Research shows that, for different sex couples, individual levels of substance use are deleterious for relationship quality (e.g., satisfaction, intimate partner aggression), whereas dyadic concordance is usually protective. However, there has been no research on these effects among male couples, even though they show increased risk for substance use and certain indices of relationship distress (e.g., intimate partner aggression) compared to different sex couples. Male partners also display distinct similarity patterns and norms surrounding substance use, suggesting that there might be unique effects of substance use on relationship quality among this population. We conducted actor–partner interdependence models of substance use on relationship quality (intimate partner aggression, satisfaction) among a large sample of male dyads (N = 934 individuals, N = 467 dyads). Results suggested that there are novel actor, partner, and similarity effects that imply unique pathways to relationship well-being for male couples. These results are discussed in light of future clinical and empirical efforts. [NCT03186534 – 6/12/2017; NCT03284541 – 6/23/2017].
This is a preview of subscription content,to check access.
Access this article
Similar content being viewed by others
Several factors influence transformation of motivation, including how relationship-oriented a person is. However, for the purposes of this study, we focus our review on health/health behaviors (e.g., substance use) relevant to a romantic relationship.
This approach differs from other paradigms (e.g., Judd et al., 2001) in that difference scores are retained at the couple level (i.e., both partners within the couple have the same score, valence is not retained). This is a common procedure for handling dyadic dissimilarity when using a structural equation APIM framework.
Adamson, S. J., Kay-Lambkin, F. J., Baker, A. L., Lewin, T. J., Thornton, L., Kelly, B. J., & Sellman, J. D. (2010). An improved brief measure of cannabis misuse: The Cannabis Use Disorders Identification Test-Revised (CUDIT-R). Drug and Alcohol Dependence, 110, 137–143. https://doi.org/10.1016/J.DRUGALCDEP.2010.02.017
Booth, T., & Hughes, D. J. (2014). Exploratory structural equation modeling of personality data. Assessment, 21(3), 260–271. https://doi.org/10.1177/1073191114528029
Cafferky, B. M., Mendez, M., Anderson, J. R., & Stith, S. M. (2018). Substance use and intimate partner violence: A meta-analytic review. Psychology of Violence, 8(1), 110–131. https://doi.org/10.1037/VIO0000074
Callan, A., Corbally, M., & McElvaney, R. (2021). A scoping review of intimate partner violence as it relates to the experiences of gay and bisexual men. Trauma, Violence, and Abuse, 22(2), 233–248. https://doi.org/10.1177/1524838020970898
Cannon, C. (2015). Illusion of inclusion: The failure of the gender paradigm to account for intimate partner violence in LGBT relationships. Partner Abuse, 6(1), 65–77. https://doi.org/10.1891/1946-65126.96.36.199
Carey, J. W., Mejia, R., Bingham, T., Ciesielski, C., Gelaude, D., Herbst, J. H., Sinunu, M., Sey, E., Prachand, N., Jenkins, R. A., & Stall, R. (2009). Drug use, high-risk sex behaviors, and increased risk for recent HIV infection among men who have sex with men in Chicago and Los Angeles. AIDS and Behavior, 13(6), 1084–1096. https://doi.org/10.1007/S10461-008-9403-3
Cochran, S. D. (2001). Emerging issues in research on lesbians’ and gay men’s mental health: Does sexual orientation really matter? American Psychologist, 56(11), 931–947. https://doi.org/10.1037/0003-066X.56.11.931
Cochran, S. D., Grella, C. E., & Mays, V. M. (2012). Do substance use norms and perceived drug availability mediate sexual orientation differences in patterns of substance use? Results from the California Quality of Life Survey II. Journal of Studies on Alcohol and Drugs, 73(4), 675–685.
Cochran, S. D., & Mays, V. M. (2006). Estimating prevalence of mental and substance-using disorders among lesbians and gay men from existing national health data. In A. M. Omotto & H. S. Kurtzman (Eds.), Sexual orientation and mental health: Examining identity and development in lesbian, gay, and bisexual people (pp. 143–165). American Psychological Association.
Collins, R. L., Ellickson, P. L., & Klein, D. J. (2007). The role of substance use in young adult divorce. Addiction, 102(5), 786–794. https://doi.org/10.1111/J.1360-0443.2007.01803.X
Corliss, H. L., Rosario, M., Wypij, D., Wylie, S. A., Frazier, A. L., & Austin, S. B. (2010). Sexual orientation and drug use in a longitudinal cohort study of U.S. adolescents. Addictive Behaviors, 35(5), 517–521.
