Being drunk and high during sex is not associated with condom use behaviours: a study of high-risk young Black males

Crosby, Richard A.; Milhausen, Robin R.; Sanders, Stephanie A.; Graham, Cynthia A.; Yarber, William L.

doi:10.1071/sh13181

Cited by 5 publications

(5 citation statements)

References 15 publications

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“…To this point, it is vital to bear in mind that study participants’ use of alcohol during sex was not retained in the multivariate model and that two related measures were also not retained (use of illegal substances before sex and a separate measure of marijuana use before sex). This is consistent with existing literature demonstrating a weak association between being drunk or being high during sex and sexual risk behaviors among young Black men (Crosby et al, 2014). The independence of partner drunkenness thus suggests that the intoxication of partners may be one of the strongest antecedents of elevated sexual risk and therefore behavioral interventions designed for YBMSM may benefit this population by promoting responsible sex as including a sober partner.…”

Section: Discussionsupporting

confidence: 92%

Correlates of sexual-risk behaviors among young black MSM: implications for clinic-based counseling programs

2016

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This study applied an 8-item index of recent sexual risk behaviors to young Black men who have sex with men (YBMSM) and evaluated the distribution for normality. The distribution was tested for associations with possible antecedents of sexual risk. YBMSM (N=600), ages 16–29 years, were recruited from an STI clinic, located in the Southern United States. Men completed an extensive audio-computer assisted self-interview. Thirteen possible antecedents of sexual risk, as assessed by the index, were selected for analyses. The 8-item index formed a normal distribution with a mean of 4.77 (sd=1.77). In adjusted analyses, not having completed education beyond high school was associated with less risk, as was having sex with females. Conversely, meeting sex partners online was associated with greater risk, as was reporting that sex partners were drunk during sex. The obtained normal distribution of sexual risk behaviors suggests a corresponding need to “target and tailor” clinic-based counseling and prevention services for YBMSM. Avoiding sex when partners are intoxicated may be an especially valuable goal of counseling sessions.

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Section: Discussionsupporting

confidence: 92%

Correlates of sexual-risk behaviors among young black MSM: implications for clinic-based counseling programs

2016

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“…Previous research found that not taking enough time to apply a condom is associated with CAEP. 20 In the current study, the majority of men attributed CAEP-Application to taking too long to apply condoms and distracting from the sexual situation. Safer sex interventions that include condom application skill development may reduce the time and distraction of condom application, and perhaps suggesting better communication between partners about sexual stimulation and arousal, lubricant use, and condom selection may additionally help.…”

Section: Discussionmentioning

confidence: 63%

“…decreased rigidity or peak circumference). 19,20 Thus, changes in the degree of erection may pose a challenge for men while applying or wearing a condom, as well as compromising the protective value of condoms by increasing the likelihood of breakage or slippage. 20 From an intervention perspective, conveying the message that heavy drinking may interfere with erections when using condoms may be especially warranted for men who experience CAEP.…”

Section: Discussionmentioning

confidence: 99%

Condom-associated erection problems: behavioural responses and attributions in young, heterosexual men

et al. 2015

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Background Previous studies have associated men who experience condom-associated erection problems (CAEP) with incomplete condom use and/or foregoing using condoms altogether. However, how men respond to CAEP and what they attribute CAEP to, remains unclear. Understanding young men's CAEP responses and attributions could help improve sexually transmissible infections (STI)/HIV prevention programs and interventions. Methods Behavioural responses to, and attributions for, CAEP during application (CAEP-Application) and/or during penile-vaginal intercourse (CAEP-PVI) were reported using an online questionnaire by 295 young, heterosexual men (aged 18–24 years) who were recruited via social media websites and university Listservs across major cities in the Midwestern USA. Results Behavioural responses to CAEP-Application included receiving oral or manual stimulation, stimulating a partner, self-stimulation, foregoing condom use and applying the condom after starting intercourse. Attributions for CAEP-Application included: distraction, fit and feel problems, application taking too long and having consumed too much alcohol. Behavioural responses to CAEP-PVI included increasing the intensity of intercourse, removing the condom to receive oral or manual stimulation and removing condom and continuing intercourse. Attributions for CAEP-PVI included: lack of sensation, taking too long to orgasm, not being ‘turned on’ enough, fit and feel problems and partner-related factors. Conclusions Men who report CAEP respond with both STI/HIV risk-reducing and potentially risk-increasing behaviours (e.g. forgoing condom use). Men attribute their experiences to a wide range of individual- and partner-level factors. Addressing men's CAEP behavioural responses and attributions may increase the efficacious value of condom programs and STI/HIV prevention interventions – particularly among men who experience CAEP.

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“…Further, most studies examining individual factors and HIV/STI risk have only being examined among females (e.g., sexual sensation seeking, sexual communication self-efficacy). Despite these limitations, there is evidence that the risk posed by substance use context and depression may vary by gender, as young, African American males have been found more susceptible to infection outcomes based on substance use proximal to sex (Crosby, DiClemente, Wingood, Salazar, Lang, et al, 2008;Crosby, Milhausen, Sanders, Graham, and Yarber, 2014;Depadilla et al, 2011;Jolly et al, 2016). However, whether depressive symptoms pose greater risk for behavioral outcomes among male or female adolescents is equivocal (Khan et al, 2009;Paxton & Robinson, 2008).…”

Section: Domain Specific Risk For Hiv/sti Among African American Yout...mentioning

confidence: 99%

Integrating Individual and Contextual Factors to Explain Disparities in HIV/STI Among Heterosexual African American Youth: A Contemporary Literature Review and Social Ecological Model

2020

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Heterosexual African American youth face substantial disparities in sexual health consequences such as HIV and STI. Based on the social ecological framework, the current paper provided a comprehensive, narrative review of the past 14 years of literature examining HIV/STI risk, including risky sexual behavior, among heterosexual African American youth and a conceptual model of risk among this population. The review found that individual psychological and biological factors are insufficient to explain the sexual health disparities faced by this group; instead, structural disadvantage, interpersonal risk, and community dysfunction contribute to the disparity in HIV/STI outcomes directly and indirectly through individual psychological factors. The conceptual model presented suggests that for African American youth, a) HIV/STI risk commonly begins at the structural level and trickles down to the community, social, and individual levels, b) risk works in a positive feedback system such that downstream effects compound the influence of structural risks, and c) contextual and individual risk factors must be considered within the advanced stage of the epidemic facing this population. Despite advanced HIV and STI epidemics among heterosexual African American youth, multisystemic interventions that target structural risk factors and their downstream effects are posited to reduce the disparity among this high-risk population.

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Being drunk and high during sex is not associated with condom use behaviours: a study of high-risk young Black males

Cited by 5 publications

References 15 publications

Correlates of sexual-risk behaviors among young black MSM: implications for clinic-based counseling programs

Correlates of sexual-risk behaviors among young black MSM: implications for clinic-based counseling programs

Condom-associated erection problems: behavioural responses and attributions in young, heterosexual men

Integrating Individual and Contextual Factors to Explain Disparities in HIV/STI Among Heterosexual African American Youth: A Contemporary Literature Review and Social Ecological Model

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