Developmental Change in the Relationship Between Alcohol and Drug Use Before Sex and Sexual Risk Behavior in Young Men Who Have Sex with Men

Michael E. Newcomb*, Brian Mustanski

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Young men who have sex with men (YMSM) are the only group in which rates of new HIV infections are increasing in the United States. Alcohol and drug use have been linked to HIV risk, but evidence suggests that these associations may change across development and by relationship type. Data were taken from an analytic sample of 114 YMSM enrolled in a longitudinal study of lesbian, gay, bisexual and transgender youth with 4 years of participant follow-up. For the sample as a whole, alcohol use before sex was not associated with sexual risk, but drug use before sex was positively associated with sexual risk. A positive association between alcohol use and sexual risk emerged across development, and this association was stronger in serious relationships relative to casual sex partners. The positive association between drug use before sex and sexual risk decreased across development and was stronger in serious relationships. We discuss the need for addressing substance use before sex in dyadic interventions with YMSM.

Original languageEnglish (US)
Pages (from-to)1981-1990
Number of pages10
JournalAIDS and behavior
Volume18
Issue number10
DOIs
StatePublished - Sep 20 2014

Keywords

  • Alcohol
  • Developmental change
  • Drugs
  • HIV/AIDS
  • Young men who have sex with men

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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