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AIDS and Behavior
Published in: AIDS and Behavior 5/2017

01-05-2017 | Original Paper

Affect and Condom Use Among Men Who have Sex with Men: A Daily Diary Study

Authors: Elissa L. Sarno, Jonathan J. Mohr, Joshua G. Rosenberger

Published in: AIDS and Behavior | Issue 5/2017

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Abstract

Men who have sex with men (MSM) are disproportionally affected by HIV. Although some theoretical models created to explain why individuals engage in risky sexual behavior contain an affective component, there has been relatively little focus on the influence of affect on sexual risk-taking. The goal of this study is to investigate the association between affect and condom use among MSM using an archival dataset from a survey of users of a popular sex-oriented website. Multilevel modeling was used to analyze daily diary data from 2871 MSM. At the within-person level, positive affect was positively related to condomless anal sex (CAS), whereas negative affect was negatively related to CAS. However, these results were qualified by interactions of trait affect and relationship to sex partner. These findings suggest that interventions focused on emotional regulation may have the potential to reduce CAS among MSM.
Literature
1.
2.
Ajzen I. From intentions to actions: a theory of planned behavior. In: Kuhl J, Beckmann J, editors. Action-control: from cognition to behavior. Heidelberg: Springer; 1985.
3.
Bandura A. Social foundations of thought and action: A social cognitive theory. Englewood Cliffs: Prentice-Hall; 1986.
4.
Becker M. The health belief model and personal health behavior. Thorofare: Slack; 1974.
5.
6.
Catania JA, Kegeles SM, Coates TJ. Towards an understanding of risk behavior: An AIDS risk reduction model (ARRM). Health Educ Q. 1990;17:53–72.CrossRefPubMed
7.
8.
Kalichman SC, Weinhardt L. Negative affect and sexual risk behavior: Comment on Crepaz and Marks (2001). Health Psychol. 2001;20:300–1.CrossRefPubMed
9.
Marks G, Bingman CR, Duval T. Negative affect and unsafe sex in HIV-positive men. AIDS Behav. 1998;2:89–99.CrossRef
10.
Mustanski B. The influence of state and trait affect on HIV risk behaviors: A daily diary study of MSM. Health Psychol. 2007;26:618–26.CrossRefPubMed
11.
McKirnan DJ, Ostrow DG, Hope BB. Sex, drugs and escape: A psychological model of HIV-risk sexual behaviours. AIDS Care. 1996;8:655–69.CrossRefPubMed
12.
Johnson E, Tversky A. Affect, generalization, and the perception of risk. J Pers Soc Psychol. 1983;45:20–31.CrossRef
13.
Isen AM, Patrick R. The effect of positive feelings on risk taking: When the chips are down. Organ Behav Hum Decis Process. 1983;31:194–202.CrossRef
14.
Arkes HR, Herren LT, Isen AM. The role of potential loss in the influence of affect on risk-taking behavior. Organ Behav Hum Decis Process. 1988;42:181–93.CrossRef
15.
Isen AM, Nygren TE, Ashby FG. Influence of positive affect on the subjective utility of gains and losses: It is just not worth the risk. J Pers Soc Psychol. 1988;55:710–7.CrossRefPubMed
16.
Nygren TE, Isen AM, Taylor PJ, Dulin J. The influence of positive affect on the decision rule in risk situations: Focus on outcome (and especially avoidance of loss) rather than probability. Organ Behav Hum Decis Process. 1996;66(1):59–72.CrossRef
17.
Leith KP, Baumeister RF. Why do bad moods increase self-defeating behavior? Emotion, risk taking, and self-regulation. J Pers Soc Psychol. 1996;71:1250–67.CrossRefPubMed
18.
Crepaz N, Marks G. Are negative affective states associated with HIV sexual risk behaviors? A meta-analytic review. Health Psychol. 2001;20:291–9.PubMed
19.
Grov C, Golub SA, Mustanski B, Parsons JT. Sexual compulsivity, state affect, and sexual risk behavior in a daily diary study of gay and bisexual men. Psychol Addict Behav. 2010;24:487–97.CrossRefPubMed
20.
