ArticleJournal of studies on alcohol and drugs2025
How Cannabis and Alcohol Use Influence Sexual Behavior Among Men Who Have Sex With Men (MSM): An Ecological Momentary Assessment Study.
Article in Journal of studies on alcohol and drugs, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
The trial behind it
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Who cites it
3 citing papers in PubMed.
- Experiences and Perceptions of Risk Among Australian Men Who Have Sex with Men Who Engage in Sexual Strangulation.Archives of sexual behavior · 2026Article
- Factors associated with one-night stands among men who have sex with men recruited via the internet: a cross-sectional survey in China.Frontiers in public health · 2026Article
- Associations Between Online Casual Sexual Behavior and HIV-Related Risk Behaviors Among Men Who Have Sex With Men in Southeast China: Cross-Sectional Study.JMIR formative research · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveHeavy drinking is common among men who have sex with men (MSM) and significantly increases HIV acquisition risk. MSM who report heavy drinking also report higher cannabis use, which has also been associated with sexual behaviors known to elevate HIV transmission risk. Despite evidence of associations at the between-subjects level, the effects of alcohol and cannabis use on sexual risk behavior among MSM who engage in heavy drinking are largely unknown. The current study used ecological momentary assessment to examine the between- and within-subject associations of heavy drinking, cannabis use, and sexual behavior.
methodThis is a secondary data analysis of a study on alcohol intoxication and sexual decision making that included 115 MSM who reported cannabis use and were not using pre-exposure prophylaxis (PrEP) at baseline. Participants reported daily alcohol and cannabis use and sexual activities over 6 weeks. Multilevel multinomial regression was used to evaluate how alcohol and cannabis use were associated with sexual behaviors.
resultsHigher alcohol use was associated with higher rates of intercourse at the between-persons level and a higher likelihood of all sexual behaviors at the event level. In contrast, cannabis use at the between-person level was associated with an increased rate of condomless anal intercourse relative to both anal intercourse with a condom as well as no sex. At the within-person level, cannabis was associated with an increased likelihood of anal sex with or without a condom relative to no sex.
conclusionsCannabis and alcohol may have independent effects on sexual risk behavior among MSM. Interventions addressing sexual health among MSM who engage in heavy drinking should also consider the additive risks of cannabis use.
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