Safer sex intentions modify the relationship between substance use and sexual risk behavior among black South African men who have sex with men

Due to the global burden of HIV, a better understanding of the relationship between substance use and HIV risk behavior is a public health priority, particularly among populations with high rates of HIV infection. The current study explored the moderating effects of psychosocial factors on the relationship between substance use and sexual risk behavior. Among 480 black South African men who have sex with men recruited using respondent-driven sampling, a cross-sectional survey was conducted that included questions about their last sexual event that involved anal sex. Substance use was not associated with unprotected anal intercourse (UAI) ( P = 0.97). The effect of substance use on UAI was modified by safer sex intentions ( P = 0.001). Among those with higher safer sex intentions, substance use was positively associated with UAI (aOR = 5.8, 95%CI = 1.6–21.3, P < 0.01). This study found that among men who have sex with men with high intentions to engage in safer sex, substance use was associated with increased risky sexual behavior.

Download Full-text

Substance Use and Sexual Risk Behavior Among Black South African Men Who Have Sex With Men: The Moderating Effects of Reasons for Drinking and Safer Sex Intentions

AIDS and Behavior ◽

10.1007/s10461-016-1652-y ◽

2016 ◽

Vol 21 (7) ◽

pp. 2023-2032 ◽

Cited By ~ 3

Author(s):

Justin Knox ◽

Vasu Reddy ◽

Tim Lane ◽

Deborah Hasin ◽

Theo Sandfort

Keyword(s):

Substance Use ◽

South African ◽

Risk Behavior ◽

Sexual Risk ◽

Sexual Risk Behavior ◽

Safer Sex ◽

Moderating Effects ◽

Black South African ◽

Reasons For Drinking ◽

Sex With Men

Download Full-text

Substance Use and Sexual Risk Behavior Among Black Men Who Have Sex With Men in New York City: Evidence for Increased Risk During Young Adulthood

AIDS Education and Prevention ◽

10.1521/aeap.2021.33.1.73 ◽

2021 ◽

Vol 33 (1) ◽

pp. 73-87

Author(s):

Christina Aivadyan ◽

Yong Gun Lee ◽

Nabila El-Bassel ◽

Elwin Wu

Keyword(s):

New York ◽

New York City ◽

Substance Use ◽

Risk Behavior ◽

Sexual Risk ◽

Young Adulthood ◽

Sexual Risk Behavior ◽

Increased Risk ◽

Sex With Men ◽

The Relationship

This study evaluated whether the association between substance use and sexual risk behavior varies as a function of age among 1,009 Black men who have sex with men (BMSM) in New York City. Hierarchical linear regression was used to examine the relationship between age (18–26 vs. 27+), substance use, and number of sexual partners and acts of condomless anal sex (CAS) in the past 90 days. Age moderated the relationship between substance use and sexual risk behavior, such that positive associations among binge drinking, marijuana, cocaine, and party drug use and number of male sexual partners and cocaine use and acts of CAS were significantly stronger among young adults than adults. BMSM may engage in more sexual risk behavior during young adulthood, and those who use substances may be at increased risk for HIV transmission—particularly through multiple sex partners. HIV prevention interventions targeting BMSM may benefit from being tailored to age and addressing sexual risk behavior and substance use concurrently.

Download Full-text

The Effects of Three Types of Sexual Orientation Victimization on HIV Sexual Risk Behavior Among Black South African Men Who Have Sex With Men (MSM)

Journal of Homosexuality ◽

10.1080/00918369.2018.1547561 ◽

2018 ◽

Vol 67 (4) ◽

pp. 513-527 ◽

Cited By ~ 2

Author(s):

Larry D. Icard ◽

Jingwen Zhang ◽

John B. Jemmott ◽

Theo G. M. Sandfort ◽

Scott E. Rutledge ◽

...

Keyword(s):

Sexual Orientation ◽

South African ◽

Risk Behavior ◽

Sexual Risk ◽

Sexual Risk Behavior ◽

Black South African ◽

Hiv Sexual Risk ◽

Sex With Men

Download Full-text

The Relationship of Manic Episodes and Drug Abuse to Sexual Risk Behavior in Patients with Co-Occurring Bipolar and Substance Use Disorders: a 15-Month Prospective Analysis

AIDS and Behavior ◽

10.1007/s10461-010-9814-9 ◽

2010 ◽

Vol 15 (8) ◽

pp. 1829-1833 ◽

Cited By ~ 13

Author(s):

Christina S. Meade ◽

Garrett M. Fitzmaurice ◽

Amy K. Sanchez ◽

Margaret L. Griffin ◽

Leah J. McDonald ◽

...

Keyword(s):

Substance Use ◽

Drug Abuse ◽

Risk Behavior ◽

Sexual Risk ◽

Substance Use Disorders ◽

Sexual Risk Behavior ◽

Prospective Analysis ◽

Relationship Of ◽

The Relationship

Download Full-text

Adolescent sibling associations among alcohol, cannabis, and sexual risk behavior: A test of interdependence

10.31234/osf.io/z8acd ◽

2021 ◽

Author(s):

Sarah Thomas ◽

Lauren Micalizzi ◽

Samuel N. Meisel ◽

Dayna Price ◽

Anthony Spirito

Keyword(s):

Substance Use ◽

Risk Behavior ◽

Sexual Risk ◽

Sexual Risk Behavior ◽

Risky Sexual Behavior ◽

Controlled Trial ◽

Cannabis Use ◽

Cross Sectional ◽

Actor Partner Interdependence Model ◽

Partner Effect

Although siblings are conceptualized as a salient social influence during adolescence, few studies have examined how adolescent siblings influence each other’s substance use and risky sexual behavior. This study’s objective was to investigate the influence of alcohol use days, cannabis use days, and cannabis and alcohol co-use days on the sexual risk behavior of siblings while accounting for dyadic influence. At the baseline visit for a randomized controlled trial for adolescents referred due to parents’ concerns about their substance use (“referred adolescents”; n=99; Mage=15.95), we assessed alcohol and cannabis use days as well as sexual risk behavior of the referred adolescents and their sibling (Mage=15.03). We computed the number of days in the 30 days prior to the baseline that alcohol and cannabis use occurred on the same day. Using a cross-sectional actor partner interdependence model, we tested two models of how adolescents’ substance use is associated with their own (“actor effect”) and their siblings’ (“partner effect”) sexual risk behavior—one model for alcohol and cannabis use, and one model for co-use. Results indicated for referred adolescents and their siblings, within an individual, greater alcohol, cannabis, and co-use was significantly associated with sexual risk behavior (actor effects). Furthermore, more sibling co-use days were positively associated with referred adolescent sexual risk behavior (partner effect), representing interdependence. These findings confirm the influence siblings have on one another’s risky behavior in adolescence and have implications for prevention and intervention efforts for adolescent substance use.

Download Full-text