The relationship between alcohol and drug use, compulsive sexual behavior, and condomless anal sex in men who have sex with men: analysis of retrospectively-reported sexual behavior
Open accessAbstract
Men who have sex with men (MSM) are disproportionately impacted by HIV in the United States, and substance use and compulsive sexual behavior (CSB) are contributors to HIV risk behavior. This study sought to examine the direct and interactive effects of concurrent substance use and CSB on condomless anal sex (CAS) in a community sample of MSM (N = 200) utilizing a 90-day timeline follow-back assessment. Results indicated CSB did not directly increase risk for CAS when controlling for substance use and age. There was limited evidence for a direct effect of concurrent alcohol use on CAS, and no evidence for an interaction effect with CSB. The relationship between concurrent drug use and CAS was moderated by CSB, such that concurrent drug use was positively associated with CAS for those who screened positive for CSB, while the association was non-significant for those who screened negative. Implications and limitations of these findings are discussed.
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CSBD can be associated with an increased risk of sexually transmitted infections or other health problems.
“There can be an increased risk of sexually transmitted infections or other health problems.15,16”
From Assessment and treatment of compulsive sexual behavior disorder: a sexual medicine perspective (2024) · cites this paper as [16]
The Introduction section “Compulsive Sexual Behavior and CAS Among MSM” describes compulsive sexual behavior as a possible HIV risk factor among men who have sex with men. But the Discussion reports that, after controlling for substance use and age, it did not directly predict condomless anal sex in this study. The paper does not establish increased STI incidence or other health problems for people with CSBD generally. (LLM, conf=0.83)
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Cited by
Sorted by citations
Assessment and treatment of compulsive sexual behavior disorder: a sexual medicine perspective
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Self-citation
- Authors
- Gleason, N., Smith, G., Canning, J. R., George, W. H., Larimer, M. E., Jennings, T. L., Coleman, E., & Miner, M. H.
- Affiliations
- University of Washington (US)
- St. Olaf College (US)
- University of Nevada, Las Vegas (US)
- University of Minnesota (US)
- Corresponding author
- Gleason, Neil
- ORCID
- Venue
- AIDS and Behavior
- Published
- 2023-01-12
- Volume
- 27
- Issue
- 7
- Pages
- 2317-2327
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- PMC
- PMC10399619
- OpenAlex
- W4315754220
- Cited by
- 15
- References
- 48
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 4 · 2023: 1
- FWCI
- 3.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- AIDS and Behavior (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH094229)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- men who have sex with men, compulsive sexual behavior, condomless anal sex, alcohol consumption, drug use, substance use, HIV risk behavior, sexual behavior, timeline follow-back
- MeSH terms
- Sexual and Gender Minorities, Compulsive Behavior, Humans, Male, Retrospective Studies, Risk-Taking, Sexual Behavior, Sexual Partners, HIV Infections, Homosexuality, Male, Substance-Related Disorders, Unsafe Sex
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