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Erschienen in: AIDS and Behavior 1/2008

01.01.2008 | Original Paper

Moderating Effects of Age on the Alcohol and Sexual Risk Taking Association: An Online Daily Diary Study of Men Who have Sex with Men

verfasst von: Brian Mustanski

Erschienen in: AIDS and Behavior | Ausgabe 1/2008

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Abstract

Men who have sex with men (MSM) account for the majority of HIV/AIDS diagnoses and data suggest infection rates are rising. Identification of factors that increase the risk of infection is key to the development of effective prevention programs. Previous research has been inconsistent regarding the link between alcohol consumption and sexual risk taking among MSM. Daily reports of alcohol consumption and sexual behavior were completed for up to 30 days by 143 HIV negative MSM recruited online. This resulted in 2,887 daily reports of number of sex partners and 549 episodes of sex. Independent variables included age, number of standard drinks consumed, and partner type. Outcome variables included sex with a partner, a composite sexual risk variable, and unprotected anal intercourse (UAI). Alcohol consumption significantly increased the odds of having sex and had a significant positive association with the sexual risk composite variable. Age was a significant moderator of the association between alcohol consumption and sexual risk taking, with the effects of alcohol increasing with age. For example, at the 75%tile of age (37 years old), the odds of UAI increase from ∼0.2 to 0.35 as the number of alcoholic drinks increases from zero to seven. Partner type did not have significant effects. Daily reports of alcohol consumption had a significant within-person association with sexual risk behaviors, particularly among older MSM. Findings highlight the importance of measuring individual differences as moderators of the association between alcohol and risky sexual behavior.
Literatur
Zurück zum Zitat CDC. (2006). HIV/AIDS among men who have sex with men. Atlanta, GA: US DHHS. CDC. (2006). HIV/AIDS among men who have sex with men. Atlanta, GA: US DHHS.
Zurück zum Zitat Colfax, G., Vittinghoff, E., Husnik, M. J., McKirnan, D., Buchbinder, S., Koblin, B., et al. (2004). Substance use and sexual risk: A participant- and episode-level analysis among a cohort of men who have sex with men. American Journal of Epidemiology, 159, 1002–1012.CrossRefPubMed Colfax, G., Vittinghoff, E., Husnik, M. J., McKirnan, D., Buchbinder, S., Koblin, B., et al. (2004). Substance use and sexual risk: A participant- and episode-level analysis among a cohort of men who have sex with men. American Journal of Epidemiology, 159, 1002–1012.CrossRefPubMed
Zurück zum Zitat Cooper, M. L. (2002). Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol, 14, 101–117. Cooper, M. L. (2002). Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol, 14, 101–117.
Zurück zum Zitat Cooper, M. L. (2006). Does drinking promote risky sexual behavior? Current Directions in Psychological Science, 15, 19.CrossRef Cooper, M. L. (2006). Does drinking promote risky sexual behavior? Current Directions in Psychological Science, 15, 19.CrossRef
Zurück zum Zitat Dermen, K. H., & Cooper, M. L. (2000). Inhibition conflict and alcohol expectancy as moderators of alcohol’s relationship to condom use. Experimental Clinical Psychopharmacology, 8, 198–206.CrossRef Dermen, K. H., & Cooper, M. L. (2000). Inhibition conflict and alcohol expectancy as moderators of alcohol’s relationship to condom use. Experimental Clinical Psychopharmacology, 8, 198–206.CrossRef
Zurück zum Zitat Fortenberry, J. D., Orr, D. P., Katz, B. P., & Brizendine, E. J. (1995). Sex under the influence among adolescent females—Patterns of relationships with risky sexual-behavior. Pediatric Research, 37, A5–A5. Fortenberry, J. D., Orr, D. P., Katz, B. P., & Brizendine, E. J. (1995). Sex under the influence among adolescent females—Patterns of relationships with risky sexual-behavior. Pediatric Research, 37, A5–A5.
