Assessing Motivation for Condom Use Among MSM: Effort Discounting as a Novel Measure of Sexual Risk.

Among men who have sex with men (MSM), motivation for condom use in sexual situations varies as a function of trait-level characteristics and state-level contextual factors. To-date, however, condom use motivation has been assessed in cross-sectional research designs by single use, questionnaire-bas...

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Publicado en:AIDS & Behavior Vol. 30; no. 7; pp. 2109 - 2129
Autores principales: Luehring-Jones, Peter, Palfai, Tibor P., Simons, Jeffrey S., Maisto, Stephen A.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jul2026
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        10.1007/s10461-026-05037-1
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        atl: Assessing Motivation for Condom Use Among MSM: Effort Discounting as a Novel Measure of Sexual Risk.
      aug:
        au:
          Luehring-Jones, Peter
          Palfai, Tibor P.
          Simons, Jeffrey S.
          Maisto, Stephen A.
        affil: https://ror.org/05qwgg493 Department of Psychological and Brain Sciences, Boston University, 900 Commonwealth Avenue, 2nd Floor, 02215, Boston, MA, USA
      sug:
        subj:
          Condoms Utilization
          Motivation
          Men Who Have Sex With Men
          Risk Taking Behavior
          Task Performance and Analysis
          Anal Intercourse
          Human
          Funding Source
          Male
          Adult
          Ecological Research
          Descriptive Statistics
          Intraclass Correlation Coefficient
          Pearson's Correlation Coefficient
          Questionnaires
          Scales
          Sexual Behavior
          Unsafe Sex
          HIV Infections Prevention and Control
          Sexually Transmitted Diseases Prevention and Control
          Health Status
          Self Report
          Cognition
          Intention
          Acquired Immunodeficiency Syndrome Prevention and Control
          Adult: 19-44 years
          Male
      ab: Among men who have sex with men (MSM), motivation for condom use in sexual situations varies as a function of trait-level characteristics and state-level contextual factors. To-date, however, condom use motivation has been assessed in cross-sectional research designs by single use, questionnaire-based self-report measures. This study describes the development and validation of a novel sexual effort discounting task that was designed to rapidly assess individual differences in motivation for condom use by measuring how much effort a participant would invest into acquiring a condom prior to engaging in anal intercourse with a partner of unknown HIV and STI status. The task was repeatedly administered as part of an ecological momentary assessment (EMA) study of condom use motivation to a pilot group of 55 MSM who regularly engaged in risky sexual behavior. Results demonstrated good reliability across administrations, and validity was supported by significant longitudinal associations with daily fluctuations in motivation to use condoms, significant correlations with self-reported sexual behavior, condom use, and cognitions related to condom use (e.g., intentions to use condoms), and significant positive associations with performance on a newly-developed EMA version of the well-established Sexual Delay Discounting Task (Johnson and Bruner in Drug Alcohol Depend 123:15–21, 2012). Use of the novel sexual effort discounting task may allow for greater insight into how differing levels of motivation for condom use may impact sexual decision-making among MSM, both in terms of indexing individual differences in motivation for condom use and assessing the impact of changing contextual variables on motivation in repeated-measures research designs.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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