Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
AIDS and Behavior
Published in: AIDS and Behavior 3/2012

01-04-2012 | Original Paper

Stigma and Sexual Compulsivity in a Community-Based Sample of HIV-Positive Gay and Bisexual Men

Authors: H. Jonathon Rendina, Sarit A. Golub, Christian Grov, Jeffrey T. Parsons

Published in: AIDS and Behavior | Issue 3/2012

Login to get access

Abstract

A better exploration of factors associated with sexual compulsivity (SC) among various subpopulations may help to explain its etiology, development, and course, as well as provide implications for treatment. Criticisms of SC highlight the need to have a better understanding of SC that takes into account both behavioral and psychosocial variables such as stigma, particularly stigma related to sexual orientation and HIV status. The purpose of this study was to investigate the association of SC with sexual behavior and stigma in a sample of HIV-positive gay and bisexual men. A cross-sectional, street-intercept method was adapted to survey a sample of 127 HIV-positive gay and bisexual males at two large-scale LGBT community events in the fall of 2008 and spring of 2009. We found that the number of recent male sexual partners (AOR = 1.05) and internalized HIV stigma (AOR = 8.20) were significantly associated with SC symptomology, while internalized homonegativity and interpersonal HIV stigma were not. These findings contradict many prominent criticisms of SC while highlighting the need to better understand the mechanisms related to the development of SC symptomology and the potential role stigma may have for the psychosexual well-being of HIV-positive gay and bisexual men.
Literature
1.
Dodge B, Reece M, Herbenick D, Fisher C, Satinsky S, Stupiansky N. Relations between sexually transmitted infection diagnosis and sexual compulsivity in a community-based sample of men who have sex with men. Sex Transm Infect. 2008;84(4):324–27. doi:10.​1136/​sti.​2007.​028696.
2.
3.
Muench F, Parsons J. Sexual compulsivity and HIV: identification and treatment. Focus. 2004;19(6):1–5.
4.
5.
Reece M, Plate PL, Daughtry M. HIV prevention and sexual compulsivity: the need for an integrated strategy of public health and mental health. Sex Addict Compuls. 2001;8(2):157–67. doi:1072-0162/​01.CrossRef
6.
Reece M, Dodge B. Exploring the physical, mental and social well-being of gay and bisexual men who cruise for sex on a college campus. J Homosex. 2004;46(1/2):111–36. doi:10.​1300/​J082v46n01_​03.
7.
Satinsky S, Fisher C, Stupiansky N, et al. Sexual compulsivity among men in a decentralized MSM community of the Midwestern United States. AIDS Patient Care STDS. 2008;22(7):553–60.
8.
Schnarrs PW, Rosenberger JG, Satinsky S, et al. Sexual compulsivity, the Internet, and sexual behaviors among men in a rural area of the United States. AIDS Patient Care STDS. 2010;24(9):563–69.
9.
Benotsch E, Kalichman S, Kelly J. Sexual compulsivity and substance use in HIV-seropositive men who have sex with men: prevalence and predictors of high-risk behaviors. Addict Behav. 1999;24(6):857–68.
10.
11.
12.
Kafka MP. Hypersexual disorder: a proposed diagnosis for DSM-V. Arch Sex Behav. 2010;39(2):377–400.
13.
14.
15.
Winters J. Hypersexual disorder: a more cautious approach. Arch Sex Behav. 2010;39(3):594–96.
16.
Winters J, Christoff K, Gorzalka BB. Dysregulated sexuality and high sexual desire: distinct constructs? Arch Sex Behav. 2010;39:1029–43.
17.
Hook JN, Hook JP, Davis DE, Worthington Jr EL, Penberthy JK. Measuring sexual addiction and compulsivity: a critical review of instruments. J Sex Marital Ther. 2010;36(3):227.
18.
Bancroft J, Vukadinovic Z. Sexual addiction, sexual compulsivity, sexual impulsivity or what? Toward a theoretical model. J Sex Res. 2004;41(3):225–34.
19.
20.
Stein DJ. Classifying hypersexual disorders: compulsive, impulsive, and addictive models. Psychiatr Clin North Am. 2008;31(4):587–91.
21.
