Escape expectancies and sexualized substance use among gay, bisexual, and other men who have sex with men

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dc.contributor.authorCard, Kiffer G.
dc.contributor.authorArmstrong, Heather
dc.contributor.authorWang, Lu
dc.contributor.authorBacani, Nicanor
dc.contributor.authorMoore, David M.
dc.contributor.authorRoth, Eric
dc.contributor.authorHogg, Robert S.
dc.contributor.authorLachowsky, Nathan
dc.date.accessioned2024-03-15T21:06:20Z
dc.date.available2024-03-15T21:06:20Z
dc.date.issued2019
dc.description.abstractMcKirnan’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.
dc.description.reviewstatusReviewed
dc.description.scholarlevelFaculty
dc.description.sponsorshipMomentum is funded through the National Institute on Drug Abuse (R01DA031055-01A1) and the Canadian Institutes for Health Research (MOP-107544, FDN-143342, PJT-153139). KGC is supported by a Student Research Development Award from the International Academy of Sex Research, a Canadian HIV Trials Network / Canadian Foundation for AIDS Research Postdoctoral Fellowship award, a Michael Smith Foundation for Health Research Trainee award, and a Canadian Institutes of Health Research Health Systems Impact Fellowship award. NJL was supported by a CANFAR/CTN Postdoctoral Fellowship Award. DMM and NJL are supported by Scholar Awards from the Michael Smith Foundation for Health Research (#5209, #16863). HLA is supported by a Postdoctoral Fellowship Award from the Canadian Institutes of Health Research (Grant # MFE-152443). KGC is supported by a Canadian HIV Trials Network / Canadian Foundation for AIDS Research Postdoctoral Fellowship award, a Michael Smith Foundation for Health Research Trainee award, a Canadian Institutes of Health Research Health Systems Impact Fellowship award, and a International Academy for Sex Research Student Research Development Award.
dc.identifier.citationCard, K. G., Armstrong, H. L., Wang, L., Bacani, N., Moore, D., Roth, E. A., Hogg, R. S., & Lachowsky, N. J. (2019). Escape expectancies and sexualized substance use among gay, bisexual, and other men who have sex with men. AIDS Care, 32(12), 1489–1497. https://doi.org/10.1080/09540121.2019.1705961
dc.identifier.urihttps://doi.org/10.1080/09540121.2019.1705961
dc.identifier.urihttps://hdl.handle.net/1828/16110
dc.language.isoen
dc.publisherAIDS Care
dc.rightsAttribution-NonCommercial 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectCanadian Institute for Substance Use Research (CISUR)
dc.subject.departmentSchool of Public Health and Social Policy
dc.subject.departmentDepartment of Anthropology
dc.titleEscape expectancies and sexualized substance use among gay, bisexual, and other men who have sex with men
dc.typePostprint

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