title: Consideration of future consequences and unprotected anal intercourse among men who have sex with men.
abstract: This study of men who have sex with men (MSM) examined whether tendencies to consider the future consequences of one's actions were associated with sexual behaviors that place oneself at risk for HIV infection. A total of 339 HIV-negative MSM responded to the Consideration of Future Consequences Scale (CFC; Strathman et al., 1994) and to questions about their anal intercourse practices in the past year. In bivariate analyses, men with a stronger future orientation were less likely to engage in anal intercourse unprotected by a condom (p < .05). Multivariate analyses revealed that CFC accounted for significant variance in three of four measures of unprotected anal sex after statistically controlling for demographic covariates (education, income, ethnicity, age). CFC was a better predictor of sexual behavior and accounted for more unique variance than any of the demographic factors. Additional research is needed to confirm that CFC is an antecedent of behavior and to examine the feasibility and efficacy of focusing on CFC in HIV prevention interventions.
authors.affiliation: Department of Psychology, University of Southern California, Los Angeles, CA 90089, USA. appleby@usc.edu
authors.forename: Paul Robert
authors.initials: PR
authors.lastname: Appleby
authors.forename: Gary
authors.initials: G
authors.lastname: Marks
authors.forename: Armida
authors.initials: A
authors.lastname: Ayala
authors.forename: Lynn Carol
authors.initials: LC
authors.lastname: Miller
authors.forename: Sheila
authors.initials: S
authors.lastname: Murphy
authors.forename: Gordon
authors.initials: G
authors.lastname: Mansergh
mesh_terms: D000328:Adult; D001003:Anal Canal; D005544:Forecasting; D015658:HIV Infections / Q000517:prevention & control / Q000523:psychology / Q000635:transmission*; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D011581:Psychological Tests; D018570:Risk Assessment; D012309:Risk-Taking; D047568:Unsafe Sex / Q000523:psychology*