Sayles J, Ryan G, Silver J, Sarkisian C, Cunningham W. Experiences of social stigma and implications for healthcare among a diverse population of HIV positive adults. J Urban Health. 2007;84(6):814–28. doi:10.​1007/​s11524-007-9220-4.
22.
Sayles J, Hays R, Sarkisian C, Mahajan A, Spritzer K, Cunningham W. Development and psychometric assessment of a multidimensional measure of internalized HIV stigma in a sample of HIV-positive adults. AIDS Behav. 2008;12(5):748–58.
23.
Siegel K, Krauss B. Living with HIV infection: adaptive tasks of seropositive gay men. J Health Soc Behav. 1991;32(1):17–32.
24.
Preston DB, D’Augelli AR, Kassab CD, Cain RE, Schulze FW, Starks MT. The influence of stigma on the sexual risk behavior of rural men who have sex with men. AIDS Educ Prev. 2004;16(4):291–303.
25.
Radcliffe J, Doty N, Hawkins LA, Gaskins CS, Beidas R, Rudy BJ. Stigma and sexual health risk in HIV-positive African American young men who have sex with men. AIDS Patient Care STDS. 2010;24(8):493–99.
26.
Semple S, Zians J, Grant I, Patterson T. Sexual compulsivity in a sample of HIV-positive methamphetamine-using gay and bisexual men. AIDS Behav. 2006;10(5):587–98. doi:10.​1007/​s10461-006-9127-1.
27.
Dew B, Chaney M. The relationship among sexual compulsivity, internalized homophobia, and HIV at-risk sexual behavior in gay and bisexual male users of Internet chat rooms. Sex Addict Compuls. 2005;12(4):259–73. doi:10.​1080/​1072016050036230​6.CrossRef
28.
Smolenski DJ, Ross MW, Risser JMH, Rosser BRS. Sexual compulsivity and high-risk sex among Latino men: the role of internalized homonegativity and gay organizations. AIDS Care. 2009;21(1):42–49.
29.
Herek G, Gillis J, Cogan J. Internalized stigma among sexual minority adults: insights from a social psychological perspective. J Couns Psychol. 2009;56(1):32–43. doi:10.​1037/​a0014672.CrossRef
30.
31.
Giles J. No such thing as excessive levels of sexual behavior. Arch Sex Behav. 2006;35(6):641–42.
32.
Benotsch EG, Kalichman SC, Pinkerton SD. Sexual compulsivity in HIV-positive men and women: prevalence, predictors, and consequences of high-risk behaviors. Sex Addict Compuls. 2001;8(2):83–99.
33.
Kalichman SC, Rompa D. Sexual sensation seeking and sexual compulsivity scales: reliability, validity, and predicting HIV risk behavior. J Pers Assess. 1995;65(3):586–601.
34.
Kalichman S, Rompa D. The sexual compulsivity scale: further development and use with HIV-positive persons. J Pers Assess. 2001;76(3):379–95.
35.
Fife B, Wright E. The dimensionality of stigma: a comparison of its impact on the self of persons with HIV/AIDS and cancer. J Health Soc Behav. 2000;41(1):50–67.
36.
Ross M, Rosser B, Neumaier E. The relationship of internalized homonegativity to unsafe sexual behavior in HIV seropositive men who have sex with men. AIDS Edu Prev. 2008;20(6):547.
37.
Van Der Straten A, Vernon K, Knight K, Gomez C, Padian N. Managing HIV among serodiscordant heterosexual couples: serostatus, stigma and sex. AIDS Care. 1998;10(5):533–48.
38.
Miller K, Wilder L, Stillman F, Becker D. The feasibility of a street-intercept survey method in an African-American community. Am J Public Health. 1997;87(4):655.
39.
Grov C, Bimbi DS, Parsons JT, Nanín JE. Race, ethnicity, gender, and generational factors associated with the coming-out process among gay, lesbian, and bisexual individuals. J Sex Res. 2006;43(2):115–21.
40.
Grov C, Bimbi DS, Nanin JE, Parsons JT. Exploring racial and ethnic differences in drug use among urban gay and bisexual men in New York City and Los Angeles. J Drug Educ. 2006;36(2):105–23.
41.
Koken JA, Parsons JT, Severino J, Bimbi DS. Exploring commercial sex encounters in an urban community sample of gay and bisexual men: a preliminary report. J Psychol Hum Sex. 2005;17(1/2):197–213. doi:10.​1300/​J056v17n01_​12.CrossRef
42.
Carey MP, Braaten LS, Jaworski BC, Durant LE, Forsyth AD. HIV and AIDS relative to other health, social, and relationship concerns among low-income women: a brief report. J Women’s Health Gender Based Med. 1999;8:657–61.
43.
