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Alcohol, Sexual Arousal, and Partner Familiarity as Predictors of Condom Negotiation: An Experience Sampling Study
Peter Luehring-Jones1, Daniel Fulford2, Tibor P Palfai3
1Department of Psychological & Brain Sciences, Boston University, Boston, MA, USA. pluehrin@bu.edu.
AIDS and Behavior
|September 26, 2023
Summary
For men who have sex with men (MSM), alcohol, sexual arousal, and partner familiarity did not affect condom negotiation within daily life. However, partner familiarity and sexual arousal influenced negotiation incidence and difficulty between individuals.
Area of Science:
- Behavioral Science
- Public Health
- Psychology
Background:
- Risky sexual decision-making in men who have sex with men (MSM) is influenced by various factors.
- Laboratory studies suggest alcohol, sexual arousal, and partner familiarity impact condom negotiations.
- Limited research exists on these factors in the real-world context of MSM's daily lives.
Purpose of the Study:
- To investigate the within- and between-subjects effects of alcohol consumption, sexual arousal, and partner familiarity on condom negotiation processes among MSM.
- To extend laboratory findings on sexual decision-making to everyday experiences of MSM.
Main Methods:
- Collected six weeks of daily data from 257 moderate- and heavy-drinking MSM.
- Examined within- and between-subjects effects of alcohol consumption, average daily sexual arousal, and partner familiarity on condom negotiation.
- Assessed negotiation incidence and difficulty during sexual encounters.
Main Results:
- No significant within-subjects effects were found for alcohol consumption, sexual arousal, or partner familiarity on condom negotiation outcomes.
- Partner familiarity and average daily sexual arousal showed significant between-subjects effects on the likelihood of negotiation.
- Partner familiarity and average daily sexual arousal also significantly impacted the difficulty of condom negotiations.
Conclusions:
- Individual differences in partner familiarity and sexual arousal, rather than daily fluctuations, influence condom negotiation dynamics in MSM.
- Findings highlight discrepancies between laboratory and real-world research on sexual risk behaviors.
- Results have implications for developing targeted risk-reduction strategies for MSM.
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