Event-Level Associations Among Drinking Motives, Alcohol Consumption, and Condomless Anal Sex in a Sample of Young Men Who Have Sex With Men.

Event-Level Associations Among Drinking Motives, Alcohol Consumption, and Condomless Anal Sex in a Sample of Young Men Who Have Sex With Men.
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DOI:
10.1007/s10461-017-1734-5
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发表时间:
2017-07
期刊:
影响因子:
4.4
通讯作者:
Newcomb ME
Newcomb ME
中科院分区:
医学2区
文献类型:
--
作者:
Feinstein BA;Newcomb ME

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男男性行为者 (YMSM) 感染艾滋病毒和酗酒的风险增加。在横断面研究中,饮酒动机与饮酒有关,但在事件层面上饮酒动机与饮酒和无套肛交 (CAS) 的关系仍不清楚。目前的研究以 189 名 YMSM 为样本,对这些事件级别的关联进行了检验,这些人在两个月内每天或每周完成自我报告测量。 2014 年 8 月至 2015 年 4 月期间招募参与者进行一项随机试验,旨在研究日记研究中的行为反应。 YMSM 在喝酒的日子里会消耗更多的酒精来应对、增强愉悦感或进行更多的社交活动。在饮酒较多的日子里,与临时伴侣发生 CAS 的可能性更大。饮酒动机与 CAS 无关。干预措施可能受益于解决饮酒动机以及饮酒对不同类型关系中 CAS 的影响。
Young men who have sex with men (YMSM) are at increased risk for HIV and problematic alcohol use. Drinking motives are associated with alcohol use in cross-sectional studies, but their associations with alcohol use and condomless anal sex (CAS) at the event-level remain unclear. The current study examined these event-level associations in a sample of 189 YMSM who completed self-report measures on a daily or weekly basis for two months. Participants were recruited between August 2014 and April 2015 for a randomized trial designed to study behavioral reactivity in diary studies. YMSM consumed more alcohol on days when they drank to cope, to enhance pleasure, or to be more social. CAS with casual partners was more likely on days when they consumed more alcohol. Drinking motives were not associated with CAS. Interventions may benefit from addressing drinking motives and the influence of alcohol use on CAS in different types of relationships.