Crane, C. A., Testa, M., Schlauch, R. C., & Leonard, K. E. (2016). The couple that smokes together: Dyadic marijuana use and relationship functioning during conflict. Psychology of Addictive Behaviors, 30(6), 686–693. https://doi.org/10.1037/adb0000198
DeLay, D., Laursen, B., Kiuru, N., Rogers, A., Kindermann, T., & Nurmi, J.-E. (2021). A comparison of dyadic and social network assessments of peer influence. International Journal of Behavioral Development, 45(3), 275–288. https://doi.org/10.1177/0165025421992866
Derrick, J. L., & Leonard, K. E. (2016). Substance use in committed relationships. In K. J. Sher (Ed.), The Oxford handbook of substance use and substance use disorders (pp. 549–578). Oxford University Press. Retrieved from https://psycnet.apa.org/record/2016-26127-015.
Diamond, L. M., & Alley, J. (2022). Rethinking minority stress: A social safety perspective on the health effects of stigma in sexually-diverse and gender-diverse populations. Neuroscience and Biobehavioral Reviews, 138, 104720.
Doyle, S. R., Donovan, D. M., & Kivlahan, D. R. (2007). The factor structure of the Alcohol Use Disorders Identification Test (AUDIT). Journal of Studies on Alcohol and Drugs, 68(3), 474–479.
Dunbar, M. S., Siconolfi, D., Rodriguez, A., Seelam, R., Davis, J. P., Tucker, J. S., & D’Amico, E. J. (2022). Alcohol use and cannabis use trajectories and sexual/gender minority disparities in young adulthood. Psychology of Addictive Behaviors, 36(5), 477–490. https://doi.org/10.1037/adb0000806
Fals-Stewart, W., O’Farrell, T. J., & Birchler, G. R. (2004). Behavioral couples therapy for substance abuse: Rationale, methods, and findings. Science & Practice Perspectives, 2, 30–41. https://doi.org/10.1151/SPP042230
Feinstein, B. A., McConnell, E., Dyar, C., Mustanski, B., & Newcomb, M. E. (2018). Minority stress and relationship functioning among young male same-sex couples: An examination of actor-partner interdependence models. Journal of Consulting and Clinical Psychology, 86(5), 416–426. https://doi.org/10.1037/ccp0000296
Feinstein, B. A., McConnell, E., Dyar, C., Mustanski, B., & Newcomb, M. E. (2019). The influence of stress on depression and substance use problems among young male same-sex couples: Relationship functioning as an underlying mechanism. Clinical Psychological Science, 7(5), 928–940. https://doi.org/10.1177/2167702619842561
Fischer, J. L., & Wiersma, J. D. (2012). Romantic relationships and alcohol use. Current Drug Abuse Reviews, 5(2), 98–116. https://doi.org/10.2174/1874473711205020098
Fleming, C. B., White, H. R., & Catalano, R. F. (2010). Romantic relationships and substance use in early adulthood: An examination of the influences of relationship type, partner substance use, and relationship quality. Journal of Health and Social Behavior, 51(2), 153–167.
