The impact of alcohol use on the sexual scripts of HIV-positive men who have sex with men

Jeffrey T. Parsons; Kalil J. Vicioso; Joseph C. Punzalan; Perry N. Halkitis; Alexandra Kutnick; Mary M. Velasquez

doi:10.1080/00224490409552224

The impact of alcohol use on the sexual scripts of HIV-positive men who have sex with men

Jeffrey T. Parsons, Kalil J. Vicioso, Joseph C. Punzalan, Perry N. Halkitis, Alexandra Kutnick, Mary M. Velasquez

Research output: Contribution to journal › Review article › peer-review

Abstract

The literature has failed to form a consensus on the association between alcohol use and unsafe sex among samples of men who have sex with men (MSM). Although drinking behavior may not be causally related to unsafe sex, it is possible that alcohol use plays a role in sexual scripts. In this paper, we assessed the role that alcohol use plays in the sexual experiences of HIV-seropositive MSM in terms of sexual script theory. An ethnically diverse sample (81% men of color) of HIV-positive MSM with alcohol use disorders from the New York City metropolitan area was recruited from a variety of settings frequented by such men. A critical incident measure was used to qualitatively assess contextual issues regarding participants' most recent incident of unsafe sex while under the influence of alcohol. Qualitative analysis revealed three basic sexual scripts involving alcohol: routine, spontaneous, and taboo. Each script had its own sources of risk for unsafe sex. Interventions targeting alcohol use and unsafe sex should be sensitive to the role that alcohol plays in the sexual scripts of HIV-positive MSM.

Original language	English (US)
Pages (from-to)	160-172
Number of pages	13
Journal	Journal of Sex Research
Volume	41
Issue number	2
DOIs	https://doi.org/10.1080/00224490409552224
State	Published - May 2004

ASJC Scopus subject areas

Gender Studies
Sociology and Political Science
General Psychology
History and Philosophy of Science

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10.1080/00224490409552224

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title = "The impact of alcohol use on the sexual scripts of HIV-positive men who have sex with men",

abstract = "The literature has failed to form a consensus on the association between alcohol use and unsafe sex among samples of men who have sex with men (MSM). Although drinking behavior may not be causally related to unsafe sex, it is possible that alcohol use plays a role in sexual scripts. In this paper, we assessed the role that alcohol use plays in the sexual experiences of HIV-seropositive MSM in terms of sexual script theory. An ethnically diverse sample (81% men of color) of HIV-positive MSM with alcohol use disorders from the New York City metropolitan area was recruited from a variety of settings frequented by such men. A critical incident measure was used to qualitatively assess contextual issues regarding participants' most recent incident of unsafe sex while under the influence of alcohol. Qualitative analysis revealed three basic sexual scripts involving alcohol: routine, spontaneous, and taboo. Each script had its own sources of risk for unsafe sex. Interventions targeting alcohol use and unsafe sex should be sensitive to the role that alcohol plays in the sexual scripts of HIV-positive MSM.",

author = "Parsons, {Jeffrey T.} and Vicioso, {Kalil J.} and Punzalan, {Joseph C.} and Halkitis, {Perry N.} and Alexandra Kutnick and Velasquez, {Mary M.}",

note = "Funding Information: Positive Choices was supported by a grant from the National Institute for Alcohol Abuse and Alcoholism (R01 AA11808, Jeffrey T. Parsons, Principal Investigator). The authors acknowledge the contributions of other members of the Positive Choices team: Joseph P. Carbonari, Kirk von Sternberg, David Bimbi, Aongus Burke, Thomas Borkowski, and Paris Mourgues. We also thank those who assisted with qualitative coding—Diane Tider, Mark Flores, Eric Martin, and Ellen Short—as well as those who assisted with the preparation of the manuscript: Jose Nanin, Jeremy Eggleston, and Whitney Missildine. We thank Kendall Bryant of the National Institute for Alcohol Abuse and Alcoholism for his input and support for the project.",

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AU - Kutnick, Alexandra

AU - Velasquez, Mary M.

N1 - Funding Information: Positive Choices was supported by a grant from the National Institute for Alcohol Abuse and Alcoholism (R01 AA11808, Jeffrey T. Parsons, Principal Investigator). The authors acknowledge the contributions of other members of the Positive Choices team: Joseph P. Carbonari, Kirk von Sternberg, David Bimbi, Aongus Burke, Thomas Borkowski, and Paris Mourgues. We also thank those who assisted with qualitative coding—Diane Tider, Mark Flores, Eric Martin, and Ellen Short—as well as those who assisted with the preparation of the manuscript: Jose Nanin, Jeremy Eggleston, and Whitney Missildine. We thank Kendall Bryant of the National Institute for Alcohol Abuse and Alcoholism for his input and support for the project.

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N2 - The literature has failed to form a consensus on the association between alcohol use and unsafe sex among samples of men who have sex with men (MSM). Although drinking behavior may not be causally related to unsafe sex, it is possible that alcohol use plays a role in sexual scripts. In this paper, we assessed the role that alcohol use plays in the sexual experiences of HIV-seropositive MSM in terms of sexual script theory. An ethnically diverse sample (81% men of color) of HIV-positive MSM with alcohol use disorders from the New York City metropolitan area was recruited from a variety of settings frequented by such men. A critical incident measure was used to qualitatively assess contextual issues regarding participants' most recent incident of unsafe sex while under the influence of alcohol. Qualitative analysis revealed three basic sexual scripts involving alcohol: routine, spontaneous, and taboo. Each script had its own sources of risk for unsafe sex. Interventions targeting alcohol use and unsafe sex should be sensitive to the role that alcohol plays in the sexual scripts of HIV-positive MSM.

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The impact of alcohol use on the sexual scripts of HIV-positive men who have sex with men

Abstract

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