) from universities in Canada and the United States retrospectively reported on their FTI. Results: Using structural equation modeling, we found that the context of participants' FTI (e.g. age, contraceptive use) predicted their internal consent, which in turn predic…
Sexual consent cues among sexual minority men in the United States
Sexual consent research often focuses on how those who identify as heterosexual communicate consent, with limited research examining how sexual minority (SM) men communicate consent. Factors that influence how people communicate consent – such as the type of sexual behaviour being consented to and the relationship status of those engaged in sexual behaviour – is understudied among SM men. The purpose of this exploratory study was to assess how SM…
Examining Women’s Sexual Assault Victimization Experiences since Entering College via Two Behavioral Assessments
Measuring sexual assault experiences is considered a methodological challenge in survey research. Researchers can test the validity of sexual assault measures by comparing responses to different, albeit related, measures of sexual assault to determine if they identify similar groups of women. The goal of this study was to compare two measures of sexual assault victimization to determine if women report experiencing sexual assault in both assessme…
Assessing Young Adults’ Internal Feelings Related to Refusing Sexual Behavior
Young people describe refusing sexual activity as difficult or embarrassing; however, what specific internal feelings young adults associate with refusing sexual activity is unclear. We assessed the positive and negative internal feelings related to refusing different sexual behaviors using sentiment analysis. We also examined if positive and negative internal refusal feelings varied by gender and the intersection of gender and racial/ethnic iden…
Assessing How Gender, Relationship Status, and Item Wording Influence Cues Used by College Students to Decline Different Sexual Behaviors
Researchers rarely examine college students' event-level refusals and how refusals may change based on sexual behavior, gender, or relationship status. As such, we assessed how sexual behavior and demographic characteristics influence cues students use to decline sexual activity. As an exploratory aim, we examined the influence of item wording (such as reading the words, not willing/non-consent vs. refusal) on how students reported declining sexu…
A Content Analysis of Sexual Consent and Refusal Communication in Mainstream Films
Young adults have limited access to comprehensive sex education. As such, they may seek sexuality information through such alternative sources, such as mass media. Previous research suggests that media, including films and television shows, can influence sexual behaviors and attitudes. Because sexual consent communication is important to sexual experiences, the purpose of this study was to assess how sexual consent and refusal communication were …
College Students' Sexual Consent Communication And Perceptions of Sexual Double Standards: A Qualitative Investigation
College students' consent communication may be influenced by gender norms that challenge assumptions of affirmative consent standards. Cultural shifts in students' views of sexuality may be necessary for affirmative consent policies to be effective
Does Sexism Mediate the Gender and Rape Myth Acceptance Relationship
Compared with women, men tend to blame assault victims, exonerate perpetrators, and report higher levels of sexism and rape myths. The goal of the present study was to determine whether sexist beliefs mediate the established relationship between gender and rape myth acceptance in a sample of 626 college students. Results demonstrated that hostile sexism, complementary gender differentiation, and heterosexual intimacy mediated the relationship bet…
What do States Recommend We Teach Adolescents about Sexual Consent? A Content Analysis of K-12 Health Education Standards in the US
Although universities in the US commonly implement sexual consent education programs for students that focus on understanding how to communicate sexual consent, it remains unclear to what extent sexual consent education is taking place in grades K-12. The goal of this study was to assess K-12 health education standards recommendations for sexual consent education. We conducted a content analysis of health education standards from 43 states in the…
Hey ChatGPT, Let’s Talk About Sexual Consent
Access to sexual health education, such as education on sexual consent, is limited in the US. Artificial intelligence (AI), such as ChatGPT, provides a potential opportunity to increase access to sexual consent information and education. However, what ChatGPT knows about sexual consent and if this aligns with the current evidence-based literature on sexual consent is unclear. The goal of this research commentary was to explore what ChatGPT knows …
An Evaluation of Adolescent and Young Adult (Re)Victimization Experiences: Problematic Substance Use and Negative Consequences
We investigated substance use and negative consequences in women who experienced an initial sexual assault (SA) in high school and subsequently in college. More than 650 participants completed questionnaires assessing substance use/consequences, SA history, and posttraumatic stress disorder (PTSD) symptomology. Revictimized women reported differential substance use/consequences relative to controls underscoring the need to conceptualize adolescen…