Flentje, A., Heck, N., & Sorensen, J. (2015). Substance use among lesbian, gay, and bisexual clients entering substance abuse treatment: Comparisons to heterosexual clients. Journal of Consulting and Clinical Psychology, 83(2), 325–334. https://doi.org/10.1037/a0038724
Foran, H. M., & O’Leary, K. D. (2008). Alcohol and intimate partner violence: A meta-analytic review. Clinical Psychology Review, 28(7), 1222–1234. https://doi.org/10.1016/J.CPR.2008.05.001
Funk, J. L., & Rogge, R. D. (2007). Testing the ruler with item response theory: Increasing precision of measurement for relationship satisfaction with the Couples Satisfaction Index. Journal of Family Psychology, 21(4), 572–583. https://doi.org/10.1037/0893-3188.8.131.522
Goldbach, J. T., Tanner-Smith, E. E., Bagwell, M., & Dunlap, S. (2014). Minority stress and substance use in sexual minority adolescents: A meta-analysis. Prevention Science, 15, 350–363. https://doi.org/10.1007/s11121-013-0393-7
Green, K. E., & Feinstein, B. A. (2012). Substance use in lesbian, gay, and bisexual populations: An update on empirical research and implications for treatment. Psychology of Addictive Behaviors, 26(2), 265–278. https://doi.org/10.1037/A0025424
Halkitis, P. N., & Palamar, J. J. (2008). Multivariate modeling of club drug use initiation among gay and bisexual men. Substance Use and Misuse, 43(7), 871–879. https://doi.org/10.1080/10826080701801337
Harland, K. K., Peek-Asa, C., & Saftlas, A. F. (2021). Intimate partner violence and controlling behaviors experienced by emergency department patients: Differences by sexual orientation and gender identification. Journal of Interpersonal Violence, 36(11–12), NP6125–NP6143. https://doi.org/10.1177/0886260518812070
Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135(5), 707–730. https://doi.org/10.1037/a0016441.How
Hatzenbuehler, M. L., Nolen-Hoeksema, S., & Erickson, S. J. (2008). Minority stress predictors of HIV risk behavior, substance use, and depressive symptoms: Results from a prospective study of bereaved gay men. Health Psychology, 27(4), 455–462. https://doi.org/10.1037/0278-6184.108.40.2065
Hatzenbuehler, M. L., & Pachankis, J. E. (2016). Stigma and minority stress as social determinants of health among lesbian, gay, bisexual, and transgender youth: Research evidence and clinical implications. Pediatric Clinics, 63(6), 985–997. https://doi.org/10.1016/J.PCL.2016.07.003
Hays, R. D., Merz, J. F., & Nicholas, R. (1995). Response burden, reliability, and validity of the CAGE, Short MAST, and AUDIT alcohol screening measures. Behavior Research Methods, Instruments, & Computers, 27(2), 277–280. https://doi.org/10.3758/BF03204745
Hirshfield, S., Chiasson, M. A., Wagmiller, R. L., Remien, R. H., Humberstone, M., Scheinmann, R., & Grov, C. (2010). Sexual dysfunction in an internet sample of U.S. men who have sex with men. Journal of Sexual Medicine, 7(9), 3104–3114. https://doi.org/10.1111/J.1743-6109.2009.01636.X
Holway, G. V., Umberson, D., & Donnelly, R. (2018). Health and health behavior concordance between spouses in same-sex and different-sex marriages. Social Currents, 5(4), 319–327. https://doi.org/10.1177/2329496517734570
Homish, G. G., & Leonard, K. E. (2005). Marital quality and congruent drinking. Journal of Studies on Alcohol, 66(4), 488–496.
Homish, G. G., & Leonard, K. E. (2007). The drinking partnership and marital satisfaction: The longitudinal influence of discrepant drinking. Journal of Consulting and Clinical Psychology, 75(1), 43–51. https://doi.org/10.1037/0022-006X.75.1.43
Homish, G. G., Leonard, K. E., & Cornelius, J. R. (2008). Illicit drug use and marital satisfaction. Addictive Behaviors, 33(2), 279–291. https://doi.org/10.1016/j.addbeh.2007.09.015
Hu, L., & Bentler, P. M. (1998). Fit indices in covariance structure analysis: Sensitivity to underparameterized model misspecification. Psychological Methods, 3, 424–453. https://doi.org/10.1037/1082-989X.3.4.424
Hu, L., & Bentler, P. M. (1999). Cutoff criterion for fit indices in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
Hughes, T. L., Wilsnack, S. C., & Kantor, L. W. (2016). The influence of gender and sexual orientation on alcohol use and alcohol-related problems: Toward a global perspective. Alcohol Research: Current Reviews, 38(1), 121–132.
Jasinski, J. L., & Ford, J. A. (2007). Sexual orientation and alcohol use among college students: The influence of drinking motives and social norms. Journal of Alcohol and Drug Education, 51(4), 63–82.
Johnson, M. P. (1995). Patriarchal terrorism and common couple violence: Two forms of violence against women. Journal of Marriage and the Family, 57, 283–294. https://doi.org/10.4324/9781315264905-2
Judd, C. M., Kenny, D. A., & McClelland, G. H. (2001). Estimating and testing mediation and moderation in within-subject designs. Psychological Methods, 6(2), 115–134. https://doi.org/10.1037/1082-989X.6.2.115
Kearns-Bodkin, J. N., & Leonard, K. E. (2005). Alcohol involvement and marital quality in the early years of marriage: A longitudinal growth curve analysis. Alcoholism: Clinical and Experimental Research, 29(12), 2123–2134. https://doi.org/10.1097/01.ALC.0000191751.62025.77.
