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Sexual Compulsivity and Sexual Risk in Gay and Bisexual Men
Open accessAbstract
Much of our understanding of the association between the Sexual Compulsivity Scale (SCS) and sexual risk behavior among men who have sex with men (MSM) has been limited to samples of HIV positive MSM only. Using data from a community-based survey of gay and bisexual men (n = 1214), this analysis sought to further evaluate the association between the SCS and sexual risk behavior. The SCS was significantly associated with a variety of sexual risk behaviors, including having sex under the influence of club drugs, engaging in unprotected anal sex (receptive or insertive) with partners of the same and/or different HIV serostatus, identity as a barebacker, intentions to have bareback sex, number of recent sex partners, and temptation for unsafe sex. The SCS was also significantly associated with having engaged in a variety of specialized sexual behaviors (i.e., fetishes), many of which can increase HIV transmission risks. Finally, in multivariate analyses, the SCS significantly predicted unprotected sex with a non-main partner even when controlling for race, HIV serostatus, age, identity as a barebacker, and club drug use. These data indicate that the SCS may be able to serve as an indicator to detect HIV-associated sexual risk behavior in community-based samples of gay and bisexual men.
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“Use of ketamine is also common (Grov et al., 2010)”
From A motivation model of sex addiction – Relevance to the controversy over the concept (2022) · cites this paper as Grov et al., 2010
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In the citing paper
“There is a correlation between an individual's score on the sexual compulsivity scale and the tendency to engage in high-risk sexual activities, such as sexual marathons (Grov et al., 2010).”
From A motivation model of sex addiction – Relevance to the controversy over the concept (2022) · cites this paper as Grov et al., 2010
Experimental — accuracy not yet measuredIn the citing paper
“Finally, although no official diagnostic criteria for sexual compulsivity existed at the time of our study, we used the Sexual Compulsivity Scale (α = 0.90), the most widely published measure of sexual compulsivity among MSM.45 Consistent with existing literature,17,25,46–49 we defined scores of 24 and above as indicating sexual compulsivity (mean = 17.50; SD = 6.56; range = 10–40).”
From Sexual Compulsivity, Co-Occurring Psychosocial Health Problems, and HIV Risk Among Gay and Bisexual Men: Further Evidence of a Syndemic (2012) · cites this paper as [17]
In the citing paper
“Researchers have demonstrated individual connections between sexual compulsivity and many of the psychosocial problems that have also been identified as syndemic factors related to HIV risk among MSM, such as childhood sexual abuse, depression, and substance use.17,24–26”
From Sexual Compulsivity, Co-Occurring Psychosocial Health Problems, and HIV Risk Among Gay and Bisexual Men: Further Evidence of a Syndemic (2012) · cites this paper as [17]
In the citing paper
“Another factor that has frequently been associated with HIV sexual risk behaviors among MSM is sexual compulsivity.”
From Sexual Compulsivity, Co-Occurring Psychosocial Health Problems, and HIV Risk Among Gay and Bisexual Men: Further Evidence of a Syndemic (2012) · cites this paper as [17]
In the citing paper
“Furthermore, sexual compulsivity was bivariately associated with being HIV positive and reporting unprotected anal intercourse, consistent with previous research.14,17–23”
From Sexual Compulsivity, Co-Occurring Psychosocial Health Problems, and HIV Risk Among Gay and Bisexual Men: Further Evidence of a Syndemic (2012) · cites this paper as [17]
In the citing paper
“Furthermore, sexual compulsivity was bivariately associated with being HIV positive and reporting unprotected anal intercourse, consistent with previous research.14,17–23”
From Sexual Compulsivity, Co-Occurring Psychosocial Health Problems, and HIV Risk Among Gay and Bisexual Men: Further Evidence of a Syndemic (2012) · cites this paper as [17]
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Janssen, E., Prause, N., Romine, R. S., Raymond, N. C., MacDonald, A. W., Coleman, E., & Miner, M. H. (2020) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2020.05.005 · Cited by 14
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Self-citationCompulsive Sexual Behavior in HIV-Infected Men in a Community Based Sample, Russia
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“MSM living with HIV tend to report higher sexually compulsive behavior compared to MSM who are HIV-negative [22].”
