Evidence map›Paper›PMID 31851524›Full record

ArticleAIDS care2020

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

Kiffer G Card, Heather L Armstrong, Lu Wang, Nicanor Bacani, David M Moore, Eric A Roth, Robert S Hogg, Nathan J Lachowsky

Abstract read
In one paragraph

Article in AIDS care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Substance Use and Misuse among Sexual and Gender Minority Communities Living in Former Soviet Union Countries: A Scoping Review.International journal of sexual health : official journal of the World Association for Sexual Health · 2024
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kiffer G CardBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.ORCID 0000-0001-6545-1249
Heather L ArmstrongBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.ORCID 0000-0002-1071-8644
Lu WangBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
Nicanor BacaniBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
David M MooreBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
Eric A RothDepartment of Anthropology, University of Victoria, Victoria, Canada.ORCID 0000-0002-9128-0997
Robert S HoggBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
Nathan J LachowskyBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.ORCID 0000-0002-6336-8780

Funding

HAART optimism, drug use and risky sexual behavior among MSM in British Columbia.R01DA031055 · NIDA · SIMON FRASER UNIVERSITY · PI HOGG, ROBERT S · 2011 to 2015
$2.0M
CIHR FDN-143342CIHR MOP-107544CIHR PJT-153139NIDA NIH HHS R01 DA031055
6 · The paper itself

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.

Indexed as

Unsafe SexAdultBisexualityCondomsHomosexuality, MaleHumansMaleMiddle AgedRisk-TakingSexual and Gender MinoritiesSexual BehaviorSubstance-Related DisordersChemsexCognitive escapeCondom useGay and bisexual menSubstance use

Identifiers

PMID31851524
PMCPMC7583678

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.