Situational factors and thought processes associated with unprotected intercourse in gay men

Gold, Ron; Skinner, Michael; Grant, Peter J.; Plummer, David

doi:10.1080/08870449108400427

Cited by 89 publications

(64 citation statements)

References 10 publications

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“…As other research has shown (12,18,19), the less well known the partner, the more likely our respondents were to use a condom during their last encounter. Such a result suggests that these youth are sensitive to the need to take precautions with partners who are not well known to them, which is another indication that prevention messages may have influenced their behavior.…”

Section: Discussionsupporting

confidence: 63%

“…Studies have found that alcohol or drug use is positively associated with (3)(4)(5)(6)(7)(8)(9)(10), is not related to (11)(12)(13), and inhibits high-risk sexual behavior (14). The inconsistency of findings may be due in part to differences in the types of substances and HIV-related risk behaviors examined, the study approaches chosen and their methodological rigor, and characteristics of the populations studied.…”

mentioning

confidence: 99%

“…Similarly, global association studies of a variety of other populations [e.g., gay men, residents of innercity neighborhoods, and clients of substance abuse treatment centers and sexually transmitted diseases (STD) clinics] have shown associations between general measures of substance use (e.g., lifetime behaviors) and nonuse of condoms (3)(4)(5)10), although some have found no associations (11)(12)(13)(14). The major limitation of these studies is that they do not assess the use of substances in conjunction with sexual activity, and therefore are unable to provide evidence of a direct association between substance use and risky sexual behavior.…”

mentioning

confidence: 99%

“…These types of studies have also yielded conflicting findings, including: no differences in condom use in sexual events involving and not involving substance use (11)(12)(13); increased prevalence of intoxication during sex in "unsafe" encounters (6)(7)(8)(9), and negative relationships between intoxication and communication about condom use (26) and planning of the first sexual experience (10).…”

mentioning

confidence: 99%

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Substance use and risky sexual behavior among homeless and runaway youth

Bailey

Camlin

Ennett

1998

Journal of Adolescent Health

161

136

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Purpose-To (a) characterize human immunodeficiency virus (HIV)-related risk behaviors of homeless youth; (b) determine whether substance use is associated with risky sexual behavior in this population; and, if so, (c) explore explanations for this relationship.Methods-A purposive sample of 327 homeless youth (ages 14-21 years) in Washington, DC, were surveyed in 1995 and 1996. Survey items were adapted from items used in a national study of adult substance use and sexual behavior and measured global (lifetime) and event-specific (most recent sexual encounter) behaviors.Results-Sexual activity with many partners, "survival" sex, and substance use were common. However, needle use was rare, and consistent condom use was evident in half the sample. Nearly all correlations between global measures of substance use and risky sex were statistically significant, but only a few of the event-specific correlations were significant. Marijuana use during the most recent sexual encounter was associated with nonuse of condoms, but this relationship disappeared in the multivariate model. However, crack use during the last encounter was associated with condom use; this relationship remained significant in the multivariate model. Lack of motivation to use condoms, longer histories of sexual activity and homelessness, symptoms of drug dependency, not discussing HIV risks with partner, and being female were also associated with nonuse of condoms.Conclusions-Homeless youth do use condoms, even within the context of substance use and casual sex. Results suggest that prevention and targeted intervention efforts have had some positive effect on this population, but young homeless women are in need of targeted prevention. Finally, additional research is needed to investigate the observed relationship between crack use and condom use in this sample. KeywordsDrug use; Alcohol use; High-risk sexual behavior; HIV; AIDS; Homeless youth; Adolescents; Condom use; Event-level relationships; Gender differences Since the discovery of human immunodeficiency virus (HIV) 15 years ago, effective prevention remains the greatest hope for arresting its spread. To this end, research has focused on identifying the specific populations for targeting interventions, as well as the behavioral, situational, and cultural factors that influence sexual behaviors and may be amenable to intervention.© Society for Adolescent Medicine, 1998 Address reprint requests to: Dr. Susan L. Bailey, Department of Psychiatry, Pittsburgh Adolescent Alcohol Research Center, University of Pittsburgh, 3811 O'Hara Street, Pittsburgh, PA 15213. NIH Public AccessAuthor Manuscript J Adolesc Health. Author manuscript; available in PMC 2010 June 9. Published in final edited form as:J Adolesc Health. 1998 December ; 23(6): 378-388. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptThe use of alcohol or drugs in conjunction with sex is commonly believed to lead to sexual risk taking, but empirical studies of the associations between substance use and high-r...