Navigating Consent During Alcohol-Involved Sex: A Qualitative Study Examining Alcohol Consumption and the Sexual Consent Communication Process
Sexual consent is a foundational aspect of sexual encounters as it distinguishes sexual assault from consensual sex. Despite alcohol-involved sexual assault being a serious public health issue, many college students report engaging in "consensual drunk sex." Thus, understanding how college students determine consent to alcohol-involved sex is essential. We explored college students' perceptions of consensual alcohol-involved sexual encounters, fo…
We Rely on Others, but Perhaps Too Much?” Assessing How College Students Use Relational and Social Contexts to Determine Consent During an Alcohol-Involved Sexual Encounter
College students frequently combine alcohol and sexual activity, often perceiving these encounters as consensual. However, alcohol use is also a significant risk factor for sexual assault. Recognizing that alcohol is implicated in both consensual and nonconsensual sexual activity, in this study we aimed to assess the relational and social dynamics of alcohol-involved, consensual sexual activity. We recruited 29 students from a large Midwestern un…
How do Young People Feel About a BrAC Limit for Consenting to Sex After Consuming Alcohol
Improving Sex Research: Reviewing the Publication of Diaz and Bailey (2023)
How Do College Students Perceive Their Partner Responds to Them When They Refuse Sexual Activity
Refusal communication is a dyadic process, with one person communicating a refusal and another person responding. To enhance our understanding of this process, we surveyed college students to assess their interpretation of their partners’ responses when they declined vaginal–penile sexual activity. In an online survey, participants were prompted to describe their partners’ reactions when participants refused their partner's vaginal–penile sex ini…
Sexual consent cues among sexual minority men in the United States
Sexual consent research often focuses on how those who identify as heterosexual communicate consent, with limited research examining how sexual minority (SM) men communicate consent. Factors that influence how people communicate consent – such as the type of sexual behaviour being consented to and the relationship status of those engaged in sexual behaviour – is understudied among SM men. The purpose of this exploratory study was to assess how SM…
Assessing Young Adults’ Internal Feelings Related to Refusing Sexual Behavior
Young people describe refusing sexual activity as difficult or embarrassing; however, what specific internal feelings young adults associate with refusing sexual activity is unclear. We assessed the positive and negative internal feelings related to refusing different sexual behaviors using sentiment analysis. We also examined if positive and negative internal refusal feelings varied by gender and the intersection of gender and racial/ethnic iden…
Beyond “Just Saying No”: A Preliminary Evaluation of Strategies College Students Use to Refuse Sexual Activity
Large Language Models in an App: Conducting a Qualitative Synthetic Data Analysis of How Snapchat’s “My AI” Responds to Questions About Sexual Consent, Sexual Refusals, Sexual Assault, and Sexting
Comprehensive sexual health education for young people often remains largely inaccessible, leaving gaps in knowledge about sexual consent, refusals, sexual assault, and sexting. Snapchat's My AI, tailored to its users, offers accessible and potentially stigma-free responses to sexual health queries, showing promise in addressing these gaps. This study aimed to evaluate My AI's effectiveness in handling questions related to sexual communication, a…
The Effects of Alcohol Intoxication on Perceptions of Consent and Refusal Indicators in a Fictional Alcohol-Involved Sexual Encounter
Alcohol intoxication may influence how bystanders interpret other people's consent and refusal cues. We examined the effects of alcohol intoxication on participants' perceptions of characters' consent and refusal indicators in a fictional vignette depicting an alcohol-involved sexual encounter. Young adults ( n = 119, 52% women) participated in an alcohol administration experiment examining the influence of acute intoxication on bystander percept…
College Students' Sexual Consent Communication And Perceptions of Sexual Double Standards: A Qualitative Investigation
College students' consent communication may be influenced by gender norms that challenge assumptions of affirmative consent standards. Cultural shifts in students' views of sexuality may be necessary for affirmative consent policies to be effective
An Evaluation of Adolescent and Young Adult (Re)Victimization Experiences: Problematic Substance Use and Negative Consequences
We investigated substance use and negative consequences in women who experienced an initial sexual assault (SA) in high school and subsequently in college. More than 650 participants completed questionnaires assessing substance use/consequences, SA history, and posttraumatic stress disorder (PTSD) symptomology. Revictimized women reported differential substance use/consequences relative to controls underscoring the need to conceptualize adolescen…