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“For psychosocial determinants, sexual compulsivity was measured using the sexual compulsivity scale, 8 with a score ≥24 being indicative of a greater impact of sexual thoughts on daily functioning and of an inability to control sexual thoughts or behaviours.”
A Psychometric Analysis of the Compulsive Sexual Behavior Inventory
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“Studies have also shown the SC to yield valid scores among those men at high risk for HIV ( Grov, Parsons, & Bimbi, 2009 ; Kalichman et al, 1994 ; Kalichman & Rompa, 1995 ).”
BackgroundOrtega-Otero, M., Montesinos, F., & Charrabe, L. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1182222 · Cited by 10
“It has also been related to unprotected sex and HIV-associated sexual risk behavior (Grov et al., 2010).”
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“Nevertheless, it is important to note that risky sex behavior is not only related to a high SC score, but also to other variables associated with the decision of having unprotected sex which act as a mediator, such as SSS (Grov et al., 2010) or drug consumption.”
BackgroundComportamiento sexual online en adultos mayores
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“MSMW CSA survivors may be especially susceptible to such experiences due to minority stress, which leaves them vulnerable to emotion regulation difficulties, maladaptive behaviors, and riskier sexual experiences (Grov et al., 2010; Hatzenbuehler, 2009).”
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“The associations between individual differences in both factors and risky sexual behaviors, especially high HIV-risk behaviors, have been well established in the current literature (Dodge et al., 2004; Grov et al., 2010; Gullette & Lyons, 2005; Kalichman & Cain, 2004; Kalichman & Rompa, 1995; Mashegoane et al., 2002).”
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“…frequency of unprotected sex with multiple partners can also lead to other problems such as the increased likelihood of sexually transmitted disease and unplanned parenthood (Grov et al., 2010; Kafka, 2010; Långström & Hanson, 2006; Parsons et al., 2012; Rooney et al., 2018; Yoon et al., 2016).”
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“This study focused on gay and bisexual men, as this group may be at particularly high risk for CSB (Grov, Parsons, & Bimbi, 2010 ; Kuzma & Black, 2008 ; Missildine, Feldstein, Punzalan, & Parsons, 2005 ).”
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“, shower facilities and hygiene), sexual compulsivity, and sexual positions were significantly associated with UAI in traditional cross-sectional studies distinguishing between the two groups of consistent and inconsistent condom users (Bancroft et al., 2005; Grov et al., 2010; Hemmige et al., 2011; Lau, Zhao, et al.,…”
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“…was used depending on the aims of different studies, both for analysis of personal issues, which were significantly associated with risk behaviors (Grov et al, 2010) and for the description of new phenomena such as bareback identity prediction, where barebackers were found significantly higher in…”
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Metadata
- Authors
- Grov, C., Parsons, J. T., & Bimbi, D. S.
- Affiliations
- City University of New York (US)
- The Graduate Center, CUNY (US)
- LaGuardia Community College (US)
- Corresponding author
- Parsons, Jeffrey T.
- Venue
- Archives of Sexual Behavior
- Published
- 2009-03-24
- Volume
- 39
- Issue
- 4
- Pages
- 940-949
- ISSN
- 0004-0002 (ISSN-L)
- 1573-2800
- PMC
- PMC2890042
- OpenAlex
- W2038407502
- Cited by
- 185
- References
- 70
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 9 · 2023: 8 · 2022: 8 · 2021: 14 · 2020: 7 · 2019: 7 · 2018: 13 · 2017: 9 · 2016: 17 · 2015: 24 · 2014: 21 · 2013: 18 · 2012: 4
- FWCI
- 7.44
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Archives of Sexual Behavior (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5t32da007233-40)
- National Institute on Drug Abuse (T32DA007233, T32DA07233)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- compulsive sexual behavior, sexual risk behavior, men who have sex with men, gay men, bisexual men, unprotected anal intercourse, barebacking, club drug use, HIV risk factors, sexual fetishes, HIV status
- MeSH terms
- Adolescent, Adult, Age Factors, Bisexuality, Compulsive Behavior, Cross-Sectional Studies, Humans, Male, Middle Aged, Risk-Taking, Sexual Behavior, Sexual Partners, HIV Infections, Multivariate Analysis, Logistic Models, Homosexuality, Male, Substance-Related Disorders, Safe Sex, Racial Groups, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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