Kelly, A. B., & Halford, W. K. (2006). Verbal and physical aggression in couples where the female partner is drinking heavily. Journal of Family Violence, 21(1), 11–17. https://doi.org/10.1007/s10896-005-9003-1
Kurdek, L. A. (2004). Are gay and lesbian cohabiting couples really different from heterosexual married couples? Journal of Marriage and Family, 66(4), 880–900. https://doi.org/10.1111/j.0022-2445.2004.00060.x
Kurdek, L., & Schmitt, P. (1987). Partner homogamy in married, heterosexual cohabitating, gay, and lesbian couples. Journal of Sex Research, 23(2), 212–232.
Lanfear, C., Akins, S., & Mosher, C. (2013). Examining the relationship of substance use and sexual orientation. Deviant Behavior, 34(7), 586–597. https://doi.org/10.1080/01639625.2012.749149
Lea, T., de Wit, J., & Reynolds, R. (2014). Minority stress in lesbian, gay, and bisexual young adults in Australia: Associations with psychological distress, suicidality, and substance use. Archives of Sexual Behavior, 43, 1571–1578. https://doi.org/10.1007/S10508-014-0266-6
Leadley, K., Clark, C. L., & Caetano, R. (2000). Couples’ drinking patterns, intimate partner violence, and alcohol-related partnership problems. Journal of Substance Abuse, 11(3), 253–263. https://doi.org/10.1016/S0899-3289(00)00025-0
Lehavot, K., & Simoni, J. M. (2011). The impact of minority stress on mental health and substance use among sexual minority women. Journal of Consulting and Clinical Psychology, 79(2), 159–170. https://doi.org/10.1037/A0022839
Leonard, K. E., & das Eiden, R. (1999). Husband’s and wife’s drinking: Unilateral or bilateral influences among newlyweds in a general population sample. Journal of Studies on Alcohol, 13, 130–138.
Lewis, M. A., McBride, C. M., Pollak, K. I., Puleo, E., Butterfield, R. M., & Emmons, K. M. (2006). Understanding health behavior change among couples: An interdependence and communal coping approach. Social Science and Medicine, 62(6), 1369–1380. https://doi.org/10.1016/j.socscimed.2005.08.006
Maiorana, A., Kegeles, S. M., Brown, S., Williams, R., & Arnold, E. A. (2021). Substance use, intimate partner violence, history of incarceration and vulnerability to HIV among young Black men who have sex with men in a Southern US city. Culture, Health and Sexuality, 23(1), 37–51. https://doi.org/10.1080/13691058.2019.1688395
McCabe, S. E., Engstrom, C. W., Kcomt, L., Evans-Polce, R., & West, B. T. (2022a). Trends in binge drinking, marijuana use, illicit drug use, and polysubstance use by sexual identity in the United States (2006–2017). Substance Abuse, 43(1), 194–203. https://doi.org/10.1080/08897077.2021.1913696
McCabe, S. E., Hughes, T. L., Beal, S., Evans-Polce, R. J., Kcomt, L., Engstrom, C., West, B. T., Veliz, P., Leary, K., McCabe, V., & v., & Boyd, C. J. (2022b). Sexual orientation differences in childhood sexual abuse, suicide attempts, and DSM-5 alcohol, tobacco, other drug use, and mental health disorders in the US. Child Abuse & Neglect, 123, 105377.
