nach oben

AIDS and Behavior

Erschienen in:

01.04.2011 | Original Paper

An Integrated Theoretical Approach to Substance Use and Risky Sexual Behavior Among Men Who Have Sex with Men

verfasst von: Brooke E. Wells, Sarit A. Golub, Jeffrey T. Parsons

Erschienen in: AIDS and Behavior | Ausgabe 3/2011

Einloggen, um Zugang zu erhalten

Abstract

Research demonstrates a consistent association between substance use and sexual risk, particularly among men who have sex with men (MSM). The present study builds upon two existing theories (Cognitive Escape Theory and Expectancy Theory) to examine the synergistic role of sexual conflict (surrounding unsafe sex) and expectancies in sexual behavior among 135 MSM. Two conflicts were examined: (1) The conflict between motivation to practice safer sex and temptation for unprotected sex; and (2) The conflict between motivation to practice safer sex and perceived benefits of unprotected sex. Factorial ANOVAs (2 × 2; high versus low expectancies and conflict versus no conflict) revealed a significant interaction between conflict and expectancies—individuals who reported high levels of conflict were more sensitive to the effect of expectancies than were those experiencing low levels of sexual conflict. Results demonstrate the synergistic effects of conflict and expectancies and highlight the importance of integrating existing theories to more fully consider the intrapsychic operation and experience of sexual conflicts.

Spindler HH, Scheer S, Chen SY, Klausner JD, Katz MH, Valleroy LA, et al. Viagra, methamphetamine, and HIV risk: results from a probability sample of MSM, San Francisco. Sex Transm Dis. 2007;34(8):586–91.PubMed

Shoptaw S, Reback CJ. Methamphetamine use and infectious disease-related behaviors in men who have sex with men: implications for interventions. Addiction. 2007;102(Suppl 1):130–5.PubMedCrossRef

Drumright LN, Gorbach PM, Little SJ, Strathdee SA. Associations between substance use, erectile dysfunction medication and recent HIV infection among men who have sex with men. AIDS Behav. 2009;13(2):328–36.PubMedCrossRef

Celentano DD, Valleroy LA, Sifakis F, MacKellar DA, Hylton J, Thiede H, et al. Associations between substance use and sexual risk among very young men who have sex with men. Sex Transm Dis. 2006;33(4):265–71.PubMed

Purcell DW, Moss S, Remien RH, Woods WJ, Parsons JT. Illicit substance use, sexual risk, and HIV-positive gay and bisexual men: differences by serostatus of casual partners. AIDS. 2005;19(Suppl 1):S37–47.PubMedCrossRef

Carey JW, Mejia R, Bingham T, Ciesielski C, Gelaude D, Herbst JH, et al. Drug use, high-risk sex behaviors, and increased risk for recent HIV infection among men who have sex with men in Chicago and Los Angeles. AIDS Behav. 2009;13(6):1084–96.PubMedCrossRef

Koblin BA, Husnik MJ, Colfax G, Huang Y, Madison M, Mayer K, et al. Risk factors for HIV infection among men who have sex with men. AIDS. 2006;20(5):731–9.PubMedCrossRef

Kalichman SC, Weinhardt L, DiFonzo K, Austin J, Luke W. Sensation seeking and alcohol use as markers of sexual transmission risk behavior in HIV-positive men. Ann Behav Med. 2002;24(3):229–35.PubMedCrossRef

Kalichman SC, Heckman T, Kelly JA. Sensation seeking as an explanation for the association between alcohol use and risky sexual behavior. Alcohol Clin Exp Res. 1996;24:1028–35.

10.

Colfax G, Coates TJ, Husnik MJ, Huang Y, Buchbinder S, Koblin B, et al. Longitudinal patterns of methamphetamine, popper (amyl nitrite), and cocaine use and high-risk sexual behavior among a cohort of San Francisco men who have sex with men. J Urban Health. 2005;82(1 Suppl 1):i62–70.PubMed

11.