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Section: Discussionsupporting

confidence: 63%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Substance use and risky sexual behavior among homeless and runaway youth

Bailey

Camlin

Ennett

1998

Journal of Adolescent Health

161

136

View full text Add to dashboard Cite

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“…Another possible explanation may be related to personal involvement. Having strong commitment in a relationship or being in love has been associated with unprotected anal intercourse 10,16 , and it may be hypothesized that such factors were effective in the present study.…”

Section: Sexual Behavior With Male Partnersmentioning

confidence: 79%

Influence of HIV positive status on sexual behavior among males

Ventura-Filipe¹,

Newman²

1998

Rev. Saúde Pública

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ObjectiveTo compare HIV seronegative (HIV-) and HIV seropositive (HIV+) males in terms of sexual behavior with female and male partners of different types. MethodCross-sectional study. From August 1994 to February 1995, a sample of 236 respondents (150 HIV-and 86 HIV+) recruited from public health centers in the State of S. Paulo (Brazil), answered a questionnaire, including questions on demographic aspects, HIV and AIDS related knowledge, sexual orientation, use of alcohol and other drugs, sexual behavior with regular and casual female and male partners, and perceived risk of HIV infection. Sexual behavior with regular and casual female and male partners within the previous three months, was investigated. ResultsA lower proportion of HIV+ engaged in sexual contact with regular female partners (p < .01) and in vaginal intercourse with this type of partner (p < .01). A lower proportion of HIV+ engaged in overall sexual activity (p < .001) and reported lower frequency of penetrative sexual practices (p < .05). A high level of condom use with female and male partners was identified with no significant differences being found between the two serostatus groups. Some risky sexual behavior was identified, however, especially with regular partners, suggesting that some men were continuing to practice unsafe sex. ConclusionsThe high level of condom use identified suggests that safer sex advice has been taken up. Condom use was not universal, however, and some men continue to place themselves at risk, especially with regular partners. Prevention programs should strive not only to encourage HIV-to practice safer sex, but also to encourage HIV+ to do so in order to prevent further transmission of the virus. 504Rev. Saúde Pública, 32 (6), 1998HIV positive status on sexual behavior among males Ventura-Filipe, E. M. & Newman, S.P. Resumo Objetivo Comparar homens HIV soronegativos (HIV-) e HIV soropositivos (HIV+) em termos de comportamento sexual com parceiras e parceiros regulares e casuais. Método

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Adolescent self‐efficacy, self‐esteem and sexual risk‐taking

Rosenthal

Moore

Flynn

1991

Community & Applied Soc Psy

190

111

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This study investigates the sexual self-efficacy and sexual self-esteem of males and females and the relation between sexual risk-taking and these self-perceptions. Sexually active 18-yearolds were administered measures of sexual self-efficacy and sexual self-esteem and were asked about their sexual behaviour. Males had higher levels of self-esteem and were more confident than females of their ability to assert their sexual needs, but less confident that they could say no to sexual demands. For a substantial minority there were some difficulties in dealing with condoms. Competence in the sexual domain accounted for a significant but small amount of variance in sexual risk-taking. The predictors of sexual risk-taking were the same for both sexes but differed according to type of partner. Confidence in the ability to say no was the sole predictor of safer sexual behaviour with a casual sex partner. In addition to this factor, lower levels of risk with a regular partner were predicted by these respondents' lower confidence in the ability to assert their sexual needs, together with lower levels of their own sexual self-worth. There is need for adolescents to achieve a sense of mastery and self-worth in the sexual domain, as well as an understanding of the nature of 'regular' relationships.

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Situational factors and thought processes associated with unprotected intercourse in gay men

Cited by 89 publications

References 10 publications

Substance use and risky sexual behavior among homeless and runaway youth

Substance use and risky sexual behavior among homeless and runaway youth

Influence of HIV positive status on sexual behavior among males

Adolescent self‐efficacy, self‐esteem and sexual risk‐taking

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