Evidence map›Paper›PMID 40439765›Full record

ArticleAIDS and behavior2025

The Effect of Behavioral Regulation on Condomless Anal Sex Among Young Sexual Minority Men: Influences of Sex-Related Substance Use, Partnership Type, and PrEP Use.

Stephen D Ramos, Bryce F Stamp, Kimberly A Powers, Lisa Hightow-Weidman, Erik D Storholm, Zachary R Soberano, Jacob B Stocks, Matthew T Rosso, Keith J Horvath

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in AIDS and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Stephen D RamosDepartment of Psychology, College of Social and Behavioral Sciences, California State University, San Bernardino, 5500 University Parkway, SBS-527, San Bernardino, USA. Stephen.Ramos@csusb.edu.ORCID http://orcid.org/0000-0002-6061-6400
Bryce F StampDepartment of Epidemiology, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Kimberly A PowersDepartment of Epidemiology, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Lisa Hightow-WeidmanInstitute On Digital Health and Innovation, College of Nursing, Florida State University, Tallahassee, USA.
Erik D StorholmSchool of Public Health, College of Health and Human Services, San Diego State University, San Diego, USA.
Zachary R SoberanoInstitute On Digital Health and Innovation, College of Nursing, Florida State University, Tallahassee, USA.
Jacob B StocksInstitute On Digital Health and Innovation, College of Nursing, Florida State University, Tallahassee, USA.
Matthew T RossoInstitute On Digital Health and Innovation, College of Nursing, Florida State University, Tallahassee, USA.
Keith J HorvathDepartment of Psychology, College of Sciences, San Diego State University, San Diego, USA.

Funding

Training in Sexually Transmitted Infections and HIVT32AI007001 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SENA-SOBERANO, ARLENE C. · 1985 to 2025
$10.9M
Training Program in Substance Use, HIV and Related InfectionsT32DA023356 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Natasha Martin, Steffanie A Strathdee · 2007 to 2026
$7.8M
Intimate Partner Violence and HIV Prevention among Sexual Minority MenR01MH126762 · NIMH · SAN DIEGO STATE UNIVERSITY · PI STORHOLM, ERIK D. · 2021 to 2025
$3.2M
Addiction Scientists Strengthened though Education and Training (ASSET)R25DA050724 · NIDA · SAN DIEGO STATE UNIVERSITY · PI PITPITAN, EILEEN VIRTUSIO, ZUNIGA DE NUNCIO, MARIA LUISA · 2020 to 2024
$1.3M
Using EMA to developmentally tailor an intervention to support on-demand PrEP among YMSMR21MH124678 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HORVATH, KEITH JOSEPH, POWERS, KIMBERLY A · 2020 to 2021
$444k
National Institute of Allergy and Infectious Diseases T32AI007001).National Institute of Drug Abuse R25DA050724)National Institute of Drug Abuse T32DA023356NIAID NIH HHS T32 AI007001NIDA NIH HHS R25 DA050724NIDA NIH HHS T32 DA023356NIMH NIH HHS R01 MH126762NIMH NIH HHS R01MH126762-04S1NIMH NIH HHS R21 MH124678NIMH NIH HHS R21MH124678
6 · The paper itself

Abstract

The disproportionate HIV burden among young sexual minority men (YSMM) necessitates the study of neurodevelopmental decisional factors impacting transmission-relevant behaviors. We investigated the impact of behavioral regulation on condomless anal sex among YSMM, considering PrEP use, partnership type, and substance use as potential effect measure modifiers. YSMM (n = 120) completed an online baseline survey assessing behavioral regulation, PrEP use, and sociodemographics, and digital daily surveys on sexual behaviors, substance use, and partner type over eight weeks. We used modified Poisson regression, controlling for age, race, ethnicity, and education, to examine the relationship between behavioral regulation index (BRI) scores and condom use during anal sex. We used interaction terms to assess effect measure modification by substance use before or during sex and partnership type, stratified by PrEP use status. Difficulties in behavioral regulation (higher scores) increased the probability of condomless sex while using substances, but this association was not present in the absence of substance use. Behavioral regulation difficulties also contributed to a higher probability of condomless sex with main partners among PrEP non-users. Higher BRI scores were linked to condomless sex in particular contexts (i.e., sex with substances or main partners). These findings highlight the complex relationships between behavioral regulation and sexual behavior in the context of biomedical HIV prevention options and relationship dynamics for YSMM.

Indexed as

CondomsHIV InfectionsHomosexuality, MalePre-Exposure ProphylaxisSexual and Gender MinoritiesSexual BehaviorSexual PartnersSubstance-Related DisordersUnsafe SexAdolescentAdultHumansMaleRisk-TakingSurveys and QuestionnairesYoung AdultBehavioral regulationCondomless sexSubstance useYoung sexual minority men

Identifiers

PMID40439765
PMCPMC12670690

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.