McKenry, P. C., Serovich, J. M., Mason, T. L., & Mosack, K. (2006). Perpetration of gay and lesbian partner violence: A disempowerment perspective. Journal of Family Violence, 21(4), 233–243. https://doi.org/10.1007/s10896-006-9020-8
Medley, G., Lipari, R. N., Bose, J., Cribb, D. S., Kroutil, L. A., & McHenry, G. (2016). Sexual orientation and estimates of adult substance use and mental health: Results from the 2015 National Survey on Drug Use and Health. NSDUH Data Review. https://www.samhsa.gov/data/sites/default/files/NSDUH-SexualOrientation-2015/NSDUH-SexualOrientation-2015/NSDUH-SexualOrientation-2015.htm
Meiklejohn, J., Connor, J. L., & Kypri, K. (2012). Drinking concordance and relationship satisfaction in New Zealand couples. Alcohol and Alcoholism, 47(5), 606–611. https://doi.org/10.1093/alcalc/ags042
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674
Meyler, D., Stimpson, J. P., & Peek, M. K. (2007). Health concordance within couples: A systematic review. Social Science and Medicine, 64(11), 2297–2310. https://doi.org/10.1016/j.socscimed.2007.02.007
Mitchell, J. W., Pan, Y., & Feaster, D. (2016). Actor–partner effects of male couples substance use with sex and engagement in condomless anal sex. AIDS and Behavior, 20(12), 2904–2913. https://doi.org/10.1007/s10461-016-1355-4
Mudar, P., Leonard, K. E., & Soltysinski, K. (2001). Discrepant substance use and marital functioning in newlywed couples. Journal of Consulting and Clinical Psychology, 69(1), 130–134. https://doi.org/10.1037/0022-006x.69.1.130
Muthén, B., & Muthén, L. K. (2018). Mplus user’s guide (8.2). Muthén & Muthén.
Newcomb, M. E. (2020). Romantic relationships and sexual minority health: A review and description of the Dyadic Health Model. Clinical Psychology Review, 82, 101924. https://doi.org/10.1016/j.cpr.2020.101924
Newcomb, M. E., Macapagal, K. R., Feinstein, B. A., Bettin, E., Swann, G., & Whitton, S. W. (2017). Integrating HIV prevention and relationship education for young same-sex male couples: A pilot trial of the 2GETHER intervention. AIDS and Behavior, 21(8), 2464–2478. https://doi.org/10.1007/s10461-017-1674-0
Newcomb, M. E., Sarno, E. L., Bettin, E., Carey, J., Ciolino, J. D., Hill, R., Garcia, C. P., Macapagal, K., Mustanski, B., Swann, G., & Whitton, S. W. (2020). Relationship education and HIV prevention for young male couples administered online via videoconference: Protocol for a national randomized controlled trial of 2GETHER. JMIR Research Protocols. https://doi.org/10.2196/15883
Newcomb, M. E., Sarno, E. L., Bettin, E., Conway, A., Carey, J., Garcia, C., Hill, R., Jozsa, K., Swann, G., Addington, E. L., Ciolino, J. D., Macapagal, K., Moskowitz, J. T., Mustanski, B., & Whitton, S. W. (2022). Protocol for an attention-matched randomized controlled trial of 2GETHER: A relationship education and HIV prevention program for young male couples. Trials, 23(1), 514. https://doi.org/10.1186/s13063-022-06457-9
Newcomb, M. E., Swann, G., Ma, J., Moskowitz, D., Bettin, E., Macapagal, K., & Whitton, S. W. (2021). Interpersonal and intrapersonal influences on sexual satisfaction in young male couples: Analyses of actor-partner interdependence models. Journal of Sex Research, 58(2), 183–194. https://doi.org/10.1080/00224499.2020.1820933
Nowinski, S. N., & Bowen, E. (2012). Partner violence against heterosexual and gay men: Prevalence and correlates. Aggression and Violent Behavior, 17, 36–52. https://doi.org/10.1016/J.AVB.2011.09.005
Parsons, J. T., & Starks, T. J. (2014). Drug use and sexual arrangements among gay couples: Frequency, interdependence, and associations with sexual risk. Archives of Sexual Behavior, 43(1), 89–98. https://doi.org/10.1007/s10508-013-0237-3
Passaro, R. C., Segura, E. R., Gonzales-Saavedra, W., Lake, J. E., Perez-Brumer, A., Shoptaw, S., Dilley, J., Cabello, R., & Clark, J. L. (2020). Sexual partnership-level correlates of intimate partner violence among men who have sex with men and transgender women in Lima Peru. Archives of Sexual Behavior, 49(7), 2703–2713. https://doi.org/10.1007/s10508-020-01682-2