Beyond “Just Saying No”: A Preliminary Evaluation of Strategies College Students Use to Refuse Sexual Activity
A Content Analysis of Sexual Consent and Refusal Communication in Mainstream Films
Young adults have limited access to comprehensive sex education. As such, they may seek sexuality information through such alternative sources, such as mass media. Previous research suggests that media, including films and television shows, can influence sexual behaviors and attitudes. Because sexual consent communication is important to sexual experiences, the purpose of this study was to assess how sexual consent and refusal communication were …
Assessing How Gender, Relationship Status, and Item Wording Influence Cues Used by College Students to Decline Different Sexual Behaviors
Researchers rarely examine college students' event-level refusals and how refusals may change based on sexual behavior, gender, or relationship status. As such, we assessed how sexual behavior and demographic characteristics influence cues students use to decline sexual activity. As an exploratory aim, we examined the influence of item wording (such as reading the words, not willing/non-consent vs. refusal) on how students reported declining sexu…
Two Studies Investigating Associations Between Sexual Assault Victimization History and Bystander Appraisals of Risk
Across two studies, we examined sexual assault history and bystander appraisals of risk and the moderating roles of danger cue salience (Study 1) and alcohol intoxication (Study 2) in women. Participants (Study 1 = 148, Study 2 = 64) read vignettes ending with cues of nonconsensual sexual activity and an opportunity to intervene. Participants also completed self-report measures of vignette appraisals and history of sexual assault victimization. A…
Does Sexism Mediate the Gender and Rape Myth Acceptance Relationship
Compared with women, men tend to blame assault victims, exonerate perpetrators, and report higher levels of sexism and rape myths. The goal of the present study was to determine whether sexist beliefs mediate the established relationship between gender and rape myth acceptance in a sample of 626 college students. Results demonstrated that hostile sexism, complementary gender differentiation, and heterosexual intimacy mediated the relationship bet…
Sexual Consent at First-Time Intercourse: Retrospective Reports from University Students in Canada and the United States
Objectives: We investigated whether the context of first-time intercourse (FTI) was associated with internal consent feelings and external consent communication at FTI. Method: = 1020) from universities in Canada and the United States retrospectively reported on their FTI. Results: Using structural equation modeling, we found that the context of participants' FTI (e.g. age, contraceptive use) predicted their internal consent, which in turn predic…
Sexual consent cues among sexual minority men in the United States
Sexual consent research often focuses on how those who identify as heterosexual communicate consent, with limited research examining how sexual minority (SM) men communicate consent. Factors that influence how people communicate consent – such as the type of sexual behaviour being consented to and the relationship status of those engaged in sexual behaviour – is understudied among SM men. The purpose of this exploratory study was to assess how SM…
Examining Women’s Sexual Assault Victimization Experiences since Entering College via Two Behavioral Assessments
Measuring sexual assault experiences is considered a methodological challenge in survey research. Researchers can test the validity of sexual assault measures by comparing responses to different, albeit related, measures of sexual assault to determine if they identify similar groups of women. The goal of this study was to compare two measures of sexual assault victimization to determine if women report experiencing sexual assault in both assessme…
Assessing Young Adults’ Internal Feelings Related to Refusing Sexual Behavior
Young people describe refusing sexual activity as difficult or embarrassing; however, what specific internal feelings young adults associate with refusing sexual activity is unclear. We assessed the positive and negative internal feelings related to refusing different sexual behaviors using sentiment analysis. We also examined if positive and negative internal refusal feelings varied by gender and the intersection of gender and racial/ethnic iden…
Examining substance-involved sexual experiences and consent communication by sexual identity
Substance use can occur prior to nonconsensual and consensual sexual activity and affect how sexual consent is communicated and felt. Yet, researchers’ understanding of how substance use relates to these sexual experiences is still developing. Few researchers examine these behaviors among the intersection of sexual minority (SM) identity and gender. The goal of this study was to assess if experiences of nonconsensual and consensual substance-invo…
Testing the Internal Consent Scale for Measurement Invariance Across Women and Men
The Internal Consent Scale (ICS) was created to measure feelings associated with a person’s willingness to engage in partnered sexual activity. Although previous studies using the ICS have assessed gender differences, evidence has not been provided to suggest that the ICS functions similarly for women and men. Using data from an online cross-sectional survey of adults ( N = 874; 53.1% women), we subjected the 25-item ICS to tests of measurement i…