Grov C, Parsons JT, Bimbi DS. In the shadows of a prevention campaign: sexual risk in the absence of crystal methamphetamine. AIDS Educ Prev. 2008;20:42–55.PubMedCrossRef

12.

Dermen KH, Cooper ML. Sex-related alcohol expectancies among adolescents: I. Scale development. Psychol Addict Behav. 1994;8(3):152–60.CrossRef

13.

Dermen KH, Cooper ML. Sex-related alcohol expectancies among adolescents: II. Prediction of drinking in social and sexual situations. Psychol Addict Behav. 1994;8(3):161–8.CrossRef

14.

Norris J. Alcohol and female sexuality. Alcohol Health Res World. 1994;18(3):197–201.

15.

Wilson GT, Lawson DM. Expectancies, alcohol, and sexual arousal in male social drinkers. J Abnorm Psychol. 1976;85(6):587–94.PubMedCrossRef

16.

Klassen AD, Wilsnack SC. ) Sexual experience and drinking among women in a U.S. national survey. Arch Sex Behav. 1986;15(5):363–92.PubMedCrossRef

17.

Monahan JL, Murphy ST, Miller LC. When women imbibe: alcohol and the illusory control of HIV risk. Psychol Women Q. 1999;23:643–51.CrossRef

18.

Bimbi DS, Nanin JE, Parsons JT, Vicioso KJ, Missildine W, Frost DM. Assessing gay and bisexual men’s outcome expectancies for sexual risk under the influence of alcohol and drugs. Subst Use Misuse. 2006;41(5):643–52.PubMedCrossRef

19.

McKirnan DJ, Ostrow DG, Hope B. Sex, drugs and escape: a psychological model of HIV-risk sexual behaviours. AIDS Care. 1996;8(6):655–69.PubMedCrossRef

20.

McKirnan DJ, Houston E, Tolou-Shams M. Is the Web the culprit? Cognitive escape and Internet sexual risk among gay and bisexual men. AIDS Behav. 2007;11(1):151–60.PubMedCrossRef

21.

Vicioso KJ, Parsons JT, Nanin JE, Purcell DW, Woods WJ. Experiencing release: sex environments and escapism for HIV-positive men who have sex with men. J Sex Res. 2005;42(1):13–9.PubMedCrossRef

22.

Hoyt MA, Nemeroff CJ, Huebner DM. The effects of HIV-related thought suppression on risk behavior: cognitive escape in men who have sex with men. Health Psychol. 2006;25(4):455–61.PubMedCrossRef

23.

McKirnan DJ, Peterson PL. Cognitive restraint and hinging in drugs and unsafe sex. American Psychiatric Association Annual Meeting, New York, NY, USA; May 1990.

24.

McKirnan DJ, Vanable PA, Ostrow DG, Hope B. Expectancies of sexual “escape” and sexual risk among drug and alcohol-involved gay and bisexual men. J Subst Abuse. 2001;13(1–2):137–54.PubMedCrossRef

25.

Crosby RA, Diclemente RJ, Wingood GM, Davies SL, Harrington K. Adolescents’ ambivalence about becoming pregnant predicts infrequent contraceptive use: a prospective analysis of nonpregnant African American females. Am J Obstet Gynecol. 2002;186(2):251–2.PubMedCrossRef

26.

Frost JJ, Singh S, Finer LB. Factors associated with contraceptive use and nonuse, United States, 2004. Perspect Sex Reprod Health. 2007;39(2):90–9.PubMedCrossRef

27.

Arnett JJ. Emerging adulthood: the winding road from the late teens through the twenties. New York: Oxford University Press; 2004.

28.

Amadio DM. Internalized heterosexism, alcohol use, and alcohol-related problems among lesbians and gay men. Addict Behav. 2006;31(7):1153–62.PubMedCrossRef

29.

Nemeroff CJ, Hoyt MA, Huebner DM, Proescholdbell RJ. The cognitive escape scale: measuring HIV-related thought avoidance. AIDS Behav. 2008;12(2):305–20.PubMedCrossRef

30.

