Escape expectancies and sexualized substance use among gay, bisexual, and other men who have sex with men

被引：7

作者：

Card, Kiffer G. ^{[1
,2
,3
,4
]}

Armstrong, Heather L. ^{[1
,5
]}

Wang, Lu ^{[1
]}

Bacani, Nicanor ^{[1
]}

Moore, David M. ^{[1
,5
]}

Roth, Eric A. ^{[6
]}

Hogg, Robert S. ^{[1
,2
]}

Lachowsky, Nathan J. ^{[1
,3
,4
]}

机构：

[1] British Columbia Ctr Excellence HIV AIDS, Vancouver, BC, Canada

[2] Simon Fraser Univ, Fac Hlth Sci, Vancouver, BC, Canada

[3] Univ Victoria, Sch Publ Hlth & Social Policy, Victoria, BC, Canada

[4] Univ Victoria, Canadian Inst Subst Use Res, Victoria, BC, Canada

[5] Univ British Columbia, Fac Med, Vancouver, BC, Canada

[6] Univ Victoria, Dept Anthropol, Victoria, BC, Canada

来源：

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2020年 / 32卷 / 12期

基金：

加拿大健康研究院;

关键词：

Cognitive escape; Gay and bisexual men; Substance use; Condom use; Chemsex; HIV-POSITIVE MEN; SENSATION SEEKING; RISK BEHAVIOR; COGNITIVE ESCAPE; DRUG-USE; STRESS; SCALE; PREVENTION; MSM;

D O I：

10.1080/09540121.2019.1705961

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

McKirnan's Cognitive Escape Theory (1996) is often characterized by the hypothesis that drugs are used during sex by gay, bisexual, and other men who have sex with men (gbMSM) to relieve internal cognitive conflict over safe-sex norms and sexual desire. We examined how McKirnan's Cognitive Escape Scale (CES) is related to other widely used constructs relevant to sexualized substance use with hopes of better situating the theory within the evolving landscape of HIV-prevention. Associations between CES and trait anxiety, depression, treatment optimism, sexual altruism, sexual sensation seeking, and self-perceived risk for HIV transmission/acquisition were tested. Mediation analyses tested whether associated psychological measures mediated the effect of CES on the proportion of events in which participants reported co-occurrent substance use and condomless anal sex. Results indicated that CES is associated with higher sexual sensation seeking, treatment optimism, trait anxiety, and perceived likelihood of HIV transmission/acquisition. Mediation analyses suggest that CES is related to but operates independently of treatment optimism, sensation seeking, and trait anxiety. Nevertheless, the intersection of HIV-related worries and substance use expectancies are clearly more nuanced than is widely reported is discussions on cognitive escape.

引用

页码：1489 / 1497

页数：9

共 38 条

[1] Does being drunk or high cause HIV sexual risk behavior? A systematic review of drug administration studies [J].

Berry, Meredith S. ;

Johnson, Matthew W. .

PHARMACOLOGY BIOCHEMISTRY AND BEHAVIOR, 2018, 164 :125-138

[2] Assessing the longitudinal stability of latent classes of substance use among gay, bisexual, and other men who have sex with men [J].

Card, Kiffer G. ;

Armstrong, Heather L. ;

Carter, Allison ;

Cui, Zishan ;

Wang, Lu ;

Zhu, Julia ;

Lachowsky, Nathan J. ;

Moore, David M. ;

Hogg, Robert S. ;

Roth, Eric A. .

DRUG AND ALCOHOL DEPENDENCE, 2018, 188 :348-355

[3] A latent class analysis of substance use and culture among gay, bisexual and other men who have sex with men [J].

Card, Kiffer G. ;

Armstrong, Heather L. ;

Carter, Allison ;

Cui, Zishan ;

Wang, Lu ;

Zhu, Julia ;

Lachowsky, Nathan J. ;

Moore, David M. ;

Hogg, Robert S. ;

Roth, Eric A. .

CULTURE HEALTH & SEXUALITY, 2018, 20 (12) :1424-1439

[4] The additive effects of depressive symptoms and polysubstance use on HIV risk among gay, bisexual, and other men who have sex with men [J].