Zurück zum Zitat Fortenberry, J. D., Orr, D. P., Katz, B. P., Brizendine, E. J., & Blythe, M. J. (1997). Sex under the influence—A diary self-report study of substance use and sexual behavior among adolescent women. Sexually Transmitted Diseases, 24, 313–319.CrossRefPubMed Fortenberry, J. D., Orr, D. P., Katz, B. P., Brizendine, E. J., & Blythe, M. J. (1997). Sex under the influence—A diary self-report study of substance use and sexual behavior among adolescent women. Sexually Transmitted Diseases, 24, 313–319.CrossRefPubMed
Zurück zum Zitat Gillmore, M., Morrison, D., Leigh, B. C., Hoppe, M., Gaylord, J., & Rainey, D. (2002). Does “high = high risk”? An event-based analysis of the relationship between substance use and unprotected anal sex among gay and bisexual men. AIDS and Behavior, 6, 361–370.CrossRef Gillmore, M., Morrison, D., Leigh, B. C., Hoppe, M., Gaylord, J., & Rainey, D. (2002). Does “high = high risk”? An event-based analysis of the relationship between substance use and unprotected anal sex among gay and bisexual men. AIDS and Behavior, 6, 361–370.CrossRef
Zurück zum Zitat Gold, R. S., & Skinner, M. J. (1992). Situational factors and thought processes associated with unprotected intercourse in young gay men. AIDS, 6, 1021–1030.CrossRefPubMed Gold, R. S., & Skinner, M. J. (1992). Situational factors and thought processes associated with unprotected intercourse in young gay men. AIDS, 6, 1021–1030.CrossRefPubMed
Zurück zum Zitat Gosling, S. D., Vazire, S., Srivastava, S., & John, O. P. (2004). Should we trust web-based studies? A comparative analysis of six preconceptions about internet questionnaires. American Psychologist, 59, 93–104.CrossRefPubMed Gosling, S. D., Vazire, S., Srivastava, S., & John, O. P. (2004). Should we trust web-based studies? A comparative analysis of six preconceptions about internet questionnaires. American Psychologist, 59, 93–104.CrossRefPubMed
Zurück zum Zitat Hays, R. B., Paul, J., Ekstrand, M., Kegeles, S. M., Stall, R., & Coates, T. J. (1997). Actual versus perceived HIV status, sexual behaviors and predictors of unprotected sex among young gay and bisexual men who identify as HIV-negative, HIV-positive and untested. Aids, 11, 1495–1502.CrossRefPubMed Hays, R. B., Paul, J., Ekstrand, M., Kegeles, S. M., Stall, R., & Coates, T. J. (1997). Actual versus perceived HIV status, sexual behaviors and predictors of unprotected sex among young gay and bisexual men who identify as HIV-negative, HIV-positive and untested. Aids, 11, 1495–1502.CrossRefPubMed
Zurück zum Zitat Hendershot, C. S., & George, W. H. (2007). Alcohol and sexuality research in the AIDS era: Trends in publication activity, target populations and research design. AIDS and Behavior, 11, 217–226.CrossRefPubMed Hendershot, C. S., & George, W. H. (2007). Alcohol and sexuality research in the AIDS era: Trends in publication activity, target populations and research design. AIDS and Behavior, 11, 217–226.CrossRefPubMed
Zurück zum Zitat Hirshfield, S., Remien, R. H., Humberstone, M., Walavalkar, I., & Chiasson, M. A. (2004). Substance use and high-risk sex among men who have sex with men: A national online study in the USA. AIDS Care, 16, 1036–1047.CrossRefPubMed Hirshfield, S., Remien, R. H., Humberstone, M., Walavalkar, I., & Chiasson, M. A. (2004). Substance use and high-risk sex among men who have sex with men: A national online study in the USA. AIDS Care, 16, 1036–1047.CrossRefPubMed
