Monday, December 21, 2015

Conflict & Expectancies Interact to Predict Sexual Behavior Under the Influence among Gay & Bisexual Men

As the mechanisms of the associations between substance use and risky sex remain unclear, this study investigates the interactive roles of conflicts about casual sex and condom use and expectancies of the sexual effects of substances in those associations among gay men. 

Conflict interacted with expectancies to predict sexual behavior under the influence; low casual sex conflict coupled with high expectancies predicted the highest number of casual partners, and high condom use conflict and high expectancies predicted the highest number of unprotected sex acts. 

Results have implications for intervention efforts that aim to improve sexual decision-making and reduce sexual expectancies.

...Each kind of conflict interacted uniquely with expectancies to predict sexual behavior under the influence. Contrary to our hypothesis, men who were low in casual sex conflict and high in expectancies reported the highest number of casual partners under the influence. For conflict about condom use, however, men who were both high on condom use conflict and high in expectancies tended to be in the highest risk group, which was consistent with our hypothesis. Practically, it seems that conflict about casual sex may lead men to avoid casual sex when they are under the influence of drugs or alcohol. However, men who were conflicted about unprotected sex may still engage in casual sex but be more likely to succumb to the influence of substances (and/or their expectations of substances’ effects) to ultimately engage in risk behavior. In short, men who were high in conflict about condom use seemed to be especially sensitive to the effect of expectancies. Though a causal mechanism cannot be determined from cross-sectional data, these results suggest that there may be a causal mechanism in the association between substance use and sexual risk behavior, though other psychosexual and contextual factors may moderate this association. These findings are consistent with research indicating that self-regulation is important in balancing the effects of sexual sensation seeking on unprotected sex but not in the association between sensation seeking and the number of casual sex partners ()...

Below:  (a) Casual sex conflict × expectancies and (b) unsafe sex conflict × expectancies



Full article at:  http://goo.gl/6ubw4X

1Center for HIV/AIDS Educational Studies and Training (CHEST), New York, NY, USA
2Department of Psychology, Hunter College of the City University of New York (CUNY), New York, NY, USA
Corresponding author: Sarit Golub, Department of Psychology, Hunter College, The City University of New York (CUNY), 695 Park Avenue, New York, NY 10065, USA. Email: ude.ynuc.retnuh@bulog.tiras
  


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