Dermen KH, Cooper ML. Inhibition conflict and alcohol expectancy as moderators of alcohol’s relationship to condom use. Exp Clin Psychopharmacol. 2000;8(2):198–206.PubMedCrossRef

31.

Rawson RA, Washton A, Domier CP, Reiber C. Drugs and sexual effects: role of drug type and gender. J Subst Abuse Treat. 2002;22(2):103–8.PubMedCrossRef

32.

Biener L, Abrams DB. The contemplation ladder: validation of a measure of readiness to consider smoking cessation. Health Psychol. 1991;10:360–5.PubMedCrossRef

33.

Prochaska JO. The transtheoretical model of change and HIV prevention: a review. Health Educ Q. 1994;21(4):471–86.PubMed

34.

Slavet JD, Stein LA, Colby SM, Barnett NP, Monti PM, Golembeske C, et al. The marijuana ladder: measuring motivation to change marijuana use in incarcerated adolescents. Drug Alcohol Depend. 2006;83:42–8.PubMedCrossRef

35.

LaBrie JW, Quinlan T, Schiffman JE, Earleywine ME. Performance of alcohol and safer sex change rulers compared with readiness to change questionnaires. Psychol Addict Behav. 2005;19(1):112–5.PubMedCrossRef

36.

Naar-King S, Lam P, Wang B, Wright K, Parsons JT, Frey MA. Brief report: maintenance of effects of motivational enhancement therapy to improve risk behaviors and HIV-related health in a randomized controlled trial of youth living with HIV. J Pediatr Psychol. 2008;33(4):441–5.PubMedCrossRef

37.

Naar-King S, Wright K, Parsons JT, Frey M, Templin T, Ondersma S. Transtheoretical model and condom use in HIV-positive youths. Health Psychol. 2006;25(5):648–52.PubMedCrossRef

38.

Prochaska JO, Velicer WF, Rossi JS, Goldstein MG, Marcus BH, Rakowski W, et al. Stages of change and decisional balance for 12 problem behaviors. Health Psychol. 1994;13(1):39–46.PubMedCrossRef

39.

Parsons JT, Halkitis PN, Bimbi D, Borkowski T. Perceptions of the benefits and costs associated with condom use and unprotected sex among late adolescent college students. J Adolesc. 2000;23(4):377–91.PubMedCrossRef

40.

Parsons JT, Halkitis PN, Wolitski RJ, Gomez CA. Correlates of sexual risk behaviors among HIV-positive men who have sex with men. AIDS Educ Prev. 2003;15(5):383–400.PubMedCrossRef

41.

Redding CA, Rossi JS. Testing a model of situational self-efficacy for safer sex among college students: stages of change and gender based differences. Psychol Health. 1999;14:467–86.CrossRef

42.

Sobell MB, Sobell LC. Problem drinkers: guided self-change treatment. New York: Guilford Press; 1993.

43.

Carey MP, Carey KB, Maisto SA, Gordon CM, Weinhardt LS. Assessing sexual risk behaviour with the Timeline Followback (TLFB) approach: continued development and psychometric evaluation with psychiatric outpatients. Int J STD AIDS. 2001;12(6):365–75.PubMedCrossRef

44.

Weinhardt LS, Carey MP, Maisto SA, Carey KB, Cohen MM, Wickramasinghe SM. Reliability of the timeline follow-back sexual behavior interview. Ann Behav Med. 1998;20(1):25–30.PubMedCrossRef

45.

Weinhardt LS, Forsyth AD, Carey MP, Jaworski BC, Durant LE. Reliability and validity of self-report measures of HIV-related sexual behavior: progress since 1990 and recommendations for research and practice. Arch Sex Behav. 1998;27(2):155–80.PubMedCrossRef

46.

Fals-Stewart W, O’Farrell TJ, Freitas TT, McFarlin SK, Rutigliano P. The timeline followback reports of psychoactive substance use by drug-abusing patients: psychometric properties. J Consult Clin Psychol. 2000;68(1):134–44.PubMedCrossRef

47.