Zurück zum Zitat Hunt, A. J., Weatherburn, P., Hickson, F. C., Davies, P. M., McManus, T. J., & Coxon, A. P. (1993). Changes in condom use by gay men. AIDS Care, 5, 439–448.CrossRefPubMed Hunt, A. J., Weatherburn, P., Hickson, F. C., Davies, P. M., McManus, T. J., & Coxon, A. P. (1993). Changes in condom use by gay men. AIDS Care, 5, 439–448.CrossRefPubMed
Zurück zum Zitat Irwin, T. W., Morgenstern, J., Parsons, J. T., Wainberg, M., & Labouvie, E. (2006). Alcohol and sexual HIV risk behavior among problem drinking men who have sex with men: An event level analysis of timeline followback data. AIDS Behavior, 10, 299–307.CrossRef Irwin, T. W., Morgenstern, J., Parsons, J. T., Wainberg, M., & Labouvie, E. (2006). Alcohol and sexual HIV risk behavior among problem drinking men who have sex with men: An event level analysis of timeline followback data. AIDS Behavior, 10, 299–307.CrossRef
Zurück zum Zitat Kandel, D., Chen, K., Warner, L. A., Kessler, R. C., & Grant, B. (1997). Prevalence and demographic correlates of symptoms of last year dependence on alcohol, nicotine, marijuana and cocaine in the U.S. population. Drug Alcohol Depend, 44, 11–29.CrossRefPubMed Kandel, D., Chen, K., Warner, L. A., Kessler, R. C., & Grant, B. (1997). Prevalence and demographic correlates of symptoms of last year dependence on alcohol, nicotine, marijuana and cocaine in the U.S. population. Drug Alcohol Depend, 44, 11–29.CrossRefPubMed
Zurück zum Zitat Kalichman, S. C., Heckman, T., & Kelly, J. A. (1996). Sensation seeking as an explanation for the association between substance use and HIV-related risky sexual behavior. Archives of Sexual Behavior, 25, 141–154.CrossRefPubMed Kalichman, S. C., Heckman, T., & Kelly, J. A. (1996). Sensation seeking as an explanation for the association between substance use and HIV-related risky sexual behavior. Archives of Sexual Behavior, 25, 141–154.CrossRefPubMed
Zurück zum Zitat Klausner, J. D., Levine, D. K., & Kent, C. K. (2004). Internet-based site-specific interventions for syphilis prevention among gay and bisexual men. AIDS Care, 16, 964–970.CrossRefPubMed Klausner, J. D., Levine, D. K., & Kent, C. K. (2004). Internet-based site-specific interventions for syphilis prevention among gay and bisexual men. AIDS Care, 16, 964–970.CrossRefPubMed
Zurück zum Zitat Koblin, B. A., Husnik, M. J., Colfax, G., Huang, Y., Madison, M., Mayer, K., et al. (2006). Risk factors for HIV infection among men who have sex with men. Aids, 20, 731–739.CrossRefPubMed Koblin, B. A., Husnik, M. J., Colfax, G., Huang, Y., Madison, M., Mayer, K., et al. (2006). Risk factors for HIV infection among men who have sex with men. Aids, 20, 731–739.CrossRefPubMed
Zurück zum Zitat Leigh, B. C. (2002). Alcohol and condom use: A meta-analysis of event-level studies. Sexually Transmited Diseases, 29, 476–482.CrossRef Leigh, B. C. (2002). Alcohol and condom use: A meta-analysis of event-level studies. Sexually Transmited Diseases, 29, 476–482.CrossRef
Zurück zum Zitat McFarlane, M., Kachur, R., Klausner, J. D., Roland, E., & Cohen, M. (2005). Internet-based health promotion and disease control in the 8 cities: Successes, barriers, and future plans. Sexually Transmitted Disease, 32, S60–S64.CrossRef McFarlane, M., Kachur, R., Klausner, J. D., Roland, E., & Cohen, M. (2005). Internet-based health promotion and disease control in the 8 cities: Successes, barriers, and future plans. Sexually Transmitted Disease, 32, S60–S64.CrossRef
Zurück zum Zitat McKirnan, D. J., & Peterson, P. L. (1989). Alcohol and drug use among homosexual men and women: Epidemiology and population characteristics. Addictive Behavior, 14, 545–553.CrossRef McKirnan, D. J., & Peterson, P. L. (1989). Alcohol and drug use among homosexual men and women: Epidemiology and population characteristics. Addictive Behavior, 14, 545–553.CrossRef