College students’ definition of non-consent and sexual refusals in the age of affirmative consent initiatives
Affirmative consent initiatives advocate that college students understand sexual consent and refusal. There has been an influx of research focused on students’ definitions or understanding of consent; however, research examining students’ definitions of sexual refusals is limited. Additionally, different terminology (e.g., non-consent vs. sexual refusal) may influence students’ definitions. We assessed how college students defined non-consent and…
The Effects of Alcohol Intoxication on Perceptions of Consent and Refusal Indicators in a Fictional Alcohol-Involved Sexual Encounter
Alcohol intoxication may influence how bystanders interpret other people's consent and refusal cues. We examined the effects of alcohol intoxication on participants' perceptions of characters' consent and refusal indicators in a fictional vignette depicting an alcohol-involved sexual encounter. Young adults ( n = 119, 52% women) participated in an alcohol administration experiment examining the influence of acute intoxication on bystander percept…
Hey ChatGPT, Let’s Talk About Sexual Consent
Access to sexual health education, such as education on sexual consent, is limited in the US. Artificial intelligence (AI), such as ChatGPT, provides a potential opportunity to increase access to sexual consent information and education. However, what ChatGPT knows about sexual consent and if this aligns with the current evidence-based literature on sexual consent is unclear. The goal of this research commentary was to explore what ChatGPT knows …
Alcohol’s Effects on the Bystander Decision-Making Model: A Systematic Literature Review
Prevalence and Variations of Sexual Violence Victimization Among US-Based Latino Adults and Adolescents: A Systematic Literature Review
Improving Sex Research: Reviewing the Publication of Diaz and Bailey (2023)
How Do College Students Perceive Their Partner Responds to Them When They Refuse Sexual Activity
Refusal communication is a dyadic process, with one person communicating a refusal and another person responding. To enhance our understanding of this process, we surveyed college students to assess their interpretation of their partners’ responses when they declined vaginal–penile sexual activity. In an online survey, participants were prompted to describe their partners’ reactions when participants refused their partner's vaginal–penile sex ini…
Large Language Models in an App: Conducting a Qualitative Synthetic Data Analysis of How Snapchat’s “My AI” Responds to Questions About Sexual Consent, Sexual Refusals, Sexual Assault, and Sexting
Comprehensive sexual health education for young people often remains largely inaccessible, leaving gaps in knowledge about sexual consent, refusals, sexual assault, and sexting. Snapchat's My AI, tailored to its users, offers accessible and potentially stigma-free responses to sexual health queries, showing promise in addressing these gaps. This study aimed to evaluate My AI's effectiveness in handling questions related to sexual communication, a…
What do States Recommend We Teach Adolescents about Sexual Consent? A Content Analysis of K-12 Health Education Standards in the US
Although universities in the US commonly implement sexual consent education programs for students that focus on understanding how to communicate sexual consent, it remains unclear to what extent sexual consent education is taking place in grades K-12. The goal of this study was to assess K-12 health education standards recommendations for sexual consent education. We conducted a content analysis of health education standards from 43 states in the…
What Would You Tell Your Friend About Trying to Consent After Having Consumed Alcohol? Advice from U.S. College Students About How They Navigate Alcohol-Involved Consensual Sexual Behavior
How Does Alcohol Use Relate to Sexual Consent? A Scoping Review
People consume alcohol prior to both consensual and nonconsensual sexual activity. To better inform education and prevention efforts targeting the coalescing of alcohol, sexual consent, and sexual violence, we conducted a scoping review of 57 articles published between 1999 and 2024 that examined the relationship between alcohol use and sexual consent. Most articles were qualitative and investigated how alcohol related to perceptions of consent, …
Exploring How Large Language Models Understand Sexual Communication in Hypothetical Sexual Situations
Large language models (LLMs), or models which generate human like responses to people's queries, are growing in popularity and may be an additional tool to access information related to sexual communication - including sexual consent and refusals. However, whether LLMs can identify sexual communication in hypothetical situations and how this influences their understanding of whether an encounter could be consensual is unclear, despite the importa…
Psychology (25 works) · Sexual Assault and Victimization Studies (25 works) · Social Psychology (19 works) · Medicine (17 works) · Social Psychology (14 works) · Developmental psychology (12 works) · Clinical Psychology (11 works) · Clinical Psychology (9 works) · Poison control (9 works) · Human Factors and Ergonomics (8 works)