Testing the drug use and condomless anal sex link among sexual minority men: The predictive utility of marijuana and interactions with relationship status

Starks, Tyrel J.; Jones, Stephen S.; Kyre, Kory D; Robles, Gabriel; Cain, Demetria; Jimenez, Ruben H.; Stephenson, Rob; Sullivan, Patrick S.

doi:10.1016/j.drugalcdep.2020.108318

Cited by 24 publications

(19 citation statements)

References 40 publications

(49 reference statements)

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“…This finding has also been replicated in dyadic day-level data from SMM couples [13]. The findings of Starks et al [7] provide some context for previous equivocal results. They found that marijuana predicted only the occurrence-not the frequency-of CAS and that the association was significantly weaker among men in non-monogamous relationships.…”

Section: Introductionsupporting

confidence: 61%

“…Findings related to marijuana and sexual risk-taking are mixed [e.g., 9,14,15]; but recent studies have demonstrated that marijuana is associated with a modest and statistically significant increase in the likelihood of CAS with casual partners above and beyond other illicit drug use [7,12]. This finding has also been replicated in dyadic day-level data from SMM couples [13].…”

Section: Introductionmentioning

confidence: 94%

“…Several studies have demonstrated that the use of a number of illicit drugs is associated with the occurrence or frequency of CAS with casual partners [e.g., [9][10][11][12]. This association held across relationship status and sexual agreements, and was significantly stronger among single and non-monogamous SMM [7]. In addition, a day-level association between illicit drug use and CAS with casual partners has recently been observed in dyadic data from SMM couples [13].…”

Section: Introductionmentioning

confidence: 97%

“…Estimated rates were as high as 79% among younger SMM (aged [18][19][20][21][22][23][24][25][26][27][28][29] [6]. More recent research has indicated that the likelihood of having condomless anal sex (CAS) with casual partners is comparable for single SMM and partnered SMM in non-monogamous sexual agreements [7,8]. Moreover, some evidence suggests that SMM in monogamous relationships who break their agreement and engage in CAS with casual partners may actually do so more frequently than non-monogamous and single men [7].…”

Section: Introductionmentioning

confidence: 99%

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Pilot Randomized Controlled Trial of Motivational Interviewing with Sexual Minority Male Couples to Reduce Drug Use and Sexual Risk: The Couples Health Project

et al. 2021

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A randomized controlled trial evaluated the preliminary efficacy of a dyadically-delivered motivational interviewing (MI) intervention to reduce drug use and sexual risk in a sample of 50 sexual minority (cis)male (SMM) couples. In each couple, at least one partner was aged 18-29; reported drug use and sexual HIV transmission risk; and was HIV-negative. Couples were randomized to either the three-session MI intervention or an attention-matched control, with follow-up surveys completed at 3-and 6-months post-baseline. Between-group differences for all outcomes were non-significant in the overall sample. Subsequent moderation analyses indicated the intervention significantly reduced illicit drug use (excluding marijuana) at 3-month follow-up when either respondents (B = − 1.96; interval rate ratio-IRR 0.02-1.22; p = .001), their partners (B = − 2.60; IRR 0.01-0.64; p = .004), or both (B = − 2.38; IRR 0.01-0.80; p = .001) reported high levels of baseline use. The intervention also reduced condomless anal sex (CAS) with casual partners when both partners reported high frequency baseline CAS (B = − 2.54; IRR 0.01-0.83; p = .047). Findings provide initial evidence of the potential for MI to address drug use and sexual risk-taking among SMM couples at highest risk. Trial Registration ClinicalTrials.gov (NIH U.S. National Library of Medicine) Identifier: #NCT03386110.

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Section: Introductionsupporting

confidence: 61%

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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Pilot Randomized Controlled Trial of Motivational Interviewing with Sexual Minority Male Couples to Reduce Drug Use and Sexual Risk: The Couples Health Project

et al. 2021

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“…Data were collected as part of the PRIDE Endures project (Starks et al, 2020a )—a larger cross-sectional survey whose purpose was to examine the impact of COVID-19 on sexual and gender minority individuals active in online social networking and dating spaces. Participants were recruited through advertisements on mobile phone-based social networking and dating applications between May 6–15, 2020.…”

Section: Methodsmentioning

confidence: 99%

Partners’ Consensus About Joint Effort and COVID-19 Prevention Among Sexual Minority Men

et al. 2021

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The current study examined the relevance of relationship functioning to partners’ agreement or consensus about joint effort surrounding COVID-19 prevention. Interdependence theory has been widely used to understand how relationship partners influence health behavior, including how sexual minority male (SMM) couples regulate HIV risk. Couples with better relationship functioning tend to be more successful at negotiating joint (shared) goals and subsequently accomplishing them. The study recruited 134 cis-male, SARS-CoV-2 negative adults in relationships with cis-male partners from phone-based social networking applications. Participants completed an online survey assessing relationship functioning (Perceived Relationship Components Questionnaire), COVID-19 prevention behaviors, and risk perceptions. Partners’ consensus around joint COVID-19 prevention effort was assessed using an adapted version of the Preferences for Sexual Health Outcomes scale. Path analyses indicated that consensus for joint prevention effort predicted social distancing ( B = 0.23; p = .001) and the number of other COVID-19 prevention behaviors engaged in ( B = 0.17; p = .003) above and beyond perceived risk and relationship functioning. Relationship satisfaction predicted higher levels of consensus for joint COVID-19 prevention effort ( B = 0.40; p = .029). Findings suggest that the theoretical foundations of successful HIV prevention interventions that utilize joint goal formation may generalize to the prediction of COVID-19 prevention behavior and may be leveraged to mitigate the risk of SARS-CoV-2 infection among SMM in relationships. Interventions that overlook the potential for dyadic regulation of health behavior may miss opportunities to capitalize on shared coping resources and fail to address relational barriers to prevention.

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Testing the drug use and condomless anal sex link among sexual minority men: The predictive utility of marijuana and interactions with relationship status

Cited by 24 publications

References 40 publications

Pilot Randomized Controlled Trial of Motivational Interviewing with Sexual Minority Male Couples to Reduce Drug Use and Sexual Risk: The Couples Health Project

Pilot Randomized Controlled Trial of Motivational Interviewing with Sexual Minority Male Couples to Reduce Drug Use and Sexual Risk: The Couples Health Project

Partners’ Consensus About Joint Effort and COVID-19 Prevention Among Sexual Minority Men

Recent Advances in Forensic Tools

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