Syndemic Production and Sexual Compulsivity/Hypersexuality in Highly Sexually Active Gay and Bisexual Men: Further Evidence for a Three Group Conceptualization

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• 作者：Jeffrey T. Parsons ; H. Jonathon Rendina ; Raymond L. Moody…
• 关键词：Sexual compulsivity ; Syndemics ; Gay and bisexual men ; HIV ; Condom use ; Sexual orientation
• 刊名：Archives of Sexual Behavior
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：44
• 期：7
• 页码：1903-1913
• 全文大小：546 KB
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• 作者单位：Jeffrey T. Parsons (1) (2) (3) (4)
  H. Jonathon Rendina (2)
  Raymond L. Moody (2) (3)
  Ana Ventuneac (2)
  Christian Grov (2) (4) (5)
  
  1. Department of Psychology, Hunter College of the City University of New York, 695 Park Ave., New York, NY, 10065, USA
  2. The Center for HIV/AIDS Educational Studies & Training, New York, NY, USA
  3. Health Psychology and Clinical Science Doctoral Program, The Graduate Center of the City University of New York, New York, NY, USA
  4. CUNY School of Public Health at Hunter College, New York, NY, USA
  5. Department of Health and Nutrition Sciences, Brooklyn College of the City University of New York, Brooklyn, NY, USA
  
• 刊物类别：Behavioral Science
• 刊物主题：Psychology
  Sexual Behavior
  Social Sciences
  
• 出版者：Springer Netherlands
• ISSN：1573-2800

文摘

Among gay and bisexual men (GBM), a syndemic describes a situation in which negative conditions (e.g., childhood sexual abuse, intimate partner violence, depression, polysubstance use) co-occur such to amplify HIV risk. Research has suggested that sexual compulsivity (SC) may also be a syndemic condition. Between 2011 and 2013, 368 highly sexually active (9+ male partners in 90 days) GBM completed a survey of syndemic factors as well as measures of sexual compulsivity (Sexual Compulsivity Scale [SCS]) and hypersexuality (hypersexual disorder screening inventory [HDSI]). Based on scores on the SCS and HDSI, participants were organized into three groups—negative on both (“Neither SC nor HD-; positive on the SCS only (“SC Only-, and positive on both the SCS and the HDSI (“Both SC and HD-. We found support for the utility of a three-group classification of sexual compulsivity/hypersexuality as one of the syndemic factors that contribute to HIV risk. The average number of syndemic factors experienced was lowest among those who experienced Neither SC nor HD and highest among the group that experienced Both SC and HD, with those experiencing SC Only falling between the two other groups. This study provided further evidence that sexual compulsivity/hypersexuality is a contributing factor to the syndemics model of HIV risk for GBM and that considering three levels of severity (i.e., SC along with HD) led to stronger model predictions than considering SC alone. SC/HD severity provides another modifiable target for HIV prevention intervention development. Keywords Sexual compulsivity Syndemics Gay and bisexual men HIV Condom use Sexual orientation