دورية أكاديمية
A Behavioral Economic Examination of Sexual Behaviors in the Era of Pre-exposure Prophylaxis via Explanatory Sequential Mixed Methods.
| العنوان: | A Behavioral Economic Examination of Sexual Behaviors in the Era of Pre-exposure Prophylaxis via Explanatory Sequential Mixed Methods. |
|---|---|
| المؤلفون: | Gebru NM; Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, 121 S. Main St., Box G-S121-3, Providence, RI, 02912, USA. neo_gebru@brown.edu.; Department of Health Education and Behavior, University of Florida, Gainesville, FL, USA. neo_gebru@brown.edu.; Southern HIV and Alcohol Research Consortium (SHARC), University of Florida, Gainesville, FL, USA. neo_gebru@brown.edu., James TG; Department of Family Medicine, University of Michigan Medical School, Ann Arbor, MI, USA., Ahn S; Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Cheong J; Department of Health Education and Behavior, University of Florida, Gainesville, FL, USA., Berry MS; Department of Health Education and Behavior, University of Florida, Gainesville, FL, USA.; Department of Psychology, University of Florida, Gainesville, FL, USA., Cook RL; Southern HIV and Alcohol Research Consortium (SHARC), University of Florida, Gainesville, FL, USA.; Department of Epidemiology, University of Florida, Gainesville, FL, USA., Leeman RF; Department of Health Education and Behavior, University of Florida, Gainesville, FL, USA.; Department of Health Sciences, Northeastern University, Boston, MA, USA. |
| المصدر: | Archives of sexual behavior [Arch Sex Behav] 2024 Apr; Vol. 53 (4), pp. 1541-1559. Date of Electronic Publication: 2024 Mar 12. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Kluwer Academic/Plenum Publishers Country of Publication: United States NLM ID: 1273516 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2800 (Electronic) Linking ISSN: 00040002 NLM ISO Abbreviation: Arch Sex Behav Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1999- : New York : Kluwer Academic/Plenum Publishers Original Publication: New York, Plenum Pub. Corp. |
| مواضيع طبية MeSH: | Pre-Exposure Prophylaxis*/methods , HIV Infections*/prevention & control , Sexual and Gender Minorities*, Male ; Young Adult ; Humans ; Adolescent ; Adult ; Homosexuality, Male ; Economics, Behavioral ; Sexual Behavior ; Condoms |
| مستخلص: | Pre-exposure prophylaxis (PrEP) use may be associated with condom use decisions. The current investigation examined sexual decision-making in the context of PrEP among young adult men who have sex with men (MSM) between 18 and 30 years old, using an explanatory sequential mixed methods design. For the quantitative aim, 99 MSM currently taking PrEP (i.e., PrEP-experienced) and 140 MSM not currently taking PrEP (i.e., PrEP-naive) completed an online survey, including the Sexual Delay Discounting Task (SDDT), which captures likelihood of condom use. For the qualitative aim, 15 people from each group were interviewed about their (1) conceptualizations of risky sex and (2) ways they manage their sexual risk. Participants were, on average, 25.69 years old (SD = 3.07) and 64% White. Results from the quantitative aim revealed, controlling for covariates, PrEP-experienced participants exhibited significantly lower likelihood of (1) using an immediately available condom and (2) waiting for a delayed condom (i.e., sexual delay discounting) compared to PrEP-naive participants. Qualitative themes explaining what young adult MSM consider to be risky sex included: (1) any sex as risky sex, (2) risky sex as "sex without a conversation," and (3) risky sex as sex with risk for physical harm. Themes on ways young adult MSM manage sexual risk were classified as proactive, reactive, and passive. Results suggest that PrEP use is related to condom use decisions. Taken together, quantitative differences in sexual delay discounting, but qualitatively similar conceptualizations and management of risky sex, suggest that the SDDT may be a useful tool in sex research to capture processes (i.e., delay discounting) underlying sexual decision-making that may be missed by traditional self-reports. Implications of results, including potentially providing (good quality) condoms with every PrEP prescription, and future research topics are discussed. (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
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| معلومات مُعتمدة: | F31 AA028751 United States AA NIAAA NIH HHS; K99 AA031443 United States AA NIAAA NIH HHS; UH3 AA026214 United States AA NIAAA NIH HHS; UH2/UH3 AA02614 United States AA NIAAA NIH HHS |
| فهرسة مساهمة: | Keywords: Condom use; Men who have sex with men; PrEP; Risk compensation; Sexual Delay Discounting Task; Sexual orientation |
| تواريخ الأحداث: | Date Created: 20240313 Date Completed: 20240322 Latest Revision: 20240525 |
| رمز التحديث: | 20240525 |
| مُعرف محوري في PubMed: | PMC11124550 |
| DOI: | 10.1007/s10508-024-02822-8 |
| PMID: | 38472604 |
| قاعدة البيانات: | MEDLINE |
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