The Relationship Between Alcohol and Drug Use, Compulsive Sexual Behavior, and Condomless Anal Sex in Men Who have Sex with Men: Analysis of Retrospectively-Reported Sexual Behavior

Neil Gleason; Gabriel Smith; Jessica R. Canning; William H. George; Mary E. Larimer; Todd L. Jennings; Eli Coleman; Michael H. Miner

doi:10.1007/s10461-022-03961-6

The Relationship Between Alcohol and Drug Use, Compulsive Sexual Behavior, and Condomless Anal Sex in Men Who have Sex with Men: Analysis of Retrospectively-Reported Sexual Behavior

Neil Gleason
, Gabriel Smith
, Jessica R. Canning
, William H. George
, Mary E. Larimer
, Todd L. Jennings
, Eli Coleman
, Michael H. Miner

Family Medicine and Community Health (Twin Cities)

Research output: Contribution to journal › Article › peer-review

16 Scopus citations

Abstract

Men who have sex with men (MSM) are disproportionately impacted by HIV in the United States, and substance use and compulsive sexual behavior (CSB) are contributors to HIV risk behavior. This study sought to examine the direct and interactive effects of concurrent substance use and CSB on condomless anal sex (CAS) in a community sample of MSM (N = 200) utilizing a 90-day timeline follow-back assessment. Results indicated CSB did not directly increase risk for CAS when controlling for substance use and age. There was limited evidence for a direct effect of concurrent alcohol use on CAS, and no evidence for an interaction effect with CSB. The relationship between concurrent drug use and CAS was moderated by CSB, such that concurrent drug use was positively associated with CAS for those who screened positive for CSB, while the association was non-significant for those who screened negative. Implications and limitations of these findings are discussed.

Original language	English (US)
Pages (from-to)	2317-2327
Number of pages	11
Journal	AIDS and Behavior
Volume	27
Issue number	7
DOIs	https://doi.org/10.1007/s10461-022-03961-6
State	Published - Jul 2023

Bibliographical note

Funding Information:
Research reported in this publication was supported by the National Institute of Mental Health of the National Institutes of Health under award number R01MH094229.

Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being
SDG 5 Gender Equality

Keywords

Alcohol use
Compulsive sexual behavior
Condomless anal sex
Drug use
HIV
Men who have sex with men

Publisher link

10.1007/s10461-022-03961-6

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Cite this

Gleason, N., Smith, G., Canning, J. R., George, W. H., Larimer, M. E., Jennings, T. L., Coleman, E., & Miner, M. H. (2023). The Relationship Between Alcohol and Drug Use, Compulsive Sexual Behavior, and Condomless Anal Sex in Men Who have Sex with Men: Analysis of Retrospectively-Reported Sexual Behavior. AIDS and Behavior, 27(7), 2317-2327. https://doi.org/10.1007/s10461-022-03961-6

The Relationship Between Alcohol and Drug Use, Compulsive Sexual Behavior, and Condomless Anal Sex in Men Who have Sex with Men: Analysis of Retrospectively-Reported Sexual Behavior. / Gleason, Neil; Smith, Gabriel; Canning, Jessica R. et al.
In: AIDS and Behavior, Vol. 27, No. 7, 07.2023, p. 2317-2327.

Research output: Contribution to journal › Article › peer-review

Gleason, N, Smith, G, Canning, JR, George, WH, Larimer, ME, Jennings, TL, Coleman, E & Miner, MH 2023, 'The Relationship Between Alcohol and Drug Use, Compulsive Sexual Behavior, and Condomless Anal Sex in Men Who have Sex with Men: Analysis of Retrospectively-Reported Sexual Behavior', AIDS and Behavior, vol. 27, no. 7, pp. 2317-2327. https://doi.org/10.1007/s10461-022-03961-6

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abstract = "Men who have sex with men (MSM) are disproportionately impacted by HIV in the United States, and substance use and compulsive sexual behavior (CSB) are contributors to HIV risk behavior. This study sought to examine the direct and interactive effects of concurrent substance use and CSB on condomless anal sex (CAS) in a community sample of MSM (N = 200) utilizing a 90-day timeline follow-back assessment. Results indicated CSB did not directly increase risk for CAS when controlling for substance use and age. There was limited evidence for a direct effect of concurrent alcohol use on CAS, and no evidence for an interaction effect with CSB. The relationship between concurrent drug use and CAS was moderated by CSB, such that concurrent drug use was positively associated with CAS for those who screened positive for CSB, while the association was non-significant for those who screened negative. Implications and limitations of these findings are discussed.",

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The Relationship Between Alcohol and Drug Use, Compulsive Sexual Behavior, and Condomless Anal Sex in Men Who have Sex with Men: Analysis of Retrospectively-Reported Sexual Behavior

Abstract

Bibliographical note

UN SDGs

Keywords

Publisher link

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