Card, Kiffer G. ;

Lachowsky, Nathan J. ;

Armstrong, Heather L. ;

Cui, Zishan ;

Wang, Lu ;

Sereda, Paul ;

Jollimore, Jody ;

Patterson, Thomas L. ;

Corneil, Trevor ;

Hogg, Robert S. ;

Roth, Eric A. ;

Moore, David M. .

ADDICTIVE BEHAVIORS, 2018, 82 :158-165

[5] Belief in Treatment as Prevention and Its Relationship to HIV Status and Behavioral Risk [J].

Card, Kiffer G. ;

Armstrong, Heather L. ;

Lachowsky, Nathan J. ;

Cui, Zishan ;

Sereda, Paul ;

Carter, Allison ;

Montaner, Julio S. G. ;

Hogg, Robert S. ;

Roth, Eric A. ;

Moore, David M. .

JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2018, 77 (01) :8-16

[6] AN EVENT-LEVEL ANALYSIS OF THE INTERPERSONAL FACTORS ASSOCIATED WITH CONDOMLESS ANAL SEX AMONG GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WITH MEN (MSM) WITH ONLINE-MET PARTNERS [J].

Card, Kiffer G. ;

Lachowsky, Nathan J. ;

Cui, Zishan ;

Shurgold, Susan ;

Armstrong, Heather L. ;

Rich, Ashleigh J. ;

Forrest, Jamie I. ;

Gislason, Maya ;

Moore, David M. ;

Roth, Eric A. ;

Hogg, Robert S. .

AIDS EDUCATION AND PREVENTION, 2017, 29 (02) :154-174

[7] Seroadaptive Strategies of Gay & Bisexual Men (GBM) with the Highest Quartile Number of Sexual Partners in Vancouver, Canada [J].

Card, Kiffer G. ;

Lachowsky, Nathan J. ;

Cui, Zishan ;

Sereda, Paul ;

Rich, Ashleigh ;

Jollimore, Jody ;

Howard, Terry ;

Birch, Robert ;

Carter, Allison ;

Montaner, Julio ;

Moore, David ;

Hogg, Robert S. ;

Roth, Eric Abella .

AIDS AND BEHAVIOR, 2017, 21 (05) :1452-1466

[8] Sexual sensation seeking, reduced concern about HIV and sexual risk behaviour among gay men in primary relationships [J].

Crawford, I ;

Hammack, PL ;

McKirnan, DJ ;

Ostrow, D ;

Zamboni, BD ;

Robinson, B ;

Hope, B .

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2003, 15 (04) :513-524

[9] Sensation Seeking, Coping With Stress, and Readiness to Engage in Therapy: Does Ego Development Influence the Psychosocial Functioning of Substance-Abusing Mothers? [J].

David, Daryn H. ;

McMahon, Thomas J. ;

Luthar, Suniya L. ;

Suchman, Nancy E. .

AMERICAN JOURNAL OF ORTHOPSYCHIATRY, 2012, 82 (02) :231-240

[10] Preexposure Chemoprophylaxis for HIV Prevention in Men Who Have Sex with Men. [J].

Grant, Robert M. ;

Lama, Javier R. ;

Anderson, Peter L. ;

McMahan, Vanessa ;

Liu, Albert Y. ;

Vargas, Lorena ;

Goicochea, Pedro ;

Casapia, Martin ;

Guanira-Carranza, Juan Vicente ;

Ramirez-Cardich, Maria E. ;

Montoya-Herrera, Orlando ;

Fernandez, Telmo ;

Veloso, Valdilea G. ;

Buchbinder, Susan P. ;

Chariyalertsak, Suwat ;

Schechter, Mauro ;

Bekker, Linda-Gail ;

Mayer, Kenneth H. ;

Kallas, Esper Georges ;

Amico, K. Rivet ;

Mulligan, Kathleen ;

Bushman, Lane R. ;

Hance, Robert J. ;

Ganoza, Carmela ;

Defechereux, Patricia ;

Postle, Brian ;

Wang, Furong ;

McConnell, J. Jeff ;

Zheng, Jia-Hua ;

Lee, Jeanny ;

Rooney, James F. ;

Jaffe, Howard S. ;

Martinez, Ana I. ;

Burns, David N. ;

Glidden, David V. .

NEW ENGLAND JOURNAL OF MEDICINE, 2010, 363 (27) :2587-2599

← 1 2 3 4 →