Escape expectancies and sexualized substance use among gay, bisexual, and other men who have sex with men
Escape expectancies and sexualized substance use among gay, bisexual, and other men who have sex with men
McKirnan’s Cognitive Escape Theory (1996) is often characterized by the hypothesis that drugs are used during sex by gay, bisexual, and other men who have sex with men (gbMSM) to relieve internal cognitive conflict over safe-sex norms and sexual desire. We examined how McKirnan’s Cognitive Escape Scale (CES) is related to other widely used constructs relevant to sexualized substance use with hopes of better situating the theory within the evolving landscape of HIV-prevention. Associations between CES and trait anxiety, depression, treatment optimism, sexual altruism, sexual sensation seeking, and self-perceived risk for HIV transmission/acquisition were tested. Mediation analyses tested whether associated psychological measures mediated the effect of CES on the proportion of events in which participants reported co-occurrent substance use and condomless anal sex. Results indicated that CES is associated with higher sexual sensation seeking, treatment optimism, trait anxiety, and perceived likelihood of HIV transmission/ acquisition. Mediation analyses suggest that CES is related to but operates independently of treatment optimism, sensation seeking, and trait anxiety. Nevertheless, the intersection of HIV- related worries and substance use expectancies are clearly more nuanced than is widely reported is discussions on cognitive escape
Chemsex, Cognitive escape, Condom use, Gay and bisexual men, Substance use
1489-1497
Card, Kiffer G.
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Armstrong, Heather
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Wang, Lu
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Bacani, Nicanor
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Moore, David M.
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Roth, Eric A.
4900d79c-ac00-475b-8bb9-e96243905ca7
Hogg, Robert S.
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Lachowsky, Nathan J.
87634bac-759c-4e7b-9f16-22fb37e87cf6
December 2020
Card, Kiffer G.
4bece098-5a9b-46cf-a64e-615f14acce73
Armstrong, Heather
3dc9c223-1a61-47ad-ab0b-50d06cddf4f2
Wang, Lu
22f5289e-46aa-418f-bdf7-95b76c40d4ee
Bacani, Nicanor
87b35d3e-a58f-4cb5-bcc9-05afc090b95e
Moore, David M.
b3bb7f8f-4409-412e-959b-bcda959a8d2d
Roth, Eric A.
4900d79c-ac00-475b-8bb9-e96243905ca7
Hogg, Robert S.
3f71ad69-9c8a-4732-bb86-4aa0652e1f3f
Lachowsky, Nathan J.
87634bac-759c-4e7b-9f16-22fb37e87cf6
Card, Kiffer G., Armstrong, Heather, Wang, Lu, Bacani, Nicanor, Moore, David M., Roth, Eric A., Hogg, Robert S. and Lachowsky, Nathan J.
(2020)
Escape expectancies and sexualized substance use among gay, bisexual, and other men who have sex with men.
AIDS Care, 32 (12), .
(doi:10.1080/09540121.2019.1705961).
Abstract
McKirnan’s Cognitive Escape Theory (1996) is often characterized by the hypothesis that drugs are used during sex by gay, bisexual, and other men who have sex with men (gbMSM) to relieve internal cognitive conflict over safe-sex norms and sexual desire. We examined how McKirnan’s Cognitive Escape Scale (CES) is related to other widely used constructs relevant to sexualized substance use with hopes of better situating the theory within the evolving landscape of HIV-prevention. Associations between CES and trait anxiety, depression, treatment optimism, sexual altruism, sexual sensation seeking, and self-perceived risk for HIV transmission/acquisition were tested. Mediation analyses tested whether associated psychological measures mediated the effect of CES on the proportion of events in which participants reported co-occurrent substance use and condomless anal sex. Results indicated that CES is associated with higher sexual sensation seeking, treatment optimism, trait anxiety, and perceived likelihood of HIV transmission/ acquisition. Mediation analyses suggest that CES is related to but operates independently of treatment optimism, sensation seeking, and trait anxiety. Nevertheless, the intersection of HIV- related worries and substance use expectancies are clearly more nuanced than is widely reported is discussions on cognitive escape
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Accepted/In Press date: 21 November 2019
e-pub ahead of print date: 18 December 2019
Published date: December 2020
Keywords:
Chemsex, Cognitive escape, Condom use, Gay and bisexual men, Substance use
Identifiers
Local EPrints ID: 437554
URI: http://eprints.soton.ac.uk/id/eprint/437554
ISSN: 0954-0121
PURE UUID: 105e0fdb-d2b5-4b08-a621-b92835740212
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Date deposited: 05 Feb 2020 17:31
Last modified: 28 Apr 2022 05:51
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Contributors
Author:
Kiffer G. Card
Author:
Lu Wang
Author:
Nicanor Bacani
Author:
David M. Moore
Author:
Eric A. Roth
Author:
Robert S. Hogg
Author:
Nathan J. Lachowsky
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