The impact of alcohol use on the sexual scripts of HIV‐positive men who have sex with men

Parsons, Jeffrey T.; Vicioso, Kalil J.; Punzalan, Joseph C.; Halkitis, Perry N.; Kutnick, Alexandra; Velasquez, Mary M.

doi:10.1080/00224490409552224

Cited by 62 publications

(62 citation statements)

References 48 publications

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“…This difference may in part be due to the disparity in condom-related motivations experienced by PLWHA versus HIV-negative individuals. For PLWHA, the motivation to use condoms may derive from social or cultural norms that stress the need to prevent the transmission of HIV to one's partner, whereas for noninfected individuals, the motivation might be based on a desire to protect oneself from possible HIV infection [23,35,72,73]. Although the suppressive effect of the former motivation may be stronger than that of the latter motivation when sober, under conditions of intoxication, alcohol myopia [9] may equally suppress these motivations, and the resultant increase in risk behavior would therefore be larger for PLWHA than for HIV-negative individuals.…”

Section: Discussionmentioning

confidence: 99%

Alcohol as a Correlate of Unprotected Sexual Behavior Among People Living with HIV/AIDS: Review and Meta-Analysis

et al. 2009

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The present investigation attempted to quantify the relationship between alcohol consumption and unprotected sexual behavior among people living with HIV/ AIDS (PLWHA). A comprehensive search of the literature was performed to identify key studies on alcohol and sexual risk behavior among PLWHA, and three separate meta-analyses were conducted to examine associations between unprotected sex and (1) any alcohol consumption, (2) problematic drinking, and (3) alcohol use in sexual contexts. Based on 27 relevant studies, meta-analyses demonstrated that any alcohol consumption (OR = 1.63, CI = 1.39-1.91), problematic drinking (OR = 1.69, CI = 1.45-1.97), and alcohol use in sexual contexts (OR = 1.98, CI = 1.63-2.39) were all found to be significantly associated with unprotected sex among PLWHA. Taken together, these results suggest that there is a significant link between PLWHA's use of alcohol and their engagement in high-risk sexual behavior. These findings have implications for the development of interventions to reduce HIV transmission risk behavior in this population.

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Section: Discussionmentioning

confidence: 99%

Alcohol as a Correlate of Unprotected Sexual Behavior Among People Living with HIV/AIDS: Review and Meta-Analysis

et al. 2009

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“…The environmental context where gay and bisexual men meet sex partners has been related to sexual behaviors and communications (Baker, 2002;Bullock, 2004;Elwood & Greene, 2006;Leap, 1999;Silverstein & Picano, 2003), including condom use (Benotsh, Kalichman, & Cage, 2002;Binson et al, 2001;Elwood, Green, & Carter, 2003;Klausner, Wolf, Fisher-Ponce, Zolt, & Katz, 2000;Parsons, 2005;Parsons & Vicioso, 2005, Parsons et al, 2004Taylor et al, 2004).…”

Section: Introductionmentioning

confidence: 98%

Sexual Risk Behavior and Venues for Meeting Sex Partners: An Intercept Survey of Gay and Bisexual Men in LA and NYC

2007

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Understanding the link between venues for meeting sex partners and sexual risk behavior is critical to developing and placing effective sexual health education and HIV prevention services. Non-monogamous gay and bisexual men (n = 886) were surveyed in New York and Los Angeles about the venues that they met recent sex partners: bathhouses, private sex parties, gay bars/clubs, the gym, via public cruising, and the Internet. Bars/clubs, bathhouses, and the Internet were the most endorsed venues for meeting partners. Men having met a majority of their partners (i.e., "preference") via these three venues were compared/contrasted. Those having preference for bars/clubs were dissimilar from men with preference for bathhouses or the Internet on multiple levels (e.g. age, number of sex partners, temptation for unsafe sex). However, these men were proportionally similar in whether they had engaged in a recent episode of unprotected anal intercourse (UAI). Logistic regressions predicting UAI suggested venues might not play a role in differentiating men who had preference for bars/clubs, bathhouses or the Internet. Additional regression analyses utilizing all six venues to predict UAI suggested other person-factors such as identity as a barebacker and temptation for unsafe sex better explain UAI. This research suggests HIV prevention and educational campaigns targeted within venues need also address socio-psychological person-factors in addition to environmental/venue contexts.

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“…Individuals and dyads also adapt the scripts with their own contemporary spin. Although several researchers have utilized sex scripts as a framework to understand sexual behavior (Emmers-Sommer & Allen, 2005;Hynie et al, 1998;Jones, 2006a, b;Krahe, 2000;Metts & Spitzberg, 1996;Parsons et al, 2004), descriptions of these well-known situations that comprise the contemporary sex scripts of young adult women in urban communities, remain understudied.…”

Section: Introductionmentioning

confidence: 99%

Young Urban Women’s Patterns of Unprotected Sex with Men Engaging in HIV Risk Behaviors

Jones

Oliver

2006

AIDS Behav

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This study explored reasons women engaged in unprotected sex with male partners they distrusted and perceived to engage in HIV risk behaviors. Seven focus groups were held in public housing and neighborhood centers in the urban Northeast with 43 African American and Latina women. Content analysis was conducted by open and axial coding. Barrett's theory of power as knowing participation in change and sex script theory guided interpretation. Results indicated that Patterns of Unprotected Sex is a usual practice to maintain hope, sensuality, intimacy, strategic gain, and stability with a male partner. In low power sex scripts the salient risks of HIV were buried under an awareness of oneself as having to satisfy a man and accept cheating. High power sex scripts involved women's awareness of themselves as worthy of self care with diverse choices. High power scripts can be integrated into normative sex scripts as exemplars of more powerful ways of being and acting to reduce HIV risk.

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The impact of alcohol use on the sexual scripts of HIV‐positive men who have sex with men

Cited by 62 publications

References 48 publications

Alcohol as a Correlate of Unprotected Sexual Behavior Among People Living with HIV/AIDS: Review and Meta-Analysis

Alcohol as a Correlate of Unprotected Sexual Behavior Among People Living with HIV/AIDS: Review and Meta-Analysis

Sexual Risk Behavior and Venues for Meeting Sex Partners: An Intercept Survey of Gay and Bisexual Men in LA and NYC

Young Urban Women’s Patterns of Unprotected Sex with Men Engaging in HIV Risk Behaviors

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