Peplau, L. A., & Fingerhut, A. W. (2007). The close relationships of lesbians and gay men. Annual Review of Psychology, 58, 405–424. https://doi.org/10.1146/annurev.psych.58.110405.085701
Peralta, R. L., Victory, E., & Thompson, C. L. (2019). Alcohol use disorder in sexual minority adults: Age- and sex- specific prevalence estimates from a national survey, 2015–2017. Drug and Alcohol Dependence, 205. https://doi.org/10.1016/j.drugalcdep.2019.107673
Peugh, J. L., DiLillo, D., & Panuzio, J. (2013). Analyzing mixed-dyadic data using structural equation models. Structural Equation Modeling, 20(2), 314–337. https://doi.org/10.1080/10705511.2013.769395
Raftery, A. E. (1995). Bayesian model selection in social research. Sociological Methodology, 25, 111. https://doi.org/10.2307/271063
Ray, T. N., Lanni, D. J., Parkhill, M. R., Duong, T. V., Pickett, S. M., & Burgess-Proctor, A. K. (2021). Interpersonal violence victimization among youth entering college: A preliminary analysis examining the differences between LGBTQ and non-LGBTQ youth. Violence and Gender, 8(2), 67–73. https://doi.org/10.1089/VIO.2020.0076
Reczek, C., & Umberson, D. (2012). Gender, health behavior, and intimate relationships: Lesbian, gay, and straight contexts. Social Science and Medicine, 74(11), 1783–1790. https://doi.org/10.1016/j.socscimed.2011.11.011
Rodriguez, L. M., Øverup, C. S., & Neighbors, C. (2013). Perceptions of partners’ problematic alcohol use affect relationship outcomes beyond partner self-reported drinking: Alcohol use in committed romantic relationships. Psychology of Addictive Behaviors, 27(3), 627–638. https://doi.org/10.1037/A0031737
Rollè, L., Giardina, G., Caldarera, A. M., Gerino, E., & Brustia, P. (2018). When intimate partner violence meets same sex couples: A review of same sex intimate partner violence. Frontiers in Psychology, 9. https://doi.org/10.3389/fpsyg.2018.01506
Rosińska, M., Gios, L., Nöstlinger, C., Vanden Berghe, W., Marcus, U., Schink, S., Sherriff, N., Jones, A.-M., Folch, C., Dias, S., Velicko, I., & Mirandola, M. (2018). Prevalence of drug use during sex amongst MSM in Europe: Results from a multi-site bio-behavioural survey. International Journal of Drug Policy, 55, 231–241. https://doi.org/10.1016/J.DRUGPO.2018.01.002
Sarno, E. L., Bettin, E., Jozsa, K., & Newcomb, M. E. (2021a). Sexual health of rural and urban young male couples in the United States: Differences in HIV testing, pre-exposure prophylaxis use, and condom use. AIDS and Behavior, 25(1), 191–202. https://doi.org/10.1007/s10461-020-02961-8
Sarno, E. L., Bundy, C., Dyar, C., & Newcomb, M. E. (2021b). Examining minority stress, dyadic coping, and internalizing symptoms among male same-sex couples using actor–partner interdependence models. Journal of Counseling Psychology, 68(5), 515–525. https://doi.org/10.1037/cou0000542
Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction, 88(6), 791–804. https://doi.org/10.1111/J.1360-0443.1993.TB02093.X
Shokoohi, M., Kinitz, D. J., Pinto, D., Andrade-Romo, Z., Zeng, Z., Abramovich, A., Salway, T., & Ross, L. E. (2022). Disparities in alcohol use and heavy episodic drinking among bisexual people: A systematic review, meta-analysis, and meta-regression. Drug and Alcohol Dependence, 235, 109433.
Simon, R. W., & Barrett, A. E. (2010). Nonmarital romantic relationships and mental health in early adulthood: Does the association differ for women and men? Journal of Health and Social Behavior, 51(2), 168–182. https://doi.org/10.1177/0022146510372343.
Smith, M. S., Jarnecke, A. M., South, S. C. (2020). Pathological personality, relationship satisfaction, and intimate partner aggression: Analyses using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, alternative model of personality disorder traits. Personality Disorders: Theory, Research, and Treatment, 11(6), 398–408.
Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38(1), 15–28. https://doi.org/10.2307/350547
Starks, T. J., Robles, G., Bosco, S. C., Doyle, K. M., Dellucci, T., & v. (2019). Relationship functioning and substance use in same-sex male couples. Drug and Alcohol Dependence, 201, 101–108. https://doi.org/10.1016/j.drugalcdep.2019.04.009
Starks, T. J., Sauermilch, D., Adebayo, T., Kyre, K. D., Stratton, M. J., & Darbes, L. A. (2021). Day-level associations between drug use and sexual behavior in male couples: Actor partner interdependence modeling of timeline follow-back data. Drug and Alcohol Dependence, 225, 108758. https://doi.org/10.1016/J.DRUGALCDEP.2021.108758
Stephenson, R., Sharma, A., Mimiaga, M. J., Garofalo, R., Brown, E., Bratcher, A., Wimbly, T., Hidalgo, M. A., Hoehnle, S., Thai, J., Sullivan, P. S., & Suarez, N. A. (2019). Concordance in the reporting of intimate partner violence among male-male couples. Journal of Family Violence, 34(7), 677–686. https://doi.org/10.1007/s10896-019-00076-w
Swann, G., Bettin, E., Clifford, A., Newcomb, M. E., & Mustanski, B. (2017). Trajectories of alcohol, marijuana, and illicit drug use in a diverse sample of young men who have sex with men. Drug and Alcohol Dependence, 178, 231–242. https://doi.org/10.1016/j.drugalcdep.2017.05.015
Tracy, E. L., & Papp, L. M. (2019). Associations between young adult dating partners’ drinking and relationship satisfaction. Journal of Substance Use, 24(3), 245–250. https://doi.org/10.1080/14659891.2018.1552728
Vosburgh, H. W., Mansergh, G., Sullivan, P. S., & Purcell, D. W. (2012). A review of the literature on event-level substance use and sexual risk behavior among men who have sex with men. AIDS and Behavior, 16(6), 1394–1410. https://doi.org/10.1007/S10461-011-0131-8
Whitfield, D. L., Coulter, R. W. S., Langenderfer-Magruder, L., & Jacobson, D. (2021). Experiences of intimate partner violence among lesbian, gay, bisexual, and transgender college students: The intersection of gender, race, and sexual orientation. Journal of Interpersonal Violence, 36(11–12), NP6040–NP6064. https://doi.org/10.1177/0886260518812071
Whitton, S. W., Dyar, C., Newcomb, M. E., & Mustanski, B. (2018). Romantic involvement: A protective factor for psychological health in racially-diverse young sexual minorities. Journal of Abnormal Psychology, 127(3), 265–275. https://doi.org/10.1037/abn0000332
Wienke, C., & Hill, G. J. (2009). Does the “marriage benefit” extend to partners in gay and lesbian relationships? Evidence from a random sample of sexually active adults. Journal of Family Issues, 30(2), 259–289. https://doi.org/10.1177/0192513X08324382
Wu, E., El-Bassel, N., McVinney, L. D., Hess, L., Fopeano, M., & v., Hwang, H. G., Charania, M., & Mansergh, G. (2015). The association between substance use and intimate partner violence within Black male same-sex relationships. Journal of Interpersonal Violence, 30(5), 762–781. https://doi.org/10.1177/0886260514536277
The research leading to these results received funding from the National Institute on Alcohol Abuse and Alcoholism (R01AA024065, PI: M. Newcomb) and National Institute on Drug Abuse (DP2DA042417, PI: M. Newcomb). REDCap is supported at the Feinberg School of Medicine by the Northwestern University Clinical and Translational Science (NUCATS) Institute, which is supported by a grant from the National Institute of Health’s National Center for Advancing Translational Sciences (UL1TR001422, PI: D. Lloyd-Jones). Madison Smith’s time was supported by a grant from the National Institute on Drug Abuse (F32DA057128, PI: Smith). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
The authors declare that they have no financial interests. Non-financial interests: Author Michael E. Newcomb serves on the editorial board for Archives of Sexual Behavior. Requests for collaboration and analysis code should be directed to the authors.
Conflict of interest
The authors have no conflicts of interest to disclose.
Approval was obtained from the Northwestern University Institutional Review Board. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.
Informed consent was obtained from all individual participants included in the study.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Below is the link to the electronic supplementary material.
About this article
Cite this article
Smith, M.S., Newcomb, M.E. Substance Use and Relationship Functioning Among Young Male Couples. Arch Sex Behav 52, 2097–2110 (2023). https://doi.org/10.1007/s10508-023-02627-1