Skip to main content

Advertisement

Log in

The Effects of Sexual Sensation Seeking and Alcohol Use on Risky Sexual Behavior Among Men Who Have Sex with Men

  • Original Paper
  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

Men who have sex with men (MSM) remain most at risk for developing HIV infection. The best prevention in this population is to identify risk factors associated with unprotected sex. Recent research suggests that sexual sensation seeking (SSS) and level of average drinking moderates the relationship between drinking alcohol in the context of sex and risky sexual behavior in a young MSM population (ages 16–20 years). Current study is an exploratory analysis using multilevel modeling to examine if these results are consistent across a MSM population with a wider range of ages who are also heavy drinkers. Participants (n = 181) included MSM (ages 18–75 years) from a longitudinal clinical research trial. Results indicate that MSM with higher SSS were more likely to have unprotected anal sex if they drank alcohol 3 h prior to sex than those who did not, (OR = 1.07; 95 % CI 1.03–1.12). There was no significant interaction effect for average levels of drinking.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Centers for Disease Control and Prevention. HIV among gay and bisexual men: United States Department of Health and Human Services; 2014.

  2. Weinhardt LS, Carey MP. Does alcohol lead to sexual risk behavior? Findings from event-level research. Annu Rev Sex Res. 2000;11:125–57.

    PubMed Central  CAS  PubMed  Google Scholar 

  3. Woolf SE, Maisto SA. Alcohol use and risk of HIV infection among men who have sex with men. AIDS Behav. 2009;13(4):757–82.

    Article  PubMed  Google Scholar 

  4. Vanable PA, McKirnan DJ, Buchbinder SP, et al. Alcohol use and high-risk sexual behavior among men who have sex with men: the effects of consumption level and partner type. Health Psychol. 2004;23(5):525–32.

    Article  PubMed  Google Scholar 

  5. Hoyle R, Fejfar M, Miller J. Personality and sexual risk taking: a quantitative review. J Pers. 2000;68(6):1203–31.

    Article  CAS  PubMed  Google Scholar 

  6. Newcomb ME, Clerk EM, Mustanski B. Sensation seeking moderates the effects of alcohol and drug use prior to sex on sexual risk in young men who have sex with men. AIDS Behav. 2011;15:565–75.

    Article  PubMed  Google Scholar 

  7. Kalichman SC, Johnson JR, Adair V, Rompa D, Multhauf K, Kelly JA. Sexual sensation seeking: scale development and predicting AIDS-risk behavior among homosexually active men. J Pers Assess. 1994;62(3):385–97.

    Article  CAS  PubMed  Google Scholar 

  8. Zuckerman M, Eysenck S, Eysenk HJ. Sensation seeking in England and America: cross-cultural, age, and sex comparisons. J Consult Clin Psychol. 1978;46:139–49.

    Article  CAS  PubMed  Google Scholar 

  9. Fisher JD, Misovich SJ. Social influence and AIDS-preventive behavior. In: Edwards J, Tindale RS, Heath L, Posavac EJ, editors. Social influence processes and prevention. New York, NY: Plenum Press; 1990.

  10. Kalichman SC, Rompa D. Sexual sensation seeking and sexual compulsivity scales: reliability, validity, and predicting HIV risk behavior. J Pers Assess. 1995;6(3):586–601.

    Article  Google Scholar 

  11. Carey MP, Carey KB, Maisto SA, Gordon CM, Weinhardt LS. Assessing sexual risk behavior with the timeline follow back (TLFB) approach: continued development and psychometric evaluation with psychiatric outpatients. Int J STD AIDS. 2001;12:365–75.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  12. Newcomb ME. Moderating effect of age on the association between alcohol use and sexual risk in MSM: evidence for elevated risk among MSM. AIDS Behav. 2013;17:1746–54.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Morgenstern J, Irwin T, Wainberg M, et al. A randomized controlled trial of goal choice interventions for alcohol use disorders among men who have sex with men. J Consult Clin Psychol. 2007;75(1):72–84.

    Article  PubMed  Google Scholar 

  14. Vittinghoff E, Douglas J, Judson F, McKirnan D, MacQueen K, Buchbinder SP. Per-contact risk of human immunodeficiency virus transmission between male sexual partners. Am J Epidemiol. 1999;150:306–11.

    Article  CAS  PubMed  Google Scholar 

  15. First MB, Spitzer RL, Gibbon M, Williams JBW. Structured clinical interview for DSM-IV Axis 1 disorders (SCID-I), clinician version: user’s guide. Washington, DC: American Psychiatric Press; 1997.

    Google Scholar 

  16. World Health Organization. Composite international diagnostic interview. Geneva: Switzerland; 1990.

    Google Scholar 

  17. Sobell LC, Brown J, Leo GI, Sobell MB. The reliability of the alcohol timeline follow-back when administered by telephone and by computer. Drug Alcohol Depend. 1996;42:49–54.

    Article  CAS  PubMed  Google Scholar 

  18. Sobell LC, Sobell MB. Timeline follow-back: A technique for assessing self-reported alcohol consumption. In Litten RZ, Allen JP, editors. Measuring alcohol consumption: psychosocial and biochemical methods. Totowa, NJ: Humana Press; 1992.

  19. Leigh BC. Alcohol and condom use: a meta-analysis of event level studies. Sex Transm Dis. 2002;29(8):476–82.

    Article  PubMed  Google Scholar 

  20. Parsons JT, Rosof E, Mustanski B. The temporal relationship between alcohol consumption and HIV-medication adherence: a multilevel model of direct and moderating effects. Health Psychol. 2008;27(5):628–37.

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Acknowledgments

The IC4M study was supported by Grant AA 011745 from the National Institute on Alcohol Abuse and Alcoholism. Drs. Fernand Lubuguin (University of Denver) and Brett Hagman (NIAAA) are thanked for their review and comments. Stephen Mistler, M.A. (Arizona State University) is thanked for his statistics consulting services. Dr. Alexis Kuerbis (Columbia Addiction Services and Psychotherapy Interventions Research) is thanked for her support and assistance.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Bram Heidinger.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Heidinger, B., Gorgens, K. & Morgenstern, J. The Effects of Sexual Sensation Seeking and Alcohol Use on Risky Sexual Behavior Among Men Who Have Sex with Men. AIDS Behav 19, 431–439 (2015). https://doi.org/10.1007/s10461-014-0871-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10461-014-0871-3

Keywords

Navigation