ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2023
Substance Use, Sexual Agreements, and Sexual Risk Behaviors Among Adolescent Sexual Minority Males (Aged 13-17) in the United States.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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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.
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Who cites it
9 citing papers in PubMed, 12 citations in OpenAlex.
- Adapted Motivational Interviewing Reduces Substance Use and Sexual Risk Taking Among Partnered Sexual Minority Men Aged 18-35 Years: Results of the PARTNER Study.Journal of acquired immune deficiency syndromes (1999) · 2026Trial
- Optimizing Individual HIV Testing and Counseling for Emerging Adult Sexual Minority Men (Aged 18 to 24) in Relationships: A Pilot Randomized Controlled Trial of Adjunct Communication Components.AIDS and behavior · 2024Trial
- Interdependence and Sexual Health: Relationship factors associated with sexual behavior among sexual minority males in non-monogamous relationships who use drugs.Journal of sex research · 2026Article
- Demographic factors and correlates of trust in types of people and information sources: findings from the SAM-KAP Alabama youth survey on HIV prevention.BMC primary care · 2025Article
- A Narrative Study of Sexual Agreements and HIV Prevention Strategies Among Emerging Adult Sexual Minority Men.Prevention science : the official journal of the Society for Prevention Research · 2025Article
- Similarities and distinctions in the drug use and sexual behavior of transfeminine and nonbinary adults assigned male at birth in the United States.Psychology of sexual orientation and gender diversity · 2025Article
- Article
- Drug use and condomless sex among sexual minority men in relationships: Whether relationship quality is a risk or protective factor depends upon what they believe their partners do.Social science & medicine (1982) · 2024Article
- Everyday Discrimination and HIV Testing Among Partnered Latino/x Sexual Minority Men in the United States: A Stratified Analysis by Birth Location.AIDS education and prevention : official publication of the International Society for AIDS Education · 2023Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
purposeDespite the fact that adolescence represents a distinct developmental period wherein dating and sexual relationships are emergent, much of what is known about substance use, sexual agreements, and sexual risk behaviors among adolescent sexual minority males (ASMM) is extrapolated from research on adults. This study tested associations between substance use and sexual risk behaviors among ASMM and examined whether relationship status and sexual agreements moderated these associations.
methodsCross-sectional online survey data were collected from 2,892 HIV negative ASMM aged 13-17 years between November 2017 and March 2020. All were sexually active with male partners and not on pre-exposure prophylaxis. A multigroup hurdle model predicted the occurrence and frequency of condomless anal sex (CAS) with casual partners.
resultsNon-monogamous ASMM were more likely to use illicit drugs and more likely to have CAS with casual partners compared with single ASMM and those in monogamous relationships. Among ASMM who had CAS at least once, those in relationships (both monogamous and nonmonogamous) had CAS more frequently than single ASMM. Binge drinking (odds ratio (OR) = 1.47, p < .001), cannabis (OR = 1.30, p < .001), and illicit drug use (including prescription drug misuse) (OR = 1.77, p < .001) were associated with the occurrence of CAS with casual partners but only binge drinking (rate ratio (RR) = 1.23, p = .027) and illicit drugs (RR = 1.75, p < .001) were associated with its frequency. DISCUSSION: While results aligned with adult studies in many respects, unlike adult sexual minority males, these findings suggest partnered ASMM-particularly those in nonmonogamous relationships-were at highest risk of substance use and associated sexual HIV transmission risk.
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Registered trials
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