Mustanski B, Newcomb ME, Clerkin EM. Relationship characteristics and sexual risk-taking in young men who have sex with men. Health Psychol. 2011;30:597–605.CrossRefPubMedPubMedCentral
21.
Tanner AE, Hensel DJ, Fortenberry JD. A prospective study of the sexual, emotional, and behavioral correlates associated with young women’s first and usual coital events. J Adolesc Health. 2010;47:20–5.CrossRefPubMedPubMedCentral
22.
Watson D, Clark LA. The PANAS-X: Manual for the positive and negative affect schedule-expanded form. Iowa City: University of Iowa; 1994.
23.
Hensel DJ, Fortenberry J, Orr DP. Variations in coital and noncoital sexual repertoire among adolescent women. J Adolesc Health. 2008;42:170–6.CrossRefPubMed
24.
Hensel DJ, Fortenberry J, Orr DP. Factors associated with event level anal sex and condom use during anal sex among adolescent women. J Adolesc Health. 2010;46:232–7.CrossRefPubMed
25.
Reis HT, Gable SL. Event-sampling and other methods for studying everyday experience. In: Reis HT, Judd CM, editors. Handbook of research methods in social and personality psychology. New York: Cambridge University Press; 2000.
26.
Reece M, Herbenick D, Schick V, Sanders SA, Dodge B, Fortenberry JD. Sexual behaviors, relationships, and perceived health among adult men in the United States: Results from a national probability sample. J Sex Med. 2010;7:291–304.CrossRefPubMed
27.
Rosenberger JG, Reece M, Schick V, et al. Sexual behaviors and situational characteristics of most recent male-partnered sexual event among gay and bisexually identified men in the United States. J Sex Med. 2011;8:3040–50.CrossRefPubMed
28.
Lüdtke O, Marsh H, Robitzsch A, Trautwein U, Asparouhov T, Muthén B. The multilevel latent covariate model: a new, more reliable approach to group-level effects in contextual studies. Psychol Methods. 2008;13(3):203–29.CrossRefPubMed
29.
Gardner W, Mulvey E, Shaw E. Regression analyses of counts and rates: Poisson, overdispersed Poisson, and negative binomial models. Psychol Bull. 1995;118(3):392–404.CrossRefPubMed
30.
Muthén LK, Muthén BO. Mplus user’s guide. Los Angeles: Muthén & Muthén; 2010.
31.
Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6(1):1–55.CrossRef
32.
33.
Calabrese SK, Reisen CA, Zea MC, Poppen PJ, Bianchi FT. The pleasure principle: the effect of perceived pleasure loss associated with condoms on unprotected anal intercourse among immigrant Latino men who have sex with men. AIDS Patient Care STDS. 2012;26(7):430–5.PubMedPubMedCentral
34.
Bancroft J, Janssen E, Strong D, Vukadinovic Z. The relation between mood and sexuality in gay men. Arch Sex Behav. 2003;32:231–42.CrossRefPubMed
35.
O’Hara RE, Armeli S, Boynton MH, Tennen H. Emotional stress-reactivity and positive affect among college students: the role of depression history. Emotion. 2014;14(1):193–202.CrossRefPubMed
36.
37.
Smith C, Ellsworth P. Patterns of cognitive appraisal in emotion. J Pers Soc Psychol. 1985;48(4):813–38.CrossRefPubMed
38.
Mustanski BS. Are sexual partners met online associated with HIV/STI risk behaviours? Retrospective and daily diary in conflict. AIDS Care. 2007;19(6):822–7.CrossRefPubMed
39.
40.
Newcomb ME, Mustanski B. Racial differences in same-race partnering and the effects of sexual partnership characteristics on HIV risk in MSM: a prospective sexual diary study. J Acquir Immune Defic Syndr. 2013;62(3):329–33.CrossRefPubMedPubMedCentral
41.
Gold RS. The effects of mood states on the AIDS-related judgments of gay men. Int J STD AIDS. 2002;13:471–81.CrossRef
42.
Stone AA, Shiffman S. Ecological momentary assessment (EMA) in behavorial medicine. Ann Behav Med. 1994;16(3):199–202.
Metadata
Title
Affect and Condom Use Among Men Who have Sex with Men: A Daily Diary Study
Authors
Elissa L. Sarno
Jonathan J. Mohr
Joshua G. Rosenberger
Publication date
01-05-2017
Publisher
Springer US
Published in
AIDS and Behavior / Issue 5/2017
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1464-0

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