Zurück zum Zitat McKleroy, V. S., Galbraith, J. S., Cummings, B., Jones, P., Harshbarger, C., Collins, C., et al. (2006). Adapting evidence-based behavioral interventions for new settings and target populations. AIDS Education and Prevention, 1, 59–73.CrossRef McKleroy, V. S., Galbraith, J. S., Cummings, B., Jones, P., Harshbarger, C., Collins, C., et al. (2006). Adapting evidence-based behavioral interventions for new settings and target populations. AIDS Education and Prevention, 1, 59–73.CrossRef
Zurück zum Zitat Misovich, S. J., Fisher, J. D., & Fisher, W. A. (1997). Close relationships and elevated HIV risk behavior: Evidence and possible underlying psychological processes. Review of General Psychology, 1, 72–107.CrossRef Misovich, S. J., Fisher, J. D., & Fisher, W. A. (1997). Close relationships and elevated HIV risk behavior: Evidence and possible underlying psychological processes. Review of General Psychology, 1, 72–107.CrossRef
Zurück zum Zitat Mustanski, B. (2007a). Are sexual partners met online associated with HIV/STI risk behaviors? Within-person and between-person data in conflict. Aids Care, 19, 822–827.CrossRefPubMed Mustanski, B. (2007a). Are sexual partners met online associated with HIV/STI risk behaviors? Within-person and between-person data in conflict. Aids Care, 19, 822–827.CrossRefPubMed
Zurück zum Zitat Mustanski, B. (2007b). The influence of state and trait affect on HIV risk behaviors: A daily diary study of MSM. Health Psychology, 26, 618–626.CrossRefPubMed Mustanski, B. (2007b). The influence of state and trait affect on HIV risk behaviors: A daily diary study of MSM. Health Psychology, 26, 618–626.CrossRefPubMed
Zurück zum Zitat Mustanski, B. S. (2001). Getting wired: Exploiting the internet for the collection of valid sexuality data. Journal of Sex Research, 38, 292–301.CrossRef Mustanski, B. S. (2001). Getting wired: Exploiting the internet for the collection of valid sexuality data. Journal of Sex Research, 38, 292–301.CrossRef
Zurück zum Zitat Mustanski, B. S. (2004). The relationship between mood and sexual interest, behavior, and risk-taking. Dissertation Abstracts International: Section B: The Sciences and Engineering, 65, 2640. Mustanski, B. S. (2004). The relationship between mood and sexual interest, behavior, and risk-taking. Dissertation Abstracts International: Section B: The Sciences and Engineering, 65, 2640.
Zurück zum Zitat Mustanski, B. S. (2006). Methodological issues in online sexual health research. In P. Liamputtong (Ed.), Health research in cyberspace: Methodological, practical and personal experiences in doing health and social science researching online (Chapter 7). New York: Nova Science Publishers. Mustanski, B. S. (2006). Methodological issues in online sexual health research. In P. Liamputtong (Ed.), Health research in cyberspace: Methodological, practical and personal experiences in doing health and social science researching online (Chapter 7). New York: Nova Science Publishers.
Zurück zum Zitat Peterman, T. A., & Furness, B. W. (2007). The resurgence of syphilis among men who have sex with men. Current Opinion in Infectious Diseases, 20, 54–59.CrossRefPubMed Peterman, T. A., & Furness, B. W. (2007). The resurgence of syphilis among men who have sex with men. Current Opinion in Infectious Diseases, 20, 54–59.CrossRefPubMed
Zurück zum Zitat Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Thousand Oaks: Sage Publications. Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Thousand Oaks: Sage Publications.