Morgenstern J, Bux DA Jr, Parsons J, Hagman BT, Wainberg M, Irwin T. Randomized trial to reduce club drug use and HIV risk behaviors among men who have sex with men. J Consult Clin Psychol. 2009;77(4):645–56.PubMedCrossRef

48.

Velasquez MM, von Sternberg K, Johnson DH, Green C, Carbonari JP, Parsons JT. Reducing sexual risk behaviors and alcohol use among HIV-positive men who have sex with men: a randomized clinical trial. J Consult Clin Psychol. 2009;77(4):657–67.PubMedCrossRef

49.

Fromme K, D’Amico EJ, Katz EC. Intoxicated sexual risk taking: an expectancy or cognitive impairment explanation? J Stud Alcohol. 1999;60(1):54–63.PubMed

50.

George WH, Stoner SA, Davis KC, Lindgren KP, Norris J, Lopez PA. Postdrinking sexual perceptions and behaviors toward another person: alcohol expectancy set and gender differences. J Sex Res. 2006;43(3):282–91.PubMedCrossRef

51.

Leigh BC, Stacy AW. Alcohol expectancies and drinking in different age groups. Addiction. 2004;99(2):215–27.PubMedCrossRef

52.

MacLatchy-Gaudet HA, Stewart SH. The context-specific positive alcohol outcome expectancies of university women. Addict Behav. 2001;26(1):31–49.PubMedCrossRef

53.

Miller WR, Rollnick S. Motivational interviewing: preparing people for change. New York: Guilford Press; 2002.

54.

Jarama SL, Kennamer JD, Poppen PJ, Hendricks M, Bradford J. Psychosocial, behavioral, and cultural predictors of sexual risk for HIV infection among Latino men who have sex with men. AIDS Behav. 2005;9(4):513–23.PubMedCrossRef

55.

Mays VM, Cochran SD, Zamudio A. HIV prevention research: are we meeting the needs of African American men who have sex with men? J Black Psychol. 2004;30(1):78–105.PubMedCrossRef

56.

Larimer ME, Turner AP, Anderson BK, Fader JS, Kilmer JR, Palmer RS, et al. Evaluating a brief alcohol intervention with fraternities. J Stud Alcohol. 2001;62(3):370–80.PubMed

57.

Larimer ME, Cronce JM. Identification, prevention and treatment: a review of individual-focused strategies to reduce problematic alcohol consumption by college students. J Stud Alcohol Suppl. 2002;14:148–63.PubMed

58.

Darkes J, Goldman MS. Expectancy challenge and drinking reduction: process and structure in the alcohol expectancy network. Exp Clin Psychopharmacol. 1998;6(1):64–76.PubMedCrossRef

59.

Darkes J, Goldman MS. Expectancy challenge and drinking reduction: experimental evidence for a mediational process. J Consult Clin Psychol. 1993;61(2):344–53.PubMedCrossRef

60.

van de Luitgaarden J, Wiers RW, Knibbe RA, Candel MJ. Single-session expectancy challenge with young heavy drinkers on holiday. Addict Behav. 2007;32(12):2865–78.PubMedCrossRef

Titel: An Integrated Theoretical Approach to Substance Use and Risky Sexual Behavior Among Men Who Have Sex with Men
verfasst von: Brooke E. Wells
Sarit A. Golub
Jeffrey T. Parsons
Publikationsdatum: 01.04.2011
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 3/2011
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-010-9767-z

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

25.04.2024 Allergien und Intoleranzreaktionen Nachrichten

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2011

Predictors of Unrecognized HIV Infection Among Poor and Ethnic Men Who Have Sex with Men in Los Angeles

Transmen in San Francisco: What do We Know from HIV Test Site Data?

Sensation Seeking Moderates the Effects of Alcohol and Drug Use Prior to Sex on Sexual Risk in Young Men Who Have Sex with Men

HIV, Sexually Transmitted Infections, and Sexual Risk Behavior Among Transgenders in Indonesia

Male to Female and Female to Male Transgender Persons have Different Sexual Risk Behaviors Yet Similar Rates of STDs and HIV