title: Event-Level Associations Among Drinking Motives, Alcohol Consumption, and Condomless Anal Sex in a Sample of Young Men Who Have Sex With Men.
abstract: Young men who have sex with men (YMSM) are at increased risk for HIV and problematic alcohol use. Drinking motives are associated with alcohol use in cross-sectional studies, but their associations with alcohol use and condomless anal sex (CAS) at the event-level remain unclear. The current study examined these event-level associations in a sample of 189 YMSM who completed self-report measures on a daily or weekly basis for two months. Participants were recruited between August 2014 and April 2015 for a randomized trial designed to study behavioral reactivity in diary studies. YMSM consumed more alcohol on days when they drank to cope, to enhance pleasure, or to be more social. CAS with casual partners was more likely on days when they consumed more alcohol. Drinking motives were not associated with CAS. Interventions may benefit from addressing drinking motives and the influence of alcohol use on CAS in different types of relationships.
authors.affiliation: Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, 625 N Michigan Ave, Suite 2700, Chicago, IL, 60611, USA. brian.feinstein@northwestern.edu.|Northwestern University Institute for Sexual and Gender Minority Health and Wellbeing, Chicago, IL, USA. brian.feinstein@northwestern.edu.
authors.forename: Brian A
authors.initials: BA
authors.lastname: Feinstein
authors.affiliation: Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, 625 N Michigan Ave, Suite 2700, Chicago, IL, 60611, USA.|Northwestern University Institute for Sexual and Gender Minority Health and Wellbeing, Chicago, IL, USA.
authors.forename: Michael E
authors.initials: ME
authors.lastname: Newcomb
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology* / Q000523:psychology; D001727:Bisexuality / Q000523:psychology / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000453:epidemiology*; D018451:Homosexuality, Male / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009042:Motivation; D057181:Pleasure; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012747:Sexual Partners; D000072339:Sexual and Gender Minorities / Q000523:psychology / Q000706:statistics & numerical data; D012919:Social Behavior; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Alcohol; Condomless anal sex; Drinking motives; Men who have sex with men; Sexual risk behavior