Zurück zum Zitat Ross, M. W., Tikkanen, R., & Mansson, S. A. (2000). Differences between internet samples and conventional samples of men who have sex with men: Implications for research and HIV interventions. Social Science and Medicine, 51, 749–758.CrossRefPubMed Ross, M. W., Tikkanen, R., & Mansson, S. A. (2000). Differences between internet samples and conventional samples of men who have sex with men: Implications for research and HIV interventions. Social Science and Medicine, 51, 749–758.CrossRefPubMed
Zurück zum Zitat Shoptaw, S., & Frosch, D. (2000). Substance abuse treatment as HIV prevention for men who have sex with men. AIDS and Behavior, 4, 193–203.CrossRef Shoptaw, S., & Frosch, D. (2000). Substance abuse treatment as HIV prevention for men who have sex with men. AIDS and Behavior, 4, 193–203.CrossRef
Zurück zum Zitat Skinner, W. F. (1994). The prevalence and demographic predictors of illicit and licit drug use among lesbians and gay men. American Journal of Public Health, 84, 1307–1311.PubMedCrossRef Skinner, W. F. (1994). The prevalence and demographic predictors of illicit and licit drug use among lesbians and gay men. American Journal of Public Health, 84, 1307–1311.PubMedCrossRef
Zurück zum Zitat Stall, R., & Wiley, J. (1988). A comparison of alcohol and drug use patterns of homosexual and heterosexual men: The San Francisco men’s health study. Drug Alcohol Depend, 22, 63–73.CrossRefPubMed Stall, R., & Wiley, J. (1988). A comparison of alcohol and drug use patterns of homosexual and heterosexual men: The San Francisco men’s health study. Drug Alcohol Depend, 22, 63–73.CrossRefPubMed
Zurück zum Zitat Steele, C. M., & Josephs, R. A. (1990). Alcohol myopia. Its prized and dangerous effects. American Psychologist, 45, 921–933.CrossRefPubMed Steele, C. M., & Josephs, R. A. (1990). Alcohol myopia. Its prized and dangerous effects. American Psychologist, 45, 921–933.CrossRefPubMed
Zurück zum Zitat Vanable, P. A., McKirnan, D. J., Buchbinder, S. P., Bartholow, B. N., Douglas, J. M. Jr., Judson, F. N., et al. (2004). Alcohol use and high-risk sexual behavior among men who have sex with men: The effects of consumption level and partner type. Health Psychology, 23, 525–532.CrossRefPubMed Vanable, P. A., McKirnan, D. J., Buchbinder, S. P., Bartholow, B. N., Douglas, J. M. Jr., Judson, F. N., et al. (2004). Alcohol use and high-risk sexual behavior among men who have sex with men: The effects of consumption level and partner type. Health Psychology, 23, 525–532.CrossRefPubMed
Zurück zum Zitat Weatherburn, P., Davies, P. M., Hickson, F. C., Hunt, A. J., McManus, T. J., & Coxon, A. P. (1993). No connection between alcohol use and unsafe sex among gay and bisexual men. Aids, 7, 115–119.CrossRefPubMed Weatherburn, P., Davies, P. M., Hickson, F. C., Hunt, A. J., McManus, T. J., & Coxon, A. P. (1993). No connection between alcohol use and unsafe sex among gay and bisexual men. Aids, 7, 115–119.CrossRefPubMed
Zurück zum Zitat Weinhardt, L. S., & Carey, M. P. (2000). Does alcohol lead to sexual risk behavior? Findings from event-level research. Annual Review of Sex Research, 11, 125–157.PubMed Weinhardt, L. S., & Carey, M. P. (2000). Does alcohol lead to sexual risk behavior? Findings from event-level research. Annual Review of Sex Research, 11, 125–157.PubMed
Zurück zum Zitat Wolitski, R. J., Valdiserri, R. O., Denning, P. H., & Levine, W. C. (2001). Are we headed for a resurgence of the HIV epidemic among men who have sex with men? American Journal of Public Health, 91, 883–888.PubMed Wolitski, R. J., Valdiserri, R. O., Denning, P. H., & Levine, W. C. (2001). Are we headed for a resurgence of the HIV epidemic among men who have sex with men? American Journal of Public Health, 91, 883–888.PubMed
Zurück zum Zitat Xia, Q., Osmond, D. H., Tholandi, M., Pollack, L., Zhou, W., Ruiz, J. D., et al. (2006). HIV prevalence and sexual risk behaviors among men who have sex with men. Journal of Acquired Immune Deficiency Syndrome, 41, 238–245.CrossRef Xia, Q., Osmond, D. H., Tholandi, M., Pollack, L., Zhou, W., Ruiz, J. D., et al. (2006). HIV prevalence and sexual risk behaviors among men who have sex with men. Journal of Acquired Immune Deficiency Syndrome, 41, 238–245.CrossRef
Metadaten
Titel
Moderating Effects of Age on the Alcohol and Sexual Risk Taking Association: An Online Daily Diary Study of Men Who have Sex with Men
verfasst von
Brian Mustanski
Publikationsdatum
01.01.2008
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 1/2008
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-007-9335-3

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