6 research outputs found
Sexual Compulsivity Among Men in a Decentralized MSM Community of the Midwestern United States
This is the publisher's version, which may also be found at http://online.liebertpub.com/toc/apc/22/7Among men who have sex with men (MSM), sexual compulsivity has been associated with higher frequencies
of sexual behaviors that may increase risk for transmission of HIV and other sexually transmitted infections
(STI). In a Midwestern region where social and community resources for MSM are relatively diffuse, the patterns
of partner-seeking and sexual behavior, and their relations to sexual compulsivity, may be different than
findings from most other assessments of men in large urban areas. Using a community-based participatory approach
(CBPR) and a cross-sectional survey, quantitative data were collected between November 2006 and January
2007 from 504 men related to sexual compulsivity, sexual partner-seeking, and sexual behavior. We sought
to explore sexual behaviors in venues where men reported meeting sexual partners, based on their level of compulsivity.
Venues that could be characterized as āsexualizedā were better predictors of higher sexual compulsivity
scores among men than those that are āsocialā in nature. Men who were higher in compulsivity reported
patterns of saturating sexualized venues in order to find sexual partners. Given the unique patterns of sexual
partner-seeking in this area, interventions to decrease sexual risk-taking should take into account that men who
have a higher propensity for sexual compulsivity are visiting multiple venues, and prevention messages need
to be tailored to be consistent across these contexts. In addition, these may need to be differentially designed
based on the specific environment in which they are to be delivered
Sexual Compulsivity, the Internet, and Sexual Behaviors Among Men in a Rural Area of the United States
This is the publisher's version, which is also found by way of http://online.liebertpub.com/toc/apc/24/9Sexual compulsivity has been associated with higher frequencies of sexual behaviors that may increase risk for
transmission of HIV and other sexually transmitted infections (STI). In a rural midwestern region where social
and community resources for the sexual health of men who have sex with men (MSM) are relatively few, the
patterns of partner-seeking and sexual behavior, and their relations to sexual compulsivity, may be different
than findings from other assessments of men in urban centers. Using a community-based participatory approach
(CBPR), data were collected from 309 men who were primarily white, identified as gay or homosexual, and had
a mean age of 29.37 years (SDĀ¼11.33), to explore relations between scores on a measure of sexual compulsivity
and their sexual partner-seeking, drug and alcohol use, and sexual behaviors with men and women. The
majority of men reported having engaged in sexual activity with men in the past 30 days. Those scoring higher
than the sample mean (1.65 [SDĀ¼0.66]) on the sexual compulsivity measure reported patterns of having sex
with partners met online and having been the insertive or receptive partner in unprotected anal intercourse.
Given the unique patterns of sexual partner-seeking in this area, interventions to decrease sexual risk-taking
should take into account that the vast majority of men in rural areas are using the Internet to locate sexual
partners, and prevention messages focused on rural contexts need to be tailored to include men who have a
propensity for sexually compulsive behaviors. Additionally, interventions created for virtual spaces may be
more sustainable with rural communities than traditional approaches to HIV/STI prevention