Chen JL, Kodagoda D, Lawrence AM, Kerndt PR. Rapid public health interventions in response to an outbreak of syphilis in Los Angeles. Sex Transm Dis. 2002;29:285–87.
44.
Kalichman SC, Simbaya L. Traditional beliefs about the cause of AIDS and AIDS-related stigma in South Africa. AIDS Care. 2004;16:572–80.
45.
Rotheram-Borus MJ, Lee M, Zhou S, et al. Variation in health and risk behavior among youth living with HIV. AIDS Edu Prev. 2001;13:42–54.
46.
Benotsch EG, Kalichman SC, Cage M. Men who have met sex partners via the Internet: prevalence, predictors, and implications for HIV prevention. Arch Sex Behav. 2002;31:177–83.
47.
Benotsch EG, Martin AM, Espil FM, Nettles CD, Seal DW, Pinkerton SD. Internet use, recreational travel, and HIV risk behaviors in men who have sex with men. J Commun Health. 2011;36(3):398–405.
48.
Gore-Felton C, Kalichman SC, Brondino MJ, Benotsch EG, Cage M, DiFonzo K. Childhood sexual abuse and HIV risk among men who have sex with men: initial test of a conceptual model. J Fam Violence. 2006;21(4):263–70. doi:10.​1007/​s10896-006-9022-6.CrossRef
49.
Kalichman SC, Benotsch E, Rompa D, et al. Unwanted sexual experiences and sexual risks in gay and bisexual men: associations among revictimization, substance use and psychiatric symptoms. J Sex Res. 2001;38(1):1–9. doi:10.​1080/​0022449010955206​5.CrossRef
50.
Nettles CD, Benotsch EG, Uban KA. Sexual risk behaviors among men who have sex with men using erectile dysfunction medications. AIDS Patient Care STDS. 2009;23(12):1017–23.
51.
52.
Kalichman SC, Adair V, Rompa D, Multhauf K, Johnson J, Kelly J. Sexual sensation-seeking: scale development and predicting AIDS-risk behavior among homosexually active men. J Pers Assess. 1994;62:385–87.
53.
54.
Grov C, Golub SA, Parsons JT. HIV status differences in venues where highly sexually active gay and bisexual men meet sex partners: results from a pilot study. AIDS Educ Prev. 2010;22(6):496–508.
55.
Grov C, Golub SA, Mustanski B, Parsons JT. Sexual compulsivity, state affect, and sexual risk behavior in a daily diary study of gay and bisexual men. Psychol Addict Behav. 2010;24(3):487–97.
56.
57.
Mayfield W. The development of an internalized homonegativity inventory for gay men. J Homosex. 2001;41(2):53–76.
58.
Berger B, Ferrans C, Lashley F. Measuring stigma in people with HIV: psychometric assessment of the HIV stigma scale. Res Nurs Health. 2001;24(6):518–29.
59.
Shoptaw S, Weiss RE, Munjas B, et al. Homonegativity, substance use, sexual risk behaviors, and HIV status in poor and ethnic men who have sex with men in Los Angeles. J Urban Health. 2009;86:77–92.
60.
Parsons J, Kelly B, Bimbi D, DiMaria L, Wainberg M, Morgenstern J. Explanations for the origins of sexual compulsivity among gay and bisexual men. Arch Sex Behav. 2008;37(5):817–26.
61.
62.
Agresti A. Categorical data analysis. 2nd ed. Hoboken, NJ: John Wiley and Sons, Inc; 2002.CrossRef
Metadata
Title
Stigma and Sexual Compulsivity in a Community-Based Sample of HIV-Positive Gay and Bisexual Men
Authors
H. Jonathon Rendina
Sarit A. Golub
Christian Grov
Jeffrey T. Parsons
Publication date
01-04-2012
Publisher
Springer US
Published in
AIDS and Behavior / Issue 3/2012
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-0048-2

Other articles of this Issue 3/2012

AIDS and Behavior 3/2012 Go to the issue

Original Paper

Mastery Moderates the Negative Effect of Stigma on Depressive Symptoms in People Living with HIV

Original Paper

HIV Risk Behavior Among HIV-Infected Men Who have Sex with Men in Bangkok, Thailand

Original Paper

The Association of Intimate Partner Violence, Recreational Drug Use with HIV Seroprevalence among MSM

Original Paper

HIV Prevention and Transmission Myths Among Heterosexually Active Adults in Low-Income Areas of South Florida

Original Paper

The Impact of Stressful Life Events on Unprotected Anal Intercourse Among Gay and Bisexual Men

Original Paper

Levels and Correlates of Internalized Homophobia Among Men Who Have Sex with Men in Pretoria, South Africa
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine
Image Credits