Emotional Reactions to High-Risk Sex among Sexual Minority Men
Exploring Potential Opportunities for Just-In-Time Intervention
Bibliographic Data
| ID | 10209073 |
|---|---|
| Authors | Tyler B Wray (0000-0003-4545-9141, Brown University, corresponding author), Noah N Emery (0000-0002-4891-2303, Colorado State University), John Guigayoma (0000-0001-6449-2081, John Brown University), John P Guigayoma (Brown University) |
| Year | 2022 |
| Volume | 60 |
| Issue | 5 |
| Pages | 718-727 |
| Publication date | 2022-09-13 |
| Open Access | No |
| Type | ARTICLE |
| Venue | The Journal of Sex Research (JOURNAL) |
| Journal identifiers | ISSN: 0022-4499 • E-ISSN: 1559-8519 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/00224499.2022.2113854 |
| PMID | 36098665 |
| OpenAlex | W4295432047 |
| Language | EN |
| References cited | 40 |
Rates of HIV and other sexually transmitted infections (STIs) are high among sexual minority men (SMM). A large body of research has explored determinants of HIV/STI risk behavior, but few studies have explored emotional consequences of these events. Understanding the valence, timing, and strength of emotional reactions to sexual risk could inform use of specific behavior change techniques in interventions (such as anticipated regret) and identify new opportunities for intervention, including just-in-time interventions. We analyzed data from an ecological momentary assessment (EMA) study of 100 HIV-negative/unknown-status SMM to understand patterns of positive affect, negative affect, shame, and stress in the 24 hours after sex. Mixed-effects models showed that the probability of negative affect was higher in the hours following condomless anal sex (CAS) with high-risk partners during which SMM reported being under the influence of alcohol or drugs (A/D involved CAS), versus all other types of sex events ( OR = 0.92, SE = 0.03, p = .017). The probability of shame was also higher after A/D-involved CAS, versus other sex events ( OR = 1.14, SE = 0.07, p = .035). Findings suggest that the hours following A/D-involved CAS events may be an opportune time to intervene to help SMM avoid similarly aversive experiences in the future
Affect (linguistics · Anal sex · Developmental psychology · Human immunodeficiency virus (HIV · Intervention (counseling · Men who have sex with men · Psychiatry · Psychological intervention · Regret · Shame · Valence (chemistry · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · HIV/AIDS Research and Interventions · Immunology · Medicine · Mental Health Research Topics · Psychology · Social Psychology
Understanding the potential of teachable moments
Just-in-Time Adaptive Interventions (Jitais) in Mobile Health
How Emotion Shapes Behavior
Alcohol Use and Risk of HIV infection among Men Who Have Sex with Men
Sexual Sensation Seeking
Gay men's accounts of unsafe sex
Perceived facilitators of decision-making and usage of biomedical HIV prevention strategies
Development and validation of brief measures of positive and negative affect
Shame and the motivation to change the self
Real-time monitoring and just-in-time intervention for adherence to pre-exposure prophylaxis among men who have sex with men in China
Characteristics of Sex Events, Partners, and Motivations and Their Associations with HIV-Risk Behavior in a Daily Diary Study of High-Risk Men Who Have Sex with Men (MSM)
Digital chemsex support and care
The impact of sexual arousal on sexual risk‐taking
When is shame linked to constructive approach orientation? A meta-analysis
Maintaining a Heterosexual Identity
Are shame, guilt, and embarrassment distinct emotions
Understanding the role of cancer worry in creating a "teachable moment" for multiple risk factor reduction
| Highly cited | No |
|---|